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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNEtr BUILDTiR DEtI'AR TION
<br />I hocl,' .IId uBr6 Fmh)- of FluD- $d I m .inF non rlE (odrdoE' l-rcB llw for rn tollonh3 ,!e1n (S< 7(,115
<br />BusinN rnd Prof*io. aG.lc): Any Cily o! (tunly shich raluic ! ,6mn lo co.nrud, ah6, imtrcve dqnolish !r rqyn s)
<br />srru.1ue Fitr ro nr iiueq als. Glun6 rh. +pkor aor suct rEon ro fiI. r !q..d rncllmr rh, h. or ,r b licds.d FE.>
<br />16 rh. F)vux'd oldE Cont{rd tr l-ro!.d tr* IChrFo e, (i\mfti.s $nh S<lFn 70@ of l)irnrn I ol fi. B$'nd and
<br />hoi.sion! (nd.) or rh,l hcor$. k€rmpr rhddrem hd rhc barie for rhc sllcsqj c\dpr'on An, viohrionofsdhn 70115 hvdny
<br />lpt'l'cDr f1,r ! Fn sbjdrr rlE lprl'csr rD ! dril p.ulry of not tur. rhd fir. hun{r.J tt'll6I $m)
<br />l,6oqosofrh.r.oFny,or6y.hdo,6wh*466rhctrsl.NnnFMrn)n,*illtI)rh.worlsdrh.rhf,lu.Bmt
<br />iddrlal or ofi6.j fo. sL {!id ror!. Bosind sd ftofsioB ( l)d. l1E (horrsloir I tN l,s &6 mr +ply r. e o{fr .I
<br />th.lmFtr'shohlrk!oriqrerGltEqnerltrlE&E$hsuthinr.lforhd*lrorfioushnGothdo$nmpk,)c.
<br />prorid.d rh.r such 'n{i.!ndB e nn idad.J or ofrad lor sl. lL ho$ aa. rn. ttriliina o. im,'ovcnE is *iLl ui!fi( on€ }@
<br />oarol9ldb( rh. ()q k Bu da ri( hAr 0r tuddr ofF\in€ rhr h. or $. dil d b{ild or in{ro\. ,E rrcF! tu th. IrtrFe of
<br />l,6o$n ofrh. FoFry. D cr.bn.ly conr.crur* wdh licas.d codr!.roE ro .llgrull rlE Foj{xr (S( 7o!r, ti'a'.6
<br />,rl ftDtsn Co& 'h. codr&loar l.k.G l.rv do6 mr ,pfly i6 s.r.d of rroF!, f,h. hiLlr or mrro\6 thssn-
<br />.nd who conrEdi for ru(h rroj.dr wnh ! (n.ttuo(i) |i..tr*d puBuad lo Ih. Corr,rcroar LicdB k*)
<br />I m.\mR u*ld sdk'i
<br />l)rrc (hn.r
<br />t\(lRl(r [s' ( (rllPt:\s.\Ttol
<br />Df(l/lSaIQ!
<br />I hc'chrrltnmundo IEil(\nftdju,) nc.lrh.nnlotruisd(ltu nr6:
<br />I h.v. ,r'd l ill tuinr.in . C.nirf,.l. of C.,kr ro S.lf-lBur. t6 *dt6' .omFMion. a FDriral for b, Sali,. uoo {r rhr
<br />Ilt{r Codo tor rlE pofotu.r of rh. qorl lor *tri.h r& pdni! i! 6u.l
<br />y' I h.'c lrd sill nlidli solt6 comFnslrbn iM&cq d r.qun.d b-] SciFn r 7(rl or rh. trh]r ('o&. ror rhc Ffoffi. o[
<br />rhc qorl tor qhicn lhb Fftir i! ilsu.d. My worl6 cohFEdion iBUrDcc @nr od p.li.y nunbq e.
<br />.-- \i,,, i ,,o.,( (0..r u,-,rj,, n
<br />RnrlNumb.r - 3t{, 1;,J I I {clL frnu6 lt[v rtv,rr(
<br />I cslifylhlt in th. pslomsccofltu work tor vhrch lhis pEmil n a.ud I.h,ll nor mploy any Frson in onvnwn6
<br />e a h b<$e 3ut*tr ro rh. $..16' snpaErbn hs ofcdilomi& Dd .er lhr ir I $ouu baom $ti.rl lo llt
<br />I!116' $mrEa.tEn Fv6i6 ot sc<rion l70o ofrlE trbq ( odc I dull. fodh$ ft onply Fnh rb- Foviri.B
<br />WARNINC: F.illE lo Bu. mrl6 omp.Edion co!6ra. ii unhrful. dd 3h!ll subjdl o dplolq lo ainin l Fqtie md
<br />cnil nn6 up ro onc hunlhl rhosn! dolld (lloo,fir), in dtnion lo !h. corl ot rn. &nDs6 * Foriddl for rh.
<br />sdrn$ 1076 dfrh.l,hT (irL inr6d rnn
<br />t5
<br />r,!.1!!!!tlllt\
<br />I hd.6y dlm unda p.n lry ol Fjur'} thd I o li.cEcl undd Frvisid otorprg 9 (codrd.ins $ nh salb. 7(l)0) ot Dn ish" :l
<br />ol rlE IIGiB &l Pmf*iiN Cod.. rn m, lt.E ir in tull fore ol.Odt a
<br />cQll]a.lcllaN.LlNDllcacElLJ
<br />I hd.b) .rrm onLr FBhr nI Frjur' rh. rhs. ir. oNtu.lion Ldins r*ct ror llE Ft'lrjm..f rh. qor! [y \nihrha tEn.i ir
<br />&u.i tsd :rrl97. ( tr c )
<br />ATIIIQTNLDECIJIAIIA!
<br />I ho{', .IIm und6 p.n.hy of p.'jury {n. of th. follow'ry ddl&ar 'on!:l).,mlnio. P.mnr-Ashdor Norific ion l-.dc.!l iquLlioNftnt40. Pd6)
<br />R.quEd tnrd of Nonfhdion
<br />I ..n '! r hd rh. tddd (EUhhB Elrd'na 6br.k,i rm\.| tr. ft{ q'',luhk ro rhB nmr6l
<br />/ t .orit, ,t', , t'o.. ,oa,li, u*ttn
<br />oiliMnc .rd Srd. lls s ELitB lo hli
<br />io. erl n.r.rh.r th. !b.r. '.totu n
<br />Urry coldrdnr .d IEJ), rdh,D.
<br />nurposr&ir. nErk,n.n pr.ndt for
<br />\ppll(rni or \Rdr si*nrt
<br />t\\)
<br />i! conal I .8re ro .omdy wilh rU Cny &d Counrt
<br />FFqrn6 olfit Cnyrd Colmy ro 016 uFnrlra
<br />.,. !jtC1({0tl
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />ln s u lation/E nergy
<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 />Flood Zone Certiftuu6v -'2Lx\_,.s -tQ Y.l-{tl t
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<br />FINAL q ttg v,lu4-
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc.
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