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BUILDING. INSPECTOR RECORD
<br />SITE.WORK IDiSIG.COMMENTS OWNEi AUILDER DEII'ARATION
<br />I Hiy .mrn und6 p6dry .a p6ju.y lhd , m .r@pr 6bn rlE Conlrlclotr Lic.nr. l,w aor rh. loUowiry ttMn (5*.7011 L5
<br />Bain* an Profd.ion Cod.) Any Ciry or (ouny rnth r.q!i6 r Fnn ro o'd c1. .lq, inprove &t@lirh or 't'.n D,
<br />ntud@, Fitr to ir! i.suucc. r]!o ,.qun6 lh. lpllicd for 3urh Friit lo fllc r 3tn.d sdoMr rhd lr or .lE b li..trrd puNtIl
<br />ro llE Fo\ilir6 of tlE ( onf&'d r Lien,.d t *'((lrF( 9, Comi.s *nt Sar.n 7000 of Dv6bn ! olrlr &!rB !i
<br />Pmfdiotu (od.).r rh lEor !. i! ddF thq.from ed rh. b.ri! for th. dLg..t ddBion. Any viol,lion ot Sdion 7011.5 h, ty
<br />,pplicsl for r Fhh $qEll llE 4?li6 lo ! ciril Fott oamr mr.lha lir. hn&cd Ar[B (t5m)
<br />L a ec of rlE FnFry. r Dy @plor6 wnh rrs6 ! rhd e!. otrrFuni.r {i! (t, in sdt rn dE rdE 6 d
<br />i,nsd.d or ofiqcd for sl. {Sa.7044, Busin* ud Prof6ioN Code IIE Gnt..ror'! LE@ L.w d.,6 m' aprly lo M o*E ol
<br />ln Flrdy trh t!il& M ins!\€ ttde rd *no d6 sh wt h,Mlf or h6*lror rEouah hB or h6 o*n.flrpbt6.
<br />Foli.Ld rhd $.h llpr.ffi E d i sl(kd n o0i,!d 6r sL lf, homr. rlE hrildfu tr iry.ovddn i! sld wirho on.
<br />'dof.Grplrbi. dE O*c Uuil& will h.E tlE hnrn of Fords thi lr or * dn Fl Udd d i.gow 0E FDFry 6. rlE FrFo.. of
<br />-I.
<br />a ow or rh. ForEly. m qclBivcly .olr,i.rEs snh ltsudl colnrrloi ro codtuc' rh. l!oj..t {se. 7044. B!!in6
<br />.Id Rotu i.r co&: Th. Conrreroar Licd. kq dod mr .rply io u of,nd of pmFy sho hril& or inprord rh6@n.
<br />ed *ho sd.-t for sh FDixr. *nh. Co'nr*r.(3) ltdE d p(M' lo rh€ Co ndor'r l-i.@ lr$).
<br />_l e c6F undd Sdo._, B & r C. for $4 ,€$r
<br />D.r.: Orvc:lLaf,r!&tl:allflltarM
<br />DEgdaa.uq!
<br />I h6.by rmrm unda pdlhy of p6rury on. ofrh. t(,llos,ns d<ltualii,.s
<br />I h,r. an s,ll m.i.rao r ccriaEd. or co.sr k' S.ll-INuE ror soil.E conrp6trrn'n. a Fovd.d aor b, Sdion l70o of th.
<br />tth, Cod., ntr rh. pafolrre. oailE $ul fd *l'th rlE Frn i is.d
<br />-lhavcandsill'niinllhwod.tt
<br />mmp<Mlion iBuhmc s Gqut.d l,! S6lhn lT(xl ortk Llbor Co&. for rh. Flotlffi. of
<br />lh. *!it fd *hEh
<br />'hs Fnil il My wdkd' omD..Msn iNurs. ceiq md poliq nurb.r Ec:
<br />-l.s1l8lhn
<br />in tlE pdfolM. ottn trlrl for $hth 'ht
<br />p6nn B isu.d. t JEll ml @phy uy pG&i in my me6
<br />$ B '. tE of,. luhj.d ro rhc wo.ta' c.mpoldion hwt olcrlihnq .nd .gc rhn ia l rhould bcom sutiel to llE
<br />hrtd' onFqrio. FDririoB ofsaiio. 1700 of$. trtor ('odc I d!ll. adh*nh ompl, *nh iho- p.olthB.
<br />WARNINC lj.ilu.lo suc wrld composlion mvaEs. ir uhwtul, ud lhdl tubjd s oploF to 6min l patlirs tnn
<br />.'r'l fin6 u,, nr oE hundGj rh.@d d.lls illoo.(lx)). In ion ro rh. Ni of ..ftpie'on. d,il3a B Folal.d for
<br />'lEsdrmn !076 ol rh. lib.r cod.. r6dmd ln(my ! fd
<br />DICI.dAAIIA!
<br />I h6Eby lrm uida FEhy of Fjury lhd I m lk.Nal undd Foviri of (-h.plq 9 (.om,tRing Fnh Salbn 7000) olDirirbn:l
<br />of $. ti8trB &d EorBioN Cod., dd ny lice i! in tuU fo@ dld clldr
<br />-(4
<br />r-
<br />c(}lfraucllo!.ttaDAc-acElct
<br />I halt'y rm ondd F!h, ot Fiu) thd th.. i. ! olsrudion lodin8 !g@y aor fi. Ffomu.. oarh. worl 6r l,hich lhi! p.rnil i
<br />isu.d (s* 1097, civ c.)
<br />aItutANL[ECUaAUA!
<br />I hody .rm unld pqEhy of Fjury o* of llE lolhqin8 d..LrdioB
<br />D.mohn'n P6mieAlb6rx No'in..rion l-.d6.1 Rcgubrn'ro (Iirl.40, Pd6)
<br />R.qun.d l.u6ofNdiidin
<br />-l
<br />cdl rty lhd rh. li1lsal ,csuhlio6 rc3&!'n! abdlos rmo\ !l ec flor appl'cabl. ro lhis prcj(1
<br />lfu ,^'j,*, *',,^,nR 6ppr*.,bn rn
<br />.rdile6 !i Str. tre3 Ebq ro brildi.8.!
<br />i!r. rhd lh. !b.r. infomi.on i3 cofr1.I lrraro.ompl, *irh.ll( ily ant! Counry
<br />rld h6.by anb.n! r.Feriir6 of rn6 Ciy md (-oudy io d6 upon tlE
<br />.tFrc 'mr(,nal Fopd) fo, 6p..1()n
<br />^pDlidnr
<br />or Ardrsk uE X
<br />,^n*-,,rn-r, Y- //€e. tt ,fua </; )
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lns u la tio n/Energ y
<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 ?y'2/z< '"wb)Certificate of Occupancy
<br />Notes, Remarks, Etc
<br />DATE
<br />Sel Backs
<br />L.nd?.! Addrsr _
<br />I
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