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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS O\f Nf, R BtJII.DER DEII'AR TION
<br />I hd.br rr,m unda poblry .a n rjury 'hd I m .rdpt fton th. Odr.cion' I-a.e lh ror rlE lolkl\inr r.en {s( r0l I 5
<br />Bosin6s di PiolBi.. ( &t ) An) ( ny or ( o! y shich r.1tur6 s Fmi ro conrM. rhd, imtmve &rmlilh or rqun or-
<br />irudrc, rhr k irs &uft.. .k ,.quir6lh. applkel lor 3u.h Fni to lil. a si8n.d idmd thd lE or dE ir ncdu.d ruEln
<br />$ rhc rrovsiotu of rh. Coirr..roas Lrc63.d l.I (CtuI*q 9. ( onmrcins si,h Sccrion '71)oO of D'vnrn I ofrh. aunnd .nd
<br />Pr.l*io( ( \d.) or rh.r h. or 3h. 6 cmfl tha.non .d 'n
<br />h6n ror rl!.lLs.d.rdBio. A.t violarionofsdion'70115 hy !n,
<br />ryli.d fo. , F rir srbj<R 'h. rrtliranr x' a .iril porh! of nor mE lhn n\. hund.d &rl. {1500)
<br />I. ar o*F otrh. FoFn!.. d oy ophrB *ili, $.a6 6 rhctr sn. comrdAalfn. \nl& llE $ut ,n rE nrErr ir n{
<br />i drLd o. oftr.d ij. $k (s( 7(!,{. tluriG 6ii Prcl<i.B Cod. Th. Cddr.dorr l.i.6k l:$ .106 nor +pb ro o onffi of
<br />th.I'nrEly tr tn t!&S m irsorq lrE@( d *lD &E st $n.t hiN.lf or hcelt or lnmu-sh hlr or lE oN dDh) 6,
<br />piolidal rh.r !u.h mF!\6Eft e m iidn d orolk tor sk lt h.s66. rlE buitdi.s or mFs66n i! eld *ihi. ok 16
<br />of.omFldio( lh. OsE tluirds $ ill n r! rlE h,rd.n .aFs\ i,c rrd lE or JE did ml hill or inpmf fi. FnF] tur dE FqF* of
<br />L a o*M olr h. rn,ndr'. m.fulNn.l, .d.tadiis trnh I'c.s.n co.bdots u odtud !h. Fojd (s( 70,rl.8unn6s
<br />ad Frisir ( od. t hr Conlrerors l,ic6s. L.* d6 n r .rply k' M o$ nd o a pioFn! tr h boiltLs o, imprcv6 lhrd)n,
<br />rnd \rho .o d1!ntrtuchlr,i(1.r h ! ( onlrldons, l{6s.d p{E@r ro rh. ( od'&ror'r t rR* tltr )
<br />I m.rmF u.& sdri1.
<br />D.r. ()r..r
<br />li oRr(r:rs; c0lliPiNaa floN
<br />D(LAn ',noll
<br />lhd.hyaflim un& IEulr) ofIEJuD oGof rh.lolkrui4 d(l{!rio^(
<br />I harc Md u r ll mainr.h ! (-6lifrarc of ( olF' ro S.li.le,. for ( o,k6 $hrmeron. &r rs\ id.d lor b, s<lron lr7{xr of rh.
<br />I jtsr C(d.. fttr !n. psfomu(. of tn. $ * aor *fith th. rnrir a isu.d
<br />I hr\r ,hd q ill m.inl''n $orL6 $mFGarion 'cu,rn... a GquEd b, sd hn 17ffr .lrh. Irh.r (il&. tu rhr pdLnr$cc of
<br />rh. \$rI lir {'hth lhi. pd.ir t iasd My *orksr' ..nFnh, 'o. imurd. .nir it l[lk, numtE -r
<br />4c+e {urta
<br />fo7Q2 75 to//o,// )
<br />I rdiry
<br />'hd 'n
<br />rh.FtuMN. olrh. $orl lor $hkh lhL Fmn i! i*!.i. I.h.ll nor mtloy.ny r.Mn in !n) meE
<br />$ a t' tx$n sut .cl lo lh. e!rl6 coEFEd i.D btri oi (rlilomir. {ri a*E lhd rr I sh.uld tEcoft sut j..l
<br />'o
<br />lrr
<br />$.rL6 comFelFn pmviriod ofs.dnr t70l)olih.l-!b.r ('od..I JEll. lonh\ilh snply unh lhoeprerun B
<br />IVARNING: hilur. ro su. *st6 snFNrirn .ord.s. i! unl,*fuL ai sh.ll ruhr.rt & 6pkJF h ainin0l IEut6 and
<br />cnil fin6 ut h on. hondr.d rhoNnd d.ll6 (lllJo.oo(), '. .dlni,n N rh..on ot.omFGtron, dM46 ar prolidd for rh€
<br />i.n 1{r?6 olrlr litrn (ir'1., in!.rded dkrmn. . f6
<br />I hd.hy.m,m ud. Fblr) oI p.rju,r_ rl'd lm snh Sdbn 7({n) oll)nisi!. I
<br />or lh.l,ushs d h.l6ri.n3Cod.. an m' liccB is in lull
<br />i-Dt.*,"* ile -rn
<br />X.. 7/r?/tt
<br />I hmti! lIrm undr F lty or Fjury thd rha i ! .o.ntudr,n
<br />isu.d (st 109'7. ( iv C)
<br />pdn'lfu..olrh. $ork (tr*hrch'hBn flnr b
<br />ATTIIIANLI)ICIISAIIQ!
<br />I [s+D lfm und6 Fnllly of Fjur! oE oa th. lolh* ins dcloal nn!:
<br />llmohion Pmn3-A3bdos N.'iiic.!ior r'oj-.| Rc*! Ltioft I ri k .l0, Pd6)
<br />R.qunc,l I d'6 of Norifi cdFn
<br />l.drflrhsi rhr f.isalr.!ut.roN r.! iint shGros roor.l d( mr !,,rltihk ro rhi I'otar
<br />lc6li6lnr I h.v. r.!d thn spolicllnrn ud sl.rcrhd rh..hr!. rnfomdkrn 6 cotrd I a!,c to conpll *ili rllC("nd ( ounr!
<br />odidnc drd Sr!r. l,r r Eldill3 h hildinr cotrrru.hon, od h6.n, .urhorn! rqr6dn tr B otrtu Cny dd Cou"ry !o drd uFn rh.
<br />atE\c ,Hrir.d pmp.nt for i6n nhn p{4rs
<br />>ApDlic.nr or ARal shn.lom D.,. /rf,/t >
<br />5.,n{eift.IrnnirRi,n,rlIrif,rJ:t "-Y
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsulation
<br />Roof Sheathing
<br />Framing
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handica p Req t
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zqne Certif . l-)wativ Jvi/wL {-zz-17 r,ullLlu'Yl
<br />FINAL K-*-t7 '{.l{lyl
<br />Certificate of Occu pancy a -ur-
<br />7
<br />I
<br />I
<br />I
<br />I
<br />I
<br />I
<br />Shear Wall
<br />Ilns u lation/Energ y
<br />IqrywallI
<br />I
<br />I
<br />I
<br />I
<br />I
<br />I
<br />Notes, Remarks, Etc.
<br />)n? /t 7
<br />,.r@.Nunrr 1)& j 2
<br />lza
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