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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS
<br />Sel Backs 5 a'a
<br />Forms/Steel/Holdowns /oo
<br />Erection Pads '/zTh-
<br />UFER Ground
<br />SLAB Floor
<br />Roof Sheathinq
<br />Shear Wall
<br />Framino
<br />lnsulationi Energy
<br />Drywall
<br />Ext./lnl. 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 />FINAL f/ee/>D9r*
<br />Certif icate of Occupancy
<br />Notes, Remarks, Elc.l
<br />I 7=-\ I tt
<br />\-
<br />lrlvNFiR ltt llt)t,:R DtL( ,\ R,\ I lr)N
<br />I h.rchr rflnr rndcr Jtnrhy,'r NriLny rhd I m cxcnrfl rioD lhc Coffrckn! l-ic.n\c l-rs r,t rhc k)llo$ir3 rcrv,n 1s..70.115
<br />Bu\i'rcs nd Pn)fc\siotr Colc) Any Cly nr aon y which rcquircs r tx'iiir k, .on$ru.t. tlrcr. i Prrc. tu xrlinr .r rcBrir any
<br />iD.rur..|ni,! ro ils huncc. rl\o rc+nc\ rh. ipplicanr t(n \uchFnnirt) hlcr li8ncd {{cnErr rhd hcor !h. ir liccn\el ,rtrq'.nr
<br />ki rhc F,vnn,n\ orrh. Conh.hn s Li.ctrscn Lrs (ChiDrs 9. (,nnnr.ming sirh S..rir TlXXr of l)ivti{rn .l of rhr Bu\iic\t rnd
<br />P(nis\i r Codc)or lhrlhcor\h. i\ er$pr rhcrrfron, rn.l rhc h i\ turrhc rllc8cd c<cmfrion Anyrn,hrii olSccrionT0:tl Shynny
<br />|ll)fliciiLnr|[nnirsohjel\rl[imlritr oicrvilNrrlryofnornucrhMnvchlndrcddollrr\($500)
<br />!, N o*nq.f thc Eolrd y. or my cmpk,yccs q ilh w.8c! .s lhct $L conpc \irn4 sill do rtr rvol( IltE srtu1ri\ nn
<br />i cnkn .r orcsd ror elc ( SN ?(l4]l- Busincs .nd Proltsli.nr C{xh l hc (b k,.rois Licctrs I rq' des no( rydy b ,n owmr .l
<br />rh.pmfc y wio builds or inpnx!\ rh.rdn. rnd *ho d6 \uch woR himscll or hcr{ll or rhrcuSh ht ot hcr nwn cnrPloycc.-
<br />lr)viddl rhar su.h nnfrov.nEnF orc mr irrcndcd or ollcrcd Ior srl. li ho$orr, rh. huildirS or impmremnl i\ rokl *iihin
<br />' 'tu ]r.r
<br />ntco,.pkrion. rhc O$ner Blildcr willhdrc dr bxriLi olpn virS rhd h. or shc did mr buiklor inlpn)vc rhc Pml]cny for rhc PurIirc of
<br />l. nsowrci.rrh. pi(rIt(y. incr.lusivclycont{crinErvilh lic.nsol coikknn t, .o.qrucr rh. t'.oi! (S( 7or,r, Buqrc*
<br />s,nl Frolcssi,n Codc: Thc Conkrcr(n'\ l-ic.nsc L.w do.s tror rfrrly ro an o$ncr olpr.pcny qhi) huild\ or nntnvcs rhcrcon.
<br />n d who .u ch ior srch t)rqcds wirh r Conlrtrcror(r liccrNcd puAu rk,rhcC.nrrtr'sLicctrs.ltrwr
<br />Inicxcr u drrSc.ri(i
<br />D.le, O*ner
<br />rvonxois cirtrtt't.',rserroll
<br />IEII.AEAIION
<br />Ihcrby,fiirn uMer FtDnllyol rcrluryom olrlr follo*irs dcclnr n,ns
<br />lhrr m.l *illn inrri'irCcnif{dc.lCotrsctrttoScll.ln{mLr}o.kc6..!np.n\arn'n,$ FnridcdlnrhySc.rion.lT(x)otrh.
<br />l-llh.rCqlc. f(trlh.pcrlonumc ofrhc work turshi.h rhc Fnnir i\ nsuctt
<br />1-/ ?
<br />I ccniiyrhrr hlhcpcriormineofrhc aorl for Rhi.hrhi\ pcrn[ k n\u.d. I slta]l nor cnlnrysn!P.r$i i|tnynrnNr
<br />v' s ro tieorrc uhJcd ro rhc sr c\'on{cn\nri)n hBs o{ Cnlifirnir. n lgEe ihar ifl dn'uld h..omc (uhl.d rri rhc
<br />workcr( compcnsrrion prc!i\n,ns ofS..rn,n l7mof rhc Lihtr Gxlc.l shrll. nrrh*nhconlply sirh ths ntoririon!
<br />WARNINC: Iirilulc lo *{!rc *orkd( conil.n\diinr ..v&rgr i\ unhwtul. rtrd shrll \unjccr rn c lllo}tr h cri,niml P.naltics rnd
<br />.ivil fiNs up lo onc huiJrcd rhou\rnd dollr^ (Sl0o.mo). ir1,'ddiln,n h rhc co( of.o rt^-nsrrion. drmr8es trs providlal ntr rht
<br />\(r'.n hra ul rhc lih Cudc inrc'cJrtrJJaunk\'\kc\fr,",f6-C ,,,,,,",,. //zz--
<br />LIIINIIL((,NIAASOtr
<br />DECIAaAIIQN
<br />I hctohy rlnrflu d$ Ftrallyolpcrjury rnsr Ixnr li(ln\cd trndcr rmvi\n oi ( hrDr$ 'J
<br />(connrrinS wirh Sccri(n 7(X)() ) .f Oiviri{nr ]
<br />ol rhc Btr\i'r.sun Pmfc\rnnN Codc. rxl my lrcnsc is in lullt'ore od cffer
<br />f77 6q
<br />Zt4==
<br />!ONSIB]](:IIQNIIIDIN1i.&CINII
<br />i\\ucd (sN :1rn7. civ c )
<br />afEu!,laN:LD[claEduax
<br />llmbyrrftrmunds p€n.lry oatcrFry.nc ol rhc followi.! d*lrations
<br />D.n$lir,.n PcrnrirrAsbc(os Noliiclrioo Fcdcrrl RcEnlarion{ iTirl..l0. Plri6)
<br />-Rcquncd
<br />L.rrcr ot Norilcorioi
<br />l ccnittrhrr rhcrrdcrrlr.guulions rcsflJinsisbcso\rcnn'vila,c norrppli.xhl. rorhi(f()J(tr
<br />I cdili rh.r I hNr rcad rh$ ipplicrlion ud dnic rhd rhc rhrrc iifDrmdhr is .orccr I rgre ro omPlt wirh all Ciry and County
<br />ordin(nccsindSllrcLrssrc!.ringrohriunr8.o {fldiotr. .trd lrr.hy iuhorir rcn'.scnr ilcs o l rhh city a counry b dnrcr rlx,n rhc
<br />n}r mctrliotrcd protcrry for insp.dn,n purpo\c\
<br />,*,. f{{a
<br />1,
<br />Subf loor/Vent/l nsulation
<br />tll{l-?x.l4f{v Db .)
<br />rhc uork l.r !hi.[ rhis pcnnir i\ ir{'st My
<br />.,.." Fr+ G Li(tr\c Nutr$cr7,.""."
<br />X\Pr'€f-f:l5
<br />l.ndc, , NJ|F
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