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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNEI AUILDER DELCAi TION
<br />I ft.cby.nnm uDr.r FMlly oI Frlury lh, t b.t.n{ lrco rrE co *kn ltor L* for rll foll,wo! E.iq t5- 70]r.5 -
<br />alnksr .rn PnllcuM ('qic): Ary C y o, Ci{dy *hrh ErluG t Frn'l ro !!.rtur. r!6, mrFUw, &Bnrn or rF, ry
<br />(utuc. Frtr h \ s.un.. rl$ RPB rh. +91*s! fitr rBh Frm{ 'o
<br />liL . !{EJ {lrcrnuhd lE or {. ! lr...rl pu$.,r
<br />n, rh. FovN$nt ol tlt ODnlh_'kr.t Lr.n$tl tr* (Ch,pr.r 9. Cosmmh! *nh Sdron 70q) or orvs$n ] ol ili BoriEtl .,rl
<br />PnrLsi'nl Cdi.) or rhr! lE n rh. r crcnpr lh.Elrom ul rtE h'rls lDr rh. .rk8.d .r.m!l irn. Any lnbrr. of Serr'. ,0J I 5 lty uy
<br />{nrlrc. nn!pcmnl lubrrk rh. rrplold nrr.rvin nrlly.{oor ,E rhu l iv. huBtrcd dolles (S500).
<br />-!.
<br />.s owxr of rhc pn,F(r. (tr my .hpk rftr w h *r8.t ri (h.n $L: u,qEnrdrin, *ill J. rtr *dt !r.l rlE ituh ! an
<br />urcnlal tr olt rJ lff d. (Sd.704]l. Busm$ ud lh'rc(i'n! C,ric: TIE C.nk-tt'r L.cn€ t w dE\ nd +i , h u trDEr ol
<br />rh. FFny *hr ho r q !qn)E rtE!4 dl *lrl &- .**h s{t hhrtf o,,r.(1, or r}mrlh h,r m h.r osn.qtl't€r.
<br />Iilvri.d rhd ixh lrtnEr.rr s d nml.rl d ollcrrl lu qL. lf. lr)w. rlE h! 1I{ urI:DEmd ri rlu }rlu 'F Fr
<br />orurl?karhO*EBurLrs hrE trr lDrl.o ol llrrr! rh.r lrd{rJrlnx h! ldlqmEdEFr4drytdrllFlProf
<br />L d{ o*Er.l rtE Inrl.ny. !m.rrlxnv.ly (. rd urt *th lEncJ colid(tr\ r).onitur itE Pn,r.r I Scc ?l!4, Bulfts
<br />xnl Pn,h$.n C(xlc: l h. Cont!.lLtr.s LE.nr. l,r* no.t nor 'pply k' m owncr ol Jr'r.ny wlx, hu,lJs or mln'vc\ th.i.rn.
<br />{tu1 who d,nrturr itr \u.h pflr.ck wirh r conrh(,n \ ) l(ns.d Purulnr t, rh. (lIikrrktr\ Liccns t-aw )
<br />I rnr ercmpt unl.r Sc.rtr{
<br />D",. o4-94-:o I\ o"*.,
<br />Ih.r.hl_:llununJ.rFulitolFrurloNolrh.l, k'*ut&r'Lr,lr)nr
<br />I h.v. tri *'ll mlnrM r C..rfur. orcoM.t t' ScMn.lE lbr *r si.r,4inr,kr..! FrvncdnthyS&rbnJ,morrlE
<br />t:htr Cod., (tr!h. Jr.rr.rroE. oflh. *o* lnr Ph(h rh. txm Lr Bu.i
<br />-lhrvcrndw,lln['nrrnworkcr\.omFn\!r('nNtr'r,r..r\rcqutr.JhySccr!)nr?(x)olrhclrllnC(x]c.ntrrlrponrn'rn.colrh. work ldrhf,hrhn pdntrr rr r$xrl. M y *orltn' L onlF-nsar tr'n 'n\ur.,f,e 1!tr{r ul Fnr, ndnrh(r {(l
<br />-Etrmr
<br />I (e.id, ihi !n rt Frlortutu. of tlE ldn t,tr Dhrh rhr Fm 5 sieal, I \hill dn .qrlly .ny Frw'n m 1ny lMrt
<br />v! airo h.$m $hrrlt' rh. *olt6'.omp.N,tron bw! ol Crl'f('mu, .rd rlr rhar n l.h'nLl tA+om $hr!i 6rh.
<br />workc6' omFn.d !,n !n,vn!)n\ .l Scd nn l?00 o, rh. I rh, C(xlc. I sh.ll. !n!1h*nh ('hply *irh rh)e povtr!'n\
<br />WARNINC larlurc r, wr. work *'conrFns!tr n ( vcha. F unhrrul. i l rh,ll \uhr.r rn cmpL'rr h dmml FmlrEs.nd
<br />Sc.'rion 107(' ol rh. lrhtr Cul., hr.r.{ . .rtwy r ler
<br />,",., o4 -eq-2olq
<br />I h.Eby .llirn uBLr FMliy o, ltrltr, th, I rm lf,rnGi ud(r Frrs.n ol 9r(mrEDh3 *nt SdrIn 7flxroi Orrr.n l
<br />of $. BusE( .il Pmfc(nnt GxL- ,ri my h..( n o tull foE! .ri .lldi
<br />-|.'rcn(
<br />Nunh.r:
<br />Drt
<br />-
<br />Conl*lor-
<br />CAIIIEICUqNIEDI A-AO!!.|;I
<br />I ltEty rfm lnLr Frlt or Frury ih, rln ! . !rn<ei,,n knrn! .s.fty lbr rll Finlfu or
<br />'rE
<br />$xr i(n *lEt rh!\ Fnd a
<br />APPI I(IANT DECLdRATION
<br />I Hry rlIm unr.r Fnrlly ol !.rrury .d ol rrr ,olk,qnr dtlrnrrn!:
<br />D.nrliDn P.rn&Arh.{.t Nliniaron f.J.r.l R.SuLiDntlTrk tl(,. Pd6)
<br />_R.{uftd t (.r of t{trd.r$
<br />I .6i'Iy rh.r rh. L&ri rsllix,trs F8. l,n! lrlE(or Emv.l e mr {'pErbk nt
<br />'hr Pn'i.tr
<br />-I
<br />ucnrlyrh.r I hat! Eu,l rhs upplEsron ul{irt rhJrrh. rh,tr rnfom{trr !.orcrr I {R(, conrly $(h rll (
<br />'ryrfrl
<br />(i!0nry
<br />rhFc yi (i,trtrlyr,.htYuF)nrh.
<br />-,,,o4-9.4-Zolq
<br />onhndnlc(.tut Srar.liwrNlnry h t'u filff'c'F$drN..ahnc rftnrnmd nn,Fdy l(r sp..ri,,n
<br />Appli.rnl o. A3.nt Si*uloF *
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUlnsulation
<br />Rool Sheathing
<br />Shear Wall
<br />Framing
<br />ln s u lation/ En erqy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif .
<br />,l ,
<br />FINAL U')Ultq arnwft lltTl
<br />Certilicate ol Occupancy t ' I!-
<br />Notes, Remarks, Etc
<br />Set Backs
<br />Pool Fence
<br />BnEJ (Sa JOg7, Crv. C.)
<br />L.nh! N.m:
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