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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNER AUILDER DET'ARATION
<br />I h6.t, lIIm uida FElr, of p.ru.y lld I m qanpr nom rlE Coffid Lic 14 for llE folbw!'s lsn (9-7Ol l 5'
<br />Buios .!d ProlBion Cod.), any Ciry or Couiy whi.h rrquiE . Fmjl lo coNlNd, J6. itr'Fov. &mlit or lq.t 6y
<br />3rtu(s.. Fbr io tu slltrc .lro r.+iB lh. +lker aor $ch FEir ro fiI. r risncd 3ltrdd rhar tE or d'c b licd!.d pun.a
<br />lo llt FnlilbN of dE Codtre'i L.cB.d t * (C'bFa 9, Coffiin8 *nh Salbn 7000 or DvnD. I of lh. BuiB &d
<br />PrclsbB Cod.) or lh, Ir or th. i dmF rh.!6!h dd rL b6ir for llt rlh.d datFior a.y rthio. ofs<rio.70ll 5 by uy .
<br />lp?lic.f,l for . panil subj*1! rh. .pplk&t ro ! .ivil p.alty of mt eE $o 6!. hui&.d &Urs ( $m).
<br />l. s nsG of rh. FoF!). or my dphr6 snh *.X6 s th.ir $k onFErFn, ull <b rlE *dt nd ih. lME n m'
<br />i drt d or oF6!d for d. (Sr ?Or.i. Bd:lE 6d Pmf66d c.d. TIE cont*oa. lroe ll* th€ @r +pl, b e ow ol
<br />rn rtDqly who hril& tr itr{ilv6 thao( dld who &€ sh hl( hirelf or hdrlf or lhmu3h hn nhsoh cipby.c.
<br />Fori,.d rhd iucn inFnEEn! e d indid.d o.olEld fo. sL. I[ lD1r!E, rlE tlildins or ihFwaE i!$ldwlhbw )a
<br />ofo'Bltir! tlE O*G Bt il& *i[ hE ft ha*, olFDvirg thi h. or ilE dit mt tdld c n!.oE lhc proFry 6r tlt FlrF* of
<br />Fr s 016 of rlE FDFrr. m a.lBndy codrdins w(h licds.n co.'ro(1oc io ointu.i rlE F()jd (Sd 704,4. ABind
<br />EoEsin Co{b Thc Cont,aror'. l-i.@ Lr$ &6 mr rrply ro a ow.q of Fopdly s ho b{ild. or inprov6 lhaq,t!
<br />&d who cod6d! for ruch Fojdr wnh . Codr..roir) lis!.d Fr5ud lo Ih. Codr*ror'3 lrds l^)
<br />I m .tmd u!!& Sdion-- -
<br />t /xl z> o,n.r
<br />-t -1--
<br />_.8
<br />I h@by .rm uldq pady of Fjury oe of tlE fouo*iry &.la.tbE:
<br />-l htE.n *iI did.b. Cqrift!. of Coogr to SGlf-I!.E fo. s*6 onFEiior! E Fovit d for by Selio! 1700 of lh.
<br />L.bor Codc for IIE Ff{fu ofrl* wt ld Etth tlE F6ir u isr.d
<br />-l hE.rd will mri .in @,ta cooF8.rio. itM4q 6 r.q!ir.d by sclion 1700 of lh. Lrlbt C!d.. for lL Ffollt,.c of
<br />rlE 6r tu *hth rii paDi b iErd. My wqta @-r6.io. iM cir.'d Fli'y aMbd c
<br />& .-,rr,t, i",* -r.*cc orrh. wort ro, whEh rhr pqhn n suc4 I lndi not an loy rny pq$n in &y ,ME
<br />4 ! h bcoR $bd ro rlt *qr6' @DFsFn Ls of c.l,fo@ d .BE rht rf I druld bam. brcl lolh.
<br />wo 6'.otrl}d!.riorFDvtbcofsctbolT00of$.LrbdCo<t.lrldLfonhwinooplywnhori,rDvirb6.
<br />WARNING: rlibr. rc !4@ m d' ompdrdion ovs!.c b unllvtuL .!d lhtlt $bjd o qqt F lo oinid FErit rd
<br />ci l li.6 up ro o.. hutulGi rhoMd &116 (t100,000). in ion kr rhc con of co'.p.Brion, {!nn *d a Fovidcd for lh.
<br />Cdh nt.d !d drorrEy 3 f6
<br />z)
<br />I h6cby amm und6 pnulty of Fjury d.l I o li.o!.d unda FDvilion of Ch.Fs 9 (coffius * ilh S<rion 7000)
<br />of rh€ BusD* ud PmIdioB Co&, dd ny lic.e b a tull aor&,r1.lt&r
<br />coxuB.ucl1qll.ElDllc-acllcr
<br />I heby !,lm uoda Fulry otpdjury thd rlE i r odrudb. lainl.gfty lor llE Ff(nfuc ottE erl br *n(h lhi! Fni i!
<br />isu.d (56 1097, C'v C.).
<br />t nld 3 Nm.
<br />AIT.ICAILDECIABAIIA!
<br />I hddy !trm und6 porly or Fjury oG ofrhc aollowins <,..hErion3
<br />D6mhi,n tdir.-Albdor Norifi.trio. Farqd RlAuldioN (TnL 40, Pd6)
<br />R.quiEd L.l16 of |rorifictio.
<br />_ I cdit rhr ilE fcla.l EguldbB tlgrdi,ts dbdor llmvd e mr {,plt.U. ro rha prlj<r
<br />b .-,,r,tr , t* ,- ,n" rrgl,cron sn s[r. rhd tlt .boE oforo.b. 6 .dnEl I.eclo @f,ply wnh dl cry.nd (-our]
<br />ly'dbffi6 dd Slx. L&. r.L,B to h d'ry conhdbtr ei h.rcbylurhoria eF6qirliv6 of lhle Cny &d Co! ylo alaupontlt
<br />abov. ndlioGi FoFly fd i6r<rion FrFc I.,l.ta0pli(rnr or,lg6lSi*nirurc Tb1)Oa,',t
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUl nsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framinq
<br />lnsulation/Enerqy
<br />Drywall z/c/z o2i) n
<br />Ext.llnt. Lath
<br />Brown Coat
<br />lvlasonry
<br />Pool Fence
<br />T-Bar l-"0 I-llr:di
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif.
<br />FINAL
<br />Certificate of Occu anc
<br />Notes, Remarks, Etc
<br />Erection Pads
<br />'./ttol
<br />IA
<br />(n-1 7'76 IFItrT
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