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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILDER DEL('ARATION
<br />I hc.t_{ .rm un& Fn l) ol Fju^ lht I n .rmri frem th. (tdr.cloR LaG l^ for lh. tolhtrd8 rer t$t 7011 5
<br />Butr'n6s ud Proferiotr Codc): Atry Cily or Counly *hkh r.qut6 ! Fnil lo colnrud, !ltq, inpove dorclirn or r.pan any
<br />nMua Frrk, rc *udc. .h. ,cqu,6 rh. 4slr&r for q(h Fhn t. 6E r 3'sn<i {i.ffir rhd lE or lrk k li..c.{ pled
<br />ro rhc FovtFE ol rh. Conrra.rors Licosd L!s, (Ch.pta 9. aommftins s h serion 7000 ot D,vBio. I ol rh. Burins dnd
<br />Pmf.s6 Cod.) or rhd lrd3h...rmF lhd.nom rnd rh.lBu ftrr E.rkr.d dmFion AryrioldN.oasdi'n70115 b.n,
<br />.palic.nl io. ! Fmil rlbjd! th. tpplicsl to r .i!il p.Mhy o t mr morc rnn fi\ . hunLrcd dolla (1t00)
<br />L c otrG .lrh. tmFny. or ny mplotG wnh sq6 B rh.n r,k c.n{.6.rio.. wiu dr !& *n|n rh rMw k m'
<br />lrod.d ff ofr(.d for d. (Sa.70,1!. Suir ud PFa6ir6 (-od. It ('ofido.! l,tag L.$ &6 ml @ry $ d o*nq or
<br />ih.FoFry sh. hil&or in4o.thd6d id *ho &B.EnN hiNlf .r hGklf or rhmush h!.r h6 o*n mphyc,
<br />Fold.d rlul ru.h imFo\qld! E mr i di.d n olR d for $k Ir. h.N6-, rlE tliHi4 d inp.o!ffi ir nld $ihn.E !a
<br />of cotrpld htr llE o$rE auil& pill h!v. LIE hlnla ofF.lrr rhd h. or 3lE dil d buiB or hrrc\. lh. Fnrm, for ltE FlrFr of
<br />l. a d*F.lrh. FDr6y. d.r.harcl) con.dins $nh lE6B<j.odrr]roR lo drdrucr rlE F.j.tl (sc 7(x1,lt6nK
<br />ed h!tulir aod. I hc Conlr&toii l-ic.m. tiw {lod nnr .rplt to M owoa of prep.ny sho blilde o. isprovd lhq@r.
<br />.nJ *rh erdr3 rm iuh Fojer! rxh. Conr*o(n licdE d FiEUdr lo!,iConrr..ioii Li.Glh)
<br />I m .rmfl und.r s..tion
<br />lllBbli8lj:outlltara!DI{IJaAIIA!
<br />I h6.ty.afim und6 p.nalty o f psjory o.. oa rh. follo*inr dc(ldarbns
<br />I h.v. !d *n I m.rrain . cd ificdr. of (irNar ro s.lf.ltuur. ror sorrai' comF$irn. a ,m!id.n nn hy sd ion I7{xr oI rh.
<br />lrbd Cdj.. for lh. Ffolrre. otrrE \nt tdr nl(h th. Fn,r s &u.d
<br />I h!\. lnd *ill Minr.in qorld' comFursn i.u.k., 6 Equn d b! Sdi,n i',((l of E L.tFr Co.L, tor dE Ffollrlff. of
<br />ln. worl lor *hich rfin Fni' it ri$.d. M, *or[d' .omFadrn i u .. (Mi6 a,rl polkr numhd d.
<br />, I c.nrr) llral ir lh. Frfomffi. of lh. *oll for $hth rhs rErnn B su.d. I rhlll mr @ploy dy ps$n io &y nd6
<br />$ 6 16 trioe $titl
<br />'o
<br />rh. *on6'onpilnion hr! of Crlirotu. ind rrc lhd ill JFlld b<om rut*{ to ilE
<br />trortd.o"pqnnFnFb\6io6ofS.dion.1700otrh.ldorcod..I.h,ll.lidh$ihonlplt{ihilrcpm\tn'6
<br />WARNINCT t iluc ro su. qorl6 omFE i,. o!r+. ir unLrtul. !d rhlll rubj€l D dplolg to aimiul Fuhi! ,rd
<br />cnll fhd !p lt, oE nund,.{ llr,Nrd .k'll6 ltl0o.0o0
<br />w);;)"^"'"'*r--_
<br />Sdrnn 1076 6r rh! trl n (i{e inlq.d ind droll*-- s fc
<br />D!1.: Appliorr
<br />I hd.t, .rrm !..1d Fnlltt of Fllr 'hd
<br />I m lic rd undd lrorisio. o (lE,ls 0 (comlmcim trnh S.nnr 700Ol otDtrEr..!
<br />oa rh. &r,6i ud hoa6rtuB ( id., exi n,! hcor L! n aull f{w.. a{i.lI<r
<br />x
<br />(aNirBlJ(IlQrrlnudli.Aulll:I
<br />I @ r,lm uftrd Frhr of FquD rhd rhd. ii..odrudnn k nms.sfty lor rh. rEf.rM..arn tr l fornhthrh6Fnt i!
<br />isu.d (s( 1097. cir c.)
<br />AIIII(AILDICIJIAIIO!
<br />I ,-ur.* .nm unds pdrhv or pdjury oE of rh. r.lh* inrr d..lr,.rioni
<br />ttnolnbn rmtu-AttEro! Norificrion F.d6al R.8uLr n.s (Ttr|. .10. Pd6l
<br />R.qun.d Ldr6 ol Norifdin
<br />I Grib lhn lh. r.dqllrcsublnB G8ntrn8 6b6!oi r n.le. nol q'llicahk ro lh6 l'Djcr
<br />I (dif, ihd I h^. rdd lhir .rl,li.rrhn dld shr. rhd th. .r.\.
<br />'n
<br />nrmdhn B cond I .316 ro compl' $trh.ll( nylnd Coun't
<br />frhn (-ny ud Counry ro dtd uron rrE
<br />-.,%a1o-
<br />ordiMn.6..d Sr.r. Litri aldil{ ro b(i
<br />.r-,. m,...d FFn' ro,,qL!..
<br />^Donoi'
<br />or
<br />^16r
<br />shulln I
<br />rn. rnd ho.bv !dh.rt. rq,Mhlir6 o
<br />o
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />SubfloorfuenUlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lns ulation/Energy
<br />Dryvva tt
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engrneer Final Report
<br />FINAL 4/rB//9.<
<br />Certificate of Occu pancy
<br />Notes Remarks, Etc
<br />I
<br />I
<br />I
<br />I
<br />I
<br />I
<br />Flood Zone Certif .
<br />II
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