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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE tD/stG.COMMENTS OWN[I' BUILDFI DE!('AIIATIOI\
<br />I hd-2r .rd uds FBID of Fju,} l}ol I m .rmpt lion rh. (n.rMoB Lf,N lrs for rh. folh$i.8 rm. (!ir 701 I 5
<br />Uosin6s tnd ProaBion (d.) Any Cily ur Counly qhich r.{tuiB r pdnil ro coNlrud, .lta, improv.. dsnollr}, !r r€,[n any
<br />nrudu., rd r. ir3 isue.. .k r.lunB rlt.+?l.el for e(h Fn to frk. qo.d ]lnffil tht lr or lrE a lNds.d p{M
<br />ro rh. ForirFN ot rlE Coilrelo.! Lrdlql Liw t(lldpid e, ( ommftr8 snh s(tk!. 7000 of DitLx,n I or rn B!sr6! d.d-
<br />Prot snrn! Cod.).r rh,l h. or sh. i!.rmpl rhd.from ud th. trsie for th. allc!.n crdqtnrn AnyvnrhrionolS.rliDT0ll5hyan)
<br />{rh@l ror r Fhd st'jd3 rh. .rrlicar tu ! cir ilr.Mnr.fmr tur. !h6 lit hun&dl r!.116 (ltm)
<br />l. 6 o*nd oilh. Fopdly, or my .nplotc wnh w!s6 a lh.ir elc compqBll{tr *ill {, tlE u! &d ! 3tu1r s @r
<br />urod.d tr ofiad fm sb (Sc.?O{, BciB d Prnbti}6 (-o<,.: TrE Co r-ror's L..@ tre.dic mr @lt ro d otrffi nr
<br />rh. proFt, r'tb t,itn 6r mFov6 tlE6'i. dd wlN dE uh $i,t hinklf or h.Elaor rhmuSh hir tr lE o$n mplorc.
<br />prDvid.j rhrr such inFDromts e mi hia'ddi oro,t6.d lor $t l[ h'tr66. th. t{ildiir or iDFroB Lx'ld*nll[orc)@
<br />dfori,ldia th. ()r E B{itila ril l$r tlE h,i. ofFlrins th. lE 6 lE dn ni hnB ry lrrypw l,E FDFrt fq rlE F FE ot
<br />L B.eE oflh. FoFry. e d(lBn.l! coddin* lih lrdtral co do6 ro mdtud r,E F.j.rr (se 7o!. 1166
<br />!d Proksir Co& Ihr C. *'or t Li.6. l.* .L6 mt !rpl) to e o*E oa rropdy sho b{'lrtr or irprot€ thcNn.
<br />ud *ho @nrErr lor 3uch Eojdr rh a ftntado(r li.q!.i pus@rt tD th. conr&ktr 3 LiclN k*)
<br />l .!mpt ud.r Sdton
<br />D.r. orrn *oR(ai(' ( dtlPrns^riox
<br />DECI.ASAIPtr
<br />I hr.t').mm un.ld Fplr' ofFjuryoncofth. aolL*.ins ddle ioN
<br />I h6r. dri will mlintain. Cslilicltr of( oEai ro s.lfJNur. for ktrkd conrFMm,6 pr.id.n tu b!sdrtun:lTurolrh.
<br />lrtDr Cql.. lor lhc Ffolrllm. of th. q otl for which rhc ,asit i! ieql
<br />I hav. .nd witl mrinlam *orkd comr,6B.lion iEur.k.. 6 Eaur.n h, S(r k)n r70o of
<br />'h.
<br />b$. Co&, for rh. Fnrnnan.. of
<br />rh. *orl lor qhih lhis Fr.il is issj My worl6 .!mFMid. ier c.6ir ad poli., numhd e.
<br />I cdiry rhar in rh. Ffoflijtr. ofrh. worl for which rh'r pcrmir ir i!u.d- I $6llnor dDloy ey rE$n in eymu6
<br />h a lo b.om $b€l to llE s!ri6'onFdiod t!* ol( rlilomir .n *c lhn if L,butl bct,ft di.a' ro tlB
<br />hrt6' c(nFelion pmvBioc of Sidio. :l7C'O of rh. Lrtv Cdc I .lBll. fonhwlh comrly * nh llb$ aroriroE$,\RNlN(i lrxrh r I) k\tr,r \.'l(ra..n,trnsdiLr,lirl, ud ndl suhid mDloF tr oiniml pdElti.s md(nil fin6 up ro oE nu.d<J thou{d rtollB (ll(x).ooo).rlE n'{ of co'nFMrnn, dr 86s r,.o\n.d ntr 't.(-,t., i.rdd Md dronry ! fc
<br />DECIdSAIIAd
<br />I hdlt't .ll@ ut{,6 F!t} of Fjury lhn I m liEE d u.xkr tm$tb. of atuIrc e (onllrkiry f,nh Sal irn 7(xlo) oa Dn irhn l
<br />ot rh. B6itB.d PrcfsioG Cod.. -d my licN s in full foN dt dr.d
<br />,..^,.,'r.,b
<br />,".61e"Itr
<br />(OliIBTICflOtrIEdDllClliIACI
<br />I r"ry* .rm ud6 FEly of Fjlrt rlln lha. ir . odMhn ldlddB .gtrt foi tlE FfolMc of rlE {n.t 6r snrh fiir tEnir !
<br />Bsu.d (Se 1097. crv c)
<br />AlfucalllEgJaaflar
<br />I hdtby ttrni u.dn ,oaXy of Fjury onc oI rh. Iollowins d(le dl ions
<br />Ixreldi,n PoTnl^3b.3or NdifrrFn t6l6rl R.guh'htu I I i!1. 40, ltd6)
<br />Rquncd L.irq olNolifi carr.
<br />I cd rly $.i rh. f.d.r.l Esuhr r,B r.srdus stEror ro.!.1 e Bn q,plcsbL ro rh! Fojd
<br />I cdiE'hr l hr. ral rhi!.ppltdion,n nri. rhr lh. abor. 'nro,n'ii,n i cdr(<r I raralo mmpl) s hlll Citr !ft]Counrv
<br />oni'Em6aFj Sd.lj$!Eh'r{ro k n, dxl hf,.h) ruilr)D. rqr(kd^ 6 of ihs C'rt.nd ( l,unrr n) dtd uF)n rh.
<br />ai)vc nurln,ncJ plordy fo, rnlpern,n
<br />Appli.ml o. .\16l Sltnllur.
<br />P*rile n.'n.(prinr,r
<br />*<(zo1,r
<br />Set Backs
<br />Foims/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUlnsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Frami ng
<br />lnsulation/Energy
<br />Drywt&,A
<br />Ext./intJLath 1-ts'17 >r.(/ti,
<br />Bror,MCoat ,\)
<br />Mason (y
<br />Pool Fence
<br />T-Bar
<br />Ha ndicap Req.
<br />De puty Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />tl - r
<br />FINAL i1)/il.1/4 lllvtlW
<br />Certificate of Occu n
<br />Notes, Remarks Etc
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