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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNER BUTLDER DEL('ARATION
<br />I ha.!y ,Ifm u'i(b Fuft, of Fjur, fir I m a.oF nom dr (o,ll.clm Ltd! t,*' ror lh. foll6*6s t'6). (S& 7t1l I t
<br />Buind and Proldion Codc): Any Cily or Counly Ehkh r.qun6 . Fo( to onrrucr, dr6. nn9rcve dsmlth or rqrir &y
<br />strucruq FDr ro il] isue.. lto EqriG tlE Qpltar foi.wh Fmh k] 6k.3ign n storEl fi, lE or 3lE b lr.E d Pd$d
<br />ro rh. Fovnhc oa UE (bnnrcb.'' LBnr.d r,* (Chrd6 9. ColMdins wirh Sdlio! 7(l0o ol Dili5ion I of lh. Bsin< ed
<br />Prcfdi'ns C.dc) or rhd lE or $c n qnF rhs.fior dd thc bara lor $. rllcgcd dnnFio. Ant lioldion of S.dion 7011, by &y
<br />ippli&r for . Fa( $ti61! llE .ppli.ot ro . civil FMhy of rcl mr. rhr liv. hundr.d &,{s (t500)
<br />_1. s ouffi ofrh. Fopar,, r ny dplo)6 rirh w4B 6 rh.ir hl. ooFNdio( "iI & dE srt rd dE nndr a d
<br />intod.d or o,T6.d td slc (Sc 7044. BBins ed Pbf*iou Cod. l1E ( onlrrcloa! Licru tiw &6 iol @9ly rc a o$c of
<br />rh. FbFty *lb hiL! d irryord tlE4 rn slr .lG uh *ut hiMlf or lE$lror ltEuslll h'! d ha o*n .mployc
<br />p.ovid.d lnol !!ch improv@dll m rcl i on d or ofisoi for sL. l( bows, '&
<br />hlBms or imF.l!ffi t eld wnhin oN )d
<br />of o,pldiE llE OeE B{il& $ill lrE rlE hd6 of Fows tL lE tr srE dn br bild d ingort tlE FnFrt tu E F,FEof
<br />I. 6 own6 of th. D.oD61y. m crclsivcly.o rrcrins* h lic.ns.d.oitrdoE ro cotr,lrud llE rj..1{S< 70,14. BGm6
<br />rn hblsi.n cod.: Tlk Conlr.cl.r ! Lic@ Irw drE mr 4rly to e on E .I F.Fny *ho h{iltt! or imFo!6 lhqon.
<br />tud *ho.!r,rBcl3ftr$chFoit$wirhr(odmro(r)li.d*dtunMtlolh.Coilncror'sl-t.Bl.w)
<br />-l
<br />an.r.op undo s<rion-. tt & P (' fn lhis rc&Jn
<br />D.r.: Osnd:
<br />wonxpns conriatsarroN
<br />DECIABAIIq!
<br />I hdd, .flirn und.r po!h) o, FJury oE ofllE follotr in3 dcldtrirE
<br />_I hrr. rn $ill mi.hh. (-dirrrc olcoM ro S.lf-lNrc rd rdt(a 6mFnr'ion, 6 F.\iLl 6r by S6lior !'700 of lh.
<br />l.bor Cod.. for fi. pdlort@(. oarh. hn aor rrrkh rh. Frnit i! i$u.d.
<br />I h.!r rri *ill ruinr.in qolt.rr com'lB.r ion iNr.n... s r.qun.d ID Sd tun .r7(r0 o I th. Irbor ( on., ft'r r h. psf.muc. of
<br />th. *orl fd *hih rha D.mn t ierd. My *ql6! onp.Mirf, iBuru. drE aat poli<y numtE m
<br />.-- €J-.'.--l- f* s-.,-rz--,^..<.
<br />5-"1
<br />I cdiryrhd in tlr Ffolr114. of lh. *o* torshrchlhsFin '. isu.n I rh,ll mt mdoy.ny rffin 'nd)mrE$ G ro h6.m 3ubjrr ro rh. wrd compasi,n Lss oac.liaomia od .gr lhd if I srr,uld tqo@ sqd to llE
<br />w.td @iFsaior Foviio6 of sdbn lTm.frh. l,lb. (-odc. l nEL tonh$ilh omPlt vnh iho- FtviiirB
<br />WARNI C FliluE lo se wrl6'conp€Eion o\6rc. s u.h*ful. !,ri rhsll sbj.{ e 6ploF ro dimiin Fdir .nd
<br />civit,in6uproorchu.dcdrhoMddolls(tl0n,00o),in.dJnionbth.coi.rcomFel'o..d&us6aprclid.daorrh.
<br />Scrion 1076 olllE Ltlor Codc iflard.nd.fidEy r ad
<br />-. tZ-[r3|,,(B ^,,*",, l.\-\6-- L-..Is-.
<br />LI('FNSED CONTNA(-TOR
<br />lECllSADOt
<br />I hd.t, rfrm undd Fn.h, of prjt.y rhd I m lic.ru.d uds pmvLion orchrprq 9 (.ommo.inB *nh S.dhn 7(rJ0) of Dirnnrn .1
<br />ot rlE &!iB rd PntBb6 Co<h. .d my lidg ii n tu[ foN !n.fi.ci.9
<br />12\9t, B ,n*-",* ]r* --L- 4-r.-s,srr- <-=-\E-\
<br />tolllalcu0lLllDM-acEx(}
<br />I h*by afim uodd Fuhy o f Fju.y rhar lhd. ir a (Ntu<r6. ktulf8 .Bacy nn lh. p<fomec. of lh. *o for whkh rhis tEnil ii
<br />isu.d (!iG 1097. (-i (- )
<br />ATTU(AILI}ICIJAAIIA!
<br />I hditry .ftn urd6 Fn.ty of priry oG of rlE foltr{i.B d.cbmlionr
<br />Ddmhio! Po[n]A3bdor Nori6c.rb. F.d6.l RcsuLtna ( rnL.l0. Pd6)
<br />-R.qurd
<br />Liiln oa trorj6.rio.
<br />I ccaa) rh, ilE fal..rl r.8uld 6c r.8rdins stds rmr.l o. mr 4r,l.rbL b lh! I'nF
<br />I cdrf\ rhar I h.r. r..n lh6 ar'olf,atKn an narc rtla rh. nh,\. 'nronndi,h 6 conar l4r(ro.ompb \rh all(irJ t i Couii)
<br />ordnan.- &d sbr.l2*s r.htin+ lo l)lildinS co.sflrtioG a'l hs.by aulhn',. r.Ir*nr,rivd ofrhis Cny md ( ounly k' 016 utr,n rh.
<br />rh\. nnrFn! FoFn) tu dFlr)n B,IiB
<br />^pprid
<br />o.^rdrshd,ua \\-16+\p:-o,"" tlz=tr'9r€s
<br />Pmi,e nrm.rprrn,r: t"\. K€ \-s -ao
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Roof Sheathing
<br />Shear Wall
<br />Fram ing
<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 />rl
<br />FINAL tHlllB''Eq,^qa 42r)
<br />I ra1Certificate of Occupancy
<br />Notes, Remarks, Etc
<br />Lt-S4oQ
<br />Subf loor/VenUl nsulation
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