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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE tD/stG.COMMENTS oWNl:R BUILDER DEL('ARATION
<br />I h6.q .mrn undd FEnt ol Fjrrr lhd I d .rdpl &on rh. C.tuFoB LEe L.* for lhc t llolinr td'n lsd 70r I !
<br />liNrns .,n P;adlirn ('Gi.) Any Cn) or (n@ty trhth r.qutr6 t Fnt ro oldrud. !llo. rmFor., dtmlsh or qar r
<br />srrucrur€, Fi{r n, ic rBum... d$ !.qota !h. dpplicMi rbrsuch tffn ro fiLa s,B..d3rddor th.r h.or sn.6lrco!.,1 puNMr
<br />lo rlE ForirnlN ol {E ('ontEtr'! l-'..tu d lr* 1( h,ira 9, (i,mdin8 *ilh SRIFI 7000 Dr Divnion 1 of th. Busm<r lnd
<br />PnrfdDd(i'd.) or rhd lEdst ir.rmpl thd.fion. rh. b6. tor th. rlks<d do,ikr. Ant erlarion of S<dnn nlr 1 5 b!.n)
<br />apglkrnl for . Fmn rubjars rhc arphcdt ro i crvil pcnalry o f nor 60.. rhs fiv. hunLr.d dollE! (1t00)
<br />l. s oqE of rh. FoFry. d my oplotq $nn r.{6 6 rh.t sL omFanioa *ill& llE tritt !n dr irldE ! ml
<br />iI{drlcd o, oltq.d f@ sl. (Sd 70{4. BBiB xd &ol6ioB Co&r Th. Colnsrtri l-t.e t { tto6 ml lpply lo o !trffi of
<br />rt r,npdly *ho boildr or imprevdlhq@.. a.d liD do6 ruch *.rl hi@lf or hellorlhmush hir or hd o*nmplor.4
<br />For d.d !h! ru.h mpnn€rd3 E mt inldxbl o oiH 61 5t lt, huw. llk b'x,C or iqrordrd it bld u'nhtr (E ytr
<br />ofonpldal! rlE O*c Builtd *ill h.\r dE trrl6 oaFlw{ ! h. G llE dn d U d.r mpro\t
<br />'lE tmFy ld t,E tiqrE Dr
<br />l. s o$ffi of !h.lmrErr. e .rckn.l' .odrld irr snh lco*ri coI{rt(rns ro odrud dE Forcl (Sd 71x4, &!'.6
<br />rn EDt m Cod.: TIE Codrdoa3 Li.e Ir*.106 Ni.p9l) ro m of,G ofF.oFn] rho lrnd. or 'mFo\6 rhson,
<br />Md $ho $dradr aor so.h FrFts wnh ! ConlBclo(, licaldl p6u,t lo lh. Contd.a! t.icru L!w)
<br />I m .rmfl urda se10n
<br />D.r. onn.r
<br />\\oR(ERS (',OntPaNSA Ot
<br />Dr(lJ&flQ!
<br />I h(.n) a irmundd p6ahrofFtu., on.olrh.lolLsn* d6lsa!.8
<br />I h.vc atl *rll @inr.in ! cd iff,,lc of( {lgr ro S.lf-lEu.. tu qorlo .onF$ kr.. 6 Folilaj lor b} S.nih uul .f I ht
<br />kur Codc for rh. p6folrr1aB olrh. "$rI fd rnkh rh. Fnn ir is!.d
<br />I h.v. rnd *ill ftrim,in *orld comFNrl ion iNur.trc s Equn.d by S<rion 3lm of $c l,i$. Cod.. for lh. Fiol:m.. o l'
<br />ihc trorl Lr $hih fiu Fnn b isld M, rGl6 ohpqEdnn iMe..dit in Filk, numbd e
<br />I coliryrnd io rh. pqtorMc. of th. sort for $hich rhis pdmir is i.suaL I shlll nor mploy uy Frkn ia.f,y mMnq
<br />$ B ro b<{m $bj.rr h th. sort6 mmFurion hs! ofc.lifomd dd 4.G ih, il I rt5ulC haom $ti.tl t. lh.
<br />*olld 6mFMrir. FovirioB ols€lirn ! 70o otrlE ljtor ('o&. I JErl fonh$ nn $nply $nh rhr FovitFa
<br />$aRNlNG: tlilu. lo m. worl6' comF(dio. s!@9. ir unhwaul. ed shlll rubjdl o dpr,F tl sihinal FBti6 ud
<br />civil lin6 !p lo oe huodrd rhos.d doll6 (1100,m0), in rddnion lo lh. cosl of conFerio.. d,n|gB 6 povid.{ aor rhc
<br />S.crior 1076 otlh. L.E Code 'nr6!r r,!d rhrE! r fG
<br />u(jlliElcoNrBAl:Iaa
<br />DDcLdf,Arlal
<br />I h6.by aflim undq F.!h, of FJUr- rh.r I m licaE d u,xtd F.!6irn of (n pG 9 (comM,na I'irh sdnn 7000) of Ih lioi I
<br />oa rh. auhs md PhasioB Cod.. dd nry li..e ir in lull lor.. &d .l*_l
<br />cQ!flf,l,lquolt LEluNjicEN(r
<br />I ha.bt .IIm !.da Fdy ol Fjur- lhi tlEt a . oinnrrbi lddine .Sd) for llE Ff(ffi. of rlE $$rt tor snth lhie Fnil !
<br />su.d (s<. 1047. cir ( )
<br />AIIII(ANLIECIAAAIIO!
<br />I hs.t'r.trm unl6 Ds!.hy oap.tMy oE otihr rollos'ns &ImroB
<br />D.nohion PdmneArbdos Nolilicdhn Fcdsal R.suhnoB (Tn|.40, Pt 16)
<br />Rin!".d liEof Ndiftdior
<br />lcdifrdrlr th. Ln6al r€sular'onr 6!kl'.! abdn,r rsno\dlr. nor.I'pl(abl€ t' rhr pq(l
<br />I cd'lr rhr I t6.. ral rhir .rpla.rhu dl r.t.lhd 0E o!.'ntun tibnir(lfu l.t croNod)$nh.llCny.d(our,
<br />odi6!m6 ar! sr.r. t s! Elriry lo txildins coldrutlh( &d h6cby lulloD. r.F.5in6ofrhirChydd Coo\_ ro 6rd upon rh.
<br />!bov. nBtionqj rIopdry tor iBpali.. purFs
<br />,\0plicrnt or Atdr Siatr.lurc
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation lL5.is'cr.,rg.-t* c4\
<br />Roof Sheathinq b/Ll /lt lav lcvn 9.t ?vn u>n o;.i:n,,
<br />Shear Wall
<br />Framing
<br />ln s u latio n/E nerg y
<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
<br />Certificate of Occu n
<br />Notes, Remarks, Etc
<br />Set Backs
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<br />1"1,72 1/E q.r>-a I /,'r1l 6\
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