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BUILDING. INSPECTOR RECORD
<br />SITE.WORK IDiSIG.COMMENTS OWNER AUII,DER DELCAR TIOi!
<br />I h.rchy rflifln undcr pcnahv ,,r t)trjuy rhl I m.x. lpr to r rhc Conri.ton l-iccn{ law nn rhc r{nbqilf mn r\n 7ir5
<br />Bu\nrsr a'rl Pr.l6rnr Cfrlc) ny Cily .r Connry whrh rcquncs r ncnnir lo consltucr. rlrc.. inrp(,vc. dcnrni{h .{ rcnrn
<br />{ i.rnc.,ri, tr irs i\$ln.c. r1\o rcquncs rhcnpllic.d lor such p.nnir lo filc! \igncd {orc'tunr rhd hcor lhc is li.cn.Ql PNJnr
<br />ro rhc povtion\ otrh. Conkr.k, \ l-i.cn\cd l-rs (Chaprs 9. C.nnnci.i08 wirh Scdion ?(XX) ol Divilion .l ol rhr tlu!trcs rnd
<br />Pn)r.sn,n\ Codoorrhrrhc o!shc ii crcnrpt lhcrclion0trd rhc hdsis lbr lhc allcgcd crcnlri,nr. Atrrviolnh.trolSccltnToll 5 6y rtry
<br />rlplicrnr,i,r n ncflnir suhjct rhc sfflicrirt' r.ivilru ilryorior itr rhrn,ivc htrndrcd doll0mlS5(n)
<br />I. tr\ oLvncr oirhc l]loncdy. or myc'!nl,)yccs silh $nS.! as,hcn {)Lc romt nrdri( , qilldo rt* wo* Md lh. siuiurc i\ ior
<br />inrcnL\l oroticrcd ,r$lc(S(7(!.{.B!\inc*,trdhof.s\n)n\C.d.Th.(nntnci{nil,i.ctr\clr,*d.c\no!rttl!ro0tr.strcrol
<br />rhcjn)Il. ry $ho boildr or inv(ft\ rhcrsnr. a.d *lk, d.rs \rh sorl hi'n{lfor hccclfor rhou8h ht or hcr o*ncfrFk,yctr.
<br />p.ovrdcd rhd srch nnfl.$nEnrsuc nolinrctrlcdorotcr.i lbr\rb l,l lmrdcr. rh. huildin8or i|PnNcmnl Gsokl withi',otrc tritr
<br />of.on!)lcri[ rh. O$mr Buil&r *illhtr\r th. bxrdcn of pmrirg rhd h. or $c rlid mr foi! or nry(it rh. pmFny for rhc Ptrlne ol
<br />arkt I\)1.\{ C.dc lhcCoft..knsl,i.cnq:l-rw(nBn.rrfnlr_n,rnowicrorroNrry\rlr.hril,l\orirpn,rcsrhcrc.n
<br />rnd (ho cotrcr\nr{r(hrnirrccr\sirhrCrntrtrrt)licdr!.,ifnr{LnnrorhcGnrx.ntrst-icrfkLr*).
<br />I rm.rrtr,fl trn,lcrSrcl fn I & P( tur r[^ rciv,n
<br />l)ole ()emr:
<br />w(,RxFxs (:(,IrPiNsAiri):fi
<br />DES.AAAIIAN
<br />I hcnhy rilirnr undcr pcmlryolncrjury.m.lrhc n,lhwi'r! dNlrnrnn*
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<br />lurr lwillmairhi'ra(.difi.rrrofCon\cnrk,s.lfltrruntsorkcrsconlocnsrri.n.asprovidcdfnbys..rion:17(xrolrhc
<br />Lrntr Codc.lorlhc lkrlonnarcc or ri. *ork lbr Bhichihclt n,ii is is\u.
<br />lh r.trnd rilln i' ai'r *orkclr c.nIrc.srrion rnsunn...0r ,cquircd hySari,,n l7(X)orrhr tilttCodc. for rhc o.rlirnamcol
<br />th. sork ntr shi.hrhilr.nnir i\ issld. Nly*oikcr'comp.n\rlron insuntrcc.rricr xnd F'li.ynumhcr ncl
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<br />\ PA" -r), S.,t<.r-o
<br />^ *. )ta)oet5lA(tlr -?- \-r I
<br />lccrtrly ri r in rhc |trlonrnEc oflhc *o!k nr which rhi\ l[irnir is i\socd.l \hrll r.r cnDloy 0rry pc'\otr in rtry nrnrcr
<br />{, r\h h..om subjccr t,rhc sork$(.nnDcn\Jri(,n hw\olCnhlnrnir. rni rgrcc lhrrlll \hnrkl lt.otrr subjcd lorhc
<br />$orl. conlri\rrionpiovisi,)tr\olSc.rir:lr{XrolrlrtilxtrC.l..lshill.l,nhsirhcompl!wirhrkxcProvnion\
<br />IVARNINC l{ilurc lo \ccurc \.rkcn co lnttrsrri{,n rovcrJlr i\ u hqtul. rNl shrll $rhi(l !n emploEr ro ai'nnhltiMlra\ rtrd
<br />civil ftr\ uD n' orc hunnrcd rhou$nd dollrrs l5l(x).(xx)). i', rdJiri(nr i' rltr .oq oi comnc snlitnr. drnugcs r\ Pn)vidcd nr rk
<br />s..ri, ll)76.1rh. rrhtr (-rnh i' drc( xn,l r oi,f,v s li.\
<br />$,. s -3-rr .{r{.!q+q
<br />t!9,ljr-uraNrx,!c1l)lt
<br />l2li(l2t|SAIION
<br />IhcrchrrllirnuDicrrcnrll,olIujuryrhdIadli.c\cdlidrrntuvhionolChn0rcr9(co.mncinBNilhStcrbnTOmr.fDivisi l
<br />ol rhc Busincsnnd PmlcssiqFCodc. ud nryliccn\c i! in lull inr rnd.flt.r
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<br />SQsI^..
<br />laljiut.lJl-uall.rNlllN!.dlilNrl
<br />AITUIAILDII;]TIBAI]QN
<br />I lrtr$yr nn uMcr lrMhy ol txrjuy onc ollhc r'ollo*ins dc.lrrrri{rns
<br />I)rn(nlri{,tr Pcrnirs Ad*{o\ Noriil.sri, Fcdcrrl RcgnhrnN ( Iirl. 10. Prn6)
<br />-
<br />R.quircd lalcr of Noiili.rri(rr
<br />l .d ri! rh.r rhc lcd.ril r+ulll i()n\ EEinling tr\h(no\ rc trirrl r. nrr it1l)li.$lc tu rhi{ !r i,rc.t
<br />onli'kn..\ rtr,lsrrrc tr(vs rcldir! r)litri
<br />{h.{ nEDriotrcd pr.Fny fir 'n\nr.ri,)n
<br />hcrchyrtrrhtriTc rctrc\cnrrrnc\ in rhis Ciry rDd Counry ro.ntr trFr rh.
<br />,/fir'lliun "r .{srnl sisnoruE
<br />I'emrilN n{nr ( prinl ):
<br />-l\--4( tJ.rr.r-
<br />.l-rrY
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/Vent/l nsu lation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framinq
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />ltrlason ry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req \
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif .
<br />)
<br />FINAL 6/11,1 t{Atg)t/,/
<br />Certif icate ol Occu anc
<br />Notes, Remarks, Etc
<br />\
<br />DATE
<br />rnc lsc.. 1097. Civ C )
<br />lxfttris NrDr
<br />l ,.l-'. \
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