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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNER BUII.DNR DEI-CARA ION
<br />I hc.cby ul6rn undcr Fcn,ltt,,r pcrjury rhd I n'n cr.mpr lioft rhc Grnridor{ Licctr\c ljw f(n lhc lnlbsin8 r.,$ (s*.70115
<br />Busincs\ md PtuL\ron Cdlc) An, Ciry or Coutrly lhich rcquircs a Frnrir i) .. ( .r, tlrcr. nntmvc. dcmolhh nr rclJn rny
<br />{ruclurc.0rntr b ils nsumc.oho rcquncs lhc ltplicanl li! $ch pcn n n, fik, si8md s c Enr rhar tE or shc i\ llccnsM P!r!anr'
<br />ti rhc t,n,vi\n,n\ ofrh. (bntrr.ioas t-rcnsd tjw lchdprs 9. CoNnrcncin8 wirh Se.rion TlXXl.r Divi\n,n I uf rhc Ausirrc$.ndr
<br />Pmlt$ ons Codd or rhrr h. or shc k cxcmrr thcrclrom rnd rhc h.sis lnr rhc alkscdcrc'$rn,n Any violrriunol Sccriotr T0ll5 hy afy
<br />rrpli.rllI lor.pcirni srhj(ls rhc orrt'licanr ro acivil,rn!llyolnor nmrcrhrn nv.hundt dd.llrs(5500).
<br />-1.
<br />ar owEr orrhc pmpcdy, (r nry cmtlo)er *irh *rtcqs rh.n vnc conDcnsilion. willno rhc sirk iril rrr jr-rurc is 'nlim.n&{ or .lrcr.d ror slc (sh-. 7(!4. Busi,rcs {nd Pronssiotrs Codc l h. Cofircn,\ t-iNn€ Ilw do.s trot lplrly lo !n owncr oi
<br />rhc lnJIEny $hoh'ildro.i t ros rhcren, lrd eh, dcr $.h * hntr\clforhcr{lfurrhmugihhornqo$nenlplorc.s.
<br />pr.vntdrh sx.hnn|)(vcnEnhlrcni,cndcdoroltarnf.rqric.llho*c!.Lrlf,huitlingornqrorcnrmisuklwirhi|on)tr
<br />of conpLrtun. rtr O$ nf Buikld {iI hrvc rhc bonlctr of |nrnE rhr hr or $c did nor huild or inlprorc tfic lnrFry for rlE purloc ol
<br />_1. isowNrofrhc prol--ny, anr.r.hsnrly.otrtac.nu wirh li..ns.d conr0cror lo con(rucr rhc ptr,Fcr (Scc.7014. auiNss
<br />rnd hntr\sirn Codc: Thc Conlraclols Liccnsc 1.0* doc{ n.r ilplyro 6ownc. ofpor.dy sho builds or ioPtotrs rhc'.otr.
<br />and qho onrmcrs fitr srch pn,jtuh wnh a C. dcbn s) licciscd rursurm ro rhc Conrrlcloi s t-iccn\c tls)
<br />-l
<br />r .xcnrpr undcr Sccii{,n , A. & PC lnlhi\ E.son
<br />UaBKE&tloutlNrl-ua!j2[!LA&[IAN
<br />I hc'rhy rtfi'r utulcr Nidliyol l,crjrtryotrc.l rhc,oll.sirE dcchr nrN:
<br />lhrvcrtuvillnrinhinrCenifictrrcolConsc roSrlilnsurc tr wor[ds' ronr.trsd Dn. ns providcd i,r bySrcri.n:]71)0urrhc
<br />titx, coic. rorrlDpcrf.rmrccofrhc sc.k thr shichrhc |crni k isucJ
<br />tu wht h rhis pcmir i! n\ud Nry so'ktri ..nD.tr\rrtr,i r\umi.c cnricr i,xlFlicy nunrh.r rrc
<br />5 2g v lqln._-I T T
<br />I.cdili th nr rhc p(rloflrutrcc {'llh. wo* n)r shich ihis !.nn'r i\ i\{kd. I thrll ror cmnloy rny pcron ir rny
<br />'nnnncrv, trsrohconrc suhJccrh rhcso*${..nrr.ns.rir lrw\ of Crl'hfliir, rnd rgrcc rh il I skn'ld bccoft {ihlc.r turhc
<br />ertrkcr\' co'nncn\rrio. povi\nrnl ol Sc.ri.tr :l?m ol rhc llt.r C.dc. I sllrll. ,nn hwilh snnpl, wirh rli,{ |m,li\nfi
<br />Wr\llNIN(; rnilmc lo s.ur. \'or[ers .on,pc'sari{,n.1rvcrrlc is udlrstul. and shill $rhiccr rn cnr oycr h Lri'tinrl ltnalra ntrd
<br />.ivil lincs uD lo oN hu rcn rh.u\!nd do{;iru+H :
<br />llar\ lll(*r.(xx)r. in rdd i(nr t) rlr
<br />t)t( I \lt \ I l{)\
<br />I hcruh,Jrltnunhrnc alry.l ncrjurtrhd l.Dli.cn\cdurdcrtrevisiono,conrmcnci'ig$irhS..rion7L{X))olDivi\lon.l
<br />5oVatAc-<
<br />Dd,e Sftal rg *.'**.
<br />I hcrchy amrn ondcr Fnahrofprrjuryrh,r rhcB is a consdclioo tndins lscncy fo, rhe p.rfodhn.. orrhc work for Bhi.h thh Fmril n
<br />nsucd (Scc :1097, Civ C.)
<br />AIELICdNLDESLANAIIO!
<br />I lErby afi-rnn unds pctrolty ofpcrjlry one oarhe {dhwins dcchturn,ns:
<br />D.nrlilnr Pcrnrir!Asb.sros Notificuri.n l:cdcalRcsulalion\ (firlc,lO, Pd6)
<br />-Rcqunc!
<br />Lcttcr 01 Norilkirion
<br />I rsrilirh rhd l.dcralk!xl.rir)trs rc8&lirr r$.{o\rci(rrlrrc norrpplica$]. k, rli\ pn)jtcr
<br />l.cniryrhd I hr\c r.ud lhis0pllicrliono {arc rhar rh. atNr inbrturn,i n.omr. l dgrs ro conrlly wnh .ll Cily lmj Counry
<br />ordinrn..s rid srarc Laqs rcLrim ro huildinx cor(ru!1ion 2c rcprd\cnrdrivcs of
<br />'hn
<br />Ciry md Counly ro cnrcr opon nt
<br />rhrc nrnri(nrcd nn)Jrny ntr
<br />I /\DDlicsnl or Aftrl Sirnrlore
<br />I
<br />rcm r tr rPr,dr:I
<br />lb I
<br />Set Backs f,.s-^@
<br />Forms/Steel/Holdowns q?-u(J
<br />Erection Pads *1,s -ry
<br />UFER Ground
<br />SLAB Floor
<br />Rool Sheathinq
<br />Shear Wall
<br />Framinq Y//../x t!\*K
<br />lnsu lation/E ne rqy
<br />Drywall
<br />Ext.i lnt. Lath
<br />Brown Coat
<br />lVlasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif .
<br />(#\)FINAL 'l/5.//(561ra
<br />Certilicate ol Occu n
<br />les Remarks Etc.
<br />(Cadr.Sa
<br />0
<br />(
<br />Subf loor/VenVl nsulation
<br />ol rhc Busincsrnd Proac$bn\ Codc. and hy liccnsc i\ in futlfodc dxlclfc.r.
<br />tfi1
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