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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS O\f,NER
<br />'UI
<br />I,"ER DET-('ARATION
<br />I lE.b afi-m und( F..ht of Fiur) rh, I e .r.nF 6on rh. (ndrd6 l.k@ l.s ror rht aoll,s 8 ren (s+ ?o1l 5
<br />lluri.6r rnd PIof*Fi (iiL) Anr Cd) or (-ord! $hth r.q!!6 . Fon lo $drud. .nd. rmt'oE &mlirh or E uu d)
<br />ntudu.. Fior b s ir*ec, 6L r.q!n6lh. aplrul n, sch Fnn ro 6L t s'!..n rd.m'
<br />'hd
<br />lE or CE a h.6ed FNd
<br />lo rh. F.vnioB o r rlE ( o.rr*ro.3 r-i(nsl ll* (( nrt s q. (-onmff'na s h S..lnn Tlxxr or Dn ision I of rh. lr$'nN n.d
<br />PNfsh.s cod.i.r rhar lE or {'. n.idpr Ihqcnom ud lh. hdE lor rh. ill.8.n 46nFi.. Any rioLl io. or s<tion xrrl s h} ti}
<br />lmlicanlforap.rnnlsuhjelilh..ppli.inrl.t.ivilp.n.hyofnormo.€thufiv.hund,.ddolla3(l5Lxrl
<br />I, s o$e olthc FnFnr. or mydplo}t6 f,ilh wr*6 N lh.n a,E codFiMion. "ill& tlE *cI &d llEsnrl@. d,
<br />inrad.d or ofi6.d aor sL (Sa 7N4. IrBtrB Dd ft.l6i6E ( od. l h. Co r&1o.s l.a@ li! &6 nor .pply b s o.lff oa
<br />rh. Ftrpdry q,tb h:ilrh or nFirq tlEEc d n'h &E uh *!n huMlf or lE*lt o. rtFq! nn q ltr oun dnphrq
<br />Fo\ d.d lh,r s.h idForqdr ft er irod.d or or.,ii &r sk l( hor6s.lrE h'H'.s ( n p..\dE!, i eE *nhfi.E 6
<br />ol mipldio( dE Orc tliiLtt *ln h.E E h,rlor olFrajs d! lEdCrrMmr hild d lrtro( rtt FtrFry 6. dE FrFE.f
<br />l- s otrE orrh. Fr'P.nr, Mr .rclNivclt .ontrd int r h licm*j c.nlrrcroG r. codtud rrE Frjd ISa 7(!.1. lttr'n61
<br />rnn lhQssin c.d. Th. (-onkickn s l,ica5. La* do6 iol !prl) ro m o$ nd of p..Fnt who hu' lds .r improv6 rhdon,
<br />lnd sho co raclsfor!u.hrrqds*nh.co mr.(s) ftmkn nuautrl lo th. Conlrrcloi! l.icru r:s )
<br />I aD.r.mpt trfr16 s(rtr,n Il & l'( li,rlhis reen.
<br />lr.r. o*trd:
<br />\r_onl(f irs' comtENsATloN
<br />DIOJf,IIP!
<br />I hq.ny rmm un&r Frhy or |EJB r- oft of rlE f.llof,ry d6L,rnB
<br />I hNc &d * ill m'nrlin , C.nrr.{. ofco.s! ro s.lf.lcrrc nn sdl6 mnrE6n$o. a rdrxLd for by Sr' ion l7m r'h.
<br />l ru Code for rh. FfolM. ol rlE { orl aor *irh th. Fnn k isu.d
<br />I halr ed will m6imlif, sorl6 compds.tion irounncr. s rcqunrd b) s.rion 17m o l'th. l,bor ('odc. lor lhc F
<br />rh. trorl f.r *hi.JI rhiffitr s Bu.d Mr *'o'!B .omtu'onr urMc. cni6.rld mlr\ numkr F,** ,ifuk. &,vrn /u p,,,J
<br />),""*-116]JtEiSo,'L, ;- r 3/f 6
<br />y'cd'bthd Drh.Fa.lrlr(. lrhc trr,t lor qtrhrh6Fr k ireol.l shtll ml arhr_ o) rEen s tn!mdF
<br />rt d ro tr$R lbd !n llr *n*c mmr.Mhn Lqr.,('.I'r.hE sd *R rh, 'f I rlhuld r(.ft $h,<d lo tlf
<br />trut6' N6Ferir. Fn|nFE ot S..lion ! 700 ofih. l,bor ( GL. I tull. fodh$ hh Fnd, s irh rhos pmrGnrB
<br />WAINING: F ilur. to su. mrtd'conF6rioo s\dsr B utltwtul. dd shlll $bj6l m dplotd to 6inin.l pduhE d
<br />.iril nn6 up lo on. htrndr.n lhoue.d doll6 ($l(X),Ox)I.
<br />'n idJirhn I cosl ofco$p.1\ar'on, d,mBd as nrc! el n! lh.
<br />sclfutr ]076 olth. hhor(id.. rr6.n ud aloruy s rs
<br />I h6.$) !,Im unda Frhy of Frury rhi I m lrdE d ud.r F.\ Lirn of ClEpr( 9 {coffi!ry $rh sdio.7(tx)).f DnBIn 1
<br />ol rh. &!iB ud Pmr6nB C{dc, nd Ey lioE ! n 6rll lo( ila dld
<br />,.,*,*, 44051752 o c-
<br />-" . ?-/8.:.t V (onrracr.r
<br />2o (ot Pb"b/,J
<br />IlE by irm u.& FutyolFiury lhi llE i. ordo.rnr bdl8.Ecy aor rlE Frffi. otItE seri ftr sith rn! Fm. !
<br />lren (s( 1097.cir c )
<br />AlluQlNllE(l,asruo!
<br />I hdd'y ltfm und6 ranlhy olpdlory o.. oath. follo*inN d(!d.lions:
<br />D.dolnior Pnn$Art6roi Ndrii.a!6n F.ddal R.soLrirn! (Iil.!0. Pa.r6)
<br />Rquncd lnrq ol Norilrdbn
<br />I cd,fy $, rrt fddrl r.ruld bB r.*sdi.E 6!610! rfl\ !l u. o.l 4pl(rbL ro rh. tmFd
<br />@r.2,,r,*,*.,^^"*,,
<br />Ljr{inffiB ud s6t. trtr! ElrnB rn
<br />f,rlion !d51!1.!h.l lh.ttr\. inroddi.n ir.odd I t*rc tn coq,ly \ ith .ll Ciy.nd ctru.r\
<br />h{'ld'n! connrun,on. ml hd.h)ldturi2. r.p.tfrdn6 of rhr ( ny od Counr!ro dri !lr.
<br />'tE.h,v..rdlon d prop.nt aor inrpdion purpos
<br />la*Jcz f '/&/7
<br />Set Backs
<br />Forms/Steel/Holdowns t0.1.\1 )).<.+,,<t4 I
<br />Ereclion Pads -_7
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUl nsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />FINAL ry-zi-/9 Jlcdtl-aLi
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc.
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<br />Apprrcrnr or Asor sr*n.rur. ta*/L
<br />r*rr*n...rp.inrr, 2( A"jd I
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