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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNEN BUILDER DEL(' RATION
<br />I id.tl' .rm !n& Fulry oI Flury rhd I n .rmF frlh rlF Colnr*16' l.a.e ts lo. rlF follo$h8 ..mn tS< ?0!l t
<br />Buin* .tn h.adbn Cod.l Any Cny or a@ ! qhEh r.qtn6 t Fmir lo sdttd..n6. imFo\e ddmli or r.r.n my
<br />nruduq pmr ro ir! isu&E. rL G<Fr6 rlE +plkE{ hr tu.h Fnn r. 6k ! riErd rnml $i lE or r. a h..d.d FEM
<br />ro rlE Fu&bB otttE Conrrso.e l-'cd!.d l$'tctua'16 9. CoffirB *nh sftrirn 7000 or Dnirion :l ollh. Btr 'B ud
<br />Pmf6irnr (U., or rh h.orlhc namF lh6.fhm Dd rh. b66 for th..lL8.d ddp{ion Ary rioLlion of s..rion 7l) r l 5 h} 6n,
<br />lppli.anr for a pcnnh rubjec lh. .pplic&l lo ! ivil r6,hy o f nol morc ihd lir. hun<lnd dolld (1500).
<br />l, s 016 olrhc prnrEny. or ny.'nploy6 uirh *dEBa rh.ir eL.ohrnMrn,h. silldo ltE \ori dd th..lndu! i3 R
<br />iraLd.r.Ild.dforsl.(sd7044.,tusin6ii.dhofernrBcod.:lnc(irnl.a.lorslrs.ll\edo6nortfflvroMo*.d.1
<br />lh. FrlElr nh, tlilde or itrsr!\ 6lrEon. !.d trho &E sh $!lt h'ru.llDr helf .r rhn,4h his or hc o\r c.Ipl.r6,
<br />J'or xldl rhi .u.h 'dFnrEiE* e mi htdldl o. otlaiil lc $L ll h)(66, ttE tlillil{ or rprotffi B v,U rinm o.. \e
<br />ofsrpldi4 rlE Ouc B{'lb rdl h,\. E txdd or F\rg rh, lE or Jr. di,:l d tlill or nr{ro\ c tlE rmF,) ror rh. Ir,F)< or
<br />L G .em .l rlr Fnpdrr, m .r.lNie.[ codrtlins $nh lic.c.d coriEroE ro (oldrucr rh. Foid lsd 7ot l. t]6rn*
<br />ltxl hske Cod. Tn. Conrd.f r L,.@ l.!s &6 tur qDl' ro d o$nd olrroFny trlF blilds or inp.ovd rhcon,
<br />a.d *ho.odrdrfor3uchFljcrssnh!(onrR-lo(rlic.6dpu6urrorh.(td6cioi3Li..etn*)
<br />I'r\.r'tn,nllc,Scrrirnr
<br />rlab[&r(artf[ts6ra.N
<br />DECIJIAUA!
<br />I hdcb dm iun&r Fslr! oaFjor_1oR orrh. (nkr\ in* &rledirN
<br />I hx\. drl tr'llm'dd r Cdirr.r.of (ntrhr !o s.lt ler fn $ml6'(onFrdhn. a rm\ it d aor tD s(,
<br />Iatn,Xtu,h.Fr()llrlm.nrh( tr. rn' uhEh,h. Fn B <u.J
<br />\.r(.. anl * ,rr na-rr,n * oA6' comrENarr,n ntur.n... 6 r.qutcd ta sEt i .n r 7(x, oI rh. tibor co&. lor rh. F .onun.. oa
<br />rh. s l nrlhkhrh6 Fn s i$d M) ( ldl'c.mFurion iBurai(.'uq, Fnr) numb.rd.
<br />,*,^ . @lza2 ftEua a4r/,,/*V,
<br />,"u",*,**,'OZl1Z 3t?Zg4/ ",,- "//l//g
<br />I c.nrt rhn in rr. Ffotrrlreorrhl *oll nr $hrn rhis Fin B isu.4 I $rllno' mph}.n, F$n io e, 'mFs B ro hftom etrd ro rlE f,ct6'snpadhn Irs. of (ilifomi& ud er rhri rll druld trom tubi.!!
<br />'.
<br />rh.
<br />mrt6.omFsbnF.rirh6.rsdsn1?(x)ofrh.L.!dCod..tsluU.l(alhtr'nhomdesnnrlb$F!\khB
<br />WARNIN(; l;.rlur. ro suc rorl6 @oFqi,n co\6.sc
<br />cnll fin6 op '. oft hundrcd lhouend dolla (llm.mol. in
<br />rnlll suhFr m dplotE r.6Eodl Fsi6 md
<br />mlscsr ud dmrx) 5 rG
<br />I heby.mm !nd6 Fndty olFjury lhdl I m licqsd und6 Folnion or( h!r,r6 0{commft,ns (nh Sdhn rm0} otl)ivnion l
<br />of rh. BBiB ud PFfBioN cod., ,,1 mr lkft ir t! tull aorc. drd.rar
<br />/?
<br />7
<br />I h4hy.mfln trndd Fnalty oa p<Jury lhd lhs. i!. conrrudion Lndins isdcy tirt lhc pqrommc. orrh€ sorl lor trhich rht Fnrn i
<br />tsu.d(sR 1097.ci! c.)
<br />ATIU(ANIDECIJSAI&X
<br />I h.dr!'.lrmund6 F r, of FJury om ot tlE ,olloq in8 d.(lddh$:
<br />onnolnh. P6mhlAsbd6 Norilicd hn to](.| R.slLt.nr ITnh 40, P.n6)
<br />R.quir.! l-ard of Noifi €t6n
<br />rrlr!.'kfr\.1ato'n.rn r'(rhl.1L)rhisn'()i$r
<br />.boE inrom.tir. d ('r..! l.srcrd6npb wirhlll( irtind (inrnrv
<br />.bo\. mdrn'ndl lnJFny aor iBFdhn
<br />appll.rnr or t*dr Sirh.iur.
<br />,7P
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathinq 6-1"-t7 k-wJ6 )s-.\
<br />Shear Wall .>)
<br />Framing z '\5 -t1 li"iL-w.ry
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat i -Ll- t')J ("'L
<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 I ;l!-'t/ t?J/eSl >/vv ,
<br />Certificate of occupancy I \-,
<br />Notes, Remarks, Etc
<br />Set Backs I
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