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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS O\A'NAN BUIDEI DELCARATION
<br />I h@b, .fm undq Fdry oapqrury th, I m .rmF filn rh. ContrIlod Lic@ Llw for lh. lollo*ils la$n (Sd.roll.t
<br />Buin* ud koasioD Cod.) Ary Cily or Cout y whth rrquiB r Fmn lo oc{tud, itta. inFolq d.rcbn o ip.t ey
<br />nrudue Fir to it. isueq aho rcqun6 th..ppltot aor lucn Fni ro 6l.. .ig..d fimi lhr lt or.lE i ltss.d .rm,i
<br />!o rh. ForirioB of 0E ConE*rs 3 LiE!.d L.w {Ch!pt6 9. Comftrs s'rb Setb, 7000 or Divniotr I of $. Bcilld ad
<br />Prcfdion! Co&) d $d lE or !h. i! q.qr rhs.6om rld E b6L for tlE d!.*.d daFion. Ary vbLliot ofscdion 701 t .5 !y &y
<br />.pt ic.d ro, ! Fnn 3ubi61r rh. arrlic&r lo . civil Fulry 016r lle rh6 6v. huid,ld rloll,. (t5m)
<br />L s ow ofthc FoF6ty. m Ey dphlE rdh w.sd a rlEr sh conlaBd6[ * do UE $s{.d tlE $aE it d
<br />ilndrLd or orqld for $t. (Sd.704.1. BGi!B &d Piot6io6 Cod. Tn C.flr.d.lr Lio4 L.w do! ml +rt to u ow of
<br />tlr Frp.ry *ho hil& G inE oE ,Eqa !d u'ho dE rdr Ea ii@laor hq*lf or thhusn hn d ha o$n aqlotq
<br />FoviLd rhd kh i FD\dlEBe d iiod.d dolE d br * l( lbw. tlEhl'rllBd rsDeEEr nsB ritic r-
<br />ofconpkiE rlE OrE &il& lill hlE dE hnld' o(Forq drr lE d JE rld Dr hdd o. aV.!E 0E FoFt, 6r dr F!po,. of
<br />l. a .$* of rIE FoFiy. m a(lcncly coffill3 tnh lEdel .onrd6 lo rcdrud llE Fojd {56 7044. &!i,r
<br />!d hoErixco& Tn.Co reroi! LtEM t * &6 mr .ppl, to o o{@ of FoFr, *ho b!it! or inF!\€ $ac&
<br />rid *ho codlta f sucn FDjG *nh ! Coffion, lto&d pu&d lo ilE Codrxlo ! l,aae ll*)
<br />I m .rdF ulda sdion . B. & P C. for th6 l@n.
<br />vaa[ta$-(anltfdtarrax
<br />D[CU8AM!
<br />I h6€by.mrm und6 pqElry orFjury on. orth. follo*'ns &(l&rl,06:
<br />-I
<br />hlvc adwillmirllin ! CEriftlr.of ColEr ro Sdr-l6uc fo, s 6 onpa!.daon. u Frvid.d aor byScrion l70o oadr
<br />L.bo. Coda for llE pqfotrrlm. of 6. wt for *ith lh. pdnil b is.d
<br />I harc and wrll nainrai. trlrks conp.Narion i6omc., a r.qur.d b, se' nr. 1700 orrhc L{b.r Cod., for llt Ffom cGof
<br />rhc work for which rhi! pqnir i! i$ual My *orh6 compodion iNurec. reid !,rl policy numb.( &c:
<br />Im. funo .ql4lutzr\+o q.q0
<br />I ccnify rhsr in rhc pqlotrrrle of $. worl lor which rh! p6nir i! $ucl, I !h!ll .dr orgloy ,Finin.!l m6
<br />h B lo baom. sbjct ro tn ma6 comFMion hwt of adifomn, ed $r thn ill rhuld b6omc bj6l lollE
<br />*od6' comFdio. FDviriore oas..lion I700 oflh. Lltor Code I !hll. fonhwith codply snh Oo* provnEB.
<br />\*ARNINC: Fnlw ro su. Drk6' amporllioo ov@J. i! unlr*tu1 ed lnd iub].d x aplo)€ ro dimiid FEXi6 xd
<br />.'v,l fin.s up h on. hundrel lhrutud doll6 (11m.000), in &Anr. b rh€ cod of mmp.osrion, d.mqd a provdcd for lh.
<br />Sd{'n :1076 olrb. Lrb.r Code inl6.s rid \<_sllluu
<br />l ( l \sr6@+r(if,loR l--Dt('r trt\lro:! -.---z
<br />I nqlly,frro o.d€ p6.n, of Fru, rhr I D [.aE.d !,& FDviior of Ct Fa I {@ffiii3 vnn S*Inn 1000) ol Dilnn l
<br />ol 0E BsilB od PDf<b6 co<r., @d ny ltcg i! b tull foE rn .lTd
<br />,,".,8o1 / D 5Ll " +t, Ltg
<br />,hic . sl
<br />"/Zrzl
<br />F--
<br />! hdtt, .fi.6 !.da F.iy of Firy tnr $a! i! r odidbr ladina .s6y ror dn Ffoitat oiih. al ft. rtdt ltb Foi a
<br />a!q!.d (sa. loer, civ. c.).
<br />dr8Ll{:alr.DlcldSarlt}!
<br />I tddy drm ui(k p6llry o I Fj(, oG 6f rhc followinE d..hrd io.i,
<br />lrgrolirion P@tu-Aib6roi Noific, io! rcdaal R.8uh!io {Til.,10. Pd6,
<br />Rcqukn kilc ofNot6cdln
<br />I cdily that rhc fcdd6l r.sularioB r.sdins sbGros rooval c nor .I4ilicabl. r. rh! lrojd
<br />*.1cslify rhal I h!v. r.ad rhi!.pplicarion &d $!r.ihd ih.6b.v. mnrnmlion G coEcl I .!re lo olIply wilh dl Cily.nd County
<br />ordituicd od \! trs elriig ro b{ildin8 coMdio,r. dd hd.6, .ulh.rt. Epr6at.l iv6 o I lhl! Cny dd Cou.ly lo dl6 upo. lh.
<br />!bo\r mdt'otrcd r;Fn) ror Epdron pFpoB\
<br />,\DDlicrnl or,Ucnl sisn.lur.
<br />\n-.OUc
<br />s1>LDLI
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loorA,/enUlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framinq
<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 />FINAL 7-2t-at i Ecr r.lT-
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc
<br />r\
<br />Flood Zone Certif.
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