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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNER BUILDER DEL('ARATION
<br />I hddt .mm u.da FDh, of Fjq- rhd I o a@F 6om tlE Codr.cra lxd. Lw tor rh. fouowios t6$n {sa 70:l I 5
<br />ItGind !,n Profdio. Cod.): Any C , or Coud) stkfi r.qun6 ! p6h. ro orlrtucr. .na. ntrFore .kmllt or le., o,
<br />(tocluq Fitr ro n! i$@c.. ilo r.qnt6 rh. ipplkd for .u.h Fnir (o nh a 3ign..l sldmt lnd h. or rlE i licsa.d p@an
<br />lo rh. FovtbB .l tlE Coir*r6't Lien*d t tr {cl!pl6 0. ( omdins wirh S6ri.n 7000 of Diltbn I ottlE BaitE ed
<br />PntBDu Co&) q $a lE 6 rh. it 6d,r rhdrAoo ad rlE t-6 lor rlE .lkgql .r.np(b. tu' viohM of S<dnn 701 I t !y e)
<br />rrpli.er fd. ! p@n lobjftR ih. .pplioi ro a civil lsDliy o t not mor. rh& fivc hlndrcd dolldi (55m)
<br />-1.
<br />s otrE of rlE Fopqrt, or m! dplorc $nh *is6 c lh.s sL o,r9d.io.. si[ 6 rlE trrt &i dE ndrc. mr
<br />iddd.d or olT6.d rd !.L (Sq 7044, Auiml md PrnfdioN co<k Tn ( onrrlcrd'r Lace ls &6 ml rp9ry ro m ow of
<br />rh.Fopqiy who hrildr or rsovB ltE@q .rd who &E $ch qlt hins.lr or hd.lf o. rhrcugfi hn or ls osr mployc6
<br />FoviH thd kh 6F*o1uaEdildi.dmolHfcrl. lf lDM. ttl hli,dlB m 'rytr\Ed n FId $rhm * )toranpkd\ l,t o$E auitb s l$r llE tud6 oaFr\iry th. lE q !l'. dil B'{ h,'ld or mFow dt FoFq tu E F,F ol
<br />-1.
<br />d osE otrh. tmpdry, d .rchlie.ly.6dialins unh hc6r.d.. rdG ro codM ih. FDF (56. 7O1-{, AaG
<br />.rn Eokin cod.: lt. Conlr..lor'! Lkd. L.n' &rc ml 4'Oly ro d osnq ol FnFny *ho b{n& n inFor6 rtd@n.
<br />lnd *ho co h.8 ror l8h Fojds wnh . co 6do(r) lica!.d punu! lo th. conrid.. t l-icle lr*,
<br />I M.rdir ukt r Sdrio.
<br />D.t. orn.r'
<br />u onxfrs, colltPi'ris TloNpDgd8aua!
<br />I hacby.Ilirn undd FDlryorFjury on offi. follo$ing ddltrdioE
<br />_l hrv. .d s,ll oinr.n . Cd if.!. of CoE:r b S.lf-lmrc l, wI @mp.n.rnn\ B FDri&l fo, by scrbn 1700 of tlE
<br />lrtq Co<le td rlr Ffolrlle& of rlE 6,t ld $ni.h rh. FEi a B!.d
<br />_l h.v. lnd u ill d.inriin mrlda .omFNri.n iEole.. s rqun.d b, SElion l?@ of lh. l$or ( o&, aor lh. FaolM. of
<br />!'t ert fd *hrh rha Fmir ir iq.d. Mt rsta on:Fdio. iM.N 6i d polay Nobd &
<br />.,*,. .'5lA1e {ttnrt
<br />,.,,,,.,*"-* . AQ 171 q tt rel l,t-r)rt
<br />-l
<br />csi,t rhd ii rhc Fhrl@c olrh. *oil for shth thi. Fmn i! n$at, I $.ll mi @phyuy F$n in my frmffi
<br />e B ro h.om $tircl to tlE Kll6'o,rr-siion h$! olcrliromq ed *R lhd if I slslld baom $b61 lo rrE
<br />*0*6 c$mFrsarhn pmvnirBorSdrion l?0oollh.lib.r Codc,I slf,ll fodhsih smply qnh lbs provirbB
<br />WARNIN(;: [.i|trrc k su. work6 comp.Mlion cov.msc ir unLwf!!. ud shall subjd M @plord ro anninll pdEhE ond
<br />dvil fn6 up ro om n6dr.d l::::Wrlx)lsd .k,ll6 (ll(l),(xro). itr !"'zz:'*"^"""
<br />4 -,cranr
<br />,rr//.,
<br />ur.llJriullll
<br />I hmby lmm und6 Fnahy o I Fjury tha I m licasl undd l,ovaiot ot chtprd e (com.ing wnh S€dion 7000) of Divilion l
<br />of lh. BuinB Dd FmftsbB Codc, rd ny ltag b in full toN !d.iicl
<br />,r.r. t AV
<br />,\,f,* - fr7b/;
<br />Ve{ac b^slavL,,.>,hL// ,--*.x
<br />colsrtuclllllrtElDariJc[!(r
<br />I hd.ty .llm u.(b Fulty ot Frry lhr rna. L . ortMbtr L.dinS .Sfty tor lh. Ffulre. of tlE $-l 6r wnich rti' Fnl it
<br />tu.d (SE 1097.Civ. C ).
<br />alllJgtrLlrEcl4Sallo!
<br />l,Eq*.armunds pdahyoaFJury 6.. olrh. follo\,ns d..luitio :
<br />D.,nolition Pdmils'Art6tos Norificdnrn fsln l R.suldion! (lilc40, Pd6)
<br />-R.quucd
<br />L.lG orNoificnir
<br />Lf cdiryrtd I h!v. ral rhis q,plt ion lxlnd.rtur rh. nbo1. ,nromdhi s.on.<r I asre !o onply wirh sll (- y.nd('oulny
<br />L r$!1rl'tr ( ir\ rtrLt(inn \ri.trk1trt\rrhco,dhrN6drl slolcl,h*s r.lllrn! r,r huildirscoElr!{rnn, d hscr
<br />atr-c nhrn,n.tl pmrd\ lt{ rtri..\lnnpq''.gr)
<br />App,ron,o.^,m,rhrr,ure >&1. (
<br />I'.mxe mm. (Pnr',:X ft tn ge v7 A
<br />4/,/,.
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Roof Sheathing
<br />Shear Wall
<br />Framrng
<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 IKIU z|q?(t1)
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc
<br />+_l cdify rh.l rhc aqlc4l ..1ul!lioB r.gdi.g ab61G ..mr d u. nol aplrcablc lo lhG pmF.r
<br />Set Backs
<br />Subf loor/VenUl nsulation
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