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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNEB AUILDER DEIJ'' TATION
<br />I ns*,, .Itm oda p6.t, olFiury rhr I E qoF tnh E Corrn iB Li.dE r^ for 0E lolbwia ld,n (S&.7011J
<br />Bui,B jd P,of6ion Cod.) An' Cny or C(My rhth r.qli6 r Fnil lo (idrx( rlq. inFort d@l!t d Gp.t dy
<br />!rM@ Fnrb h! isulK..lo r!+n! th. +lid for !*h F6n ro 6L. iar.d fiadn fi!h.or$.ilic6.d Fnd
<br />h 0E Fovirioa of dE Conlr*l-'. Lienr.d t w lchlpr6 9. Com ars $nh s<rior 7000 oa Diri.iotr I of llE BuiE id
<br />ProfdlioB Co&) d rld lE or !h. i! d.npl lha.ftoE ud th. b.ir for rlE nk8.d .raFiod. Any vhldion of S6ini 70.1 I 5 by &y
<br />.pplicdr lor ! Fsil rubj61! rh. .!?lic&t ro . civil p. ty of.or mE rha fiv. hutr<L.d doudt (1500).
<br />L a o*G oflh. FoFly. or my mdorE wnh wig6 a lh.n $L comFsliof,, vill do tlE wst !d rlE *ud@ n mr
<br />i st!.d or orqd fd rL {Sa.?04{, Buind sd Prclsiod Co&: TIE Corindd s lig& I } &6 ,or 4p1, t6 6 osG ol
<br />'h. FlFty sli h r or if,+.o6 t EE( -d wrD dE st! si( him.lao. hdvlf .r thm!3h hir G hq om aphrE.
<br />Folrilcd rhd *h i,lForqcrt e.bl idod.d GoflEld 6r d. lr. no*6r. rtE tniBrB d r!.Drqci i! ild rinh tr ]d
<br />of(npidi4 dE o*E hrlda f,ill lIE dr hldo .f FD\t $. h. d tE dn d hild m rFlE ln. sDFry fti dE F4e of
<br />l, 6 ow of rlE FrFry. m aclui!.ly .odrdi,u whn lfaual .otudoB ro odrud rlE Fqal (S€. ?044, &EtlB
<br />!n Phisbn Cod.: Th. ( onkkol! l,ic@ ti* dod m rplly ro e o*na o f FrtEry *h. blildr or imprcy6 lh.oG
<br />.nd who .oinEds for ru.h FoFr. snh . CodEcro(!) li.qEd poBM b th. Conr'rcro, r l-tGE L.w).
<br />_l @.rdpt utukr Serio._. B.
<br />D,,"/2'4'/t
<br />I lE.t'y .,nm ur& Frl') of rsrur) oE ofrlE fouou'ma d.(lsdioB
<br />I h.v. -d will Einr& . ('dird. of CoEd ro Sdf-lls an rsid @06!.t'o.\ c Eoi&d ft'r byS<rio. !700 otilE
<br />r.bor Codc. h. $. Ffollrc ofi,E md lb. *htb r,E paEi b is!.d
<br />I hnv. and rill mainlain *or[(a comFntEl ion iNuranc., I rqur.d by Srl Fn l7C$ or rhc l rtlr ftdc, aor rh. pdfDiinan(. o I
<br />rhc *orl lor * hah lhi! tsnn r rsuql My workd! .o t Bar ion in$,uc. ceir dd lr,li.y numbd r.
<br />Poh, Nuba:_E pE:
<br />-l
<br />d'ryrhd ir rlE Frorrr. oa llE u'ort am *hth rhit pqnn n isr.d.l iull mt dplo, tuy F$n omyffi
<br />$ a b b.oe $bdr ro rh< *dta'@npddio. L*r of C. ronir ii +r thr il I ltsuld bcotr $bel to llr
<br />$!lld cooFqrhn F.viri,B of s.dkJn 1700 oatlE lrhor (.da I ,lElI bnnwnh o,lply whh rfior F!viri,6.
<br />WARNINC: Fsilu. lo se *!A6 mnpGsriotr cov6rg. it unLwtul, ed ndl subj..l d dploF to 6innd FEli. ad
<br />ciril 6n6 up to on. hlBlEd rhols.rd dou6 (1100.000), in .ddition ro th. or ol comFulioi. d&46 6 p.ovid.d aor rh.
<br />sdbn :1076 of rh. I ib.r (itlc inre6rudaftorney
<br />,',,,,/2-6-/? ope,t*,
<br />"'b-:za;z-
<br />"ffi
<br />I holty.rm u,& !o.ty ol -r,r,t,l , - r..", ffi.-'**"f** *..*.D ?omt orDirtion I
<br />ol rlE B6i6 rd Pmi*tirB Cod., rd my ltoE i i, tull fo@ rl.llrr
<br />coliBltrJtoN.LDllaclcllcr
<br />I hddr, .fm urdz Frl, of Frury tnr tlEE n . @trin4ibi ladi.S .gdt for $. FfolM. oftlE wt br rtil thit Fbi i
<br />so.d (sc. 1097. cir c )
<br />atrl.l(3trfDliclrBAllo!
<br />I hd!b, lllm unds poahy of p.rjury onc ofth. follovins daltr.rion!:
<br />D.mnirion PmirsArb6tor Norifi..rhr lcd(al Reuhrio (1irl.40. Pan6)
<br />-Rcqut.d
<br />L.ll6 of Mxftnion
<br />I.di&tht rlE f.&n rcllldbN Egdire Gtdos rmlrl r. d eplt bh lo fi! FF
<br />-l
<br />csr'l) a I b.-r rdd rha ipglicrrion rn n'rc $d $. .h,vc ,rfomio. . co6qr I .grc lo ompry wnh .I Cny .d Couno
<br />ordite6 dd Sl.rc t,s alr ,t ro tlildin* corEtu.rb( rd Ee* lurlbrt. cp1erdiv6 o f
<br />'hir
<br />( iry md Cou ylod aupontlE
<br />,,^,",/2-/-zf
<br />Set Backs
<br />Erection Pads
<br />SLAB Floor
<br />Subf loor/VenVl nsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framin s
<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 />/,..\
<br />FINAL 92-Zl U.lrl)d\
<br />Certificate of Occupancy 7 v v
<br />Notes , Remarks, Etc.
<br />Forms/Steel/Holdowns
<br />UFER Ground
<br />x:i:-W
<br />t-
<br />I
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