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BUILDING- INSPECTOR RECORD
<br />SITE-WOHK DATE rD/sJG.COMMENTS OWNI:R BT'II,t"R DFJLCARATION
<br />I hcahy a,ltm undcr !(naliy ,,t l.rury rhd I m c\ctrrt'r ln,nr th. Cinrnck,R' l-i..ns. Il* I't rhc Lll.wmg .crqrn (St 70.11 5
<br />Btr\in.s dDJ Pnndsn)n C,rlc) Any Crly o, O,unry which rcqtrirc\ r lf,rnnr l,r 4nsn'd. rllcr. inrttr*t, &noli(h nr rcl'lr rny
<br />strucru.c. lritrlo (s Nn,rn.c. ako rcqukr rh sntl(rfl tur nrch F_ nr iL ! siSN'l drtcft r ihar h.or \h. s li.ctr{J ptrnu,nr
<br />b rlt pn)vi\inN ol lhc C.nrlruntr\ l,i.cns.J llw tchrprcr 9. ('tnn.rncfi3 wirh Sctlion lll)0 .f Oivi\(r I ol rhc Rnsin.s d
<br />Pnnc$!,nr(:, c) o!rharlt orihc $ cxcnpr thcRlbfl atrd th. br\is Inr rh. !lh!.J.rdn{n,n nyvi'l.lonolSc.ron7tl.ll5hyrny
<br />ll1tliud tur r If, mn suhjLu s lhc $pliun r l,, r .ir rl pcnrlrv ol mr nnnt rrri rlvc hunl,.d lollir (S5(x)).
<br />l. i\ osmrolrM pn{cn y. nr tuy cnlrus\ wirh wuc\.stlf,tr $1. uompcn$ron. willdo lhc wolk thc rlu*rut i. ntr
<br />n c i.d orol,cr.d ld \rlc (Scc 7044. Btrsmcss {nd l'olisons Concr Th. Conkkntr s L(.n\c l-rw Jocs nor ant}lyio anown.r tl
<br />rhc lt)|tny who burldrot mrl)l\s rlER,L rnl whr J(xs n'.h sllt hmsellor hcrrllrr rhmugh hi\ or hrrowtr cnrPloyccs.
<br />ol.omfbrrrr.thc()wNrBrildc' wrllhNr rlf, lurlcn dl pn)vn-e rlBr lEorsh.J norhuilalo.inrpR,{'rh.pNpcdyfotrh.purrr{.,
<br />-1,
<br />r!owncrorrhc lrn'l.ny. rfl.\.lusivcly..niri.rrn3 w h lilcnscJ .ont&b^ b .onsnd rlrc pn!c( (Sc..7(114, Bhi"cs
<br />rnl P!nts$)n C,Nlc: l hc Co.rrrdtr's l-Kn\. I -rw J(f,\ nor rpfly k' M n*mr .l p!)E'ny wh{, 6u il't. or inPn,v.s lhcrcon.
<br />ind who cotrkds fitr rtr.[ pn'J..( *ir[ r cotrkr.(,(, lrcn\cd pur rnrt,rlr cotrh.ntr's t.(.Ne liw)
<br />Ixtrr.\( ,tn u lr! Sr(rtrr .ll & l'( lnr rhA (r"rr
<br />!!r!f,E8S1rO!tt8N-SAfrO!M!la8M!o!
<br />I hcrchv.tltrn un,,cr ])cnrllyolncrjuryon. o, rhc n,lk,wins J{lrtulonl
<br />lhrvc wrll.rirlnflaCc.tni.arcolco0\.nrr'Scllltr\ur.litrwdrkdr'.nUtn\rur,rspmtid.dnrhyS.crtrmlT00olrh.
<br />Lahor aixi.. ntr rlk'I,(rli'rtrw.c oillr *ork li)r w[i.[ rhc Fmrir i\{L.J
<br />rh. w k ntr whrhrhs pcmnr rs nsu.n M y work.^' $nlx6rr tr)n Noratuc clricr rnl F'l(y trtrnlhcr 3.c
<br />Appli.rnl:-
<br />ucEN'I,LegNM.qrax!!Ee! 8 Ill}r
<br />I hcrhy:llt'nundcrp.ndlrr.rpcrjuythrl I. nc.nsen un'lcr p!)vni'n o, Chrprd I icomnrcn.in-, w hSc.itr,n7sU)orDivN$nl
<br />dl rh. Busin.sanJ Pdcrsion\ O'd.. r!] mv lkcn\',s Lntulltuk! drl clli.r
<br />Dnle:-
<br />CCINSTRUCTION t,ENDIN(; AGENCY
<br />I.cnrfyrhr rh. LJ.ful tuBuld i,ii rct dnsasb{ s rcDn,vrl rr. nor rpd'r$lc !' rhi\ PnX.(
<br />atxi!. nrnr(rulI'otrry nlr i,r\pcootr pulr,\c\.
<br />AU,lnnnl or,\lcnl \iBn lur.
<br />Set Backs
<br />Forms/Steeli Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Sublloor/Vent/lnsulation
<br />Rool Sheathinq
<br />Framinq
<br />lnsu lation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />lr/lasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif .
<br />I
<br />FINAL /'/Lrq='lhPel T2-/Dq n\L
<br />Certificate of Occ nc
<br />Notes, Remarks, Elc
<br />Shear Wall
<br />!.cnrly ilIr in rlr FrlormrNr,'lrh. work ntr whrh Ilnr F rlr r\ FuJ. I shau nor.n,tlot lny t(6on in lny nmn r
<br />n) rs n, t{(.n {rhjccr t, rhc vtrkcrr (dnDcr\ir(,n hws.iCrinlmir. iRl rrdc rhdr,l I drnrld h(eonE sulrjld n) rlt
<br />wtrrkoi comr-_n\rhonpDv^Nnsol Sc.lnn ll?(Ir ot rh.l,rhtrC{)dc.l \hrll. nfhwnh..nllyw I il'i't polru,i
<br />IIARNING: lirinm r) {curc w.lko(, c.nrFns.ri,lr.ovcog. ir unlr{tu|. Md shrll {rhJc.r irr cmpl,,ycr ni si i'ulrnrhic\ rnd
<br />0v'l tu[ uF k, onc hundrcd rhousdn,],lolh,s ($loo.lxxr). i', rltdit('n n, rhc.o{ dl..N!.nrdon. J r!r5 r< Pnrvdcd inrrlE
<br />s.di(r 1076olrh. Iitir(iir. i.rcr(r'l,nnm! s1..\
<br />l-.trJ.''\ Addrt.!\
<br />rlnr.d (sc. lUi)?. Ci! C ).
<br />lrnJ.i\Ndnr.l
<br />ATTLICANT DE(]t ARATION
<br />I Lr.Iy dltlnn u nde! lcnulry .i lrcrjry on. df nr ,nlh*ing dc.ldrnr inr
<br />Dcn*n(on P.rn $Ashc(os Nolillcrrion tcd.rrl Rclulin,nl(T lc 40 Prn6)
<br />RcqntcJ lrr.cr .i N.rifi.dinr
<br />tt
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