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BUILDING. INSPECTOR RECORD
<br />DATE ID/SIG.COMMENTS OWNER TIUILDER DEI,CARATION
<br />I hcrchy .lltm nndcr ncnrliy oI reriurv rhnr I anr cicmni ft,m rhc Gnri.rotr Liccnsc Lls Inr rft f(nbrvinS Rrq,n (S..70:lr s
<br />Bu\incs md Profc$trn Cdr): An, ( iry o. c,rtrrt *hi.h rcqxncs . Fnnil x' con(rucr. trlrs. impn,v.. dcmlnh ot rcprn rny
<br />{rucrur.. Diffh irs nturtrcc, rho rcquiN rhc q,plicrnr lor {r.h pcnrir k' filc tr si[n.d $lr.nttrl th.l lt.r shc i\ liccntd Pu^urnr
<br />ro rhc l,ovhioN ol ltE Co rucroi\ l-ic.ns.d lis lchrprcr L Connc!f,in8 wirh Scclion ?(x)O ol Dili\ion I or lhc BusnNs .nd
<br />It.ic$ionsCrtc)orrhur h! or\h. trrcnf h.rcfro'nnnd rhcbrst tu rhe.llcscd cxcnpinrn Anydnrrioi.fS..rin?0ll5l'yiny
<br />rp!li.r inriI)cnnir\ublc.rsrhc.tplic0ntlorcivilnennlryol.ornrrcrhrifi!chundr.ddollrr(55tro).
<br />t. is.\rcrolrhc nrnrErlr. or nr- cnllll,,rE\ wirh srg.\,\ rh.n k,h.otrrp.tr\rrion. $illdo rhc*orkind rh.{ 1rctmr
<br />i' .dcJ or olf.r.J fttr \rk ( Sd 7(X4. Ausifts\ .trd Pofc$nrs Codc: l lr O]nrrrdoi r l-ir.nsc I]w docs nor .Ptly rn an o$ncr of
<br />rhc n$ltrly whohuildsorirnNN.srhc(u,rlldshodoc\\u.hs(lrkhnnscllorhcr\cllorlhDu8i[isorhcrosnc,lloyccs,
<br />F)vid.dth su.h tn|nownrnts nrc mr inroxlcd or.ltcat li, $k lf. ho\$cirhc htik]ii! ornroftrcnEnris wkl wirhinonc ]tJ
<br />ol onl,hrin rh. Osncr Boikl.r will hr\r rh. hxrdcn ot rtuvine rh lEorsh.nidr nliB or i'qm\ c rhc pn'Fny for lhc pnrJns.f
<br />l. otr mr of rhc llrttrdy. nm cxclurivcly .on! &r i.3 silh li.cn$n .onlridE n, .ur{nkilt nm { ( Scc ?(!J. Euenc$
<br />{nd EDls\i,trC.dc ltuCnnrrsdor\ l.ircnsc I ntr doc\ i.rrlplyro riotrncrollr.pcnywh. huikGor imlR)v.\ (hcrcotr.
<br />rfui who conrrrr r(f $cht,ojccrswirhror r0cb(9liccrFcd puru k,rhccontr.kn'l Liccnsc Lo*).
<br />I d r.x.nu utulcr serir -. B & l'.C nnrhi. r.N{
<br />UIXtrIIB5:I;AIJIENSAIOT
<br />D[CLd.BiIII0N
<br />I hcrcby rflnmund.r |tnalty.ipcrju} onc ofrhc tnll'wi!,s ,lcchr ri(ns:
<br />-l
<br />h!!d and $ill nhn ai'r r Ccdillcirc ol Co scnr ro Scli l.{trc lor s.rtcr' onpttr$rnnr. ^ Pruvacd n byScdn,n.rTlX)oIrhd
<br />l-ihtrCodc.forlhcpcriomrnccofrhcaorkf(tr*hichrhdNiinir $nsu.d
<br />I hav.rnd sill nui ain *orkcri comFns ion in\urarce. rs r.+n dh!SLrrii l7(x) .l llE l;thor Codc. in I lr Frfonnrn.c of
<br />rhc *ort nr $hi.h rhhFnnir i\ issunl My$orkcs drmpcNrrn,n iNtrrnmccmirr mdIx)ltynnmhcr c:
<br />C,Q
<br />sdzq tg a '^., tlr lzorq
<br />Z.cniry rh in(hcpcrrorru'ftorrhcw.rkr(trs[ichrhispcirnirhtsucd.Inrlltrorctrrnk,yrtr]tcFoninnnynroicr
<br />$ ns b tEonf, subjer ro rhc work6 co',pcnsarn,n h*s olCaliirnir. r$d +rc rhd ill sh.ul(l hccoN suhj..r b rh.
<br />w.rkcn.o pcns0rnrnpmvisioosoaSccriotr:lT(r)olrl[tnhtrCodc.lshrll,rdrh*Ihco.lnly*irhlhotprorisions
<br />WARNINGT l_riltrr to $.u,c w.rkcrs snDctr\nli{trr covcrr8c i\ trok(ful. ii \hrll suhjcd m cnrPl.ycr to c.i'ni'rl t.0.hhs rtrd
<br />.ivil nNr trp r. on. hlndrcd thousrnd dollln lsl(x).(tX)). in lddiri(,n kr thc.os ofcomPcnsrlion. dJBBc\ r\ liov cdIitrrlE
<br />S.criotr:1016 ofrhc tjtu Codc. inlcrc$r nd lllorrcy \ tccs
<br />x","shl la nrr,,""n,,E'\e\ Go*.2-
<br />I.ICENSIiILCAtrIIACIIIB
<br />DIIII.AEAIITIN
<br />of rhc Bu(ircs rtr(l Profcsinrs Codc. rl{] nry liccnsc i" i', iull lorcc ltfr.cr
<br />\-.
<br />/,,s,r
<br />cr,,.., tr#!f8t* 1?.r.ic.,scNun,h.r: Lrt saol
<br />S/'rftv c-,.,.,*N..\o-'^.+s<"gcr;.^o.,". 5v,.-c-
<br />CqIST:8!.ICUONIENDING-AGIICI
<br />I hechy fllfirm undcr Fnalryol n rjuryth rhcr. is 0.onnru.rion hndins oBcncy lff rhc p.rroilon.c olrhc qort ri'r which rhi\ If,mir k
<br />issucd(Scc. 3097.Ci! C)
<br />A.IfUCANIDLCI,INAI,&
<br />llarhy nninnundcr pcnrlry or p{rjury onc orlhc tuln'$nr8 d..lmrnnrs
<br />tlcmlirion Pcnnirr A\Sc(o\ Norilicrri,n, Ffllcral R+ulrri,nr{ llirlc.llr. P.dr)
<br />-Rc{uircd
<br />t-clrsol NorilLrri,n,
<br />-l.cniryrhar
<br />rhc r.dcrJ I r.8u ld io.s rcgordirg rshc(os rcnoralirc mr xmlic$l.lo rhi{ nn)jccl
<br />.',tim .c\ rtr,lSht l-trss r.hring lo buil,li'rg .ondn'.ri{in.hcr.htrurhurizcr.tr.\cnl ivcs{,1rhi\CiryridCoutrryl.crlcruPonrhc
<br />1 .,k".,*d-.,r "",*d' n" ^md'onn,n,ss ,
<br />bl",,,",",,,. ^""",.,";",,* &-^!/!
<br />\"-,**.",r",,-D-..&Go,.r.,e-.
<br /></r{iu
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Ereclion Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf looriVent/l nsu lation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />l\4aso n ry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />FINAL i41-@.JJaSs{4'vn)
<br />Certificate ol Occupancy
<br />Notes, Remarks, Etc
<br />SITE.WORK
<br />N.a VJai\
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