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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNfI BTJILDER DELCATATION
<br />I hddt .rm un& Fdy of Fjury lh, I a dd$ 6om ir Codrt.ldt L..M Ls for ltE folh*iB 16. (S* 1011 t
<br />BB'n6 !d Profsrcn Cqj.): Any Cny or c@d, $ian Equn6 . Fnt lo oIltucr. t!6, mFotq ddmlirt or lq.r uy
<br />ntodu.. lrDr ro rc i!.Ue., .t6 r.quic lhc ?da6l for !!ch Fel lo 6k ! tisn.d ndmr rld lE or 'hc i! li.q!.d puJld
<br />to th. IrltnioB ottlE Coitlcid t Li..f,r.d Lr* ((h.pld 9, Coon.Nins wnh S.dion 7000 of Divirion I otlhc Buins 6d
<br />PDt,oBCon.)orrh!|rEorrhci!4ardlta.li'omsdlh.hcirto.lh..ll.s.d.idFion.Anyviohlionofsdb.?01Itb,o,
<br />.pplic.n! aor r FDn rubjc:1t lh. lpplicsr ro . ovil ptuhy ol Nr mr. the fiv. hun&.d &'llr! (1100)
<br />-1.
<br />d ouc of rlE FoFry, or m, dplolE wnh f,ls6 s ll*n $L orn{EMion. $i[ &, rlE *st d dE lrntrft ii d
<br />incd.d o. ofiq.d nr sL (Sc.7044. BciB &d Prnfdio6 Co&: Tn G'nrrdr't LroE L.* &6 m| @! !o a ocE of
<br />dEFsFry * ho hil& d dqr6 oE@ !n *lb d6 sh "on hi,Blf or rErdror ohugh hit d lE om m!b)d
<br />proriH rh.t BEh i6pm!€Er! e d ilndd.d d o,Iqld tr s]. ll lb*6s, $. boill['s m irqorsFn ir 5ld $irhin om )G
<br />ofconpLrioi! th. O^nq Buika will h.w rtE hrl6' of Fovin$ rhd h. or 3t. dil ml hild or imForc fi. FoFty for tlE FlFs of
<br />L 6 .s., of rlE D.oDdry, m d<luivcly cornr-ti{r snh li.dsrt cotllmoE h c{Nrucl lL Fjd! (sc 704,1, &EUB
<br />!d AoE in Co& Ih. contr.dor't Li.@ t *.16 mt .r?ly ro s osnq otroFly in blild! ot inprclBrhaon.
<br />od rho 6ffirf sh Fojd *ilt . Collaro(r) li66.d Fll!]d to rh. Codncrq r lj(og lreJ
<br />I rr.r.mpl und6 Sdlr
<br />l)rrc O*mr
<br />]I0BruB.t:(aufl;!,lA-tll]!
<br />u;rL^tsarl.l!
<br />I hd.|\ ,ltirn undd p.nah\ ol Dorury oncoarhc nnLN f! d(hrathtr\
<br />M:,
<br />'illdi @. Cdfrd! of Coe1 to S.lf-lM. for 6t6r onrFdiol\ 6 FriLd tor by Setio! ]700 ofrh.
<br />rh. Ffollm. of rlE *qt loruhih rtE Fon b isld
<br />ll ei.rai, w. dt conpdnion iNffiq s r.quir.d by sdlio. l70o ollh. t l'or Codc, fot lh. poaoffi. or
<br />insur c€ rrio.f,] lolic' numb6 6c
<br />lra(Ir?t t
<br />l.d'trh, in rlEFfolmN.oallE rorl for .h rhx Fnn t isu.d.l JEllrcl dploy dy F$. i, a, neE
<br />$ B ro b.toft subj<r 16 th. *0116 .onFMion hB of cllilomi!. dd asc rhd if I stould b.com tub,.cl lo lh.
<br />*oAd comF.srionpmvnioNofS..rioD lT00ofrh.lihor Codc,l {rll. aonhwilh corply wilhlhoi provisnlB
<br />WAnN|NCT F6ilw lo suc wrl6 enpo.riion ov@*. n u.bwtuL dd rlull subj..l d oploF to ainiMl FEhE ed
<br />civil lin6 up lo oE hu!&.d lh.@ld dollm (llm.oL[,, in ..ldnion lo rn. cor or nn. .10r*6 6 Foud.d n, rhc
<br />tta25
<br />utl.:l.LDLlJll&(ra.B
<br />l2l,(rl&1.Iru:
<br />I hd.q amm unda F.h, of i'cjury lhd I m licdsl und,n Fnlilio. of( hlprd e (commocing * nh s.dbn 7000) of DNnion I
<br />ot rhc Busind ed PolaioG Cod., dd ny lic.M i! in lull forc. ed .flel
<br />b
<br />,i\lu Lb rt
<br />cq!lrBl(;Ir0xfEx[l!c-6li[!(}
<br />I hfby atnm undn FBlry oa pdjury lhal lh6c is s connrudb! Endin8 .sncy tu rh. Ffolfucr ot lh. sorl for *hkh thn Fnil ii
<br />isuql (56 1097.C'! C )
<br />AIIU(ANLIIICI,AaAITA!
<br />I hdd, .,lim und6 p6ih y oi pgJury on. of rh. lollourns <k ldarions:
<br />D.nohdn P.mirs-Asbctor Nolificalion Fcddll R.suhrnrn. (Tnl. 40. I'd6)
<br />R.rtur.n tnr6 of Nd!lf,nnn
<br />Jl d rli lhd rhc Hd.l r.gulr.6 Esirtns 6hd.r .mr d e d rr,glr.t k !o rh! Foi<
<br />l'[hu ,hi , *. -o '* lpprEdio. sn dd. rhd tlE .hov. inrorndiod ir conE!. I .8c ro N'npl] *nh ir cny snd co6i,
<br />Iornd.;ltamdsor.LrqrE!r"ErobildinscoMructDtrenfi6.byrurhorir.i.F@nni6oflhncnyrndcou y to arta upon llE
<br />abvc trr6 [n.d prep.ny ntr
<br />dtr txiz-a/13
<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 />Framinq
<br />Insulation/Energy
<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 Zone Certif
<br />FINAL bn 7ll7 (+
<br />Certificate of Occupancy I
<br />Notes, Remarks, Etc
<br />vv)
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