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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNIiR BUIT-DER DEL('ARATION
<br />I hd.b) .mm uid< FElry.fFl-t rht I m.rmF fmf, th. Conr.clou Lictr l.* fo' ih. folhsinS rtun llic.7o:rl 5
<br />tt$in* Jn PrcfcsiiJn C.<l) Ant Cny .. (oonrt *hrfi r.qtn6 . Fni ro co'llru.l. .nq. !nF.r. &rmlth or q[' u\
<br />rtu.l@, Fior ro ir3 isuM., rko r.qut6 lh. +plicbl tor such IEnn lo fi|. ! siso.d 3l'l@d rhd h. or rh. i! licatd PUBMi
<br />lo rh. p.wlnrtr otrlE Cootrrrd. Li.d..n kw (chqnd 9, ( onmdcin* *'ilh Sclio. 7000 of Divittn oflh. I]'Bin< !.d
<br />Pmf6i, ('..L).rrhd lEdtll idoF rlEc6om.rd llE tEir ror rh. .lks.rt .roPrion An! \hhF.ofs.dnn70ll ! bt.n!
<br />4Dlic.nr lor r p€nn rubjers th. rp?liclnr to ! .iII ti<dhy or R\i morc rha fi\. tondr.d doll$ I itm)
<br />I. a of,c ollh. tmFd). or ny mph\c wnh $.s6 s th.i sk comp.iadttn- *ll do rlE "ttrt &'d llE rrElr i ml
<br />iddrd.d orofid.d f rL(Sc704.1.8l11116ddProtsioB(o&Th.(ofrrrd'.l-t@t^(iErelsglvhr.\ffioa
<br />th. r.Fiy *b bild. or inrrnls tIEElurd sh. &s st trn.l hm*lf or iaslf or rhFlah hii .. hs otr r oploy6,
<br />provid.d rh,r luch idFor€1tfu ft mr iddxh or ofrqGl aor qL. lf. no*Bq, rhc building ot inFoml it $E snhin onc )w
<br />otcotrpldhr llE O*E BuiklE riu t6t rlE h&rn of F.rnB lhr lr n 3lE d! d hnB c ,p.nrt 0E Fq.q fr'. dE F,F- of
<br />l. s 0*6 6f th. rsr<rr, m.rrlEiwly .odrd ins wilh licd.d conlncloB ro co.rtud rlE ttoj.rl (Se r01r. Buhd
<br />art ftotsi{ Cod. rh.ConrlloisLic.G tjq &Bmr r!?lr nr donFofFitdyEln tdil& or ihpro\6lhnFn.
<br />ed *l$ o'nr-r td sch Frrtrr\nh. coddo(r liaa.d p{lud rothc Co'ir.roi! I io& t^)
<br />I dn.rdtrDr undd S(ii..
<br />lr.t. Ortrd
<br />\AOru(FR('.OITPENSATION
<br />DECAIAIIO!
<br />I hqcb.! lmm und.r Fshr or Fjtr,)- oE of rh. folloq '.9 d..lrihB:
<br />I hrv. .[j will m.inrah a ('d1r ficarc ol Con6r to Sclf lcur. for $.rkds' .ompdM n,n. B pmvd.d fo. by sdrion ]70o o f rh.
<br />I rbo. CqL. for rh. Ff.lr1e. o f th. *o nn rnihlh.Fhn a isucd
<br />I hs\. .nd will n.inr.rn * oil6 conpaur ion rNu'arc.. B Eqlrcd t! sFr
<br />'on
<br />:r 7(X) of th. t,t{t Codc. r., rhl p(rolrm. ol
<br />tn. "orl ntrNhichlhs Fmil i! iluoi My rut6 co,npserF. iatrrtu...Mid d Brlicynumb6oc:
<br />I.d'4, ih, in rlE F6,mKof th. so* tu nnrh ltB Fnil s is.d, I .rl,ll mi mpht or. FMn in u) msF
<br />v, s lo h€om. r!b<r ro lh. Kd6 mnp.n{tion lNr ofcrliloro4 &d r*R th.l if I should tEcoft Nbidr b rtE
<br />*od6.omp.Mlh.prcvnioEots.dion1700otlh.Irh.rCod..IOEll.fonhwithconplywilhlho*povtioB
<br />w RnlNC F.iluE io cG er.l6 mnFdFtr ..r...s. n uhwtuL d lruU stld e qn lolq to ainin l FdE .rd
<br />.n'l li6 !p ro oe hu.&.d rho!$d .lill6 (lroo.mo). b *ldrFn to rh. cor of cuqEMr+ d.,EsB s p.oud.d fot rh.
<br />s(rbn 1o?6ofrh.t t$r r-od.. hr6cs dd donE}! 16 ll\ i , l . 'l trh,.: ^*,-,, t wwa4t hlt;/rz{(
<br />I rctfrip ro*TrucroR I / 'oEclJaar|d l.l
<br />I h.Eb, rlfrm ufttd p.uhy of FJU,y $n I d licnlci u.d( Ftrvlion of('h.pYs\ (.ommcrns s(h Sdri 70m)ofDiYirio. t
<br />of $. tlulB.,i Pr.tsnB (odc nrl ry li.ae ir o tull forc rd cfl..1
<br />coIilrf,u(]rcxrEdotdclcElcl
<br />I lElt,r .frm und.r rFrhy o f Fruy lht thd. t . o.lrnrcrb. lcdrg .edy for th. Ffoffi. of lh. *orl ttr $hkh
<br />'hn Pcmi' ir
<br />isu.d {sr 1097. cit c.).
<br />ATILI(ANTDKIIA6I&!
<br />I h.!t', inm undd Fllry of IEru,,- o.. of lh. folloq rns d.(lul irB
<br />l).nolnion Pmn. Arh6rd N.rific.tion r'.dd.l R.tuhrion! (1 irl. t0. Pin6)
<br />Rqun.d I!tdof Ndiaf,di).
<br />I.61ilyrh,lh. l.d6al r.rulil ioN rct{d,.s 6tEsl($rmolalu. nd drtli..bl. k' lhs Pmjd
<br />t csl ii rhd I tur c ,c!d rhE rt'?lrdion ,rl $ar. rhd lsra lo $np\ sih lll ( ii!" tnd (-ou.rt-"i,:'Tlxfffo Lnanc6 atrd Slnrc lxRr Eld'nll i{i t{
<br />flh'!.m6rn'n J pFFny t iNr.cr
<br />\t,t'licini or ,1*.nr shn*rur./
<br />rh..ts!. rnlomdhn r. (otr.d I
<br />n, dd h6$, .u'hoi,t r.rr.gl.l
<br />o
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Roof Sheathino
<br />Shear Wall
<br />Framing
<br />lnsu lation/E ne rgy
<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 />'l ltc/ts Aa?7D
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc
<br />a4(
<br />I
<br />I
<br />Subfloor/VenVlnsulation
<br />I
<br />I
<br />I
<br />Flood Zone Certif.I
<br />I
<br />FINAL
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