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BUILDING. INSPECTOR RECORD I
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNER BUII,I}ER DD1.('ARATION
<br />I hs.by .Irm uid6 pa.hy of ,.rp!., rh. I m dmli nom rh. codreloE Lk@ lA ror rhc follo\ ii{ r.Mn lS6 r0-1 1 t
<br />Ilsrs rn frclsbtr Codr): Any ( ily.r Couoly shkh ,.qur6 a Foi lo .onntu(. ans- idprov( &noltsh or rcFr t
<br />nod@. Ftr (o ir! @ft., rler E$r6 rh. rpplaal to..u(h Fd h fiL ! 3i8..n nd.lmr rhi lE or rh. a licos.{ ,,uN.nr
<br />ro rh. IIornFd of tlE Corracror s l-ic6Fd Lou (Chrrr6 9. Comm.n(Da uilh sccrion 70 1 or Drv'r'on I ofrh. Ilusi.B rnJ
<br />Prca6iiotu Cod.) or lhlt h.oish. a crda,r rHron od rlE h6n for lh! llks.d ddFion Any rhLtF. of Sd ion r0rl 5 b.n!
<br />.rphc! nr.,lmhebjdrrlE rpplic&l ro r$ilFflkrofnor mor.lhr 6\. hont r.d (k)llar (t5m)
<br />l. s o*E of llE FoFry, or dy dph,6 {nh w.n6 s lh.n eL omFs.lti. $1U 6 [E *o,t nd 0E nnrm is iur
<br />idodal or ofid.d for sk (s6 7044, AcilB dd Eof*io6 Codc Tn. cofu.<ioir Lie h* do€ d +pl! ro o .qE of
<br />lh.FrFry stn hit! tr,tF!\€ thaq rd q,h. d6 st {r* hiNlf or hd*lf or llhu8t his or ha oq cmployd.
<br />provid.d rhar 3urh inErvoM6 e mr iddrtal or ofsu, 6r llc rr. lr'*n6. trr t! di4r d iqn*68, . $ld rrhi. tr )d
<br />oaorplr$G rrr 0*6 &Il& $ l h.Erh hdrld otF\inS tll' Lord! dn , build or 6For! th. FoFry for !h. purrbs of
<br />l,6ownd oflhc Impdr, en.rcluri!.I, cont6di.s ehh n.ns.d .odr*roc lo odtucl llE Foj.< (S< 7orr. &6116
<br />dn hakix Cod. Ttc Conrrrlor3 Lrcffi L!$ dc d .mlr to d o*nc oaFopsty wh blild! or imp,ov6 rhqsn.
<br />ed *ho co 6.rr ror !u.h ,hJat wirh a Conr6.ro(, lt6ls.d I'rBunr ro rtt ( otudoi3 t...e b\ )
<br />I an.r.mf( und.r S.(un
<br />D.l. Oin.r:
<br />\ron{rE(' aoitt}Ns,tiroN
<br />DICI.ASA]IA!
<br />I hdrb) .mm uids lqdty of rs,ur! oE ot rh. folhu ms ikhnl ('B
<br />I ha\. !'d u rll mimlh . Cd ifEllc of (irMr b lilalBor. Io. sort6 $mFsaln'n. a Fovd.d lu by sdiotr ]?lx) o I lhc
<br />Laklr Code for rh. pdlom! .. of ih. so* aor $h'.t rh. pdhn i su.J
<br />I hav. snd will darnlaii worL6 comFrlrlrNn iNur&c.. 6 Erlutrqj by S.(l6n l TOJ ol rh. lrbor Co&- fo. rh. Ffol11rm. oa
<br />rh. *s fq *hrh rha Fnir ir sr.d Mt I'o.L6 cooFadio. 'Bur c..eir et F1li., numb.r tr.
<br />-!-rH- 14LA J?a:
<br />'_ a6_uaq4j_45 _ _. _e.p,o I 3_ l.)'1
<br />I cd'6 rh,r i.rhcFfolilrm.of rh. trorl ntr *h.hrhn Fnn i! irs.d.l shll not dDlot ey p6en in.rymens
<br />$ a to tEorc subjel lo th. sorkd'comFshn L$: otcllilomit ad rer rtd it I rhuld tcom qhi.tl l(, tti
<br />s0.16 s,rFsrio. F.\i!ioa of s(dion l T0o of rh. Lrhtr CcL. I sllnl tunn{ilh comply will' ltlrs rovisioN.
<br />WARNING l'.ilurc ro suc sorl6' comFndio. o16+. ir unhwtul. r.d shnll iubd u aplorq lo muul FEhB ud
<br />cnil fin6 up ro oft h!B:!r.d rhoBnd {hllffi (tlm,ooo
<br />Sdion 1076 oflh.llbor (nde i 6.sl Mtl NorEri rG
<br />r, in &r.ini.n to ltu c.rl ofc.d.nugs as pnid.,l fir th€
<br />o.,.,.3.5.t9
<br />DECLISAIION
<br />I h6d,lllmu 6 Fully ot Fjury thi I @ lE(d unrl6 F!\ airn of ( hrptG 9 (.of,nmi.g *iln S.dion ?00o) ol Divisnrn l!
<br />oi llE DEins &d PmfsioE Cod.. dd my lircG L ir tull tucc an cfict.
<br />6 /ocrl3+
<br />7 '5'13 c-,."",sa \)
<br />(a!flaucuatrIlruxtilclt(}
<br />, h<.l,y lllrr ud6 FtuXy otFju]- thd lhic n ! corlrruclin lqdins aro.y aor rh. pdfonM.c oaih. "orl fot rvhich this pdln( 5
<br />issual(sR 109?, Civ. ('.)
<br />I ..da i \m.
<br />afllllalr.llEclJaallat
<br />I hdrtr .trm und.. Flhy oI Fjury oE of th. follo{ in8 d..le.l ionr
<br />l).nohrion Pmirr-AshcrN Noriliori.. Faldrl R.AULdN( (Idlc 40. Pd6)
<br />R<qund tddolNdifEllir
<br />- I rdil, rhd ih. fai6.l r.gul,hN E*edr.B al€ro! r mlal rc N qrlE.bh ro rh6 rrcFd
<br />ffi,r,,nn , ^,,-o rnr3 sppr,(d ro. 4t nsr. rhd {h. dt vc i.rotub. i!.otrd. r 4re ro onpr, sirh lrrcit !,r, (-ourr
<br />ordM6.d sd. t ri Eldr.e ro hrild'n8 codtud
<br />,ll'v. frdlnJn.d Dmr.ny lor iNpdon pu4,oc
<br />.lrh,s ( il! itri ( otrn(\ n, rtrrd trti,trrl'.
<br />,rppli$nr or,lgrnr Sigrrlrrt X
<br />I'Mnikrnrn!.{pn ): X
<br />n*,, '! Slon
<br />Qn ;u/ -6;
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loorA/enUl nsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framing 4m /lB 9-VtJ Itztu4
<br />1n su latio n/E ne rgy
<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 Certif
<br />FINAL 1n8//,6 ,.iXAti n+ <d6
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc
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