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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE tD/stG.COMMENTS OW'TET BUII.DEN DElI'ARATION
<br />I h6.b, rmm unds p6.ny of Frjt.y ihi I m adpr nsm rhc Co.lr.cl6 Lic6E t8 lbr ri. followi.g l@. (Sc.?011 5
<br />Bc'tB i'd Protdion ( od.) Ar, Cily or Cou y $tth 6qon6 r Fhn lo corEod. !la. i,qmvc dotulBh or rw.n ey
<br />,tudrc lrbrro n! 6uG.. alo rcq B rlE {Dlr&n for sh tEin b fik. rsi.d ntdffir finlEo,JEali.asd pNd
<br />lo thc Flvirios oftlE Conti&loa, Li*.cd t w (Chryrr 9. (om..cing wnh Sdtion 1000 olDivnion I olfi. A6itB ed
<br />PblNioe Cod., m th.t lE d slE i] ddl'l rhgdiom &d rlE tGis for rlE nh.d dstqion. An' viobrirn of sarbn 70.! I 5 ur_ oy
<br />lpplical ror . Ff,il sbjeB rh. rrpli.ar ro . civil par[y ol hl no,. thu nv. hurdi.d dolbr (1500)
<br />l.Eo*ffiofrh.FDFrr.6rmy@phrGsh*rs6srlE $LomFlrio'r, *ill& th.srl in turturE i d
<br />rnEd.d or ord.d tor sL (Sd.?044, Buin6 dd Pr.f6ioB Cod.: Tl. ( onlr.cld! Lis.e tre .b6 ml apgly to o osF of
<br />th.Fopaly $ho rlikt or iqrDq tlEo|! nd llb dc sh unl hiMlf or h6*ltor rhFush h! 6 hd o$. alplor6,
<br />Fov'dcd lli.l luch mslvdEr',c Dr ido!.Ld q oltsql tu xl ll lr*6q.lh. &illlla n ins$v.ld i rld wihh m 16
<br />olconpkirtr th. O*n6 Blilds will h.w tlE hnln ofForir{ th, t! or nr drd Dl hnH or nnprcv. tn FsFry irr th. FrF-of
<br />_1. ao*Eofrh. FtrFy. ucrclBiv.ly.odrdi 8 $nh lic.ncl c.nd6b conrrud E Frid lS( 704{. B6itr
<br />.rn Plrftss Co& Tt Conrdor's Lk.@ lrs doG hr @ly ro o o*c dtFDpdry *ho bu,l& or ioprov6 thahn.
<br />tud who co rlc1s for uch FojElsvilh ! CodEclo(r) lic6F] p66lo lh. ( onlllclor's Li(6s lis)
<br />-l
<br />m .rdpr 6dcr S..rio
<br />woRxrns ( ont PItNsaTtoN
<br />I h6.6' rrm unds FrnyotFr*r,- oE orrh. rott*.sml0!
<br />-l
<br />h.v. &n*ill tuilt.i, ! Carif*rr.of CoB6r ro Sclt-lBu.lo *utdr smFEridn,
<br />Lrri Code for rh. Fforttldc orrh *on for snEh rh. FDir ! s6j
<br />{t Ur..,rr *,rr..... "-rfl' (.mFM.n ,BUec. c r.qu@d t} S(1rn l7u0 ol
<br />ilE "nk for $hahrh! Fni ! sd Mt sortst' com96d6.,6ffi. ffi dn Flr
<br />cm /Aeror-
<br />s FoliLd for by Serion 1700 of rh.
<br />rlE t !o. Code lor rlE F[nIm. ol
<br />-l
<br />cd'tthsl inlhcpsforMc.of lh. wo forwhthrhBpdrrn Ls brx.d,I sh.ll mr mpLy lny tEs tr,n any trrund
<br />s aroha\rc3!t*iltoth!m d omFdhn l,solc.lifom'!. !d.gErhr if I rlblld tr.om iuqd btlE
<br />$a,t6' oEFdion FovirioB olS6lhr l7@ olrlE t.hf, Cod.. I Cdl, fonn$ih ondy f,nh lbs FtrviioE
<br />wARNlNc: FailuE ro ssi worl6' co6p6a!lio. covcdsc n urbwtul. a.d 3hall 3ubj6r 6 @ployd io cinfd pdrhis sd
<br />civil fE up ro oE hdxhcd rh.q.d dolbr llt(ro-o0()), iI lddnFn ro tlt n\i of .omFltrotr dd!s6 6 Fo\il.d for tlE
<br />Sd6f, 1076 .f rlE bbor (-oda dad od .nm'r f6
<br />llt!L18..\1[lr
<br />I hq!!y .,Irn uid6 FlJl' of FJu.y rh, I m li€!.d o!i.r F!\ irio. of (1[pr. e (
<br />oa th. B6ind Md PoldioG Cod., anl my lica* is in full lorc. 16.l .fid
<br />'*,*.,,*E ed eo . c %.-,*",,^n ()
<br />D.'. =fzel?
<br />"""'^,'",CAIiIaUIIIANIINDTBIj.AGE!(A
<br />I h6.!y iron undd p.nahy ol Fju, r- rhd rh6. ir . contrucinn L.dins r*fty Iir rh. pcforo.. ol rh. rort aor *tich thi! p6mn b
<br />sru<rt tS< 1097, (i\. C )
<br />AITIICATI.DICIASAITO!
<br />I hct,rl6mundd p6rX,ofFjui, on.ofrh. followins &.lr iotu:
<br />Dqtulnbn Pmir}Alh.nd Norifraio! r'cdd.l RcsuLriB (l nt {0, Pr16)
<br />-R.qoid
<br />larqoaNorili.nbt
<br />I rd,frrha rh. f.iL6l Egulr!tr'6 rq:&d'ng {ilBo3 r@oval u. nor a{pl,.at'lc b rh$ pojdr
<br />-l
<br />cdiryrhd I h.v. @d rh6 'pdidordrun.6 d shr. Ii*s r.hling ro t{i
<br />ion an sbr. rhd th. rtsr. oforMb. ir cmd l.{rEroc.mplyrilhlllCnya,n(outrl}
<br />ldins coNtucrnn. md hschy auiho"/c rqnddrdivLi olrlns ('
<br />ah)\ . mdrkr.! prond) fin
<br />\fl'li.nnr ' 1!0r \i(urn,r
<br />[2,*"r 6r>44 .4 9
<br />.;Zry
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUl nsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing Ir
<br />lnsulation/Energy 4/4//'furrz -bL--'-
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coal
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handica p Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />FINAL +/a/ta H,U*rb '/tz--
<br />Certifi cate of Occupancy
<br />EtcNotes, Remarks,
<br />Ldn'! Ad.t6. _
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