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BUILDING. INSPECTOR RECORD
<br />DATE ID/SIG.COMMENTS OWNrI A!ILDER DEII'ARATION
<br />I hs.b .rm uid.r Frhy ('f Fjui-' lhi I d .r.nqi frem ltE (iin6d.6' lire l,f, ,lr rh. follo$i4 tffn (Sa 701 lti
<br />BulrN lrd Prcf6rion Co!.) Any Cn, or c6u r. $h(h Bqun6 ! Fnn r. frElrud. rlls, !n re\e &nolah or EFr o'
<br />o.1d., ,hdr r. n3 i!$ .., lho r.gund rh. .ppli.d for snch Fnni lo lik ! risr€d t!l.l6l thn lE ot 3n i! licdk{ tuMr
<br />ro rhc lrovnioN ofrh. Co.rrloi. l-i(os.d h* (( hll)rd s, comm.kins *nh Selion 7000 of l)ivirion I oflh. Uwin.s od
<br />Profdi.nr ( o&) or rtur h. or rhc a crmpr rhscion Md rhc bsn to, rh. ill.s.1t .rdnti.n Any vhl,rion of Sdiion 7011.J bt!n)
<br />aprli.r lor.Fnnsbj..urh.,r?!i(d{6!.irilFlhy6lmrftn.rhefi\.fiun(H&1116(ttur)
<br />l. 6 o*E of rh. FoFry. or my a,plo)6 *'nh \.sd B rlEn sk.on{EBii.'n. sill &
<br />'lE
<br />$t rn dE rnIlc ! tur
<br />iiroiLd orofld.{ fd$L{s< 7oa4, B6ilB ud Prnf6h6 Cod.: llE(.o r&1crLtdEtr*dqmltp9l,hxo$Eof
<br />lh. prqEiy sho tlikl or i6!rcc rhdEtr trr $n &€ uh s& him*lfor h6*lfot rhrc!8h hi! m ha os'n.mpl6y6.
<br />provi& rhlt such imrmrffilr e rct i.ladcd ff olTdql for elc lr. howo!, rh. hlildins or inlForMr at hE *nhin N. }6
<br />ofcompkiion. llr O*M lililds will htr. rlE hrda orFo\ina lht h. o. shc did d hild or nryDv. ln. F.Fry 6r fi. Fq!- of
<br />l. ! orE of llE propsly- h .tdun c'r'.odr-lins rnn ficd.d Nnrd.u ro .o6tud rlE FJ.d (SG ror.[ &!ilB
<br />dn Pr.tsir (_od.: Ttc (-odrdorr tk.G t * d.!6 mr .!tly ro u otr .q of Fop.n) n to b{ild! or mFor 6 !hmn.
<br />lnd *ho co'iad! tor rucn Fsjcrr wnh r Col!rro(!) lkaed purud ro rh. com.ro.r l-ktr ljw).
<br />Ltrn rr.trltr , nn$ s.(rtr, r
<br />Drr! O..r
<br />$ oRxtsRs'aattPf\sa l l(tl\
<br />D[ql8al]o!
<br />I hs.t$mm utrdd p.rh) oftErD oe.f rh. i(n[rr mS &{l.arrn!
<br />lhav. mdsill@'mrnrt.n'nc!r.ol(!' dr n, s.lf lniur.lor \.r[d' .omfdsrio.. trs rrordcd for bysdmn r7(xroarh.
<br />Lahr (i r. htr lhc prfom .cof th.*o* fors'hichrh. t]oTil is isu.d
<br />I hd...hl Ull m, nrdm \".1.\'!nmFNrrn ,Ntritrr.. .s
<br />'ih',*'t'' "h^h y7'1fi2)D "-"*,rcqon.d b, S<ion:1700 ofllE |lhor Co{,.. fo. EFforlljm.of
<br />ioD iM. (EF !d Flat nunb€ e
<br />?iL/4D o
<br />t.difrrhd inrh.Flomftrof Ih.wort tu $hi(hlhi! pdnrn n su.d,I rhlu hol dpk !\ rtr\ I(nrn ii\ ritrn,o
<br />h B ro ttr.ft rutitr ro rh. trnltd omFehn h\r.f C,!ifomi!, .d !{iR rtr ial snouB tKom rubj.n
<br />'o
<br />rrE
<br />no,I6 oop.i!.rbo Fn\ i!h6 ots.<lio. l70O ol rh. l.tr{ Code l rdl. fnhtr nn @nply *'nh rhos Foriioa
<br />comFsNn cor.r4. i ubr{ui- od i u dphrd to tmiMl FliE ad
<br />rsd dolla (llrx).r[x)). in lddnnn hn, &Es6 a r'.o\ .d ftt. llE
<br />n 66r ud ark'nE, i tc
<br />Df.:I-Af,ATION
<br />I hdrby llth un& Fd$ of Fjort lhd I s licqE d u.&r FoBion of(tuFq 9{o'ffiins trnr Sani.n 7000) orD\r..1
<br />or rh. ttniB iid P6leB cod.. rn m! l.N . '. fnll lore lrl.lTfrr
<br />C 't lr
<br />- //V ,.,,..*.(
<br />t h@ty .nm un<b Font of Fr{r} rh, rlE irr odMion ladiry +try aor lh. Ffotuc of lnc uqt tor ehthrhb Fni ir
<br />isu.d (S(.1097, Civ. C.)
<br />ATIr.I(IILD'SJAAIIA!
<br />I Hry lnm !.dc p6.hy or p6JuD otr. of rh. folhs'ns &(laahns
<br />D.m.lir nnr Pdmtu-Asbcsro! Notincation F.dsrl Rclulstrns ('l nG {0, Pd6)
<br />l\\]t!'.i I dlqotN.r'li!itrr
<br />tul
<br />allre b rompl! r'lh.ll( 'r!,nJ
<br />( ou.rl
<br />"6,,,,h"(,tr\ *d c*ym d,rr,F rk
<br />,,,. tlpzf t7
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUl nsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Fram ing
<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 />Enqineer Final Report
<br />Flood Zone Certif.
<br />/FINAL tl t</ tn;,: lLl ilt/.eY
<br />Certif icate 5f O6cupancy'
<br />Notes, Remarks, Etc.
<br />SITE-WORK
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