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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNER BUII-DER DEL('ARAIION
<br />I hd.t y .mrm und6 p.nahy of pojur j- lhal I M .rcq,t firh lh€ (.onrr&roB LicN lrN foi lh. followins t.trnn l se 70 r 1 5
<br />Bosrr6! .Dd ProlRrioo Cod.) Art City or (iu(y \h(h rcquc t Fnir to coNo.l. tllq. inyo\.. ddmlih or qln.n!
<br />nodr., Frr 16 nr 6lffq .k ,.q!n6 rh. {Jikd for ru.h IEhi ro 6k. sisEd irnml rhd rt or 3n. i! lr.en p{rtM
<br />ro rhc rnvsnrE o, t,E Conrilnor'! l.icd!.n lrs (Chaprd 9, ( ommacinr qhh Sdion 7lxr0 or Dntnn .r olrh. BBinG t..l
<br />Pr.acs'o Cod.)orrh.l h.orrh. t.imF rhd.fronmdrh€bsL forrh.!ll.s.d€rdtlioi Anyvi.l ionufSdi'n 7lr1l.5 b) an'
<br />.tplici aor . t<fri 3ubj.dtr lh. .pplicant !o s .i(il pdhy ol not mor.lh& liy. hutolr.d d.llds ( Itml
<br />l- I osE of rrE rtop.n). or m! oPh'€ *Ih }116 $ rh.r $L.omFMhn. rnl.h rlE qmt trl rlE tdR 6 nn
<br />'ororldr or o,ld.{ lor eL (sa'7c14. aGiIB ed Pmf*ioN cod.r llc (i!d.doi3 I icoE lis {l'6 nor q,pl! lo onnsor
<br />lh. F$rdy *ho hi[h or imFrrgllE6r !ft1qho do6 s(h w)* hims.lrd h@lf or rhtuurh his or hd o*n.mplor_c6.
<br />Fov .d rhsr sct mro\.1dresr idaxld d.lk nrsk l[t s66.lh. boillilll or r'Iroldan i! r,ld wdhm on. v6
<br />oaconpkm rlE osF tuilbr'!l h$! llr hd.n ofFo\lig rhi t orslkdilmit!i!orirts.o\.6.nmF\turoEpurr$tof
<br />l. er osn6 olthc Fopdy. m .rcbsn.ly .ontd.liig *nh lirns.d cont0doF lo .onsh'ct thc aroJ(l ( s( 7041. Bo$n6
<br />dri h!asin(-.d. I h. conkutrt Licdr. I rtr do6n! !ff'l!roeoun6 oaproF.n\ \hoboilLhor rmpror6lhdR'i.
<br />and $ho mdals lrtr sucn Foj.(! rnh ! (ilnnclon3) lr.Ed pr6ud h rh. codriltr.3 Lic@ ln$ )
<br />"^;"Zril)l *(/t'
<br />I he.he 0mrm trndd n n.llyolrrrlraolcorrh. r.llorvinr d(lraxo6
<br />I h.rG s'd n'ill turr.i. ! Cdilkd. of Conkr ro S.lf-INr. for $0116 ronrssFtr 6 Fori(H ror by Sftrion r7(x) of Ih.
<br />l,bor ( orL. tm llE F6folr11uc of lh. trdt ld *ttl rh. rEni u i$u.J
<br />I hs\c rndsillm,inraio s.rkd:'.omp.ns^rn)n insrra.(c,I r.quir.dbrs.clionlTlrlrolrh€l.ahlr(irdqforlh.pdfonn ccof
<br />rh.sorkrorshi.hrhi!pdnileisRiM,sort6'.omlaMioniNuhrccuisExlrlltrynun$.rd.
<br />Pol'.tNunb6 [xpn.i
<br />Ic6ibrhd i. llr Ffol]rerof rh. trlrl fo! trhththEFnn ir *u.d.l lrullmrmph, tFm.in..!,ME 'e 6 ro h.sm st .s b rL rqt6 @np.!dnn h*r ol( r,ifomid md ,gr rht ia l ,Fuld baom lhi.rl ro rtE
<br />*ortd' comrEBlr io. pro$ioB of S.(io. .! 700 of rhc L,h.r Cq,. I 3hil. lonhsilh comrly wilh llD! F.rnnc
<br />WARNINC: Frilurc ro su. sorld compdsrion .ovdl. i! uf,l,*tu|. dd shau iubj.{l M .,i',nr}q ro aimindl lElhis bd
<br />cnl nnB up ro oft hun&.1rho.qnd dollffi (tl(lr,orc !"n"
<br />c-/L'
<br />I ndlr,y.fm u.&r Frh, of Fjor.t thi I m licaE d u..kr Fo\th or(lq'ls 9 tohffiii8 $nh s.dion,U.r]l of Dtrnnrn:r
<br />ol rh. BwB rd PFl6!i)6 ( odc. id f,y la.e i! il full torc ii.rd'
<br />ca!ffaucIlo!-LEBDIlliJGEN(I
<br />I hd.r,y llrtrm urt' FDxy of Fr]or] th, tlEr i! ! 6dNd.r. lodinr .sdy for llE F(ruc ol E *$rI tu "tih lhi IEnr !
<br />is.dlsd 1097. Cir C.).
<br />AEUCAdLDECI.AAAIA!
<br />I had,y afrm xnda ,,6alty of rfjury o.c or th. folloEins daL{d ions:
<br />Da(,l rn P@ir+A3t6r.s Norifirdi.n F.ddll R+ohrn! (Irk r0, Pd6)
<br />R.aurcd tnrs of l'.loli6.dn.
<br />I(drf,'rhar r[r ld]aalrcr lirtr,ns Elddtr,! i\lstx r.m\ il i' c n.r rmh.rhl. t' rlrtrIrlrtr
<br />lsEro smd) * hil( tt nd(i untJ
<br />n6oalnisCil, d Countr- ro 6rr utb. rh.
<br />l(d,r! rhd I ha\. '..d rh6 qrrllari,n nri {'!.rhd rh. rh\. 'nf.tui,n '1Ln,N I
<br />:,*l: ffi ' ;l:l#i #r {;l;l#;^ ^
<br />Tf ;
<br />".fl
<br />nrru-, - nr-,.n-,"f zt/z' /J". /P.rnlrc n.n.(pnno: U
<br />-,.a/,y'7
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />ln s u lation/Energ y
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />FINAL (rl q \\:+[ti]llftR.
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc
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