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BUILDING- INSPECTOR RECORD <br />SITE.WORK DATE rD/srG.COMMENTS OIINER BTJILDEN DET]''ARATION <br />Ih6.ty.IfmunddFBX)ofFjuDlhrltdcrmFnnrlEColnrrroR'IE.@trtrhIrh.lollo$i.sras.lS<7011r' <br />Blsins .,rj Profdi.. Cod.) Anr ('iry o. (nod) trhth Bqun6 . Fni ro .ordtud. drd, imFo\e .!rn.rbh or Ep.n m! <br />rnEl@, Fio. to irs isffia .tro rc+n6 th. +rlirer for s6h pai.it tu 68. si8n.d srimor lllll lE.t 3h. it lrakd ptrGu.ln <br />r. rh. F\i3irB oftlE ('ontrsr..r Lico!.d l2w (Cn+16 s. Commocin8 wnh S.(ion 7000 of Drnion ! or'h. BEi.K lnd <br />Pmfetun! ('.rL) or rhrr h. or sh. n .rollr lhE nom ud r hG tlsir foi ilr lllcs.d 6dFhi Any ra.hrFn ot S..tio. i0rM! r.). <br />airhcinl ao! ! p.mh 3ubjEls rh. lppliclr to rcilr|p.Eh,olmr mr.rh, nr. hun.i.n dollB (t!m) <br />L a osc of rh. F!Fn), d my mplorc tnh *ts6 a rlkt $1. conp<!.tir'n. will dr fi. worl Dn Erikru.b not <br />id.,rLd !rofiq.d for sL lsa ?04r, B$ins ud frlfsioN ( od.: fic('onrdoir Li.@ t $&Bml qplyloeoM(of <br />ln.rmFly rk) hil{h or itrlFrrd d6qr. !d *h. dE.uct *vl hid.lr or h6*llor ihhrah ha d hd o$ olplii) 6, <br />Fovtt d rhlr s.h mpmEErt e .rl| i drt d d oltdr{ ftr xl l[ h$@. rh. bildi.a or irp.otrld b $E wihin oR \d <br />6tcoipk& lh. OrE Buildr will lEn llE brrb olFori4 fitr lt.r Jr dil d h ld or inFo* $. tDFry 61 lh. Fnrrkor <br />4knx ::'f r;:::'*TH:[#rHu:Tl lfffi ::ffi:;]THXf ffifJ'f; ;S: trffi <br />lnd uho (ontd! hv such Fords snh . (irnr6do(s) I'cosl puNmr <br />.""fi'yr;; <br />L'111 !L\ [A] <br />4ffi':#l#ffi ffi;*:ffi '--"*"'hn6Fs'i'|'dhr'vsd.':'|700'rh' <br />I hN. a.d will nlintin sorl6 comF.r.tion iBum... a r.q!n d \ Sc' b. !7m .f rlE llbor Code for rh. Ftmx. ol <br />lhc *orl for *nth thir pGnn ir i$.rl My *..td .otrrFdion imle. ffir rd Flty mnba n <br />Pol'cyNumb6: Erpn6 <br />l.di! rhd in ln. Fl.lrrM.of rhc wort fo wbrch rhi! psnn i! nru.d, l.h!ll.or dploy !.y F.on in lny naF <br />5 a lo bccom ruhFl lo llE worl6 6np6dion Ls.a(.lifom!, !d ,8r* ihn ial iruld bcoft tul*( <br />'o 'lEsrtd' s'nrEEllio. F.vnr6 oas.dion !700 of rlE l,h, Cod.. I tEll. frf,rhrirt odlply f,,hh rlb- prtrli]ioN. <br />rnil fin6 ut 19 un. hundrd rh.uq.J\^,-. rifu "dh. r"E"'L.r. -'-d <br />".,., Q l1z-/17-'I r- <br />I ffit.film uBla FuhyorFJur' rhd I d lwd u*r F.ritF. of( tur,r6 9lsffi'ns $nhselr" 70 1)ofDNnn{.r <br />uf lh. BaitB ..d lmtdnB ( o&. n! nt ltG i n full foR id .fid <br />Lrd. Nuiba: <br />- <br />(oxslBltcrlaNr[lDlr(i_&cEr(I <br />I h.r.nv.mm und6 tE.ahy of IEJU,I. rh,l rh6. ra crnnrud{n k din! ign) for rh. Il.rfolr@c olrh. $orl litr shkh rh6 Fnrt i! <br />tr!.d(S<.llr97. Ctr C.) <br />ATEUI;AtrLDES4A6IIq! <br />I hd*, ifm oRld Fnah, oa pdlor, .B ol rh. rolb* ins {k(hrdaB: <br />Darehrion Pdnr^tt nd Norifi. M rcdsll RquhioBllnkt(l. Pd6) <br />R.q!n.d l!rd df NIllifi r.dion <br />I colrty rhd rh. r.d..d Gr!h' nB qdin3 atEeoi rfto\ rl {. mr qrlic.bL ro rhis pr.jRj <br />F.r***'*on drl st.r.rh rh.aln isrond I rlldt,.f rnll \ihrll( [\ ind ( otr ! <br />.ho\. lMrr)ndi Fol.ny fr <br />Appli.rnl or 1s..r Sisniurc <br />P€mirE n.m. (prlnrrr K <br />"':',,;l::1,"; <br />Set Backs <br />Forms/Steel/Holdowns <br />Erection Pads <br />UFER Ground <br />SLAB Floor <br />Subfloor/VenVl nsulation <br />Roof Sheathing <br />Shear Wall <br />Framing <br />lnsulation/Ene rgy <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 />FINAL 922 -11 2, z') <br />Certi ficate of Occupancy <br />Notes Remarks Etc <br />a <br />Drywall <br />Flood Zone Certif.