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BUILOING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.olrk'ttrild6 DdLnlior
<br />I hd.b, .frm undd p.r hy oa r.,rrrv rh.t I .n a.mpr ao.m rlE Conrk6,' L..@ l,w lor rh. lollo*lu r.en tc 70, I .5 auild
<br />.rd Pml6r.n CodG): Any Cny or Gunry Bhi<h rcquiG . Fnn lo odtu r. .h6. iiptu!.. &mlnh or r.ptt Dy ru.t@, Fio, to itttruft., .l.o EquiE lh.4pli.!nl ror !u.h D.rnn to fi|. r risn.n ri.r.m. ild h. or rh. i! li..N.d puBurm t. ttr Dmviliod ofth.
<br />Contrctoru l.i*d.d l,p (Ch.prs e. comm.Erns wnh s<t6n7000 olD,vD6i I ofth. BBrnBt..d PiolgrhE Cod.) or rrrr lEd
<br />fi. n afrpl ll'a6o6 .,n rlE bon 6r dE .u.t.d .r@Fbn Any vilh i.n of S<b. ?01I 5 by uy .r0lk tor. Fmn rcbirr.l,rrpplt ro . .ivil Frhy of tur tu.. rlln 6v. h!flIr.d &lLr t t50)
<br />I- u own.r of lt pmr.ny. .r my .mDlorc * nh w.s6 .i Ih.n $h .omp.n*t io.. R ill do th. *ork md rh. tu.lur. i! nor int6d.d
<br />or olf.r.d for uk ( S{ r(x,{, Bur'6r..d Proler.n Cod. lh. Coturcror.l-'@ lrw do6 d.rrt ro.n ow olih. pmp.ny
<br />lho blild! or mp.o\o rhq@n-.nd *ho do6 rEh *ort hrmlf or h.r*lror rhrouih hit or lEr @n dpt''B. pmtiLd rh.r.kh
<br />inprovmk .r. mr ht.nd.d or onncd ror sL lf. lEr'.w. tlE hildir3 or inFor.ftnr i! $ld *hhm oE ycr of ompLrion. th.
<br />()wnn.Ruildd*ill h.v. rh. blrd.n ofrrovin8 th.i h. or !h. nor brild or idpror. aor th. purlBs. olr.k)
<br />_ l.uorHolrh. pre0.dy. m .r.lunvcly .ontn tiIs*.nh lk.ed co.tdoB ro sdtud oE Foj.tl ( S< 70a.1.&!iE .rd
<br />Pmfdirn Cod. TIE Coi.r.roit l.etrrll*d6 d.pgly ro m ow olFoFty *ho h!'tdi d npro\6 rh<o.,.d eho
<br />conrdck aor rucfi proj*B *nh. Co.r.do(r) lrctu.rl puBunr ro rh. Conkrdoir l-r..* l.* )
<br />I m .r.nrr u.d6 s.dion
<br />\{ORKf ITS COMPENSATION DECL{RAT'ION
<br />I hdrb .mrm urdd ti.uhy ofr.rju,yoEolrtE fLnkrin3 d(l.1116
<br />I h.v. rld w ill h!!n[i. . Cdifi.nc of Coenr ro S.lf-t 60r. lor krt6' comlEMi.n_ .t provd.d for bv S-l on ]?oo ot rh.
<br />t bor ( od., ao! th. pdforuft. 6l rhc vork loi which th. p..mn i! nru.d
<br />(-r...r..,",.,,,.",.,,,. "" 1,.rutr.dh\\ftr,o.i?,norrh.rrrn,(-.d..rMrh.p.,,ornun(.or,h.
<br />'{t,Llo,*hNhrhFFm{r,\ru.dt(*o,r.,!(.hnnerlr'nsJrlnr.!!
<br />'d i.J F,l'!! numtq.,.--".,r,uE(E{ f\.Adu
<br />:; [tlll*". *"o",gfl .f,*f, h', ",,..,.,,"",,,,.,' ;ii::, lD - z a t 5
<br />I dilyrhl in lh. pffo' G. oatrE wort fn whifi rht
<br />tE.@ !u6F1 ro rh. D,t6 6'{ENrFn LEolC.nlo.n
<br />mmFBrhn Frovilion!.lsdhn lTmof ti.lrbor Corl.- I
<br />p.rmil i! is!.d, I .lIll n mrhy my F$. i,.ny dnns $ ! to
<br />[ .ri .sre rlrr f I 3hould h<om rul,Fr ro rh. wql6
<br />$.ll fonhqnn comrry f,nhrh.!
<br />b-27 - ts
<br />ll ARN I N(; FrnuE io Kur. wdt(r' .omp.Nr m. cold.rir r u.lt*ful. .rn.6rk v6b m'n.l D.uni6.d citil
<br />,in6 up lo oE hurd.td rhousnd dollm (1100.0flr).in.ddni.n h rh...n oI
<br />rh. trh.r ( od., 'nr66r lnd trtorn.e ! ad
<br />d.tug.r( porii.d nnlh.S.dnn 1076 oa
<br />ucftsio colY1.n.^cTons DECrrlR TIoN
<br />I hc.5y.fiim undd FMhy ol Fjlry rhir I h lic..!.d u'ns pmvi.ion or(irpr6I (on'llftinr *irh sdi.n 7(xx)) orDNniio ll of
<br />rh. Bu!i.d! rnd Prol6lioNCod.. ind my lic.6. n in tull forc..nd.fi.ct
<br />9 co+ta
<br />K
<br />I hdcby.mm urdo pdlry of Fjuy rh.r rhd. n..o61rudirn Lidi.s.t6,
<br />i!ru..l (Sc. !m7, Ci!. C )
<br />orrh. *ort ror *hich tha p..'nn n
<br />dftucaNft-otg.AaauaNr).mheo Pmn}Arb..r6 Norirknbn Fcddl krul{iD (Tnk ao, Prn 6l
<br />. R.quir.d t n6of Nr{irnrhn
<br />I c.nif, rh.t rh. f.<Lrlrcsulirhru t.srdins obator roov.l (c rcl lpplic.bl. ro tni! projet.
<br />)Ettaiit rh.r I h.r. r.d lh! .r?lEdon .,n rd. rh.r ilE .b.v. i.6@tiri it @r<r I l|c to or4ly *ih .ll Cty In CoEiy
<br />7ddie6.,nSrr.L.erEhinsroh'ldinsffirtudFf,.rdlEEby&rhori4EF*rn.6oathi.Ciry.!rdCouitytoarduronrlE
<br />rbovc m.nri'n.d proFny rot
<br />UE AJIY<
<br />,^,"e-LZ -rf
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />SubfloorfuenUlnsul.
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnl. Lalh
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />FINAl.llblt<,'U/G f n)
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc.
<br />,,>
<br />M'\WP51\P.rnr.lnspec0on Foc\&ndn9]Bp.ctlo. R.cod.do. 03 3l 06
<br />COMMENTS
<br />Flood Zone Certif.
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