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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNER BUILDEI DET-(ARATION
<br />I lEq lrm u.dd !dEI, of FJU,y lhr I ndmF 6om rh. Co ncloE l.(dc l,w torrlt follovi4 lu$o (S<701I5
<br />t\,!in* &d Profsion Cd.l: A.y (ir, or Coutny *nah r.qun6 r Fnr to oi!tud, .lra. inpmte damlilb m lq.n &,
<br />ttMueFtutoa ir3le...Lo EtrnarlE +did for sh Fbn b 6krrigEntlrsEr lll,Lor.lEali.@.d F.idn
<br />b thc F.vbbG of lh. Cotu(ld! L'..n .d l,$ tchipG 9. Co@i.s *nh S<rb. ,00O ol lrirni,o I of $. Aui6 &d
<br />PElGioN Co&) rh,lE c iE i dalq dEcton !n dE hair lor lh..ll.sql dorF.i Asy!bl.b.ofscrio.701I5b,D,
<br />.pplaer aor r Fnn !ti{r$ rlE @n.er ro . .iil p.oly oamr mr. fi{ nr. hun !.d &'lkn ($m)
<br />t. 6 o*E ofrh. FoFr!. d ny mFLls eirt w!a6 s $.n sE @mp66iion. *iU do 0. ldl rd tlE :nudr k x{
<br />lrqd.d or offs.d for EL (SE 70:1.1. lrBitB dd Prnf*irN Cod.: Thc codr.drt Ltqq l,* dE m' 4?ly lo x o*E of
<br />lhr FoFly *lb h{il& or inp.lE E@n. Dd f,h do6 sh Nrt hi,Mlf or h6Elro. rtrcuh h. or ha o*t dploy4
<br />provid.d rh,t luch oF!r!E,n! @ nol i qd.d or olk 6r sL. l[ hows, E &il&u nr inq,.EEn i. $ld *nhi. oG t*
<br />ol compldion. tE ol*Td A{iftb will lBw th. hdn ofFleru rhi lE or C'c di, 6r hlild or inilr.E th. FDFry aor lh. FrpoF of
<br />_1. a o*c oarh. Fnffiy, o .rcl4ie.ly .onkr.rir8 w h licq!.d .oitrdon ro .oNrud l* Frjrl (56. 7044. BGnE
<br />iid EDkih Cod.: Th. Cont.clor'i l,i.oc llw &16 not appl, lo E ou nr ol FoFny *ho build! or iDpror6 lhaon.
<br />ud "no 6lldr lor $.h p.rjdt*nh. Coddo(r) ltdE d p6@ torlE cdr.dor'r Line t *l
<br />_l m.rdF un<tr S..rioi_, D &PC forthitlan
<br />,",,3/tz/17 v '2-
<br />ll6luir 6 r o,rrper s,r/or
<br />DI(LARAIIoY
<br />I hs.t') rfim unds p.un) or pqju,- oE of lL folhs ry &(bdi,N
<br />-l
<br />hltc en $,ill Dintlh ! Corificac ot Con6r ro S.lt-lM lor sdtar 6nrp.nDrion, 6 F.vid.d Ior by SElion l70O of lh.
<br />L.t aod.. aor lh. pafollr@. o f
<br />'h.
<br />wort for f,nich th. FDil E iru.d.
<br />I h.vc and will ,nairtain wolr.rt comp.Mlnrn iBur.ncc. s rcqutcd by S<l io. .1700 of rh. l-tbor Cod.. for th. paforocc ol
<br />thc *orl for Bhich lhis pcni n is.d. My Mrlda conpd$olion iNroc. cdid drl Fli.y nlnrbd o.:
<br />I cdify lh, in rn FfolM.of t,Ewod tor whth fiLr Fhn n isu.( I Jull Fr dngl,oy !, F$n i.u'lEE
<br />b 6rot@rsb6rrorl!s 6 o6F!r6n L*! ofc.rifomil lld +E rht rll iruld b..oft st*tt lo 0E
<br />n$*d onFErion FDirs6 of s<iion )7m of rh. Lrtor Cod4 I tf,ll. ldh$nh onply $ilh llD- Fovuoc
<br />\IAININC: Falu. b sE. *nl6' (onqEgion co!6!sc b unh$'tu1 !r'd Jdl sbr<t D aphF ro ciminrl FEni! lrl
<br />cnrl ar6 up ro om hund rlDlsd &lls! (t100.000). ir rddnion to rlE cd of .onF!di.n. d&Eg6 E Fovd.d for th.
<br />rorsd.drtrdfty'r rG
<br />)
<br />I h.rcbr_ rltir und€r poalryoitdturtrh.r I tun l'..rcJ und.r F,vsi(nr (-h.fl d') t(.nnndrcrry $'rh Sdion 7000) oaDn Bbn :r
<br />I rh.llusinssand llofcssn,ns(irJ.. irtrl trD li.cn\. ^ tr, fulln(em,lcftrr
<br />t.'cd.Clr.e Licft.Numbcr
<br />D.r. ( ontn.tot
<br />(OIiIAIJCIIOIJ.EIIIIGIGEUCI
<br />I hc.b, .frm u,(b F.lty ol Frury thr rlE i! !o'EnElbD htu4.atrr., ru lh. Ff(,lrjrre oliE srl f.t *tth lhi! Fna ir
<br />su.d (s6 1097.civ. c ).
<br />AIIIIIANLDICIAAAIITIE
<br />I hdEt9 amnn und6 rdally ofrEtu,y on. olthc lolk'wins deldaliors:
<br />l).molirion P.mirnasb6to3 Norilicornn fcdsrl Rquhrtuns (lnbl0, P.n6)
<br />R.qun.d kt6 oaNorifi cdirn
<br />-
<br />I cdrry tha llE f.d6il rcsuhl 06 Gsedi.s alBtr rtuvll &. (n +plk.bl. ro !h! F.icl
<br />-l
<br />cdl,ft rhi I hslr rdd rhs .rpl.nbn rn nn. th, lh .bo!. irfoMi.n B (ffi I !*ra ro oq y trnh lll Cnt tld comrr
<br />.rdi!a6 rnd sln. L&! Ehii{ to h'ld,B .otu lim in rEe* ldlbriz E rlddtr 6 o f lhn Cn} ,'d Co@ry ro mrq 4on uE
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUl nsulation
<br />Roof Sheathing y/28lig',4{weq/
<br />Shear Wall i)l
<br />Framing
<br />lns u lation/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 />+lzlt q-7 >nat&tD)
<br />Certificate of Occupancy ut
<br />Notes, Remarks, Etc .<4
<br />ol/|,I ,I U1
<br />W:ffi2,fi,zy'zlz
<br />FINAL
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