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BUILDING. INSPECTOR RECORD <br />SITE.WORK DATE ID/SIG.COMMENTS OWNER BUII,DER DEI,('ARATION <br />I h.rclry lllm unds Fn.hy of psjury thd I m .xmp t.nr th. (-onr.noR Licm* t s ror th. fouoviry r@nis( 70] I .t <br />B6i.* lld Prolern Codc, An) Cny .r (-ou'nr" unf,t r.r.rur6 . Fnr lo codrucr. an6, 'nFor. damlah r rqsr n! <br />tud6.. Fs b n! isue., dho r.qun6 rh. +tlk6i f.r su.h Fmn ro nk a s[..{ xdmr rhd lE or slE ! lrcaE d rutld <br />u rh. tnrsios oftu Co 6roa! l-icar.\,la{ lclurn6 9, Conmcn.rns *1h s..rion 7000 oil)rvision I ofrhc aBin*t ind <br />Pmfdioro (brL) or rh, h. or sh. n .t.m/ thd.ftom Md rh. b8n for rh. ill.a.n .(mprion Any vdation ots.dF.703l 5 hy lny <br />lpplic.nlliiap6rnsuhJ.rltllE.rl9lic r lo r crvi! FMhyoimt mrc thr fi\. hunlr.d drll,r (!tuj) <br />l, s o$tr6 of rh. F Fly. or m, mplo)6 $rh *.*6 E rh.tr $k comFNdion. *illtlo tlE rd !n llE,rle ! ({ <br />inrsdal o, ordtd n, lolc (Sd.?044, D6od ed PrordtrN Cod. Thl (onrrr$a! l-i(.M trw do6 nor spply nr m osnq o t <br />th. plrtd, *ho htril& or inpmva rhmtr .d wtr .tE uh $$d himrll ot hdlf or thmuBi hn tr kr oxn dplolc <br />FoviLd ihd $ch inForqErt E ol iddn d nofrsld (ngl. l[ ho*cs.llE bu hB d tr4.lrqEr it$ll *.h d)a <br />ofcof,gkia dE ()*ffi auilla eill lE\. dE hd6 or F!\rB rlq lE d $. dil mt hit,l or iryro\r dE rrcFO for {t F p.i ol <br />L B o*c of lh. Fipqry. o.r.lB,r.ly..firrlol* snh licdE d co!'i,-r.B b 6drkr rlr F}$ (Se '7Gl,l. DG|.g <br />lid l\llkix C6& t hc Conltxror! Lic# ll$ rb6 mr .r'pl, ro 6 o$ na o lFordr sho build! or inprovd rhnhn. <br />r.d *rt comdr! nn rEh F[j.<ri *ith ! Grnrrro(!) htu d FrBod lo rhc CodrNr, 3 Li..E I!$ ). <br />l rn (rcmpl unds Ssl0n <br />D.r. O'!a <br />\toRt(FR.s ('otuPttNsartot\ <br />lrl:ct^8^Ill]! <br />I hq.h) !ln,m un&, rualq orrEruq on. orrh.I(,llositr! d(|,!tFE <br />Inrv.insillmi.l!n'.Cd'lrdc.fcolmtroS.lf-lNurcrd*ort6comlqEd$n.s!'ouLdforbrsdltu.70o.alh. <br />tjbor G'd.. lor ih. p6fomm.. o f rh. $r* aor uhi.h th. Fm( i! Buql <br />I hlvcr.du'ill minr.r $orlB c.mFsrFn i6u,ffic..r kqun d h S.dhn 1'700 oflh. ll}{r (id.. aor lh tEfo'^-. or <br />llE "oit fn stkh thi! rEnn i sr.d. My * 16 ooFsbn i,ue(c ffi( rd Flky ndb6 .c*t;fu#fu)e- .z{)*r-z 7n 5 _,-^,,4 <br />ru*tN,* /-dZ:ZaZZ{ F,pr6 {fr//? <br />I cdifr rhll in rhc p6tolri4. orrh. wort fo which rh$ F6nn i i.!o.d, I 3h.ll no! mplo, uy Fd$r in !., mMf,d <br />s' s k' tEom. ruqd to th. wrl6 cohpqsnnrn bws of a.lifomir. dd !3r lh,l if I should bconE sbj*l <br />'o <br />lh€ <br />nort6' omFa.lhn Fovisiod of S.dbr l7(1, ol thc lrtnr ( o&- I {!ll- ,onhu]lh co.lpl} *nh llF{ Fovaio6 <br />\iARNING: Falr. to G@ $1fi6 @nFdxrn turals. B ml,sful, .,i d.ll tut d s an 'hrn ro Mml FEhE r.d <br />cilil n.B uD ro oc huntH rh.unnd dolla (tloo.oflr). i. etdih. k, rh..oi of comrEMrion. &,E36 6 rrorid.d for !n. <br />S6ti \076 ofrh.l.rhtr(od.. imdd anda .m.vi f6 <br />z:./zt/z'r77 <br />I hrtb\ r0n undr lN,,'lr) oi ltrirl rhd I n l[cnsl trn,lr ri.nsn)n 9{..nmmi.8 *nh sdion ?fixr) oi Div isn'n :r <br />or tlE lrGms d t,r{rlsnra (ir&, an m! lEdg is 'n full tua,n cffd <br />t".,*."n*4-"4boy'7 <br />I h@by lrm und6 parhy of Fjuy thd rfi@ L. codddion laiir8 .ldy tor llE FfMJotllE @a tu *nah rhi! Fna a <br />isEd (:i< 1097. Cil C ) <br />arrttcaxl.llt]cttSalto! <br />I ha*y dnm u.dr Fnllry of Fltrry on. ofrh.followi.s del& 'o.rI).rohioo lmirs'Alb6ros Norifior n o F.dsil R.suhraN (1nL 40, F!n6) <br />_R.{!r.d tdts of ld'r'ficlrM <br />I cGlilyrh,I rh. adi6 r.8ulllioN Egadin8 atElosrmo\lld. not rFplkabk lo this pmjd. <br />/k1td4 rhr I hc( odrhu,*lK''nn nl {d. rhd rrE rtr\. i.tonDinn s co,rci Irscro.o6ply qnh.[ ( ntlnd(ouD <br />NtEr6 &d nd( L.* t d(tr'e r. ln 'ld'nr .odtucrEtr &xl hq.by aurlDtr! qrediir6 of rnir Cr t &ki Coont, ro 6t6 uF)n rlE <br />nhrv. nurluncd prolEl! (tr <br />'nslEr(,n ptrrlosG <br />.\ppli.rnr or ,rBrr Silnrrtrrc <br />"^u-". ,ron*t'/-*-7 *- <br />4?l-z <br />Set Backs <br />Erection Pads <br />UFER Ground <br />SLAB Floor <br />Subf loor/VenUlnsulation <br />Roof Sheathing <br />Shear Wall <br />Framing rl|ttt <br />lnsulation/Energy nl^ t ,l,t lL lr I <br />Drywall tv"rlrl <br />Ext./lnt. Lath <br />Brown Coat <br />Masonry <br />Pool Fence I <br />T-Bar <br />Handicap Req <br />Deputy Final Report <br />Engineer Final Report <br />,l <br />FINAL \ <br />Certificate of Occu nc <br />i6 VL <br />t2A n \)(".16 ai <br />c l! <br />rcoB.Nmbc. ?*rq5a <br />Forms/Steel/Holdowns I I <br />I <br />I <br />t <br />l[vt]t <br />I <br />I <br />I <br />tt <br />I I <br />lLtt!lhLl <br />I <br />Flood Zone Certif. <br />Notes, Remarks, Etc. <br />I t <br />:\