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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILDER DEL( RATION
<br />I h6.tr lfrm und.r palhy or Fjury lhn I e dnpl Eom llE Codr.ddr' Licru l^ for
<br />'lE
<br />followi'l3 t@n (1ir.?01 I t
<br />&sn* lti PrefBioo cod.): Ary cny or Coudy *nich r.qoir6 r Ftnn to coldrucl, .116, inprow, danolnh or r+ot uy
<br />lrrucru.. Fio. ro tu isu{c., ltio r.qliG ifi. +plkd for $ch Fnn lo frk ! 3'scd !rd.[Er rht lE or tE b licq!.d F&rr
<br />lo th. FlutioB orrlr Co ,t rdi Liened L.v ((1ufl6 9. Coontrins *nh S*lion ?0(O of Divlion 1 oft. BGind Ed
<br />PNfdioN Cod.) or th.r lE or ihc n .rdpr rlEctom &d lhc b.s! lo. th. rll.g.d .rdplirn. Any viohion ofscrb.701L t'y Dy
<br />rrrlicd lor ! Fnir sbr6t rh. @pli.rd ro r oyil p.uhy of ml mr.rh.tr fi\. huRH &,lkr (1500)
<br />-1.sotrffiofth.FoFrr,trhy.nplo'6u'nhr!a6sllEt,L@dFdion."ill&r.$ntajllEitrd@i!mriniod.d or ofis.n ror $lc (Sc 70,t4. BBinB dd Prof*o( Cod.: T1. (o.l,.c1r! l-icaE t * &.! ml lpply ro D o$ffi of
<br />rh.FoFry sho t!il& or ltrylrd EEE rn ulF dG sh Nn hilMltor ns*laor rhouSh hi! or hd om.,Iphyc.
<br />Fovid.d rnd ch imFowd @ tur dnln d or oturd rq -l. lr, h6$6d, dE &ildnE or i,rF.odEr i ,U wn,iD oR yd
<br />ol lpldia 0E ()*E B{ilb siu l6w tlE hrt!. ot Fotiry thr lt or ih. dd br hild or nnFo1.llE ForEly for tlE FrFE or
<br />I. 6.$c orrh. liopqry. m sduiv.ly co tlins *nh nGs.d.odrdoB ro onscr tlE Fq.cl (Sd 7or4. &ai6
<br />ml hblsin ( o&: Th. ('Dnlr..1oi t l,k.@ trw d6 not $ply kr u o*n6 of propdry *h. huil& or inprt)vd fi6an.
<br />6d sho oftt&rs fo. Mh Foidr $nh . Cod.rdo(r) Iic.G.d pol:d lo rh. Cdr.ddt Li..c bs )
<br />I m.r@pr unds S.drcn-
<br />Drt. Onn.r
<br />\\0Rr(FR\'(',Ol\rIUNS,\I (rN
<br />Drs"l&u&r
<br />I h.rch\ rl]i,tr, tr.do lanrl() oiltrrjurv one olrhe nnlN\o! d.(lran.ns
<br />I h!v. od will maindn . C.nrf(al. ofconsr ro S.lf-l ur. a6r wrk6r' comp...xon, 6 ForiLd for by Scrio. l7m ofrlE
<br />rrbor Codc for th. Ffl)ffi of llE wli lm *tth llE Fhn ir isu.d
<br />I h!\. .d f,ill mn in s.lto cooF6,rat. i!ed.. s rqund by Sdion l7L'O oflh. llbor G'dc. ao. rh. Ffomm. of
<br />rhc Nrt lor shkh lhis p6hi ! is.d M, wdkdt @mF6{io. iEurft. crid !n !olt} numbq d.
<br />.._,. G_J- o. L f-.->-,r<_...- 1-_ ^^><.,^,VPnri"yNu.hoM**.' z I i lz ot a
<br />-l
<br />cdiryrhrr in th. Ffo@m. ofrh. *ork L. *tth rhn Fnh ir isu.il. I thrll mr ophy ey Fen r !yfreE
<br />$ 6 lo b66e suticr !o lh. *rn6 otrlFs.,i,n b*r of Cdilomi4 od ssE lhd if I should bdoft tubiel lo tlE
<br />Mlrd.omFdio.FDvtioNofSdhn!?mofth.hhrCo<|qlCull-lodhpnhomdrwnhrhorFori'iod
<br />waRNlNC hiluc ro s@ e.t6' cohFEdion .o!a.cc it unlssful. &d $dl ubj6l d @pbF b dinif,.l pcshis dd
<br />.r-il 6n6 up to or hun<tcd thocln dnhi (tlm,ooo), in ddhion lo llE rcr otoiFdio.. dnn+6 a Fo\i(H for llE
<br />s.d6n :r07o of rh. bbor ('od! br.d xd rnorEy'r fG.
<br />o,. t2-1r2 [, B n*r.*, L\t']Z-- \.,*--is
<br />!(ElSED-COtrI8ACIlta
<br />DECIdBAITa!
<br />I hd!6y mm uflld Frhy ol Fiu,, lhr I m &!E d uflla Foruio. otorFd 9 (omitr8 Eilh Salion 70lrc) of Dn n6n I
<br />ot $. BBi.s ed Prcl6noN Cod.. dd my liccG ir in tull fore erl.!Icr
<br />9 2C9 4<*<
<br />tz-l r)[ r f>Z<-.-e G^ 3;.11-'-1 .^-
<br />CAIiIEIJCIIAN..LEDIIGIGIICI
<br />I ho!t,.fm @& FrnyofFju.y thn dE L ! cordruclbn lddins tsdcy lo.lh. pdforo.. of lh. vort 6t whih lhi. Fmt b
<br />ir,Ed (sd 1097, civ. c.).
<br />l,.ndr'r\m. _
<br />AIIIICAILIECIJf,AIITI!
<br />I hclt rtrm uid6 Fo.iy of Fjury oft of lfic folhring d.clail iod
<br />Damlirb. P6nn]A!b.nd Norifrdion F.da.l RqoLtioB (TnL.l0, iai6l
<br />-R.q0iEd
<br />t!ld oatldificrbn
<br />-l
<br />cqr'ry rh, rlE tusrl r.suhrr6 tsllnB 6b6tos rdor rl -. Rn erliclbl. to lhn Ir!i.r1
<br />-l
<br />cdiry tir I h.E rdl rhi! @9ltrlio. .d nrt. rh.n $. .br. infotu ion i cotral L{c lo onply *nh .ll Cit, ud ( ounty
<br />ordifficB rd sr . L!$! Elrla lo hildirs coc{tudiorl dt ,E-r* Mhrn Eprerrtr'a olrhL ciry .d codt
<br />'o
<br />dd '{nn E
<br />.bov. nmrioEl FDF!} am iBpdlion p{.pos
<br />^rpri.rn(or,\r€n,sisnr,xrr \-\ -K.- U-_i:
<br />,crni,lr nrn,.(prrn,r: \''\. \<-g L-r ..- ic'
<br />r2--[r]lr lB
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/Enerqy
<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 />/.-\
<br />FINAL lz-z-4-.t(k.ltLtt))
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc
<br />Ereclion Pads
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