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BUILDING. INSPECTOR RECORD SITE-WORK ID/SIG.COMMENTS OWNEi AUILDEN DEL(ARATION I h@try !,Im u*l.r F..lq .l Fjur! rhd I m nnnF &n6 rh. coffi6' liqE l^ f.. rh. follori.B la]. lsa Toll J &!i.6 an Profsion ( od<l Anr Cny or Cody qhi(h rqlc . Fna lo o'drucl, .16, inForc dsmlah o. Ers e, rM@.. Fi( ro iri isa., rk FqliB 'h. mlaor for uh Fnit ro 6h ! 3t..d nd.r6i rhd lr or tE b lkq!.d Fmd b ih. F!vu66 of tlE Conlrrcroi! I idsal Lls ((lurrd 9. (.onmtriIs snh S<rnn 7(](X) of DrraEi r of rhc BuitB ud PNI*ione Cod.) Dr rh!' lE or ih. ir .rmF rhEcfton ed rh. tlsir lor lh. rtlcs.d c!ftnion. An, viohlioo ot s.<r ion 70! I 5 b, lny applic.nl for r Fnil rubj(k rh. +plican' ro . civn F.!lr, ol nor morc lhm livr hun<trcd dollr. (lttro). l. s o$.d ofrh. FoFny. or mymplotc sirh +.Bd N rh.n qt..oop.!di.n, will <h rh. u.rt ml EtdEirml iIna&l or ofiE.rl for ul. (Sc 7Ol4. AuilB a.l PmfariE ( od.: TIE Conlrrdoi! l.i.e l:w dc ml teply l. D ouE oa ri. Fltdy { lh t!i& or inFoe6 rhdb[ ,r, $h. d(s rx+ rnll hidklr.r hdnlf or rhmlAh hir o. hd om mph]c- I,olrl<l rhlt 3uch ihrh\tG- G mr -rdi.d nrofiEld li{ sb lr. br6q. rri l,ildi,'s or fithrold 6 $ld $ihin.E Jd ofsmpi.tia tlE(nE BoiB6 $ill IEEllE hr&r orF\lB {lEsCEdildhnunings\r E FDFry 6rllE FIFEor I, E o*E orrhc tnDd,-, dn ctcturn.l! conrdin! $irt li(akn .odrk.R h ('Ntud 'h. rmr.d (S( r0.lr. lnllK ud fNftsi.n cod. rh.(onr*ntr-s Licm L.w d6nor,ppl! ro eo\!ndoi,rotl.nt$l$ buil& or inpmrd rhd6n, dnd $h. conr6cr! for iuch rfrjds sih r Codnck'(r) li.qkd nurru!!'l lo rh. Conrrrctor'r l{cG lrwl I M, c\emfl trnd.r s(ri{r D.l. os&r \toRr(lR{ ( (r^tPEfisailoN Dt gJf,,ula! lh-.h! aflirfl undo n n.lr\.rFrJuD oEof rh.follNl'l3 d..l.r.rr'B I lEv.ansill Bnr!tr . Cdifkd. ol(o,K' ro s.ll-lNuE an *od6'smFdmn.f,r rft\ 'd.l for bySarh.lTmollh. ljbor cod.. for rh. Ffol]r@. nl rh. $* fo trlah rhc Fsn n L$u6l I hi\c and \rillnrni .in trorlsr' conrlErsalion insurin.c. N r.q(i..d h\ sNrion:utroofth.l nhor (nde. torlhcpGf(nnFn...r rh. (.' k for \ h'ch I hi p.rnrir is &iud Nly \ ork6i conrlEri i')n iNnrin.c cd is ann llnic) nutr,b( tr. I cdi6 thd 'n rh. Fforllft. ofih. $orl t" shkh rh'r Fn 'r su.d, I rhlll nd mphy MJ F$. in..t lME 5 6lo heom$t!<1hrh.ro d'smp65dion Lsior(ilifomi{ ed.8r'hd if I nnut tE orc {biâ‚¬l lollE sn*6 mm!.relirtr rm\ snd of Scrl io. 1700 of lh. I drr ('ode I slull. aonhwnh q'mply silh th.s prcvnioro WARNINC Fdl@ h su. trorld ompoldion $vog. n trnlr{ful, md rhall ruhjd rn fiploF ro dihind FEhis $tl .ivil fin6 up b on. hundril rhoGmd dolla (t100,000), in.idnioh ro Ih..on .1..m!.Mrio.. d'rue* rs rrorid.d foi lh. Sd ion 1076 oa rli. l .hr ( ni.. 'nr.6r inil iilomo \ DE&llAAIx)! I lE tr lrm uid6 parh) ofFjlr} rht I m litE{ !*ld rm\ iii.n of (tror6 9tcoffiin3 nilh S.dhI 7000} n, D^ Bm 1 of !h. Bcin6 od PmrBilN Gd., !d mt lkru ir i. full forc in dtdr (â‚¬\is..c A CAIIIAI(IIONIIIDIIGIGT!(IIh-.t) tmm undq rnalrr ofFJu^ thn ths. ir !.on{,Nli,n k !ry lStr) f(y lh. Ff,rmi .ofrh.}orki).tnrhrh!Fnnir ir 'r$.J (S( l0{r.(i\ ( l A.TILI(AN.LDI(IAAAryJI lltr{rtfinnu s porlr) ofpojurt oE orlh. nnlnving d(lirxrtr,ns lr.trln ion P6!nits.ArtErl(s Notifi(alnn F.d6.l Rqtrhrn'nr( lirGr0. fntr6l i.qun d lnrdof Ndrli.dnn I .diar rhi r h. r.d(il t+uhril6 Elrdin* 6t8na rs\.1 -c fln qrlr.hk tu rhn ,ln Ft I.qt'i lhll I ha\. rcrd rhn !rplic!'ion un.l!r. r h.[h. rhn. inn,mdnn i!.otr.( I lsrr ro smrl] $nh rllcn\ rnti (.m!\ ordffncB and Sbr.l nq,.lstiru to tuldin[ co[cruclhn. ! hqch) rhornc rq'('idn6 of ihB( nyddCoun'tr.616 uF)nrh( onr\.nrdlion.J php61y ntr insp.aiion purros ^ppr.rr,or^rdrsr$,,!r. ( â‚¬(ir.o tA Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor Subf loor/VenVlnsulatron Roof Sheathing I o-2./l J)"tz[,fut Shear Wall Lz --*. s la4 Framing Pczrer ln s u la tio n/E nerg y Drywall Ext./lnt. Lath Masonry Pool Fence T-Bar Handicap Req Deputy Final Report Engineer Final Report Flood Zone Certif FINAL /|-LLI- n.Jk)*l'z /t3 Certificate of Occu pancy Notes, Remarks Etc DATE ,^,4J7 Pll Set Backs Brown Coat