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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE rD/stG.OWNER BIIILDEN DET]'-Af,ATION
<br />I h6.ty e,Im uixtd Frlly or Fjury $r I d ddrF non th. Colrr-loE La.e t * 6r llE t llox{8 .a'6 (s< ml l t
<br />BNin6 and Poadion cod.) Any Cn, or Co!n!, whrh r.qoiE . Fmir to .odod. .lra, inpmv., ddnolnh or Epan ui
<br />laudae Fni ro ils illltr.. .!o ,.quir6 fi. r$pla&r lor sch Fmir ro fik r risn d nrtur lhd lE or sla a laca!.d F,un
<br />lo llE Flvi.bB of dr Codrxrn r Liar.d lrw lch.Fd 9. Coffiing snh Sclbn 7000 of Drirbtr .! otltt &ti6 &.L
<br />Prctdion! Cod.) or rhtr lE or !h. t crmpt rhs.ton rnd rt b.sir for rh. all.sd crdBion. Any viol.lnrn ofs.dbr 701 I .5 by uy
<br />lppli.rd for . FEn ot j<lt rh. .ppli.or ro r ci\ il polhy ot 6t mE rh& lir. hu.<L.d dollB (t5m)
<br />l, a 0*16 oflh. ropcny. or my @plo)G wnh wrs6 s lhcn ync conFolnion. qill do $. wt &! thc anxi@ b mr
<br />idd!.!.d or ofi6.d for i.L (Sc 7044. Bulilr u.l PmfdioB Cod. T,E Co rdoir tiae l^ &6 ml +ply l. - orE or
<br />rhc F.Frr *lE hrill q itrED6 tlEqn .n *ho .ta nd trlrt hnrf or hd*lf M (!rcush hn d h6 o*{ opht6.
<br />p.ovid.d thlt ru.h n{m\ffi E ml htoi.d orofiq.d tu sL. ll t w. th. t{ilduB or imF.\Emr n eh wnnn m. ra
<br />ofon'plibtl lh O*c er b *nl hr rl'. hrdai ofForilu $r lE or dE dil tur hild oi inFnrt dE FoFtt fd tlE F,FE ol
<br />l, *0*o6 ofth.F.Fdy, m.tclunclyco.nr..tiry wnh ka*d co rdoa
<br />'o
<br />otrrruct rlE FoJct (S*. 7044, ltu.i.d
<br />Jn Ptoisin Co<k: 'I hc Contdoi! Li.ru bq d€ tur .@lt 16 d.*E of FoFnt wh. t il& or imFor6 rlE6G
<br />.nd uho .ontd! f.r iuch Fljdr! wnh ! Co.nn.1o(rl lt.Bd puB@ lo rh. Co'nr.clor'! l.i-.B L!*)
<br />r 0.rmli un& S.6ion
<br />D.(. ()in.r
<br />Ll.lr:Bl(allfx$lllla]lli:(lri&!'tlQ!
<br />I ho rb! afinn trnrls tsih).ftErury onc ofrh. tullt)*r! (ldlardn,ns
<br />Ihr..drill i.r.in. cglifxdc of colEn ro s.lfnNr fir *utd @npalibtr. ! Fn\iLd ld bysdirtr !700 olilE
<br />I$ot Code aor th. Ffolrrffi. of lh. "! itr q'hich lhc Fhil t isu.d
<br />I h.rc rnd will tu'ntlin $orid co6p<6dnn rBllla.. B r.qur.d br Sdsn !'700 of rlE l*or ('od.. for th. Ffm ol
<br />rhc *ork aor wtich rhi! Fnn n iswd My wort6 onFEdirn,Burucc car6 !i Flicy nuib< r.:
<br />I cclrrylhd in rhc Fro.fuc. of rhc sork ror sti.h rhi! Fnrr ir isu.d. I sh.ll er dploy.ny F&n i. e, m@d
<br />s o lo beoc rubj6' ro th. *0116 comg.nsdn'n hs. of('llifomL ud rgr rhd il I should h*om. rbi6l lo llE
<br />san6' omFMion FoGioa orsdbn l?0o of E t,&{ co&, I JdL aonhf,nh.onp[ rnh rl5- F!\itio6
<br />\,YARNINC lnhrc lo su. trlrid' .ohFEdri cov6.sc n unL*tul ed shrll rubj&r d dphF ro oimin l Friii ,i
<br />civil lin6 up ro onc hun&.d rho@d dolld (1100,000). in sdd io. to rhc cos of.onp.nrdioa do.gd a Foviddj for rh.
<br />sdhn 1076 ofrhc Lnnr Co&. Br6rr iid it(tlB r t.6
<br />b,t,,/o .2{ . /q a ^->,^J77D!CI48AIA!
<br />I hftby am,m undd p.n.hy ot Fjury lhll I m licr.!.d und6 provirion ot ( h.pr6 9 (como6.ins *irh s.crion 70C10) of Divtion I
<br />o, lh. BBilB !d Pr.f6hB (-o&. !d my licN is in tull aorc nn.fidr
<br />/a.2{./? <-,^"- *.3-) -z
<br />(rlilf,lJcrr9lLldDlNiacE!(r
<br />I hd.b, .flim u6dd Fi.l'y ol Frluy rln lh6. b ! coNNd ion lndi.t +dtr, for rhr Ffome. o I th. m ntrrhichthi!Fnil i
<br />br.d {sd 11097. cir c )
<br />A!!USAILDE(jJEAUq!
<br />I hr6, .En uidd F!.lry olFjury oE ol r folbriIS d..lddhN:
<br />Ddnolirion Pmn'Arbdd Norillorion F.ddll RcsuLrioni (TnL a0, Prn6)
<br />i!q!t d lrrla ol r.Jotifi..is
<br />I cElib rhd lhc f.d6d r.BulalirB r.x dinr i+stor rmval e..ol aopliclblc n,lhie proj.d
<br />l..rfyrhdlhn\crcrirhr0ppl'caron&iirri.rharrh.,!h\€,f,6'nnionI(nrdr l+cn,(,mtl\\r hall( )dnd( 'nr\ordrnan.(aandSttrrcl:srrchr'n8hhuikl'nscone'u!1ion.a hreh\ turlnriT.r.IrRTr n6()lrh$C vlndCounrvt) dra utFnrh.
<br />?z)t,,"/o'zf'/a
<br />rln\c ,ork,n.J Fr,nsr\ rir tr,
<br />\pp,rcrn,orrrm,skn.ure
<br />"-q;;-
<br />P@rrF n.rprinr,: Uam ,rl tC, c(./Z,)7-ro1
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUlnsulation
<br />Roof Sheathinq
<br />Framing
<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 />I
<br />FINAL I tb I'7,o Dt nrtr -*k?
<br />---Ti.rCertificate of Occu pancy
<br />Notes, Remarks, Etc
<br />COMMENTS
<br />Shear Wall
<br />Flood Zone Certif.
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