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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNER BUILDER DEI]'AR TION
<br />I hq.t'y !fitrn un& p6!ly ol Frrury lllr I d .rdrr{ nln llE ( odr.clm Liccnr l!tr lor $. aolbwtrlg lt&n ( Sd.70! L
<br />BBi.B .rd Ptotdion Cod.) 4., City or (_olnt *hah r.qui6 r Fnjt 'o .odM. d'.. ioForq &mlith or r+t ey
<br />irud@. Firro irs Etra o qui6 th. +pltet aor iuch Fmn h 6Lr li8n d inoMl lhd lEor tt. ir lac$.d ll!,$rn
<br />b rh. Folnioa of $. ( o.trador r Lic.nrd trw (Chrfld 9, Conmcncin! vilh Setion 7000 of Divilion 3 oflh. Buin€s md
<br />Pr.f.sbN ( o.l.) or lh.l h. or slE L .16!Pl thslnon sd lh. b.sir fn rlE .lk*cd .idFi6 Any viohlht otkbn 701 I 5 by ay
<br />qDlrd li" . Fnn sbreu O. .ppli(sr ro . ci$lp6rl) of @t mG 6{ 6!. hu.&.d &ll8 {1500)
<br />-1,
<br />s ow.d of rh. !.lFny. or ey .nplo,6 wirh n as6 a rhd el. c.nFl.lnin, will do lhc worl ald tE llnrlw i Bn
<br />intdd.d Mofia.d for $L lse 7o+4, ttsind 6d Pmf6ilN co&:I1i (t r.clr't Lt@ l,s {tG ml edylo d o*Gof
<br />rh. FDFry * b hriE ( ibryoG rlE@ rn sb do6 Bh *.& hiel, or lE*lf n rhmuah hit or h6 ou dph)E.
<br />Fovid.d rh{ ruct imFoEEl! ft d ilnoxLd oroffad tu sL. lt ho6q. rhc txildirg or iiln\aGn b $H qihn m }a
<br />of.ompLrio( rlE o*nd Buiklq will hrE !r h(dd oip.oritg rha h. o, 3h. drd or hoill or i,phc lh. Fopcty 6r tlE Frroe ot
<br />L a o$m of th. t'opdy. m .r.lutiv.ly conlrdinB wnh lic.G.d R' ,odor ro sn!ru.r rh. FDj<r (s< 70fi, &an6
<br />!i hsilsi.o CDd. 'l h. contrcior ! Lic.e lr* do6 tur rrrly ro in own6 .l propdr *ho builds or nryrolcs lho<,..
<br />lnd $l$ N ds lM i*nF.jdJ wnh . co.rrionr) lidE d p!6d ro lh. ( odnd,*'! l,i.@llw)
<br />lm.r.mF unddsdion .A & PC. fo.rha rcen
<br />D.t. Oud !.o&il:&rralltl}iJr]iall!$[Lt!l!
<br />I h.'.hlatll'trrundqplnal(y.fp.1.1 )fneoflh.nn[nr Slc.lutrhotr\
<br />_l h.y. srj * ill minlnn. Csrifrd. olcoelr ro Sdt 16@ fq wkdt ompa!.lio'\ d Fovij.d for by Sarirn l?00 otlh
<br />I rtu Cod., ,or thc Ffffi. of llE *qi tor stich 0E Fnn i i$.d
<br />_l h,!.ud*illMi dnN**i.omFddio. i urmq 6 r.qun.J by Selnrn l?00 ot tlE l,hoi Codc, for th. FfbllrEc. ol
<br />th. x. fd shth |hi! Fnn i inr.d. M, w(l6r' 6rp.db. i,Mm. tri, ,n poky nurb6 e:r A€<4h t.'.\ ! 4,;r-1.1 C^s,-( |
<br />\ E{Lt)bda 6'>1o'P 61 I
<br />l.cniayrhd in (h. pdfollmc€ of th. $oi( for f,fiich thi r,6nn i! i{!.d.1slull not @ph} rny pa$n in my meE
<br />$ d
<br />'o
<br />bcoft 3ubj6r ro lh. trbi(d' .omFMio. l.B of ( .lilomn. rd dsr lhd it I struld tEcom suhr.d ro rlE
<br />*0.16.omFsrb.pr.virbBofsdionlrm.lrh.tborCodaIddLfonh*nh$r{ly}'nrIh*Fvaiod
<br />$AR]llNG t-Dlw to *(e rDrtd oeFbtrbn orF s. a ohrrul &d Jdl $bii a srplo)s lo ainidl FrlB !d
<br />oUl fin6 up 1,, on. hunttrc{i lhous)d doll6lll(x).(X[)). r aJi nrn. danr{6 6 p.orii.d ror ln
<br />, ^l\tr
<br />( , . i' .'6r Md dnnkv i ftL.
<br />2
<br />DECIASAIIO!
<br />I hdrby dtm u.& pa.I, of Fruy lllr I u li6!.d u,'& Flri]irn orclriFd I (otll!]Ei.8 enh SErb. ?0o0) of Divirion l
<br />of E &aiB ed Prcf6ioa Cod.. .d my la@ t i. tull fo@ nn.ft.r
<br />o[ 2-o?l a_t o
<br />'l '2_v l t t.*-...!z-
<br />CAUTIBUCUAXIIIDTXTi.AGEIII
<br />I hs.ty lftrn und6 Fuh, ofp6rur, th,r rh6.6 r coNrrudnn bdin8 !sde- for rh. Ffome. otrh. s!.t for ufiich lhs Fnn !
<br />irsmn (S( 1(rc7, civ (')
<br />af8tltAdr.lEculAllo!
<br />I hoq,liim u.<k p6.hy or Fjur) or of rhc folh* itr-s &( h,.htu
<br />I).nolilion Pdlnnr-Arbcros Noriiicltnn F.dail Rcrulalionr (Tirlc 40. P!n6)
<br />-R.q!n.n
<br />I1116 of Nolf'cdin
<br />_ I (dr6 rhd rh. Ldorlr.gulr'oN EA&dins abdos rm\al e N.pph..bk ro rhs pm)dr'D
<br />3ll .dr6 rh, I hn. Ed rh! .pplEd Dn rd ,.r. thd rh. .hr!r inaondion ir cor.d Lcra lo @mplt $nh .[ Chy .Id Coudy
<br />orj'uN6 d srdc L.nr ElanE lo
<br />ab\.hd'nJh.d pmp.n) l iNFd
<br />Arrll...l or A16l Skn.lrr. E
<br />"-r*-..,rn*,),L rdf o p<Etq-
<br />^")fii,
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />S u bf loo r/Ve nU ln s u lation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />ln sulation/E nerg y
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />FINAL
<br />Certificate of Occu pancy
<br />Notes, Remarks, Etc
<br />s
<br />Pool Fence
<br />Flood Zone Certif.
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