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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNEi OUIll)ET DETTANATDN
<br />I h6ltJy.lrm ri<16 FuXy ol rtlury $r I 6 adrpr &06 rlE C.drar6- titE r* for rlx folbrilB ron (Sc 7011.5
<br />Bui,ns dd Profdion Cod.) Any Cny or Co! y *hth r.qur6 . Fnil lo onnrud. .116, improv.. &mliih or Ep.t dy
<br />:rtucrue Ffi to its ixueq .Lo r.quiG rfiG 4plic6l for ru.h Frir to fik ! 3un d n,rddr lhd lE or CE i.liaqlai F,iud
<br />ro rh. FovnbE .a 0E C.nlm.ar Lt !E d L.* (Cll4r6 9. Coffins *'nh Sdrion 7000 ot Divlbn I ot th. &!nB dd -Prefsh Gd.)or rh.r lE d !h. ir crdnF rHDn !d rh. bdir lor th..lle.d aanFiotr Any viohion of Scli.n ?01!.5 ty oy
<br />.pplic&t lor . pqflit lotjcls rh. qrplicur ro . civil p6!hy of ml mor. rhe fiv. hunrlr.d dollu (t500)
<br />!. B ."8 oirlE FoFny, m ny .rqloy6 s'nh w.t6 s rlEr nk @nFEiion. riu do rlE *st nn {E inEE . fl
<br />i.trs!:t d or o lT6.d for slc (Sd 7o,l.l, BsinB Md Prnf*ioB Cod.: Th. ( odEcloir lic@ L.w dG d .p?ly lo u om6 of
<br />ItE FoFly wlF h{ .b or mFlE i@a .d \lD dG uh sa hielr or lE*llor rhreulr! hB * IE o$n mrldy6,
<br />Frvdal rh.' o.h ioForqffi & d irdrt d d ofidqt 6r xl. l[ holdr. dE hiddlB c ins$EEr ir $ld *rti. oE ]d
<br />ot codpld@ tlE o'hd ti,iBa vill llw l,E hnlor ofForz's rhi lE o. JE dd Dl blild o, iq.DE ttE FDFr, 6r dr FrFs of
<br />l. ao$aoarlEFod,. machEtr.lrco Erh* *irh licoad conrLrBro co'drud rrE FoFr (s(. 704-{. &!i6
<br />dd h!f3.b Cod.: ThcConrtu ror'r l-i.6c Law do6 nor apply to do*n6 of FoFiy who buildror improvB rh6dn.
<br />ed wto lsrudr lor $ch Fljdr * n r Conr&torlr) licsuai prMnr r. rh. Cotrr.crois l-ica& t *).
<br />I m.rmpr uni6 S&rFn
<br />Drr. Oxnu:
<br />\r'oRxFns ( ortPi\s.^rIoi
<br />O}]Clilll^It0rl
<br />I hLr.bv nmnn udd Bn0lr, ofp.ir0ry one.l ilE foll"tr nN d(lun'krs:
<br />I h.r! ni *ill mina. caifr.r. of CoMr ro Sda-l6u. f slrld onFs.( B FuiLd tor bySttEr !700 ollh.
<br />lrbor Codq ld rh. Ffolfu( o f rh. @fi for *tti.h rh. pd6il i! d!u.d.
<br />I h.r.d sill minhin worl6 .onpdErion i,Mm., s rqurcd br sdio. 1700 otllE libo. Co&. fo,lhc Ffollec ot
<br />th. $Mk for *hich lhi Fmn i sxd My f,ortG comFBiFn iBue. ui, ed pol.y.uhtE t.
<br />4*l**x***-*g****[,***r*t'****'*
<br />mrtd' onpdslrn . FDvirioB oas.oion l?00 of rh. Lrbd C.dc I tdl fonhvnh onpl, sith rlb* prDvlio4.
<br />\PARNING l.il6. lo su. Drk6' @mpasdioi @G!8. i! uhwtul. rrd ihd sbiEl x onpbF lo simi l Flxb !d
<br />civ'l fic u9 ro oE lEndcd rhou.d &lL6 11100.000). ii .ddhbn b r,E d of oqd!.IioE .Lr'+6 ! FDvn.d 6r lh.
<br />s..r.n 3076 of rh. lrbor cod., ifiqi.l @d rlorEr'! a6
<br />{",,i1:6 r7 -{^**,dfu'--\ LItENSED ({tNTn-AcTt)n
<br />DECIJSAIIO!
<br />I h@by amrm undd p6shy of pqju.y thn I dn licaB.d und,6 Fovisioi .achrp(d 9 (conjffiin8 wilh S61ion 7000) ol Divnion l
<br />n, fic B6i6 rDd PrctsFE Co&. rd my ltog u i, tull fora .d t,I(l
<br />K*.n* C6rli,
<br />1*",aLt1l tt-
<br />LtL K
<br />X..,-",.. tuh#L
<br />joq)qot
<br />L:tat r '
<br />(alfrauqlla!.rrliDllE.Acr!.qr
<br />I hcrbt .rm ud6 pqdy of FJs, rlld $e i ! @trrndion ladiis rSdy for tlE Ffotu. oflh. srt &r $tEh lhir Fii i
<br />iliurd (56. 1097, Cr. C.).
<br />Lsrl6 r Nh.
<br />--
<br />--
<br />Artugxr.Dtct48aEo!
<br />I horby afm u.d6 porhy of pdlury on of{hc follo*ins rL.lfdhns:
<br />DqmlnDn Pm s'Adcror Norilic.tion l'cr6rl R.guhrnr (Tirl. 40. Pd6)
<br />R.{un.d lnls of fhi6.r$
<br />. I ldi$ rhd rh. fdl6d r.guLrFB r.Ted'ns Bb6r4 rm\d ac d eFl(.bk'o lhi! FDF
<br />M,^,U,nn , **,*rn! rgpl(nton !d n!t. rhd rh. !bov. iirotuion 6 cond. I .8r ro 6nply w h lllc ynndcoury
<br />ordinlmd ed Stlrc lrw! Eldiry ro bu ildins coniru(nr( Ed hd.try luthotui r.FMuh 6 oflhk Cny dd CouDty lo 616 upon lh.
<br />.b.r. lmtion d FoFi, Ior mFlion FrpoG
<br />^,., t?Lg/!s( Applionr or.trmr sistrrrur.z, J. 51" Cu4-v c,4
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />SLAB Floor
<br />Subfloor/VenVlnsulation
<br />Roof Sheathing
<br />Framing
<br />lnsu lation/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 />FINAL | -,/--1
<br />Certificate of Occu nc
<br />Notes, Remarks, Elc
<br />)
<br />I
<br />UFER Ground
<br />Shear Wall
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