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BUILDING- INSPECTOR RECORO
<br />SITE-WORK DATE ID/SIG.COMMENTS O\\'NER BUILDf, R DEI.('ARATION
<br />I h.ctt .ffrn u.&r Frn, or Foor] thd I m q.nq t m rh. (ldrd6 LttB l.r fot E iiib$itB r.s; (s( ror | .
<br />BBi.d fri Profdirn (.d.) An) C'ly or (i,udr nhich r.quG r Fnil lo o.rru.r. !h6. mtro\a &tmlnh.r l.lln b!
<br />iruclue pm. lo ili iBuffiq sBa r.q{rd ltc {Dltdl fo' ru.h Ff,n ro nk ! !ig..d ndm' fid lE or ,E ir l(drd l,ursdi
<br />ro rh. FoniioB of E Contr*to.s t.i.dkn tjN {( h,Fd s. ( onmcncing v h Sattun 7fi)0 oa Di\ iri.n I of lh. ltuli.N sd
<br />Pmf.sionr (td.)orthd lEo!sh. ir.r.mpl lhs.tr.m and lhc lElit n{ lh. all.r.d .:mfl i.. Any liohtion of Sclnrn 70ll t brany
<br />rn licad ror i Fmn .uhJ<t th. ,ppli.rn! k' ! .iril pdh, o f n.! mor. rhn lir . hun&.d dollar ($5m)
<br />l.B.sEorrh.Frp.n!.trhydnrh'6unhr.s6a$.irshontEGdiotrf,iU&tliwlrnllErnrl@ahl
<br />nrdn d or ofrdd td r]. I S< 7fi4. B!.ind Dd PrcfdioB C.d.: Tti codrrrd 3 tj(* I^' dB r{ ilpl-t o o o$G of
<br />rlE FnFt $ th t!it6.r sFrorgllE6n. ,n s ho &E sh nut h'Iglt or hd*laor rlm!8h hs d lE om mphte
<br />FDyital rh.r o.h trnFnr6rfrscd -rdrl.n o&rd ftx $l la,lhs6.. tlE hliui'B n ihFnrff! b$ld wihin.k )d
<br />ot co'ipbirr rlr ()wG tuitld *ill h.v. rlr hrdai of FovnB rhd lE or .lE dA d hid or itrIrcw 0r FoFry liy IrE FtrF* nf
<br />l. sow.f rh. FnFry, md.lulntly.od.&rins *nh licak{ (o.rrdcloBlo coidrcl rk lh)ic(1 {Sc 704r. $ush6
<br />r hotu ih( od.: Tn. Conlr&rorr l-i.d3.l.!s &,6 tror,{'rlr ri\ do$nd olFoFny $ho b!il4! or imprord lhnon.
<br />lnd r r .odGl. lor e.h F.i$ $ nfi . ( o dorls) licaE d orRu,i lo llE C.flrrld'! litM lr*,
<br />I m.rdF unl. Sdhn
<br />troarlixl.gMDtsarra.N
<br />DECT AAIj!.IN
<br />I hsctry afifln trndd Frllr ot Fjur' onc oflh. foll(Ninr d*laririonr
<br />I lII\c,!dwill irrrh t C6rifrn. ot(on5r to Sdf'le( aq $qt6-onpadion. s Flvil.n 6r rr Scrbn l?m oflh.
<br />Ulor Code ln rll Ffcffic ol lhr N,l fd *lfth lh. Fnn i ead
<br />I ha. rna e'ill nrinr,,n $rrld' .6mp.Mrhn iBoffi.. 6 ,Gtutcl h S<l ion l70o or rh. l,h.r c.d.. for th. Flo*-.-. o,
<br />th. $ort f *nth lhir Fnn k ks.d My*.rt6 omFEnFn i,Mntrcffiq edFlt).umhar.:
<br />."i* S \4+c (-ahnf
<br />*",""^,..,", 4o\?!(!(0 ',n- S-{8-)o
<br />I cdiry rh.r in th. Frorurc. of rlE r orl ld \ hth rlir Fn oNnri,lrdlmranptly.nyrmnin.n]nuF
<br />$ 6lo b<.ft iulr..r ro rh. "o 6 omFdb.l,ss of c.litomii. ..d .sr lh, if I rhoold htoc ebjd r. 'ltNrt6' or{F!r.ri- rrnrnioB of Sdi,n 1?(xi olilE t bm (-o&, I idl. aonllunh compl, $ nh th.. F.riri,B. t
<br />T,VARNING: tiilur. ro sE. \dt6' @nFEaion NYs.sc i! unLrlul .nd 3h,ll subFl a dthya lo @n{l rotE r'd'
<br />ci l fitr6 ur] ro orc hunrn d rhnu@d <hlld (1100.000). i. r{tlirb. ro rh. .or ol comrEulioi. dm!s6 a Fovn.{ fttr 'kSdion 1076 olrnc LtFrCod.. or(d ed xron ysfc
<br />,",", ?-)o-( 1 t1.,t
<br />DEC|JAAIIII!
<br />I h6rb'y .lIm un& Frny of Fiur-y thr I 6 lilE d urdd Foirir of CbO6 9 loltlll@ing $nh Sdbn 70m) of rrir nith I
<br />of E BllllE !n Pbf6ioB Co&, .n my k6E i] h tull loc d dr..l.
<br />,.cnsr(,r. CIO,,,c +-)o-(4
<br />q1laJd-(,
<br />,n*-.* JO\n- 0pfirnnrru1
<br />(atira!(raNrllttl!(i-aqEN(I
<br />I @ lfIrh urr.r Fs]t] 6lFJU,l rhd rhft 6 r odtul$n kslint irrtr, f.r lfi. rErt]{lre. of rh. $.rt 6r trhth
<br />'h6 Fnn .
<br />is{.d lS< rlD7. ( ir ('l
<br />AIfaEAELItlgJa flo!
<br />I h.!rt !ftn unda Frr, oaFjory or of lh. folhf,in8 &.LrahB'
<br />DGDh(n P6nlAdi3d N<niirrlio. r6d6rl R.Buhio6 (TiL,l0, P.n6)
<br />R.qut.d l.xa of I't{ift.bn
<br />I.difyrhd th. rddrlr.guhln,B r*ddlnr sb.stos.dno\al!'c nol nppliclbl. lo rhis prqd
<br />I c6lif! rhar l h!\ c rad r h's rrpli..r dn ri n . rhd rhc aL\. rnaomdnrn Lr .orccl l qn€ l. comply u irh tu ( ir y !!d (\runrr'
<br />odrsocB lnd strl. l,q! Ebrii{ ro b{ildiry .ddtudi.rtr &!d h-.t', .d lr,.u. r.Fsinn 6 o f lhir ( il v .nd (-oonr! 10 6rs usr tlE
<br />!bo\. ffirion d pnrFn) fd !srEc16n In,rrc
<br />,rppri.m, or.\rdi srr.rur. // l4//L4
<br />Permi,rn.rcrpritr,), t) IQ+l Ilf
<br />kwru
<br />ra^tJ{r15
<br />tlo-l'7
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loorA/enUl nsulation
<br />Roof Sheathing
<br />Framing
<br />lnsulation/Energy
<br />Drylvall
<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 />,r/t//r'P /€j,/6'/ I 'r /zu
<br />Certificate of Occu pancy
<br />Notes, Remarks, Etc
<br />Shear Wall
<br />Flood Zone Certif.
<br />FINAL
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