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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE COMMENTS OWNER BUILDEi DEl'AR IION
<br />I h@b, r,Im und6 F,Iy oa psjury rhn I m e(dpr tom rhc Conlrrclqa Li..@ L!* lor lh. following rdsn 156.70ll t
<br />Buin6r drd P.ol6ion Co<t ) Any Cny o, C6{dy qnth r.q!n6 ! FEn lo otistu( .h6. inFor., &ml.n or |a?., xt
<br />tude Fiilo is isll.e,.ho eqri6 tll +|r! for$hFnnlo6l..3iS!.dr.ml lhr lEo, th. i! lfdlrrl pl,$!r
<br />lo lh. F.lirioN of tlE Contstor! Lic..d t w (('n,pr6 L ComdcinS vnh Sdlioo 7O0o of DivLbtr I of lh. aBina 4d
<br />Prcf*ions Cod.) oi th lE d .6. ! ad9l thE.fton rd th. b.!ir fo, lh. .lle.d ddFion. Ary tiolnion oaselion 70r LJ bv Ev
<br />lp?ltrd for . Fnn sbjdl3 rh. epltul ro. d\ il p.olry of @r mE lhx fiv. huilrcd doll6l$m)
<br />I
<br />\LI.s osG nfth.proFnr,orm'mploye* h tria66rhd 5k(.mFMrn. {lldo llErftl dn in rnrlr it t't
<br />lraid.d no,Er<l tor sL (56 70,41. &EilB Dd ftol6sioB Co& 118 Cod,.<rd! Lite t& do6 ml !Pl,lo o 016 of
<br />lh. FDFry who t{il&or mFoG oEaii. tld *lD d.6shm hnMlf orhc*lf or lhDuBh hi! q hd oM dployd
<br />rrovidat rh.r 3sh inirrcmt! m mt iddd.d or oikld 6. rl. l( l[E!, trE buildiB r olmvaEil i rld uilho oE d
<br />orc{irTkin dE OsG tsqil&, $il lsE tlE hmbl of FDWB thi lE q Jr dii rel b,tl or ir4.t* lh. FoFy IorllE F F&or
<br />-r.
<br />s o[E of !h. rmFry. m.r.ldir.lt.odrd h3 $ nfi licavd co'rranN ro otrrtud tlE Foj.ct (Sc 7044.lkN
<br />drl fhisiq Cod. Th.Conlrrcroa! l-ic6!.l,iw do6 tul spplylo moa.6.fFoIEnysho blild!or improvdlh6on,
<br />od who o d! fd ruh Foj.tlr *hh . Codmo(.) lk.Ed FlEu,r b rh. Codrdd! Li:G Ls )
<br />I mcrdnpl undd sdl 'o._. B & r.c. forrh6
<br />1l \5)\q (hn,r /Z--
<br />\\oRl\t:R\'( (l1tft:\s.\ I loi\
<br />urL:]&!u(a
<br />I h(.br omrn und6 FnrhyofFluryoncoflhc folkrwi4 d(l{ihod:
<br />I n!r. od *ill ui.rai, r Corifi.d. of ( ongl lo S.lf.lNr. fo, *dl6l onrFnurion- s Fori(H fot by s6li.n 1700 of lh.
<br />L.t Cod.. for rh. Ffomd.c of rh. sort for shich rh. p-hn s isu.,l
<br />-l
<br />h!v. dd $ill m'nl'in *!d.d comF.!.lion isu!M.. s rdtuircd by Sel ion 1700 of rh. bbo. (td., for lhc p6Ioll@c. of
<br />rh. m* fd,nEh rnir lcnn i isEd My "sln omp.,lrEn 'BurG. ffia rd polr' numh.r sc
<br />'7 ,,,,- ll/al/Za
<br />-l
<br />cdiry lhal in ll'. Ffolrje. of rh. $ ork tu $ nkh rhir Fnn i. Eu.d. I rldl mt a@hy lny Fe. i. t.t ,tl@
<br />b s to b<.m sbj.{t lo llE err6'omFdio. hwr of cdiaomq !d tc6 thd if I .t lld bc<oft rubjd ro tlE
<br />*0116' onFstion p.ovnDB of scrion !700 of rh. l,bo. (-od.. I !i.ll. ronh*nh omPt, wnn lb. pr.vaiod
<br />unh$tuI. dd ndl uhjdr d .,rphF m oihnul Fuli. tnd
<br />crv'l lin.s un L , n. hdJ.d rh.usd d.llds rllk'.or)r. r rn ro rn. (on ofcon{.Mrn'n- damx6 c parv'dct iff rh.
<br />Sdrn 1076 orrh. Ltbor (-ode inad Dd.llonE,2-,^.,3 / tai l1r-r u(I;l$lrl.]rll&l(llalrrg"t&ula}
<br />I hab, .firn undd Fn.ty oa pdJury ln!1 I @ lc(.d unrld FDriion of Gdfl6 9 l6mo.ing whh S.dion 7000) 6r oiriil]n !
<br />oa rh. BdilE md PmfchB Cod.. .'d my IK6& 6 r tull fo(r id .lld.
<br />c 2 d 1000 t/?
<br />..1/ tel l al N v n ow'< Lrv46 nA4 t.*.,1)
<br />cqlllalqllllel.E8lllic-fcllcr
<br />I halby dlm udd Futryoapd]urylhd lhq. i! e conrNclbn lc n)s agdcy for llE Ffollrlsc of fi. sorl 6t *tfth lhB df,n i
<br />isu.d (!ic. 1097. Civ. C ).
<br />AIIU(ANI.IICIJ8AIIIN
<br />I hodya,tui!.dr po0hy oaFjlryorc oflh. followits rkrld hns:
<br />Dq.ohN. Pd'le^lhGros Ndificdion ['.dd.l Rquldru ( rnG {0. Pd6)
<br />-Rcqu,qj
<br />t rrdolNdiicdirn
<br />-l
<br />cErifv rh, rh. f.dsd r.suliioa Egidrr atElos rfrn ,l u. to l q'Plklbl. b thit pmjdl
<br />Md C.unty ro dra othn rn-l
<br />cd't) rhi I hr( ,al rhir .polxnion rd xrl. lh, lh. tbor. intotuio. i .6c1 I .8rG lo .ompl)
<br />o,dtffi6 dri sr.rc tl6 Eldins ro drr codrudErl' lri hd.b).urtrM rcF6dartr6 of rhrcir)
<br />.bnt. nEhoEd NEnr (r ,E dr( DEIM.;:,:::,:":x::"w: \4pfr' ,.,.
<br />P@r,c...,prrr,r / 8,nn Nap.+i.*
<br />q/tslt 1
<br />Set Backs
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loorA/enUlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/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 ,A,il/t < lntttt fa-,,'
<br />Certificate of Occupancy II L
<br />Notes, Remarks, Etc
<br />ID/SIG.
<br />Forms/Steel/Holdowns
<br />4+
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