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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.Olf,NEN BUtLDf,T DEI-(-AiArION
<br />I ha.t, rlfm 6dd ,.oly ot pqjury lhd I d ddp tom rlE CodEclm L(hc l,w tor llE folto*ire r6]n {Sd r03l.t
<br />Bui.6 Ed Prcl{ion co&) Ary Cny or Cod, *nkh r.q!i6 r pa ro onsN(1. .nd, ioFo\e damltn or nt ! o,
<br />eruduc Fd lo ir! isueq sJlo r.q!n6 th..p?lter for $ch FDr lo nL i !En.d nr.l@r ihr lE or JE i ltd!.d plB.d
<br />ro rh. F!!i!irB of E Conrrrq', t..en!.d L.w (Cll+G 9, Comchs *in Sdrion 7000 ol Diltion I ol llE t\BirB ad
<br />Pbl*io6 Cod.)o, rhd h. d J!. ir crdpr rhodiod &d rh. berB lor !h. dtcscd dmFkr. Any vi)Luor olsdb.70ll.5 by rny
<br />.pf lrod for ! Fhn Nbrd! rh. lppl,(dt ro r ov'lp.ohy ol mr mE E nr. hund.d doll,h (!5@,
<br />-1.
<br />6 o\n .f rh. FDFty. or my diqlo'6 $nh *.s6 s rhcn bL smFdi.( s & dE **t rd dE nirrc ir d
<br />id.'d.d or oll6.d ftr $L (Sd 7044. BulilB e.t Pmf<ioN Co&r TIE Conricror'r l-ic.e Li* dq mr lpply to u offi ol
<br />lh. FoFl, wlb hil& d itrsoc tlEsr !n sho d.d sh sql hiMltor hdsllor rtunu8i hn or lE on atplot6.
<br />p.oriLd thr iuch inFoEiEfu c mr irdri.d orofiir.d lor sb l[ r6*-d, rlE bildi,B or irDmvdrs i. ets *nhin orc,6
<br />ot.un9h..r lt. orE &!Bc will h.r ih. hnrla oaFoviry tld lE d rl! dil d toild m irss\r dE F!Fu- 6r E F F- of
<br />-1.
<br />a ou,ns of lh. p.oainy, m qclBivcly coilrdins wirh lico!.d coitndon lo oNd.l llE !.Dj.cl (Sd 704.1, &!'B
<br />un PDkin G& TIE ( ont..ld r Lic@ k* .b6 mr Dply ro 6 o*nd olrroF y rhd hnildr or imprcr6lh6oc
<br />rid wno conlr.dr lor $ch Folxr *ih . Coir6.1d(s) li.6!.{ a^nw,n ro th. Conlr.clui Lk.M liw).
<br />-l
<br />o.rchpl utr& Sdior-. B. & P C trrlhitra'n
<br />D.re O*ner:$olufr$ i olrlPlra^I loN
<br />PI;(.LA8AIjIIB
<br />I h6.1,) .ilinn und( pdul!.fFrur) oE ol'h. rolk,tr'n-! d(la,rk,rs
<br />I &v. td $ ill midu. (diaa{. of CoM b Sclf-tdr. fir $Lxldt @p.nqrnh. a FoirLd for by Satbn 1700 of llE
<br />L,h.r (ird., for $. paf.rl@c. oarhc mrt for *,trich rh. pamh a asu.d
<br />- I h!\ c !n'j tr 'll manllrn *olk.B comp.d
<br />'nn
<br />l+urBncci B ratun.J by sdrion I700 or rh. l,bo, Cod.. tor rh. Faolffi. of'!)'\"It"\fl;tWW;^W""-YL.
<br />^rt*r :olt?"
<br />4-r.a,b rr,a ,n r* po tolMc nfrlE lort r$ uhKh lhE FD( i. is.d. I sn.llmr anplot mt F$. in ey lME
<br />$ s b h...mc aubl6r lo rhc qorla conFBdrn l!* of (-.liftrmh. od osr rhd if I nFuU b.<.r. ettd h tlE
<br />, e$rl6 omFdF.F\tiocof !;db.l70oof rlr Lltxr Co<L.I tdl fonhu''lh.onp! * irh thE pr!\tioB
<br />WARNINO liailurc ro su. {orlsa .onFBdion covd4c Lr unla*tuI. rd shdll subr.cr M 6phF
<br />cnrl [n6 up to orc hutrt d thousd &116lllfi)
<br />sdion 10'76 ofrh.lrhtr coda inrdsr tud
<br />I hor6, llIrm un& Fulrt olFJu^ rhd I m li.a!.d utoLr ol(lEBd c (onmios \nh S..lb. ?000) olDirsion l
<br />ol lh. Bsirs ed Profsio6 Codc. anj hy lrcle s i. full torcc dd c{fqilI 8o
<br />/L-t^-{*.
<br />I h6.tr .rm unld D..!hy of Ddiury lhd lhs. it . cotrslul io ;c] ror rhc Fnrmu.c.f rh.sorl fur $hrch lhN p6'nn i
<br />isu.d rsd 1097, (lv c t
<br />atlllcadllltlqdaalra!
<br />I halbtrtrmubd6 padly of psjury on of lh. louowing d<lslri.nrl
<br />lltulnion Por r-Albcrd Noxfrdio( r.d6rl R.suhrio6 (T(1..10, Pd6)
<br />-R.lurcd
<br />t rlsof tlo.'ftdix
<br />-l
<br />cdrry (h, lh. f.n d E*!l,lrc.qrdiu atalor rm\dd. rcr {,9ltlbl to rh. ptuF
<br />-lcdrtrhdIha.@drhaapplillFn!dndc
<br />Id th. .ho\. nror,,rrcn B
<br />ordin0c6 md Std. lj*s rclaliq I
<br />!b\.,m'nn d rr.Fry for
<br />,\pplic..l or,ta6l Siar.l
<br />h.o,ndt tr h.ll( ! lod(iur!
<br />lrbn ( ilr and (irunly lo drF urDo lh.
<br />-,. .2-<)4E'
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUlnsulation
<br />Roof Sheathi ng
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />ryj{vvall/Ex
<br />-Biown Coat (42i{ ,t /"4.rtt*ason+V g-o^-l It-Zd- r0 -J J af-&
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.AUI-
<br />Deputy Final Report .(2/,
<br />Engineer Final Report
<br />Flood Zone Certif ^of-/lur./',a
<br />FINAL
<br />Certificate of Occu n
<br />Notes, Remarks, Etc.
<br />-l NL(
<br />c c /\-t-
<br />2 /0wa
<br />?-.-t
<br />COMMENTS
<br />Erection Pads
<br />r1 lt (lrr .l),.( D+2
<br />9''4, /fl l)6.A1ft
<br />v
<br />)
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