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BUILOING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNER AUTLDEN DEL(-ANATloN
<br />Ih.d!rIlmu t r Frlry oa Fju^ rld I m.rmF nof,lh. (innrxroE li.el,*f.rrlEaolh$i.3,.Bi(s<70rl5
<br />g$in6s r.d Proisbn ( d.) Anr ( ilr o, ( ounry tr hi(h r.quc . Fnn h cotr(d(t. tlls. in0ro\ .- &rnnirh or r.!an di
<br />3rEdurc. pri, ro ns nrurnc.- rls. rcqund rh. arplicMr ro.3u.h tEmi h fi|.. vsn d sr.tddl 'h, h. or 51. k licdEd puunl
<br />b rh. ForshB ofrlE (-onrdor! L'c65.d l$ lClEflE 9. Conmd.ing {ith S.dion 70(x) orl)Nth. t olrhr lrusin*s .nd
<br />l\ofsir$ ( od.) or lhrr h. q rh. ! .rdi{ rlF.ton dd rh. hGn for rh. .ll.r.d rtoF io. Any \iolalF.ofscthn 70ll 5 b a.}
<br />lprliclnr fo, r Fnir tuhi<B rh. sppli.er ro . .i il p.n5h r o f mr mrc ih,! lir G hundrcd d1lltu! 1t500)
<br />l. a osns ol rh. pftrlEny. or n).mplo)G silh $.86 s rh.n $k ronl'Eniil$n. \illdo lh.\, (lndrh.3rnrlKi ml
<br />drdd orolIs.d for oLlsr 7orl. alsi'B Md ftlfshB ( Gj€ lti.(i.dndd s !.icffi l.!q do6nor q'rlyt, do*ndol
<br />rh. Ir.t<r- trhr hril.l d itrrF,\6!han\n, s sho &s s h \..k him.cla or hclf or rhrDqh hn or h.r .rr dplo\<,
<br />pro!'d.d rhar such mFNffirs dc mt intdrd.d o. oll.Ed ntr sE lr. h,w66. rh. tlilli.! or np.o\mt n $ll snhu oe @
<br />ofsmpkion, rlE O{!s ttoltls *ill h!\. rh. hdor olFu hs rtur h. or 5h. dd d hrild or mr,orc th€ I'epory for rh. ,urF)€ of
<br />l. sorn(orrh.Fotqry, dn .tufusn.ly conrerins Lvnh licGd conlrscror ro ronstud lhc Projd (Sc 7i)41. r18'ne
<br />i,n Pmtsnc r. rh.Co mror ! Licorc l.!u do6 nor aml! !o M o$ nd oa ProEny { ho bltld. u imtln)r6 rhs(tr.
<br />ind \to conrralr tor .uch lroj.{s $ nh . cotu&lodr) lt.6.d ,u6il to rlE ( .irrloi3 I rle l.\ I
<br />I m.rmB unds S<lnrn
<br />r).,. s- I -L'7
<br />I hd.t,]q .mm un&r p.ndhr ol Fjun orc or rh. folhtr iry &(larar n B
<br />I h!\.,rj s'll m.inrtun. (-diaEir.oa(its6t h S.lr.lntur€ for so 6'comp@,rtr,n.s Fovd.! for hySalpn 1700.rrh.
<br />l,lty ( od.. ror rh. Ffolrm. of rh. *.rt for I hkh rh. Fnn 6 isu.d
<br />I h.v. and (rrl mamraln Mrl6 comr.nsll ion iBurMcc. 6 r.luir.d bv sarron t7(x) of th. I ib.r (id.. for I h. lnhnn Gdf
<br />rh. $ort ln $hrhrhsFm ir so.d My trorlfi comrBnFn 'Eurdc..m'd MdFl() nomb€. tu.
<br />I.d,fythd r lh. pd lormnr. of rhc *.rk fin shichihisF,.n i] i*u.i.l sllnor dnplov tn] pq$n in onf mmE
<br />s, arro lEcomc $ltd h rh.$0116 tump.cdnrn h"s of(-!lifomr.. ud +rerhd 'II3h.uld tErom. suud l(, rhc
<br />rorrd conFMrnFo!.ioB of sd5n:r?(rootth. ktry Co<lc.ICDll. ronh"nh.onPl! $irh thEtrc\6'0.r
<br />WARNINC l,ailur.lo su. tr1fl6 (onFlann co\ds. s u.lr*f!l. 6.ti sll.ll sbJ(l e 0010!6 h dimiMl FDI'E ,d
<br />(rrl fi.6 up b onc hundrd thousEnd dolh6 (tl(r0.lxx)). r dilir o rh. (os otconpsMln'n. <1,'.ar6 as flornl.n lor lh.
<br />sdion !076 .frhc ljbor Code ElE.n rnd d$nt)i rd
<br />IIESJSAIIAN
<br />I heq .irrm lkld FEhy of pcjury thd I s li€B.d un<,.. F.\ ition df (_htpia e l.onffiins s ith s<hn 7o0o) ol l)n itFn !
<br />of rh. ltusinB and Pb lBioE ( od.. drl my licru i! in au ll nrrc. sn .ffai
<br />calllaucll9x.LElDllc-&aDlrl
<br />I h.rtly llIm un<ln Frht.fFjury fii llE i ! otdru.lir. l.tnds rsdt lor rlE Faffi..f lh. s.ll i\r \hih
<br />'hit lEmi ir
<br />isru.<l lS(. 11097, Civ C )
<br />ATTIICANfI'I.CI.ASAIIO!
<br />I nolty.lrm ondd p.flalry ofpc.lury...olrh. aollowin8 d<lmriotu:
<br />Dnno[rion Pdnils-Asbcros Nolificalk'n raidal Rclul,rio.s lTnl. ru, Pd6)
<br />R.{un.J I clr6olNorifi.dio.
<br />l.d'trhd rh. f.dn.l kruldionr rcx drry $b6ros En.\ il r. nor apfl'.ahlc r, rhis Prqdl
<br />I cdtify rhd I h^ G r.!d lht rprlt.thn nd 3r.1. rhd llE lbavc 'nfont i.n ir.ord I .*rE l. (onpl! s irh ,ll cny lnd ('ou \
<br />nrLl rr6 itrd srir.l.i(\,.lnl'trr rn h'ld'n! coni'tr.r e hd.hvaurho .r.piNldN6orrhi\('rr. shd(iu !lodl(ulx)nrhe
<br />rb.\. mr$n.rt F pat, for GIElnn r{,F,s_
<br />\l)|)li.rnr o' ,\!i r siunnrtr'r
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subfloor/VenUl nsulation
<br />Roof Sheathinq 5/za /tt *tut)
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />FINAL o /r't / i?*D,L6Z
<br />Certificate of Occupancy t t
<br />Notes, Remarks, Etc
<br />I I
<br />,ll &P( f rhBrcs.n
<br />"""* 1 --W:<"(1\l'txrERs, c{ttrrPrlv$ rx r N
<br />pr ( (^rdTroN
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<br />I I
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<br />lI
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