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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNER BUII,DER DEL('ARATION
<br />I ha.ty illm u.d6 Funr ol pajury rhi I m d.npr 6.s E (tturrm Lt@ b* 6r Oc tollo*t lajn {sa 101lrr
<br />acins rId PrnlBion Cod.) Any City or Co!.ry u,hich r.qui6 r rEmn ro codru.r, .l'E inrov., ddnolilh or re.t oy
<br />lrrucruc Fhr lo nr EUdq lbo ro$iE rh. eplasr lor !u.h Fni ro 6L. isrn indtrq rha lE or !h. i! lim.d Frrd
<br />ro th. FoviioN ollh. Conlrslor'3 Lk .d t w (ChlPd 9. Comfti.B \ih Sctio. 7000 of Divirbn I oflh. aui,B ed
<br />l'rDtdrro Gd.) o, rhrr lE d $. ! .r6n,l rhr.tom !i !h. bGt for rlE rlh.n RaBhn A.y vrhliD ot Serb. 70.r L ty m,
<br />.opla.d lor r F,nil rohjdt] rh. 4tli.Dl k, ! civi I FElly o f nol mG lhd lir. hultdrcd &lla! (troo).
<br />l. B ow6 otrlE FoFly. d ny ongloyB *nh {.96 6 rh.n $k.onFEdbr! *ill & llE *dt,!d dE rdE it mt
<br />' dddl .r ofidd aor rk (Sa ?044. BuiE ud PrDterkrB aod. Thc cbnrrsroar liG te &6 ml l9pty r. d ouffi or
<br />rh. FtrFty *Irr tlikh or nq!1s tlE6( .n wh. &6 uh Klt tiElf o. harlf or lhrcu8h hi! o. hc o*! on9bt6,
<br />Forid.d lhlr Nch idp'!\!dn!Gmr -i6rlalorolEld ftrxl..l( hor6s.llE txildlE o, irigrolFll 6shBinnoE)d
<br />ofonpkiotr rhGr6 Buil,. s nlEllthda' of Fuas rli lEd.lEdrdFl hliu or irp.lE FFF,6rlLF,F&ol
<br />l. o o*nd of rhc FrFrt, m .ichBn., ..ntd in8 wnh li..B.d cofirdoE
<br />',,
<br />ronrru.l rh. Fnjd ( sd ?04,1. lt6ffi
<br />.,!d hltsimCod. Tn. Cotrrr*roi3 Lic.e l,* do6 mr +ply ro e osna of FoFry sho t{ildr or inprevB lhnon.
<br />rrd *ho oftdctr r[ such Fj6rs *nh. Codn.ro(r liaE d p{6d to lh. Co.nrrlm i L(oel&).
<br />I in,.r.tr, trnJr s.{ton
<br />l).t.: orrd
<br />woru{rRs' colrPansd.l()N
<br />IISJAAII!)!
<br />I hd.bt amrn !6!.r Fmll, ot pcjur-.rc oI lh. lolkru h3 d(hrllFB'
<br />I h,r. !r! *ill roid.in . Carifrcsr. otaongl ro S.lf.lMr. fo. \r.t6' .mFBriotr B ,ririt d for br Salion r7m otlll
<br />I lbor ( od.. am rhc Ffome. o f rh. s{rt fn $tih rh. Fmh i! i.{.d
<br />I h!r. n'd $ ill mini.il *ort6 conFG.rFr i6uld..6 r.qurld l, S<lion l?(x) of llE L.bor Cod.. for tlE Fhrnles of
<br />rlE mrl f.r *hih rhn F6il ir ir.ed My *ortd oE9a3db. il!l),lN .5ir rd ,.lky nuhhq r
<br />r.*i- , ier. €e4a/
<br />pol.'t Mtu ?9L9571 .- - - - rrpr- tL-\'11
<br />I cniry ln.l in rh. Ffo@m!.alh. wort lm whth lhi.e Fnn n isu.d I thlu n.l ophy.dy Fr$. i, .ny EUK
<br />s aro he.E tutlilxl ro rh. rql6 snFindior h* otcrlifond. nn i8e itd 'lI slFuu hc.ft $bj6l lo rlt
<br />wollcl omFlslior pro\ irbB ot Scdi,. 1700 of rhc I lbor ( qlc I ltsll, fnhs nh of,pl, $ hh ltnr lmviio6
<br />wARrlN(;: F aluic ro sdc s!.16' omFMi,n co\q,}. L 6L*tu1 r.d rhdl sbj.{ e onphra to siniml Fuii! dd
<br />cilil li66 np ro om hudnl ltbB&l &'U6 (llm.ou)). in tddilion lo rh. con of oiFE tiotr dm46 B n otdqj lo. llE
<br />s.dio. 10?6 ofrlE trEn Co&. n!r6.n ud lr'oiEy . f6
<br />tt,ta.//'t | 'l
<br />DECIASAIIO!
<br />I ho.by atlm und6 Frux).lFj!ryrnd I m li..Bd und6 Ftrltirn of ('h!prq 9(coMars *nh s..ri.n 7000)of Dn iihn 1
<br />.r rh. Burin* md lrcfdr6 Cod., .nd oy ltce 6 r aull aorc. nn .r.d.
<br />LKNNUNTE i. Li J
<br />c."_",*,k_4
<br />7-t
<br />( ()NSrRt(tton r ts\DDi(: a(:fNC\
<br />I hd.i!_ smnn ond6 p.f,lhy ol pqjory lhnl th6c E a consldclr," L.dins 680., tu lh. t-LrmR'c ot lh. Lvorl ru s hi& rhis Ff,ir ts
<br />'rs.ri ls& 1097, ( n (')
<br />ATIIJ(ANIIECIIaaIIA!
<br />I @ rnian undd p6.hy orpdjury on. of rhc rolh$'n-r d<ltrilion!
<br />I)6*n s. Pd6rs-Astd6 Nornorion lcdcll R.[!ldn6 (li'k ro. Pa1{')
<br />R.qrn.d t!r6 of \rifrdhn
<br />I cdrS r hn rh. Iaj.rrl ,csuhraa E8rd"B 6ldm llmtrl r. N qtli..bL b lllir Foirr.
<br />a l .al,t rh, I h6. dd rhi rppladion !d id. thd th. .bo1t rnfomnion s c.nc! l .src ro onpl) wth .I Cny tnd ( ounl)
<br />ordi,ed sd sr.!. bwr r.Ll'rB lo hlilding corrrucriotr rd hs.hr .dhorn. .€tr.hrat'!6 . f th! Cily sd Codly lo al6 uFn th.
<br />!t$rc lmtion d FlrEry for iBFrr. FrFs
<br />^prrk
<br />,, or ^!d, srdrrr X-* o.", 1t::1 1-/1
<br />"^nn -^,,rn u, fa)q. 4,,, L
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Ereqtion Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUl nsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />llandicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif.
<br />tl I ^Z'ZiFINALB1qflbaae{l ,@/
<br />Certificate of Occupancy
<br />Notes, Remarks, Elc.
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