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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILDF,R DEI,('ARATION
<br />I lErcb) rrm !kl6 FEI', of prlorv thd I m.ralpt t m rh< (hdrdoB t-kry t w for llE follo*inr l@n (S<,,!lI5
<br />Bui.$ ad Profdion Co{t } Any Cn} or Cdtry shrh rarun6 . rr lo @druci. .!q. irgrorc, (btulah or (p.r o}
<br />nn(i@, Fd
<br />'o "!
<br />6uac tk r.qliB rh. {pliad for $.h Fni ro fik . !t.cd rlnsEtl rhd lE o. lrr b li.a!.d plmd
<br />lo E Fuirio6 of E(odrJloirLkG.dt * (Cn4r6 9. ('omMing $irh s6rio. ?0m of DivilioD I of rh. B6irs od
<br />PEfsbB Co&) or rhd lE d rll it dmF th66.D rd lh. bdi for rh. d\.d dmFhn. Any vblaion.f Salion 70 1 5 by lny
<br />@9ltal to, r Fnn robj.ds llE .Flt!,n lo ! civil F!t, of mr mE lhe li. huBt d &tlB (1500).
<br />l, 6 owF olrh. FoFry. o. my nplorE silh s.36 a rh.n $k omFdirn. $il rh dE $!rt !d fi. rrElr ir ml
<br />dor,qJ ir o,tnqi fo. sk (S€ ?Otr, BciB sd Pmfdio6 Co& l1E ( o'rffroar Lrc l,* <!06 @r +9ly ro o o*ffi ol
<br />rlE pllr6y *ho tllll or ihFirB E@:rd who &'d Mn Elt hilMlaor hdrlf .r
<br />'lmu8i
<br />hn o ha ow dr'rloyB
<br />proiilal rhrt ruch inproE6(!c@r idd'd.d orotqrd tor r]. lL lDsw. rt txiLti4 or in hrqd t $6 wnhinoE Jd
<br />olcodpknr llE ()*F &il&r *ill l[w dE hr&' of Fovins rh, lE or tE dil ml hlU or lqmw lh. FDFIy 6r dE Fipor .a
<br />L a r$ i6 .fr h. Im,p€1y. dn cxrlusr.ly co.rretinA s irh I'cqseJ conr,acros lo co rrrud rh. roj$r (S( 7(x4, Ucines
<br />d Inr[xii ( {'d. Ih.( ontdrois t-icdE. Lr$ do6nor.pplyk) doen6dIl,opdy who buildsor improv.sths.on.
<br />md who $nrB-^n tu such Fo.,.dr wnh a Cootrrclo,ls) licded p{n@r fu rhc (inr,rcru ! I ic.@ liw)
<br />I m crdF urdd Sdrron
<br />!04f,!Sg.coMf!$Al[l!
<br />DECIJAAI]A!
<br />I hd.t, .mm ui.rr Fuxy ol F)6 oE of tlE follo*rg d..hr.rDG
<br />I h.E !n * ill n&r.in. C6rind..tcoen to S.lt'lte. ror Ertd odF6r.i,q B Forid.d for "r" sdion !7m olrlr
<br />rnE. Codo tm 0t Ffffi. otllE rcrt fq uttt lhc Fnn it isudl
<br />I h!!c lnd tr r ll mlinr.in $0116 .omFMion iNurmc. 6 ratun.n h! sd irn :l]u) of lh. Ltbor Cod.. lor ltE FfolllBc or
<br />thc uod ror q,hi.h rhit Fnil B isEd My srrt6 odrFdion ituura(c (ffi6 arj rrlEy nuDb.r e:
<br />I cdifythar in rlE p6ntrm6( oarh. sor[ aor whi.h'hispd'nir i3 i$u.d.lshallnor dnplora.r pde. in anymun6
<br />c' a n' 6Lomc subct kr rh. *orld mnpqu{'on lass of Crlift'mi& ud a8r lhal iI I rhould tEcon suh,jer r.
<br />'h.\o,ltli \otrrl\larrrrIo\isunsorsdion 17000rrh.lrhn ( ()d.. I strll. 6nhs ih ..rply wirh rhoe pmvisroN
<br />$ RNIN(; fainn. h n..-u. sorl6 mrp.Bnion mvsa8. 6 un ed rh.ll subj.rl oploys to simiml Frhd tnd
<br />civrl li.6 up lo oE hu.dr.d th.ugd doll6 tll0o.00o). in
<br />sdio. 1016 of dE l!ho, Co<!. I|6l ud rnorE,! tc
<br />mlrer'on- d!na!6 $ rr.\ 'dtJ lirr rhr
<br />u!!L-!ts!!]r]l
<br />I hal5y drm u.& Fn lry ot FiU,y thd I e li..d utrld FDrirhi.ro'+c a {olffiirB wnh S.dbn 7000) of Drvatn !
<br />of rlE Bo!t,6 rn PFfBioB co&. id oy li@ i i. tull foN til .ltal
<br />Li
<br />ft*-".x
<br />calirBu(]talr;xDlrcic!!(l
<br />Ihdcby rmnn undd p.nalryorp6jury lhal th6. n a .$B'tudr. lddins .*my f rrr. t6ionM.. olrh. sork tuqhichrhi\ps,n{ $
<br />isu.d (S( .11[)7, ( r! ( ]
<br />atlllcallr-Dllt A8AIlq!
<br />I hdlb, rtrm un b FEhy of Frury oE of $. ao[o*i.g &(hnr.a
<br />D.,tuln-J. Pdnr' lb6ro, r,loxlicnn. F.rtril R.suhli,B (T'rk d0, P!no)
<br />Rdtllql L-.ird of rld'f(ri{
<br />I cdrry thd rh. rai.r.l r.rr!l,ri,N r.!ed!n8 6bdor rm\ar r. nor .ml{!bk k' rhi! p.oFl
<br />I cql,ry rh.t I h.r. nl rfin applE.rFn ad srd+{d
<br />-t
<br />. E.on(1 Iryra
<br />'o
<br />mnply\ith all cnldd ( ounrt
<br />od,u6-'6 and srar.l,*rEkhry k' t{ilding r.I,60rrrtr6 olth6 cily ed ( ounrr t) or. uBr rh.
<br />ab.!. m6rbn.d ptup.ny for iBpdion prFs
<br />,\DDli.i i tr' rr0r\irnNru'r
<br />I't t <-u oc /'+\G- ad4 e z-
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUl nsulalion
<br />Roof Sheathin s
<br />Shear Wall
<br />Framing
<br />lns u lation/Energ y
<br />Drywall
<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 />tl l^^
<br />FINAL tllLl t7..dO{{71 ty)
<br />Certificate of Occu pancy
<br />Notes, Remarks, Etc
<br />-*
<br />I
<br />Ext./lnt. Lath
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