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BUILDING- INSPECTOR RECORD SITE-WORK DATE ID/SIG.COMMENTS OWNF,R AUILDER DEI-CARA'NON I h(o)- dmm uidd rEallr ('r lqjutt lhr I m crmF fr.m 'h. ( otudon Lic.M l:$ forrh. frlltr{in8 rcasn156?0rlt B6h6 ai ProlBFn CdL) Any (-n! or Coudy trhEh ,.qurB . Fm. b odru.r. diE. iryro\e damlafi or ftFU e! struduq Fior lo irs isue., ako r.qotr6 rh. appli(Mr lor 3uch tErn ro 6l. r liEn.n .rd.@r rhd ll or sh. ir h(a<d ! Bud lo lh. F.visioN ofrhc Co.t(iors l-i.d€d lr* (( n!r,r6 9. (irnlr.ncins \uirh Sccrtrn ?000 of Division.l ofrh. B*in.* ud PrersioB Co{,.r o.lhd lE or rlE i dmP rha.from ind rh. he. ror rh..lkB.d .rmF kJ. A.! rioldir.ofsdi,n 7011J h} ..! tppl'clnt in a Fml 3ubial! lhl lp?lic l lo !01'lp..!t'ofnot mrcrho fi\. hufftsl.kllc Itsm) l. s osrd oirh. trcFny. or my.mpl,'!€ wnh *asB a rh.n s,b c.mrrMrhn. sill do rh. $or, d rh.rMEisml in!.nld orofrq.d for sl. (ss 70rt. Bu!,ns 6d PrlfdhB (irl. rh.Codrldor! Lrear tlu &6nol{rlylomonGol tn FrDdi) {ts tu d. or iqrnr6 tlE6( nrl *t$ &E rEtr uml ,,,lwl[.r lErlf or rlmugh ht or lE orr oph\c. foridqi rhar u.h 'nFo\ffir r. ml hErLd oroff6.d tu $L lf. ho{6d, rhc b{ildqg o. inp.o\!r1d 6 $ld s dh6.ft }tu ofcorv'kriotr th. ( )snd Buildq "lll hav. ltE budo of rovin! rhd h! o, .h. did n.i hrild or intnov. rh. l'.Fiy for lh. po+r$ ol L a o*E ofrh. rioFly. m.rclus!.ly c.ntrdin! $nh li(den rdo6 r. odrud rrE projd (sd ror,r. Edin6 4d lNtosin Cod. I hc Cont.cl.r's Li.a!. tr* do6 nor rpply ro fln ownd o I prop.ny slN build! or mpr.ve rhdon, and *ho otrl.rcli lo.3uch rmj.Tls s nh . (.oitdo(s, lk.nqJ nuEMr blh.( oolrdo Lk.M l,e) I e.rmF u.{,8 S<clnn DQatiEar(aufEtsAl]t !Drcut^Ilo! I hd.hy aflirm unds p.nallt of Flurr onc olthc fol[,trh* d(ld.rk'nr I h.v. Ed sill mintlh r Cdi[r.r. ol( oMn b S.la-lM. fc *rrld .omFshn. d F\ id.n lor b SdirI:t700 of rh. L.Etr (-.da for tlE FfM. of th. *srt frf, {nit rhc Frn i! isad I htvc ond uill mflinhin wor 16 .onp.N.lion iNurn.., a r.quir.n bt Sdt ion 1700 .f rh. L.bor (idr. for Ih. I'6fonur. of rh. *o ror *hich lh6 psnn i B$od Mr rort6' .omFsion ieffi. cMi6 ad Flict numb.r r. I (dia! rt i r. rh. rEformr.6f rh. trork for shtrh rh'. Fmn r 6qcd- l.hall mr 6rhy u) Fen r rm'nks d to lEoru lohjdt to th. so 6'comp.nkion l6w! ofcrliaooia. inn,eBrhd ifI3h.trld tE.oft.ulrd lo rh. *!116' omFl{li($ FmvisioE of Sdn,n r 700 of r h. ll!b. cd.L. I ilEll. fonh(hh 6npl! $ nh rlFr B,risioN $ARNIN(;: Frilurc r. Ku. \tr*d'..dF6dirn corF.a. ! u.hsful. lnd 3hall shFl e @pk)!q to lfu'ulFDiE rd cnil fin6 op ro om hu.d.n rhodrd dollm lll(x).0(x,,. 'n Unrr ro rh. cosr of.ompds,i.n. d,iDr6I rold.d nn rh. S<1i.fl :1076 of rh. lihor Cod., mr6.d sd .lromy r fd LI(ENSE) ('OItTRA(TOR ITEqIAAITAT I hr.by amm und6 Fn.lly of pajury lllnl I ffi liceBl undd Foei.n,n ofchryld e (.oDn6cing wilh SR'1ion ?fir(rl olDivhnln l of th.l)$ilB Dd Pmfdr6 ('o&. !n mv lke i! 'n lnll forc. rnd.lfdr (axfla!(IloutElt tNo.AiiEucr I ht b .nm uidd FuXy or rEJuD $a lhsc is. mdMi.n L.dins.str\ t r rh. Faolllrdc of rh. uork fttr trh'ch rh. Fn. a isu.il (s< 1097. ('ir C). attll$rlDtict aSalu! I h6d'Jy allm u.&r tdahy of Frury .N of I h. rolhu iry delarlt rn3 D.nohF. Pmtrs.Asbcslos Noril-rcdtu. lcddll R+uld6.s t Inl..l(,, Pdr5, RAtrr.d I dl6.lNorli(dlo I .d,.) thi rh< r.dq,l r.subrh6 Eald,ns BtEror rdmr.l sG mr q?lr.hk lo rhB pmja l cslifythar lhlvcrcldlhsaDplicotiona.ddd.thotrh..tov. rnlom.rion is..n6t I.!rdro.omrlysith.11(,ryiodCoury ordinancd !d sr!r. I nqs rcldry ro trildins coNlrucr nn. ,!d h6.br lurhort. q,...moln 6 of ttis Cir y sd Counr y ro oto uF n rlE lhorc lElhn d I,.IEdy fo. i6FdFn p{rrs6 Arulicrnl or AAenr silnNture Forms/Steel/Holdowns Ereclion Pads UFER Ground SLAB Floor Subf loor/VenVlnsulation Roof Sheathing Shear Wall Framing lnsulation/Ene rgy Drylvall Ext./lnt. Lath Brown Coat Masonry Pool Fence T-Bar Handicap Req. Deputy Final Report Engineer Final Report Flood Zone Certif . I FINAL -/lu t{.\q,\ Certificate of Occupancy VV Notes Remarks, Etc rF3tr{ v' :-5 r(?:v .Ji U 7 f i -----------.-+1 Set Backs I I I I I I J ',.-\