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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OTf, NAR BUILD}:R DEL('ARATloN
<br />I h.r.t,r lrm un&r pq y of Frrury rhi I m 6oqr nlr rlE Co d6 l.iuE l.* for lh. roloviB llen {Sd 70:ll 5
<br />Ilur'n6r ,id ProtBio. codc): A., cn, or ( on t shich r.qur6. F6nn lo.o.!ltud, !hs, mFo\...rnolith ot EIEi ey
<br />ntoduq Fi( ro ir, Eiueq rto rcpt6lfi. ?plki lor su.h Fmit lo 6L a lis.ql ndod rhd lE or 3lE i! lico!.d l,md
<br />ro rh. F vilbB of dE Co' rrroit Lrqed lrs (( hlFn 9, (-omft'nr $nh Sdion ?Ix, of Dnisnn I of llE't\anEs od
<br />PNa.sr.. CodG) or th'l h. or 3h. n aapl rfis.Eom ud lh. tEn for lhc .lLs.d .ronFio. An, viohrionofs<ion 70r 1.5 by lny
<br />lpplicanr tor r Fnir 3ubjdr rh. rr'plicel ro ! cn il ,.n.lry of.or mr. 'hu li!. hu.dr.d &lhB { tSlb)
<br />J/f. - "** ,,* ,.*nr. or my .mplor6 $ith w!*6 s rhdr x,L .onp<rdio.. *iI rh trE *o.t !d $E nrudr. i! 6r
<br />i ai.d or ofd.d for olc (sr ?or4. E6ilB ud PDf6.ioB cod.: Tn cod.Ild r Ltd* lrw &E hl epl, lo u o[G of
<br />thc FnF!, slb holirrd irt orE E@ rn *fio.iE nrn e.* hi'el,or hdsltor rtFusi in d hd om mplorE
<br />rovid.d rhlr {ch inFs!ff reDr iiddcd qotuld 6r sL ll b*6. tlE tlitila m nF!ffi t hld einii w Ja
<br />ofNtr{lkio( llE (xrs tluil]a sill h.w rl! hmta of Foviis tla lE or !E (il mt toild or trrFor! th. FlFty tu tlE purloE of
<br />l[1r. - ." na or rr'c r.'par r, o .\clc' !.1] conrradinr wnh licaBld conrBroE b con$Nd rlr ptuj61 (sc. 704{, &sin<
<br />!n P!"t-n"Co&, Th.(i mo.r Lkc* L.r dE ml lprly ro d oqnd of p.orior, *l'o t itr! or Dpmv6lhs@n,
<br />ed q'ho onrrlr ttr .rh Foj.rlr $th ! Co'rrr.rnrl.) ltdel FJ,!d ro rlE Conr-lor'r l-ka& L$.
<br />I m.\oB u.dq s<hn
<br />t2Ut49 k.,,,rt#r,**,^
<br />DL(l (RrFi6\
<br />I hd.tt .mm un{kr p.nah, of p6jur_ o.. of
<br />'h.
<br />folloe h3 &dml n 6:
<br />IhrErd$'llmi.ir.cdrift{.ofcot6rr.S*lf-lBefor\ort6'c6trpd$,r.n.BFri,.dforbtSdionl?moldE
<br />lrhor ('o(h for rlE F6|ffi oallE mrt for snth llE FEh i! i$.d
<br />I h^G.rd n ill ninrir uortd corp.lBni\n i@mq s ctuind b-! sdridn:1700 or0E L.bor (i&, fo,llr rEfr.l1ille of
<br />rh. qGl r.r whtt lhB Fnn it isEd My *ort(6' comFMhn 'Mlu..sir Ed Folky numb6 ,.:
<br />I .drif} rh'r i. rh. Filornm. of rh. $ort fM shrh rhi Fmil is i$!.J. I nu[ Nl d{,I'y d} Fer. itr.tr, mom
<br />$dtoh<nRllbjell.lh.*orld'sBpo!.lionl:otcalifoftr,ndasGlldlrldruEb..omet.dlollE
<br />wolt6 c.mpqE lionpmrnkiNofS.dbn lTl)0oflhc ltbor (nd.,llrsll, f.dh$ith comply sith rl[s rmririoB
<br />WARI'{ING: F!ilu.. io se $.ld o.rFd6. or6e. k unl$fol. !d rldl uhi.Tt D 6phr! ro oiniMl FEli. &d
<br />cnil f@ op ro oE hu.dr.d thoosd &116 (1100.0(n), in .&lithn kr llE cor of.odFi!.lio.. dr!Lsd 6 Folil.d f.r 'h.serion 1076 olrh.l.dbor( ('d., inl66l andanornclt 16
<br />DESJAAIIQd
<br />I hq!l! rfm unds Fuhl.rFjur. rhd I m li.asl unkr Frr ahr ot(-bFs 9tsmoft,rC rnh S.cr..7ur) of th iriin r
<br />or $c BuritB dd Ptrrt6rions Cod., and my hctu. n in lull for.. ftl .iikl.
<br />ca!$alrrolLllDltrG-AcE!(r
<br />I h6d,y .,fm un& ddry ot pqjury rhd thd. n , ollnErbn bniB eft) for lh. Ff(ffi of lh. *nI 6r rtEh rrE r.m. 6
<br />isu.d (S<.1097.( i!.4 ).
<br />ATTI.I(AtrLII(IASAI]IIII
<br />I lE*rlfrm und6 paally ofp.dury ok oflhc tollowin! d(lt i6ns
<br />lhml io. Pmn3-tut6ro, Noli6c.lsn F.ds.lt*uhrio* (rikilo. Piil6l
<br />Rdlur.i l.drd ol NonfEilion
<br />I .dift rhd rh. a.d-!l r.{!lrh6 r.Bsdrns Gtelor lm\ d d. r{ qDlithL re rhis p$Fr
<br />IcdifrrldIlur.rodrhilppli<lton&riisr.rh.rrh.rl . infof,n..ntr irc.rdl IatratoNmpl) \r(hlll( ilvtnJ(ium\
<br />od'M6 ,rd Sur. lr}5 EIi'n3 ro tlikr,ng i,. Esqrrr6 of rhn Cir &d C.uni) io ord upon rlr
<br />ihr( mdron.d II ncn) l,{ 'Bf{jhr nurF,s
<br />\eeli(
<br />'
<br />r Aro' shtr.ruE A
<br />Pqnri,e. n.n,.{pnr,): +i1." CtYq rl6 t,'/[r:l
<br />Set Backs
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />SubfloorA/enUlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />ln su lation/E nerg y
<br />Drylvall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handioap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif I
<br />zou-rl,o tp-,,r^r tdrlJlf.t -1 V.r;r*il t\)
<br />0 U JL
<br />FINAL W-2-1.t Ef4rria to,
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc
<br />Forms/Steel/Holdowns
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