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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILDER DEITCAR TION
<br />I hatb,r .rm u!d6 pd.ny of Fju.y lhr I & ad,q,l fiom l,E codnddt' fi..u t.* for rh. aollourrs @n (Sd 701 I t
<br />BsilB &d Pr ldb. Cod.): Art Cn, or Coudt *hth Eq!i6 r Fna to ordtu.l. .16, drFort damlirn or q.! Dt
<br />rfftue Fr to irr it!ll$c. rto r.qriG lh. Tplt&l for Mh Fnn lo tu. rstEd fio6t rh. lE or tlE E li6.d F,rEn
<br />to lh. FovBDB ol dE (-onlrrld r LienEd Lrw ((]rFa 9. Com*hs wnt S.nFn 7000 of Divirb. I ol ilE Bui,B ed .
<br />PNfdioB Cod.)or thlr lE orsn 6 datpr rhdcliohdd rlE t6! lor O. ilk8.d ddFi.in Any viohlior olsdrnn ?01I ttydy
<br />appli.d lor . Frmil 3!bj.ci3 rlE rp?li. l lo . civil p6.hy oa mr nor. the fivc hun&.d doll6 (1t00)
<br />l. s ownd o lrfi. p$Fny. or my .mploy6 wth was6 d lfi.ir slc enpoerion, will do $. wolt ed tE rru.1@ i, nur
<br />i,t6&1 or olT6.d for rk (Sd.7044, BsilB sd Prol*ioB Codq Tnc (or r.cioir l.i(.G L,w dr6 nol @ly lo d osnr of
<br />rhc FoFly tr rn hil& o, in{rD!6 ihdotr !d $ho ds $.h *r,I him.lf or h*lf or llNush hi! o, hq o*. @ploy6,
<br />Foli.Ld rhd such inFoffi e ml inlo'd.d m oftald ftr st ll h$68, rlE bikti,t o. ir.lp.offi k sld *i]ru om tr
<br />ofonsLri,tr $. (nG Builrn "ill l'E E hr&r oaForiB rht ll or slE dii ml h,ild or r{hE rhc FbFry for llE FIBE of
<br />{/! -.* *,n *r-,}. m qchENdy codr-lda rirt li.qE d.otudNro odM tlE Foj€r lsa 7044. &!iB
<br />1r!d Pbilm ('.<l Th. aontrtdd'r Li..e b! do6 mr .pply ro o o*na orFoFry *'ho boildr ot inFov6 rhg@n.
<br />,led "ho mdr*l! for rKh FoFr, * h i Cod,-lo(., l<qE dFllldroth.(odr.crd tLrcEL.*l
<br />(". ja)3 eop
<br />I hscby lmm urds rdlr, of pdjury oc of rh. aolbu ins d.cL6th6
<br />-l
<br />h.r.rd*'ll id.nr. C6rifrn. ol(t'@r ro S.lf-lnuc 6r wI6 @mpdeior B F!\ii.d for b, sdbn l7m olrlE
<br />t td Code fd rlE FfM. of llE wt fo. *nrh E Fin a ie.d
<br />_l hrr. rd tr rll orilnain h.l.6 comFMion i6u.m( 6 r.quiEd b.r S.dDn I7Ul ol lh. lrb.r ('od.. for rh. Ffotrlm. of
<br />lh. *orl for shth rha pdoil b is.d My mrldt .omFeion iEffc @ir rd Flay nuib.r &.
<br />if2 cai5 rrur m rrrc pcn,ffic otthc *o* ro, *h'ch rhL Fmn ir Re.<t l sh.ll mr mpht uy pcen in uy oeno
<br />\ 5 B b bqrR ubdr !o !h. *orld 6mpdsb. Lc! oac.l'lomi& dd l*r $r ir I rnouE h6oe 3ubi{ ro tlE
<br />-/ "oa- --Fo.ro. p.".sos of sd6n l7m ofth.l:t r ('orle I tdl fonh*nh o'lpl) tr h rho* Fn'.hB
<br />$ARNING r.il@ h sw s.rt6' corpeErbn sr6.s. ir uh*tut !n .h.ll sbj.d m atrplolq ro aiud F.tit !d
<br />.ivil nE op ro oE hund,.d rhouend &,lLB (tl(xl
<br />S(rhn 10?6 ofth.l,lnr C.d- i d, .(offi't
<br />r.()(x,). ,n ddnFn b rh. .or o[ion. d.ru€6 s Forit.d a.r rh.
<br />I hftby afrrm undd pdahy o f pojuy thot I a.li$trql undd F.vision ofchrpld 9 (cohr.d.ins *nh sdiion 7000) oll)ivisn,n l
<br />of rh. Busin6sud l,Dt*iod Co&. nd ny li..e n in rullnr€dd.lTat.
<br />LkG NMbs
<br />('o.tn.tor
<br />coallallcuolJ.Elllrc-acEucr
<br />I h@by laam u.dd FMhy oaFju.y lhrl rhe ir . otrllrucrbn lddins cdcy lot lh. FrfoirM.. of ih. *orl 6t $tah lhn Fna it
<br />isu.d (s(. 1097. civ c ).
<br />af&lcall.pEclJxArqu
<br />I hcrby !trm u,rld tnrh! of Fjury oE oarh. lolh* in8 &rLr.r ioN
<br />t,.mhren P@n+Aib6lo! Nori6.{6. }-arc.l R.suhnn! (Tnk 40. Pd6)
<br />I r*16 ro.omply wnh all Cityaod Counr,
<br />,riv6 ofrhn Chy Md Counry to 6rs uron rh.
<br />-R.qur.d
<br />l..rrq ot lntifi crFn
<br />\*Aa#eotl
<br />Set Backs 7lt//a a-n2/A-.,/6'>_
<br />Forms/Steel/Holdowns at|4lt4 €rwr*/ 61--/
<br />Erection Pads
<br />UFER Ground
<br />Roof Sheathinq 4/*//o r*t,tntfl*p)
<br />Shear Wall 4/ilro 6^o*'a-/
<br />Framing 'c/fiJil q 61rdYlD^\1r'.,
<br />lnsulation/Energy Lll,rt lo t+1^df*tt'\-"
<br />Drywall 4tw4 M '(\."(
<br />4/n/h -N4/)
<br />Brown Coat -t" tv
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif 4
<br />FINAL /-z't-tott > -rJ.5 ,'+o€9
<br />Certificate of Occupancy
<br />NoJes, Remarks, Etc
<br />t ,
<br />/-tu bbAt<-
<br />I
<br />SLAB Floor
<br />Subf loor/VenUlnsulation
<br />Ext./lnt. Lath
<br />L.tu]d . Ad&B] _
<br />mdrion.J troFn, fd iBFdion
<br />a \abT
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