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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE tD/stG.COMMENTS OWNER BUILDf, R DEL('ARATI('N
<br />I h6nd .rrm un&r Fd' ol Fj-r_ thi I m .r6F fmm rh. CodrdoB l rre l,u ror lh. folhtrms r<'n ls.t 70r l I
<br />BB'n6r !,n Pmfdnrn (od.): tryCir,or Cou r$nkh r.qun6 r Fnh ro.oNrruc1, !h6. 'mpr.r., ddmlnl or qmt dt
<br />nrudu. Fitrto irs (t!mc. .L$ r.sun6 lhr mplirMr for rurh lmit ro fiI. ! 3i[n.d srddor lhd h. or sb. t lir6$! ]u6uirt
<br />r. rh. F.ri!i'B 6arh. (.omB.l-r Li.d$J lrq ((nq{6 0, (-omfth3 $[i S..lhn Tuxr of D,rrFn ] of th. Bd'n.3 lnd
<br />Pot*ions Cod.l oi rhd lE or sl. s crnDi lhdcliom Md lh. tsB ror lhc !ll.a.d .rdprion Anr \iol.rhnof Sdion 70ll I 5 b ,n)
<br />ontlicanr for a p<rmir subjrrs rh< q'di.anr kr acivil!.n.lrtolq.rmor.rhnn fi\.hundr.ddollds(t500)
<br />l. s o\ F .f rhc pm6ny, or mr mplotG
<br />"
<br />nh w.*6 G rhd $L (onFu.d n .. {'ill d, tlE trst an llt ddr. i! h,
<br />idadal or ol'6.n aor sl€ (S€ 7(]44. Busins and hoidioB ('o!.: Ihc ( o,nr!c1oi! licd.l,s &6 ni, rtply l. tu o(nd;f
<br />rh. I'.Id! * k) hir.h o, inqnr6 rlEon. lld s h. &c sh \.rr hinr.lf or td*lfo. thmllh his or hd o*r ondnld.
<br />Fovij.d rlEr tNh trrtr qFi! & d ddn d d ofi.<d tu st ll hou6-. rll trildtrE.r rymrliH a $U unhin on. \6
<br />of Nnpkhn. rh O$Tc A!il& *ill hair tlE hnh of Fn\ins lhd lE or dE dij mr l{'ld o, 'qn\! th. F,Ft, lor rh. F!1Nr of
<br />L ai o\]E otrh. FUr<r), d.(l6tr.ly.odrdmI u h li..E d.odrdo6 rr $drud rlE rojd (Sd 7OrJ. &u'll6
<br />md t\oftsih (hd. Ih.( o.tr.rkn s Li..n!. l-aw do6 nor 6nrlyro ano\nd olrop.ny*ho buildsor inpror6 rhd6n,
<br />tud trho enr6l. ror sch Fr.<ri tr nh r Cont&lo( s) liaEn plr.rd ro rh. ( i)drd..s l.ktG l.\ |
<br />I m.ropl utrrjs Sexon ll & l'(' turrln r$on
<br />D.r. Oins
<br />\\ottr(f R\' ( (liuPFtris,tltoit
<br />DEgi.EAlIQ!
<br />I hd.ht amrnund6 Fnnhl olp6j'h- oEolrh.folnNin* &.|tuarirns
<br />I h!r. ed wr ll n.brrin i Ccnific.l. ol ( onst to S.lf-lNur. for sorlqs comFEto( B Fovid.d hr b) sd' io. I7(x) .l rnc
<br />tit ( od.. nn 'h.IEf.mMc. o{ lh. worl for *hich lh. pqrnil ii isu.d
<br />I hdr c aod u rll matnuh tr 0116 cohlEerrn rNurim.. ar ,.quEJ t ) scr nrn 17m of rh. lib.i ( id., for rh. tsform.n.. of
<br />lhc u* rorEhichlhien rn ,s slql M, wo*d composlln'n 'nsurMc.
<br />carid tutl p.licy.uhhd d.
<br />PolicyNunbq [trre
<br />M "^tty rr-, t"r* r-t mak.orrh. $ork for whKh rhis Ff,tr ts eru.d. I sn.llnor mphr !n) p6*,n o !n' ndn6
<br />$ $lo b.conE ruud to thcuortm .oEr'.Edion hwr ofcalitumia. ud as@ rhi! ifI shoold tt om. sbjd lo rh.
<br />$0*6 codFelin Illn aioN of sc(irn !r@ of rh. l.bor (!t- l slsll, Ionh$ nh (omp\ $ nfi rho* rm\ isiotrr
<br />w^l INc F.ild. tu su. Nct6 omFMion cords. i! unl.$ful. sd rh,ll subj.cl d orh)s lo @iMl FBhE .,xl
<br />.iril n.$ up ki o.. hutut d rhousnd dollm (l l oo,fixl). i. .dd ion ro !h. rost of comrErel ion. d!ftascs a PF\ id.d ntr rh.
<br />Sdnn 10?6 or rh. t 8lrtr ( .d( inkr6r aikl dnom4 s lir
<br />1 cl t O&
<br />uu;lsu.L(arr3 !1!)!!utlr.\-Bt!&r
<br />I ffir rrm undd pqdy or FJUry lhi I u licqEl un<16 llovirEr ot GtFd 9 (offii.r $i'h sds. ,000) of Dn itbn l
<br />ol th. BuriK !d PmfdioN ( od.. a mr licd. n in tull for..Bl .fld&(Lr\\ I)-q?,"o\t
<br />'fts+Lz
<br />CAE\t€La crr'91Y^I-s1o N
<br />cotiralJcuaNrElDllcicl;lrI
<br />I hodr am,n unk Fulry ol pdury thi rhq. i!! oinnrrbn lEdins +*! fot rh. Ffollm. of rh. urrt lor *trcfi rhr rEnr !
<br />isu.d (s6 1097.ci! c)
<br />L.n,l6 3 N!m.
<br />ATIIJCANLDICI.dAAIIA!
<br />I ha&r a,kn u*16 Dd!61'y of Dd,ury orc oa lh. folhu ins d.(t,!! oB
<br />D.'nohion P6,nit!-kb6tG Nolifi.alion l'.dsal R.BUlarions ( I il. 40, PM6)
<br />R.qur.d I dra.f ,\irfrcdnn
<br />I cdily rh, lh. r.d<d r.*uhr 'oN rcsrdins stErros roorll r. nor q,Dlicahl. lo rhn !ru1.d
<br />)ts6 rd,6 !h.r I h,\. ra, rh6 .prhd'on drl nr!. rhd rh..h,r. mfotun'n 6 otrd I .ale t' amply * irh all (''ry rnl counry
<br />onlnrncB Ll \rdr. ksr Elarins ro i{'ldr8 conqtudn,( md ha.by auihortu r.Fcgrariv6 ofrtis City dd Cou.ryro ord utshfi.
<br />,lb\. 'nornn n pnt f,! f,n '6Fdrrn purBr*
<br />,\Dt'li.rnr o. 1!mr SiEtr{rtrrr
<br />C*V-ISTuCt t Crtr\4^y
<br />!q?r"or?
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<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 />0///8//7 4POe t
<br />Certificate of Occupancy \) \.,r
<br />NpteE, Remarks, Etc
<br />/v
<br />U r ,\_I t
<br />*-.-
<br />-_s
<br />(
<br />I
<br />Set Backs
<br />I
<br />Subf loor/VenUl nsulation
<br />FINAL
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