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BUILDING. INSPECTOR RECOBD
<br />SITE.WORK DATE COMMENTS OWNI]R BUII,DER DELCATATX)N
<br />I hcrchy illrnh undcr pcnrlry ol |crjry rhar I an drempr rion rhc Conrrctna l-iccnsc L.r' hr rh. lirll,,wirS r v,n (Scc 7(rll.5
<br />Btr\incs rl Phfcsion Codc) Any Ciry or Cortrry shi.h rcqutcs r prnnii b .on{flcr. alrcr, nn!(xc. d.trFlnh r (t!tr rny
<br />d crurc. P n to irs ir\uncc. llso rquncs Ih. lt)|)li.rnr for su.h pciinir r, ilc r silmd { cmctrr rh hcor shc t l.enscd nu u n
<br />h lhc lrovnn,ns or ihc Conrr(.roas Li.cnscd hw (Chlprcr q. Connncn.ins wirh Sccrion 7ffro of Dili\nrn .1 of rhc Busi'rcr\ rn
<br />Prolissiotrs C.dc) .i rhnr hc or shc kcxcnu rhcrcrrona thcbrsh ior rhcrll.Ecd cxeDprion Anyvn,hionorsrcri,nr0-ll5Iyriy
<br />rptlicrnrtnra pcnnir \rhjc.c rlr rppliconr lo a.ivitNnrhtofn.r fftrcrhrn filc hundrd d.llds ( g5m)
<br />_1. r\ owrE ol rhc pn,p.nt. or my c.rlloyc.s wirh wa8cs rs thcn soh $nrpcn\rtion. witt do rir rort mt rtE slnn@ is u,
<br />ilncnd.d or oltcrcd r'or sle (Ss 7(,1-1. Burifts and Profcssiotrs Cd1.: Thc Conridoi\ L{cnsc hw docs mr.rply lo 0n orrcr of
<br />rhc pmpcdy wh. hoilds o. iml)('Es rhcmn. lnd whn dml skh aorl hifr*llor ltri\clfor rhooSh ht o' h* oqn cmplotccl.
<br />providcd rh.r su.h inrr,oknf, h rc sn inrcdd .r olt,dBl for qlc ti noMvcr. rhc buikting or ii{,mrcnrnr i\ \oli wirhin onc tlrr
<br />orcoryldion. rhcOwtrer Auiklcr trillhryc lhc burdcn ol pnrlirg rhd h. or shc did *n huiu or nnpbR rh. pbtdy rd trf, N{ns ol
<br />l, rsowncrolthcl)ro0.rry. arcxclu\ilclrco.r,.ri'rgwirh licctr\cd contrdo( ro connrud rhc pmJcd (SN 7(}14. Busnrcs\
<br />!ftI ltolissionC.Jc ]'hcGrnrEcr.ir l.iccnsc Ln* d€s nor rpttyro anosnd ofpropcny*ho bnild\or nnprorcs rhdcon.
<br />and who contB.rs for such prcjch wnh , conrk'rtrh ) licctrsd purud ro lhc Conlracrols t,i.cnF ljw)
<br />]}A.B(EISI;OU[I,NS iIO!
<br />ul:g,I-8duQ!
<br />I lr'rhJ rrr
<br />'Dr
<br />trtrd.r Nnnlrydrl)rriurv,ur.T rh. ti,to\ trU dc.trrJrirh
<br />lhrlcmJwillmrn lir r Ccn ift3ic ol Con\cnr h Sclf ln\rrc n*ork.r'co'nnrnsdnnr.r\IovidcdfdhySLrrionlT0Oorrhc
<br />Lahr (i)dc. lhr lhc pcrli,flnrnccolrhc uork for *hi.hrhc ncrn nhstrcd
<br />r,'c work ir{*|ich liisrcirnir is nqrcd Nlywor[c6 .r.rf. \dri, nNdfunr c nior Md B,licy numhcrxrc:
<br />Pclic, Numbcr
<br />-E\nircs
<br />I.cdily rhrr in rhc !crforrrtnc. of rhc sork ii)r shi.h rhn p.flnir i( ii\rcr1. I !hil1n'n crdoy rtry !.rv ir rny m0nmr
<br />v,x\n,hLconEsuhlcdhlhcq.rkcN..mrcNari('nhw\ofCrlifonrir.rn,lryrc.rhrrillshouldhc(omsubjcdhihc
<br />workc6' conr|xtrsrrion F,vi\ i.ns ol Sotion ]?m of rhc Lntxtr Codc. I th ll. ionhwirh comply wirh lio$ pmvi\i r
<br />WARNIN(l: Friiurc n, {ctrrc *o,krr( conu.fs ri({r ..vchs.L r nr ll \rbjcd n ctrlnolfl t, (rin l lttrrlrir\ rtrrl
<br />.ivll firc\ trt) t, oi. lrdn{lr.J rl$u\rDd Jolh^ l(llx).(XX)r. iI cosl ol.omp.Ds,rion. drnrscs as prornlcd tu tlr
<br />S..rlotr r07r .fuh.lrtrr a.d. inkrc( 1 1,)
<br />o<toqJtr
<br />I hrrchyrllnDru .rt.nJlryol t.rjuy rhur I rr tbvi\iff of Chucr 9 (.onnmmin8 sirh S&li{ 7UX, ofDivhion l
<br />ol rhr llu\ircssrnd l1nl.!ri({s(i u. rkl nry lr(n{ i\ i',
<br />L)a cLb 39
<br />"o
<br />6Z z-t
<br />oC/eI/E
<br />I hcrchy rllirmtrndo Fnrhyolpcrluryrhd rhor. is ri
<br />isNcd (Sc. 1097.Ciy C).
<br />I lcDiirg xgctr.y lnr rhc J,crl.nnxn( olrh. $o'k kn shich rlt \ F trrir l\
<br />AfPllt;ANflrrcttaduoN
<br />I hdrby illirn undcr pcMxy.rr.rjryom orlhc roll{,wins dcchEtions:
<br />Dcm)liri.n Pcrnrir\ Ashc\ros N.rillc!riotr FedcEl Rcsulrltnlr (Tillc 40. P ti)
<br />R.quncd Lrn.r o, Norillc.'nrn
<br />rh. rtx)vc idnnnr! tr i\.oriccr l rErero.orDly wirh (ll City!nd('ounry
<br />hcrcbyatrlh.riuc rc!.cscnhrivcs oirhis Ciry rnd Counly ro cnr.r uFn rh.
<br />l-o ",,"
<br />uef ot f /(
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Sublloor/Vent/l nsulation
<br />Shear Wall ,.
<br />Framins PU+WI4 b-7",1K h\Vj$
<br />Insulation/ne / \.-/
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Mason rY
<br />Pool Fence
<br />T-Bar
<br />De Final Re ort
<br />En gineer Final Report
<br />Flood Zone Certif .
<br />FINAL -? -Jt"lr 1y'kt%)
<br />Certif icale ol Occupancy v
<br />Notes Remarks Etc
<br />ID/SIG.
<br />Roof Shealhinq
<br />Drywall
<br />Handicap Req.
<br />-l
<br />m.renpt undc. Sccrioi .a & P.C. fo. rhis r.nson.
<br />D . Omer:
<br />L.ndcirAdJr.sr
<br />-l
<br />ccnilyrhal Ih! fcdcralrcSul oN rcgrd$g r\h.nos E'mlal lrc nor rp,rli$bl. k) rhk pm]ccr
<br />I
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