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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNf,f, AUILDER DE['ARATION
<br />I lE.b, lrm un& pqdy or pdru..v rhi I h ddF i!6 rh. Co.frc ti<ae tfl for rlE lolbrng r6n (Sc 70ll 5
<br />Buird drd Pmt6eirn Cod.) Any Cny or Coufly wh(h cquic . Fnit lo cotrrM, rna. inlkolc &elnh or ,B.n ey
<br />dru.roq For ro it! isuoc., r. Eqrn6 lh. .pglicel lo. ruct pqri to 6lc i !is..<! ndd@r 6.r lE or !i. ir licd.d pujlle
<br />ro rh. Foultus ol$. Conr*roar Li.@.d ttw (Ch.pr6 9, Conm.ncing *ilh Selion 70rP ol Dirilio. I oflh. BBi.B ud
<br />Pmf<iod Cod.) o. thd lE or rh. i! .r.mpr rhs.&.n ud rh. b.ti for lh. rll.s.d d@F'on Aly rroLrio. of S<lhn ?0115 b, r,
<br />.p?li(dlor!Fmirsubrar!ih.rrplic&rlo!civilp.uhyofnormrcrhrn6!.hund.ddonc($00)'
<br />, l. 6 ouE ol0. FFry. d ny orplq6 *itn *.86 ! lh.i ik @mFdi'tr *i! & llE wt &d lL nn rE a Dl
<br />idqld.d orolEr.d ad sL (Sa ?o14. BBitrd&d Pr!ftsbB Codc Th.Co'rr.6r'! l-ic@ t wd.€d491,loaowof
<br />rh.thFry *h hiJ(h o. dnFo6 rrE6ll. d who &6 $dr sit hirolaot hcslf o. thmu8h hi.r q h6 o{ .r,eh}q
<br />Fov'{lel rhlt luch oF!\E6ri e br ilnsn d orotrral lor 5L l( rb*Ba. rlE bliBiU or itrp.a.rrd ir $ld whhin oN F
<br />of.ompEiio[ th. ol*rd Blitb aill h!v. fic hido oaFoving th, lE or sn did mr hlild or ihproE tlE Fopay fo, $. puF*of
<br />I. s osM of rh. FlFry, D dcllilcly codr([s trrh li.oE d codreroB F mftnnd rtr FrF (sc 70a{, &aB
<br />rd hnf*o Co<,.: Tn Co ano' ! l-i.@ l^ d.d mr +pl, ro ao$MolpmFry$lF b{ildr or ioprordllE@(
<br />od $fii odds am $ch rmj.\1! vnh . Cotrrrron, licasd F6@ ro tl! Cofirld t Li@ t *)
<br />I m.r.mri ond.r Sdion
<br />Drr.: ()rner:
<br />llQalirBt(aNEEt:afraxotis.dtdrla!
<br />I hdelJ\ rlln un&r p6!ht .l Frurr on.o{thc.ol1.$'ry Ll(l{ar'oNl
<br />I h^r rn will dirrh. adifEd. of CoMr ro S.lllN.c fd *o.td onF!.hn. a Fri]d ,or t, Sa'i.n u00 of 'h.t bor Cod., fd rlE Ffollls. of rh. "Dri for st*h lh. Fmil it s.d
<br />.{t Urc anA witt mainrain por!6 comFBarior idutuc., s r.quir.d b} sdr mn I700 orrh. kbor cod.. ror lh. Ffofficc or
<br />th. *ork aor which thi! Frit i! i.e.d. My uortd cool,derion i6uec. ffiq !d poli., nuEb6 ac:
<br />(,,,,,,., oLe p.t Pursu L.
<br />,,,,,., \,,,,,,.. tnw43q ts 3l \1a:l'-w
<br />I c.n'fy lhar 1n lhc rf fontunc. of rh. uork for trh'.h ihF i! israi. I 3h.U d dphy y rs$n rn &y nuE
<br />e a ro h.oft Nbjd to th. "o 6 comFNrion hwl ed asG rh.r ,f I ihuld bdotr .ubjd ro rlE
<br />sorl6' conFcnion povisroBof sdlion l?00 of lh.I slEll. fonh*nh .lntly wirh rhoe p$!tkr3
<br />wARNIN(; ljarlure to su( $dkc6'co'nrEf,er 1. md sh.ll lubjal e oploya lo simmal rsaltis ed
<br />cifl fitr6 up 1o onc hund,.! lh)uend
<br />Sahon:1076 olrhc L.hr Cdc. 1llls.jr
<br />,.,., t2-)- [q
<br />I ro rh. rod of c.mFMrcn, dmlaB d rold.d io' rhc
<br />llclJlarlatr
<br />I h6.by lmrm ond6 p6ahy of Frury thrl I m licdsj uids pr$vi!o. ofch.prd 9 (comMcn8 *nh Salnn 7000) of Dilnhn I
<br />of rh. llNin6s Md Profdions ( o.L. ud my lic@ i! h tull forc€ drd cllrr
<br />."*.n* B
<br />-" l-l.E__19_
<br />I hftby.lIm u.dd poaly o lFjury rh.r rhq. L ! mnjruclion laldi.s leocy lor rn pqto'rl@c of lhc @rt for *'fith lhn Fnil a
<br />iru.d(sc.1097, civ c.)
<br />L.nd6i Nor
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<br />-
<br />APDI I(' NT NFCLIItrATION
<br />I nod,y .rm u.da Fn.hy of prjury oE of rh. followi.B dcclr.t ions
<br />D.mo[lio. P.mil3'Asb6lo, Norilicor io. Fcddal R.Auht ioN (TnL 40. Pan6)
<br />Rcaut d t iraofNdi6.dbn
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUlnsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framinq
<br />lnsulation/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 tll/'to t <1 frih.t ) llov
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc
<br />.1"-tL- 4jo't,u
<br />I 19,6 rhd llE Ldasl rcBuh$E E4rdrs 6t6tr ,@n il ft d +plflbL r. rh6 Ford
<br />d,./,t,*, **,-o *" *JI""" *,'".,*," ^r.
<br />r.tunn 6 (.rd r.!E,ocomnr'
<br />o&ry(6. skrc L.q!Rlersr{ h,U,.s}o]dDd-r &d hn.h} .urtbM,.F.sdN6 orrhB cny
<br />a!o6qa,ioi.r Dmndv ror Ep*l& o,.p.h.
<br />n/,u.,"ro,-,,r-.^ -lYh l|- D.,.
<br />,.,r.1/-.*n*,,- KaBth, {kp1Atx..
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