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BUILDING- INSPECTOR RECORO
<br />SITE-WORK ID/SIG.COMMENTS OWNIR AUII,DER DELCAIATION
<br />I fidd,.mnn !nd6 !.n.lry nI Fjury rhd I m.r.mrr 6.d rh. contldoB Li.6* lrs aor rh. f.llo$in8 Etrh.ls(r0l|5
<br />llusinB ad ltof6.i'n Cod.l An) (n!- or (o!d! shkh r.qui.6. Fmi ro odrud. !hE, maro\e ddmlBt or r.IEr \
<br />stud@, rim h (! sud.q ,LF ..q!n6 rh. .p?lrcur to. such p.rn ro 6L ! lEncd srd.,En rhd li or ik i! n.n&n Fd'{d
<br />l(' lh. rmvisioni olllE ( ontrrloas l-icmFd ll* ((na 6 q, commftinr trilh Sdlion ?our olDnisn,n I of thc hBinN rnd
<br />t\ofdpnr Cod.) or rh lEd.h. *.tori rh6.{ion i.d rh.lGs tu th. llks.d.tfrpr $n Ar} vFhrs.ofsdrn 70rl t h) i.}
<br />anplicrnr for a pdnn 3ubldsrh.
<br />'l)plic.n'
<br />io.cililr!nrll_\,ornol hor.lhM nvc huidr.d dollrs(15(D)
<br />I. A o$d of lli FIEny, M m).mploys unh B116 6 rh.ir $1. comFmdrn. nilld' th. tr(t dtlEnn(E6 mi
<br />,ntdrrdl or oll6.n fot sl. {S( 704,4. BlsilB od Pmfsi.N cod. rh. cont&l.is l-i.e tr* d.6 nor rpplt h u oqn6 oa
<br />th. Flp.ny *kl txiLh ( in{m\6 ths@ in *llo &E$n ur hr,Blf or hs*lf or lhrlgh nB or h6.xr oph}6.
<br />Irovidd thar u.h inrro\ffis e mr idad.d oroll6.d i, sk ll hos66. rh. t ildin3 or mFo\6en 6 sld { irh'n on. rtu
<br />of cor{ diod llE o" F Bdll.r fill n r. $. hn d oaForinc r1I' h. or ik dil rcr h'H d i,rFo\. th. FFy r.r rhl Fir.g oa
<br />l. a os'F of lh. FIErt. m.r(lcn.b coddins *hh liGE d .odr&1o6 ro.odM rlE Fjd (Sd 704,1. Esin*
<br />.rd Pinisin ( od. Tll. Contrlda! l.ic6s L$ do6 mr rltly to u 0$.6 o t FoFry q h. boild! or rEprcrd rhr6n,
<br />ind who conlracl! for srh p.!j..13 wnh. (irntDdon!)lkaE d p{uur ro !h. Codrdoi3l-ic.B t $)
<br />I tun.r.mtr trndr Sel0n
<br />l).r. ()f,trd
<br />\\ o RxER\' (-aIr PtiN sa I t()N
<br />Drsrxlrtla!
<br />I hd.l)) Jltinn trnJ6 tman\.f rEJuc.E orrhc folh*tr,! ddl.uarDns
<br />I hI. ild $rll @inr.n r ('d,a.d. ofco|er ro S.lf'lBur. tq s.rl6' Ntrrrcru, ion. N lhr d.d for trq S<r ifl I70{ otrh.
<br />llbor Cod.. ror rh. psfomdc. ollh. s!.t tor trtih ln. Fn t isu.d
<br />Ihd!..nd$rllmrrr.'n$0116-c.ntEn$rkr.rEurift..ar.quri.nhsd{nuoo.frh.bbrco&,r ih. FfolmR..l
<br />rhc {orl for shi.hrh6r.rni! ir isol. My worl6- r.nr6l$hon inJure..6m6 &ki Flic, numbd r.:
<br />I.dlirvlh in lh. p.rtomncc.rlhc sorl tN snf,h lht rsmir is Gsuql.I st llnol mplor onr pG), in in) 'n nr
<br />$a!otEomrutldkrrh.r.*domp.n$irnh*!of(rl'fomd.rnd*,Erhd'tIrt$uldti.oft$tdrrorlE
<br />qo 4' .omr.nqrion tr.v6mns of s<1hn :1700 of rh. tltu ( od., I shrll. f.nhwirh comply * (h rhor !r.' sroB
<br />$/{RNINC: Frlurc lo s@ u!rt6 snqEsalion cov@I. is unhtr tul. ird slull sb](r m orylols ro simin FEh6 ed
<br />.N,l fi.6 u, ro oc hun(H
<br />'lF@nd
<br />doll6 (tltD.(r.x)). i. addirFn '
<br />il)-*-
<br />^*B a l"\d'd'n' !h(
<br />( oJ.. nn6arand dnfmq- s lc
<br />/1...,t
<br />r l rr'srr{lpr furtiiNo[(L\l!\llo\
<br />I h@by imm undd Fn.ty ofFjury rhar I !h lraqj unds p.trrrFn olChdrrq 9lconnEci.g sirh S..ltun 70d)l .I Di\ isioi :t
<br />or rh. ltNiK.rd PmlsnrN Cod.. .n ny laG is in tull ioEC !n.lT(r
<br />b
<br />124t1lllzo
<br />(allrf,lljltatl.f.tDllc-rcrN(I
<br />I @ .llm mdd t6rty of Fiu.) rhn lhd. B r coldrucrrl. lddnr lstr) for rh. Ff()lrre. nrrh. trorl tor $hkh rhir Fni ir
<br />Bru.d (S( 30e7.Civ ( ).
<br />AITUCAtrIDDS.AAAIA!
<br />I hdb_\ .rm und.r Flxy oI rEju.)' oE of lh. tolh*'ns &Llerr nr.r
<br />D.f,olnhn Ptuirs-Ash6ros Notificsr'on F.d6rl Rcsuhr io.r (TnE tO. Pd6)
<br />R.rruoid ldro of N,or'6dM
<br />l.d'!_rhd lhc a.nsal,.8uhthB r.8firinr 6b6k{rm ald. norq'plr.bk h rhis llr)jd
<br />y (nh.ll cilylnd ( otrnrj"
<br />) ni (-odr ro 616 ulsn rlr
<br />l.dilirl llu\.roi rh6trtlplicdi(,i indnrr.rha(hrali\. rntu rrtrni 's(\nRr lryr(n.c. rnl
<br />,{'J an!6,r }r,.lrn.'.bh'uI hu'r.l'rr..,ncnrrr.1 {, id.ht tr.'r.{u.irr.\n'. tr6.r'h,('.;,;:::.-;-:..'"""'v4fu- h,.
<br />p(rn,N.rme,pnn,, N4ttil/t {autfu'- -t
<br />nlnluq
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUlnsulation
<br />Roof Sheathi ng
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />En tnee r Final Report
<br />FINAL z.n '1, i.B.t Fi)-r-Kt
<br />Certificate of Occu pancy
<br />Notes Remarks, Etc.
<br />DATE
<br />I
<br />Pool Fence
<br />Flood Zone Certrf.I
<br />I I
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