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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE IDiSIG.
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />Subf loor/Vent/lnsulation
<br />Roof Sheathin
<br />Shear Wall
<br />wallD
<br />Ext.i lnt. Lath
<br />Brown Coat
<br />lVlason
<br />T-Bar
<br />Handi R
<br />Final Re r1Deut
<br />Flood Zone Certif .
<br />FINAL
<br />Certificate ol Occu n
<br />2\L)I'1ctQ- sOLt4
<br />(r\YNtR Bt:ll,t)1,:R l)lil,c,lRt I ll)\
<br />I h.rcby amrnr undcr p. ,lry of,i.rjurr rhnr I an crc.U lm'n rh. C.nlrocloF Li.cns tiw fitr rhc l'llowiry rca$n (sLi?0115
<br />susnr$ nd Pn,rcsn,n Cd.): Any Ciry or Counry thkh rcquncs ! lcrrnir b cotr(rud. !lr'r' nnptovc. dcnoli\h or rupxn inv
<br />\lru.turc.I,inloitrcsurncc-rl$mqutcsrhclpPticdrorruch[rrmixrnhdsisncddd'nErhalhcorshcisli'enscdpuruanr
<br />t) th. ttuvisiotrs oi rhc C.f,relois l-iccn*d L.w (ChaPrcr g ConnncnciDg wirh Scclio. 7O0O of Oivhion I of rhc Bu\incs a'd
<br />Pmfc$ions CoJ.) or lhrl lEortlt k cxcmfl rhcrelromand rh. b.sis fnrrh.nllc8cdcxcmDrion Anv vn)ldiono'scclion70ll5 bvanv
<br />!t'!lic!nl n al.flnir subjcc( rhc dP,,licanl ro rcivilp.nukyolnol nn,rrhan fivc hun&cd dolles rs5oor
<br />l. as ouncr of rh. pmFny. or d, cnPk')ccs wirh $4cs ns rh.n $h conDenur ion- will do rhc work ood rhc srtum h n'r
<br />intndcd or orscd rm ;b ( s(.7(x4, Businc* ,nd Pturcssions Codc Thc (t)trtrickn\ Lk.trsc kw docB nor lrplv x) ni 'wtr'r of
<br />rhc Dmpcrly wib t{ildr or imln.rcs rh.Ntr. dd sho drcs su.h Qolk hirnscllor h.rcltot rhmlgh his or hcr own c'llloyecs'
<br />p",,ia"a rrr* .u"r, irpmwn.ns arc mr idcftlcd or oftcr$l for s.lc ll io*cv.i rhc loildinE or i,PurEnl i\ {']ld wirhin t 'm )ttr
<br />;fmmplcrion, rhc O!rc, Buildd wil hrv. rhc hurdco.tpovin8 rhd hc ot sh. did frr lEilj or irynrvc rhc t'FFnv 'nr
<br />rlr 0uqbr of
<br />l. r\owncrofrhc nropcny, r cxclsnclyco r!.rnrg wilh li.cn\cd .o tu r.tr" lo c.i{rud lhc proicr lscc' ?(}T - Bn'in's
<br />rnd PDic$ionCodc th.Cork xtrsl-i.. c Law docs .or rPPly kJ oowncrofProFnvwi'hrildsori$prolcsrhctcon'
<br />anJ sho.otrrrlsitrsrhpmicckwilhrConrnkds)liccnscdPursMnrhrhcContuktrsLien*ttrs)
<br />I am.xctrrtt undcr Sc!ion fP(
<br />,4
<br />r\'oR(l s ( (lvr)IiNs.lrl()\
<br />l)trllR \ t l(,1
<br />I h.r.h\.llir unncrn nrlryofl
<br />Ih.vc.lsillmrinr,irrCcrliturr.ofConscnrlosclftnsxtororeortc6'conr.trsalion.rsPnrvidcdtfihvs"lionlT(x)orrhc
<br />ljl$r Cod..lorrie pc{onnrnc. otlhc worl for vhich lhc Pcmrir i\ isucd
<br />-l hlvc and will nuirtrin workcr'comPcns,rnn in\urrncc. !s rcquncd hvSccli'n 17fi)ofrtu LlhorGn'c rirrhcl" tdhmrccor
<br />lhc w.rk for wh,.h rhis Pcrmir i\ L$udl M y t.rt.r{ conrrcnsir ion in\or,ncc crdcr n'ld Flicv nun$o e'
<br />Pdi.y Nunrhcr:-t-;xlirc\:
<br />-
<br />-l
<br />ccnilirhdr ilrhc pcnnlnxr..c ol lhc Nork nrwhi.h rhhtcrnril i\ hsucd. ld[llior ctrl0lovurpds in onyfr nE
<br />v, r(k,b.com $bjc.r ro rhc w. rk cri co.f.n\rr ion lnws ol Criilninir. and :lsmc rh.r ill \htld ltcom uhjc'r tu thc
<br />roik(s ..nrnctr\nr(rr t)niri\ otr\ olS..1r{ r7(xr'rfrhc ljh, ('odc.l shnll hnhwilhcomrly wirhrhos Pmlisnnr\
<br />Lion crvcrugc i\ onlrvful. Md shrll nrl,rccl cnplo)cr b.n'ninrl lc.rlrb rndIVARNIN(; F.ilurc t, {c.rc w.rk is'co
<br />rn I tui.\ trli k, , c [uMr.d rlNni' xl ,l()l 'tt .t\yrlAilJ)ttt:;to
<br />:6tt
<br />yp'\t.sarion, damscs !s providcd fd the
<br />Sr.ltr$ 11)76.1rhc lxhtr(i r'. irr
<br />li(i*dund$pnvisi,holChnnlcrglco'nnrn.i.as'irhS..rion7{)fi,ofDnisi()nII h.r,hl )lrnm fftl.r Nftlr! or l).'r$y rhN I xnr
<br />ol rhc Bu\irc$ nd llolt s\ ions Codc. . myliccn* n ii fulltncennd.fla.r
<br />l.icr x. Chs
<br />-
<br />_l n. ! Nurnkr .-
<br />g}N$BJJSIIANTENDINC.ACENCI
<br />lhdfobylfiii|nufu]crFnahyofPcrjuryilDllhmimonnfodi'nlcndinslg.fuyforlhc'.rtomncco|ilncworklnrshichlhjsFnn is
<br />nsucd(Sc. .1097. Civ C I
<br />trndcis A{ldrcls:
<br />-
<br />i\tly*irhJllCiJ_| rl( (nn v
<br />Cn! in,lCouNt n, cnhY trl,. rhc
<br />Lb I3-a 101
<br />COMMENTS
<br />SLAB Floor
<br />Framinq
<br />lnsulation/Enerqv
<br />Pool Fence
<br />Enqineer Final Report
<br />Notes, Remarks, Etc.
<br />tFdn\ \Jm
<br />APPLICANT DF() ARA'I'ION
<br />I hcrcnyammundcqrnrlly ortdrruty onc ol rhc r(,lk,wing dc.l{rart'h\
<br />n. !.t ntr Pc nl\ A.h"J..Nn tr:rtr{l'dc'J'R.gJLri.tr\'l[lc4r.Prror
<br />Rc!uir. lrrr$ uf Norilicrrim
<br />tognnlirEi\hc{o\r.n)vnl.rc'tri,'mli.ahlck)rhi\Pn,jrcr
<br />-4r
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