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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILDET DEIIAR TION
<br />I hd.tr llTm un&r Frry of Fjurt rhd I b daqn &!o ft. CotuaroB Li.oE Lrw for rh! f.llowinS r.en lS<.701L5
<br />Bulina lrd Ptofsion Co&): Aly Cn, or Coumy whkh rcqut6 ! Fn[ lo @trrtud, .na, irFove ttamlirh or rp, at-
<br />!r1u.rs., F6r ro il' isuec, .ho ,.q!ic fiG .pplier for e.h Fmn lo 6h . riSn d i.@l lhr lE or rE a ltwd F,lurn
<br />ro lh. FolnioE ol rlE Co'n.rls! LicE6.d L.{ (Cl'l9rs 9. ('offii!3 wnh Setion 70@ of Dirilb. I of th. Buin6 od
<br />ProiB.o Co&) o, th.r h. d rlE ir q@d $stton d $. bci! ao, th..lLg.d d6plioD. Any vioLlion of Sdbn 701I 5 by dy
<br />rprlidrr f.r. Fr sbJEBdE +phcul ro.ci\ilpdh).f mr m.r.lh6 fi!. hun&cd doll6 ( 1J00,
<br />/. B oe E ol
<br />'hc
<br />F!Fn,, o' n) f,pb,6 * (h * rs6 d rtrr it @dFs b.. srlr d, tlE wr -d lh. rdd ! Et
<br />i si.d n o,Idd td rL (Sc.to4a. &!iB od EofdirB Cod.: nE Codr..roir Lt@ Llw &)6 mr.p?ly ro o*nd of
<br />rh. F(Fry *ho h,ili or nFia lhdo.. ed *ho do6 *h @tt hinclf or rE*llor tltrDugh ht d lE om aplo}tc
<br />pavij.d $.1.uch imFDtqEn ed nqi.d o|Iqdtu -t l[ hor-q, dE hliuill q irsoeaEr i rU qitlu oE rcolonpldia dE o'rE Suil& vi! ll.w l,t hr b!ofFwiry ! lEor,'.did Ft hrild ot orFow lh.,.oFly 6r lt FnF&ot
<br />Xw or rh. FDFty. o d(hliEly @nrrrlB r nh hcq6.d od.rroB ro @rE Er rlE FDJer ls4. 70a4. &BiB
<br />!i Aotaio cod.: I h. c6!k*ro. s I-ic@ Irw do6 mr rpgly lo e oqn6 of proFly who buildr or inprovd lhdbn.
<br />ud who conlEdr ftr !!ch Fojcls wnh ! Co'nEdo(r) !i<d!.d podEr b dE Cofi.rd r t,i.d* L.r')
<br />4^^r"*,*r,l. ezt
<br />I hd.br .mff rnd.r rE rh,ofFjury omoffi.follo
<br />r hr. id will mi.l.j, . cErific.r. of coMr b s.lf-rN!rc aor wrtd onFsdion. a Fov'd.d for by s<rnn l70o of or
<br />LtU, Codc. aor lhc pdfomoe otth. *.rI a *,t!th EFni ! i$Ed
<br />I h.r c .n<l will tuilr.i, worla .on FNtio. iNEM.. a r.qur.d b) s<r ion 1700 of rh. llbor Cod.. for ih. pcfollrlmc oa
<br />rh. wort fo, whjch rh6 ponn ! i$rql My *o.k6 @nFa.rDn i6ur@. c'ro rn p.Ey mmb6 n
<br />I (diay rh,r in ih. Ffolm. oaln. wort aor whi.h ihi. p.mi! i. ilrud. , lhrll ml Bploy uy Fsn o &, n1llF
<br />b a ro t oru $biEl ro tlE *0116 onp.Ennn hq of CdrfoEr .d Bc rhr if I slbuld bco@ $t*rt ro rlr
<br />Nrt6' omp6E rior Fornnc of Serbn lT00 oflE L.h.r ( od. l rdL hnh*nh @mply *nh rh.e lmvirioN.
<br />wARNIltc: F il@ ro sc *orld 6nFB.lrn coverg. t u.lNtuL dd rndl sbjrl e dploF lo tuirl F6l6 ,tt
<br />.ivil 166 up lo o.. hun&.d thoMd dolld (1rm.000). in.dd
<br />set Dn 1076 of th. tr!.. C.de h'6d .,rt ,torr.)'r fc
<br />cor or .onp.E lion. d.tus6 6 Fo\ idd n,r rh.
<br /><<- , ./,r
<br />of (t!4xq 9 (.o@(i.g $dh sdnn 7m0) orDnnir.l
<br />of rh. BBins tud PmliskJd ( od., an mr lk.M i! i. tullao.ean.fld
<br />CAISIBI]CUAtr.LEIIIIG.AGEISI
<br />I hdt'y ,ll.h unl6 D6.lty olFiu.y On rlE b . o.sn rbo lardj.s .Sdy tu tb. Ffffi of llE Nrt br *nin $i F,!! it
<br />ilsu.d (S€. 1097. Cir. C )
<br />6IIII!ANf!IC!ANdIIA!
<br />I hody dElr un& Dd'ally o t p.rjurt ooc oa th. tollou rn! ddltrd iotr\
<br />E,nolirhn P6mia-Asb6to! Norific.rion lcdsal Rquldi]ns (1 irl€ {r, Pd6)
<br />R.quiEd t-ala ol N.ljf,.ri.n
<br />-l
<br />cdliry thn dE fc(b.l ..glbtioB Egadi.S Gb.nd f!fuvd !. .or +pli{bL to lni FDr.{
<br />-l caifr rbr I luE 6d lhh .pplilion &d n'lc thd lh. .bov. infonndion ! @E<r I .ac ro oBdy wiit .ll Cny !d Cou y
<br />o'dinincB LiSrnrc li$reld'n3t, t ld,n!EF6.dir6 ofrhi Ci, d Courlr- lo dis 4.n dE
<br />abo\r mrtoi.d FoFly td
<br />ADplicrtrI or A(ulSi!n{l!r(
<br />46,
<br />/Z 7 ,-/d
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loorA,/enUlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />ln sula tion/Energ y
<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 7/z,t/2"- fu ,n
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc I hs.by amm unds p.mlly o I p..lury lhal I m lEos.d
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