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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE COMMENTS OlVNER BU I LDER D!]L('ARATION
<br />I ho.tr.t aliinn lnds Fnrlt,' ol Fjury rhn I @ .r.'npt tum rh< (tnrrr.lort' L'c.n* Iis (v th. lolloains llMn lsd 7(,11.5
<br />Bcin6. .nl Prof*ion &)d.) Any cily or (ounry $hih i.qutrB ! rdrrl to odtud, .lrd. impror. &B,lbh nr EP,n ey
<br />stdcru., prio! k' i!3 isuancc. 619' ,<ut6 rh. spplicd for su(h Fmir to lil. a sisn.{ 3tal6ot lhdl h. or 3n. b lir43.t P'muinl
<br />ro rhc f,ovishG oa rh. (tnr rd't l-Gtu d liw (ChlFrs 9. (hmnftinr wnh Sali!.1l)0 olD.rnion ll orrtu BGiIK ed
<br />hoasnE Co{kl or rh{ lE or sh. ir Ampl rhs.Iiom snd rh. b.sk n, th..lt.r.d .roF iotr Any liol.rbnofs.ntn 70!15 by ey
<br />applirirr tu.pcnitsobj.ulsthc amlic t to rcivilpcohyoInol rnor.rho nv. hrndt.d dollar(tsm)
<br />-1.
<br />s osF ofrh. r&Fnr,6. mt optolG snh *.96 s lhct eL Nmpctudio( $ &' lh. $dt.rd rlE dnEle ir mr
<br />inrqhl or olt6.{ aor sl. (sc 7014. lrusiK dd ProfsioB Cod.' 'l hc Conr.ddt I i.M I 0\r &6 nol ,prry io tn o$i6 .l
<br />rh. I,spsly ulh lril& o, inqro'e fid@tr od s ho dr6 $rh sott him.li or hGcllor rhn,urh hi! or hd own otrployd,
<br />lroviddl rh.t s!$ nryro\€mrs &. d idsrjcj Notrdcd ftr et lll lrq6n, rh. h,rldln$ N inF$aEr ii 5ld ndh'n oft ,g
<br />olcohptdiolr fi. (x n6 Buildd "ill ho\. rlE hntor otpro\ qs thd L or sfic dr.l d hir] or nnpro\c th€ DtoIEly tor rlE F,!(r* ol
<br />L d o*nd olrfu Ir\Dd!!. .r(lNtfcl) cor r.dmr tr
<br />'lh
<br />I'cd<l ( rdo6 ro R${rud ltl F.i.d (Sd 7Ol{. I}ans
<br />and ltofsirn (\i., t h. (inrir..lor s L(ds.l.d$ do6ndspplyt' orns olpropcnyNho buildsor nIprordrhsq,n.
<br />&d $ho cont !c tor surt Fo](ls wnh a ( inrraclo( r) li.4c.d Nuu r lt,(rCoo[0cloir I icctrs. Ln*).
<br />-lon.ronfl
<br />u.dnsNb. .B &PC lrtrrhis te6 n
<br />D.l.: or..r:
<br />\oR(r{s' aonlPaNsA'uoN
<br />llfcLllSalraB
<br />I h.rrb, aiirm oidr lEnihy ofpsl!rynn.ofrh. finlowln8 Jelealn'ns:
<br />I lu\. ad $illmai !'n E Cdrif(.r. ofc.Bor ro s.lal6uc ln, (o,k.rr' conD.nsrnl'l' 6 F\ fti] for lt, s..lion u00 of rh.
<br />La&n (od., for rh. ,Eaonnm.. of th. $oii fo. \ thrh.pnnil n 'su.d
<br />I hfi. and *ill mainllr $6*ds (.mFffirion iGmn.., 6 rqut.d by Selion lTur oflh.l.trlr Co&. tor rh. Paforrrrm. of
<br />rhe \.'l f.rrh'.hthx p.nn Bssnl M)wk*/')L-A 5r/47-7/,aL,-d aF /2
<br />l.d'ryrnd inrh.Faolilrtr.ofrh. $ort tor sfiich tfiB psnil is s.il.l3hd nor anPlor 6nt
<br />k, as lo h..o'n. n ,rid lo rh. sprl6 .DmFlehon l.$ r o r c,lilomr and .!G lhn rl I \hould h.{oh. subjd! ro lh.
<br />sortol co'nrsstion prcvisions o l ssrion :r7(J0 oarlE Lnlrtr C.dc, l slull, n,nh\ hc. DlyNirhlho*Oo!ishnsW SN|NC r.,l!E ro Bq. $or\6s .ohpglstioo .orsls. s unlntrful, md shall srhjd onplo}d lo (mdal lmhi6 nd
<br />.n nn6 up h on. hunJEn rh.u$d dolt{s llllD. xr,.
<br />'n
<br />io rh. ..s ol.nnD.Mr
<br />\d,i,f ru76,,9. r arn ,,1r.. m,s6'
<br />,",,,,<y'2,/zatF77
<br />I hs.bt orm unds p.@lrr'ofFdjury 'ld t on
<br />.l lh. lrosi.(s and Pmf<ioE ct{., ad ny
<br />D.orision of( h.rra 9lsnMcins *nhSdirn 70olr) otDirilio.3
<br />ffi7 s/tr
<br />/2 /F<.,,,,,,.
<br />I h.r.ht ami,nrndc !.ndll! oIpojuryrhflt rh6. i3 a
<br />'s$.dlsr.1097.Civ c)lcndms r!dr! for rnt lE funronc. olllr \orl f.r \[kh rhs !(tnril is
<br />affttt xfDEJ.aaaulli
<br />IlElll!.finn trd6 F.n.lt, olrsju,y on. oarhc nnh$,nr daLTlro.s
<br />D.ninn ntn Pdnnr*Asb.sh. Noifihr h'. f.Jsil R€aulrr N"s ( ht lu- Pd6l
<br />-Rctut.d
<br />Ldls otMnilic.&n
<br />-l
<br />cdriry lnar rh. f.d.6! E8lhrioN r.*rdi,8 st6rG movd e. hl .pt ltrbL lo lhir Foicd.
<br />-l
<br />cdit rhn I hdt 'al ft!, opplr.tbn t'd n . rn,l . rhor irfotuion b coF6r I !*E lo onPly wi$ !I Cnytnd Count,
<br />rclrG{lxr 6 of lh'r (
<br />'r} Md Coutrr! lo nt6
<br />ihle rnrional ft)id, ntr
<br />2L-1 A/L "EP4EA5
<br />or" /7
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subfloor/VenUlnsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<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 /Z-/7-22-JJo Jt*,,\?f)
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc
<br />ID/SIG.
<br />)
<br />Lendcr's Add6s _
<br />Brown Coat
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