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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OlINf,R EUII,DER DELCARATION I.
<br />I nr.bv amnn unrlr D.n.lly oa pcoury rhll I m cx.ro!,1 tom rh. (-oflra.1oB l.i.@ Irs lor rh. follo{inr rlMn l\/r0rl5
<br />&!'n* lsr ftofdion ( o&) Ant Cir: or ( ,udt s hah rqun6 r Fmir ro odu1. .t6, imrrot q d.nxn.t or krun f,n!
<br />itudGq trknro ns ia$m., dl$ Gqutr6 rhc d{,plicd for such p.rni to 6lc a sisn.d stndd rhar h. dr rh. ir licms.n puBxd
<br />ro rh. F6\iric or rh. ( onr{M ! Li.arn I.$ l(nEta e, ( onmftinB "ith Sdion 7000 ol D^is{,. I ot rh. R$'na i.d
<br />Pmf66ns (-d1., o. rh.! lr or rh. s.rmt, thd.fionud rh. h.is for th..llqrcd a@FM Anyriohln.ofs.dnnTl)rls t}lny
<br />sppli(. for . Fmir subj(rs lh. {,plic!.l ro s ivil pdhy o t not morc lhd firc hunrL.d dolla (l5lx))
<br />l, N oq n- orrh. pr.Fnr. or 'ny.nrloyc I irh *rs6 er rh.tr $1. comrssdnrn. will 'lo thc *ork drnc$odr(b n{
<br />idfrl.d moltd.d n{$L(Sc 70a,r. BltiK d Profdi.B ( .dc lh. Co,rrmror'i LilM b* &6 nd spl\ t u osF o,
<br />rhc F.Idy $ ho t!'lds n nRr.!6 rlEa,n, er, *ho &6 itrch {n* hi,rEcla o, iclr or rfimtr*l hir or hd onn oflq c.
<br />rolid.d th.l such inF$\EEli e mr i 6rl.d r 6rotd lor sh Ir- lkr"66. rh. hiildiry .r imFo\ffii s $ld Qihin n. \a
<br />ofompldm rlE ( ire Bofils sill 16. rlE hda ot F.r trB rhd lE q tE dd m! tuH tr !t{rDr. lh. For6l! ft'r rlE ItuqrE ol
<br />L c 0$.6 ofrh. Fopd', m.rclGtr.lyconrBdin{ uirh licds.n $dEdoBb $fifud rlF F)Fn (s(. ?041. ttsnK
<br />drl Eokrin Co& Th. Conrr&ror's l.i..n* l.!s do6 mr a14l! ro M osn6 o al,oFny tr ho buildJ or improvd ihdn,n,
<br />dd $hl.odmsfor3u.fiF.j.q3snh.(tdrdonr)lr.B.dpoEu, to lhc Codm.rr's Lr.e k$ )
<br />I m.tm ond.r Sdbn
<br />!a8tr!8:trarltE!.liall0!
<br />D&(l/aauaN
<br />I h(.t'y amrm undd D.mhy of psln on. ol th. aollo* ins d.(hfrliotrr
<br />I hr!. 6il sill mdntin r Cdlifical. o I (-oBar lo s.ll.lBur. for worlqs .omFlglnr!. 6 po\ id.d tu or( s<rion :r7l)lr of lht
<br />hhr. Co&- to, llE Ffollrec of rh. tr o* fd * hth rh. Fhir ir is.n
<br />I h,!. rnd $,ill m.idri. *0116 .omr.Mnin iNor.m., s r.qrn.n b S.dhn r 700 olr h. l.k CorL. aor rh. Faolffi.of
<br />rlE $orl fm *hih rhi. Fnn i! iBcd M) f,ct6 ..mFdion iMrM. trir rd polq nunla e
<br />Poli.y Nurnbd ' Erpn6: '
<br />/i'.drly rhd m lhc pdf.msnc..lrh. soll for trhrh rhis p.mn i! Bsu.d, I ihtrlr nor orloy lny FRln rn rny msnB
<br />$ 6 to b<om sl'icr io ltE trt 6'@dFsrio" lo*! oacrl,tonE !d rsR ih, if I slFull b6orc rutr.( lo lr.
<br />tro.16' smFsi nrn Fllsiotu ol s.cr'on I7m ol rh< l,bo, ( ode I r,rll. fonh*nfi snFl, tr nh rhor Frranrn,
<br />WARNINC: F.llur.lo su. sorl6'comFrt io..o\..+. i! u.Lw6il. rtrd shall lubjar e dplord ro diniMlFshi6 Md
<br />dil liB !F lo oE h!,&.d rhound dolldr (ttoo.(xx)). in .ddili,n lo lh. con or.otritMion, d$r*6 e n.\d.d ror rh.
<br />SNlion 1tr76 oathc I ibor ( odc. inr(61nnd atlom.y s las
<br />=/r x
<br />DE(IIAAITA!
<br />I h6bl amm undd pdah, of Fjo.y rh.l I m liccB.d ondd F.virion of (fu!16 9lcommoc'ns trnh Sdl{n 70m)ofl)ivision I
<br />ot lh. Buri6.rd PrefMB (ird..,n m) t(@ ! iI tull fore rn.Itdt
<br />. (/o
<br />7Us/tz
<br />€7s
<br />..,',,'*..,.x
<br />(alsrBu(JraNrllDllqlcE!(r
<br />I h6dD afltm und6 rEn.h) orrFJurr- rh.r rhqc i. r..n{ruclirn Lnd'n* lsdcy for rh. pafomft. ofrhc \orl for nnich rhir ttrnir is
<br />i$NJ lsd 1097, ('iv c )
<br />AIIII(AII.DESJAAIIO!
<br />I h6dry lrmtr und6 pcnahy ol!.rrury onc ofrh. finb*ins d<l{ihonl
<br />Domlnhn Pmir3-Asbcrd N.tincdhn F.dsll R.ruldbB ( lnl..l0. Pur6)
<br />R.qun.d tdrd of Norifialiri
<br />, I cd r[ lhd th. f€d6!l Eruhr 'c6 EBrdrrr 6b6h! r on\ rl ,c mr ar9l'c.blc n rhs Frrd
<br />frnt,nn rr^,,^rr,6 lDklhn,n i.r. rhd rh..t v.hrotunnBcord l rsd ro co,irry *nh llt ( nr Md ( olnrt
<br />;rdin!..6 od srd. t *sELu'nBro hl'ldin| (odrudiotr dld h6cb, lurtrriz Err.grdnd of rhis cily ed ( ounry ro nr6 upon th.
<br />.bo,cffirrdFrFnvt dq<i^r,"y>/ _. ---l ./ ,/
<br />^per,r,orl.a,sho,ur.Y /Z/zZ rh,. . ///S/1')
<br />remrcnrmtrpano:K 8r-rt GA>l
<br />Set Backs
<br />Forms/Sleel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />ln s ulation/E nerg 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 Z-onp Cerlif. .t4Ubff loLEJa 7-71-t)r./t.11
<br />FINAL 7--4-tV LtL,
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc
<br />-)
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