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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNER BUII."ER DEI,('ARAI'ION
<br />I h6.by rmm und.r Fnnht of pdjdry rhd I m .r.ofl lfrm rh. Conlr&r.6' l-koi. Lis lor rh. lollorinr rffii' lsd 7(rlt 5
<br />lrGin6s id trcfdion (otjc) Any Cily or (tunly $hki r.quir6 . Fnit ro codru.r, 1116, impr.r.. d.irclith or ..tf,r Mt
<br />sroduc Fr ro tu islle., .L!. dtutrd rhc +dtdr r.r ru(ft Fm( lo ik r 3Bn.d nnmi tti lE or !k it ltGl I'uruair
<br />kr rh. Fov6iiN or OE Conrarorr Lt6<! lr* (C1qis 9. Conmtrr8 trnh S..rntr 7(xlo ot rrnri.. 1 of rh. Bun.Rr lnd
<br />PFrNioB ( o&) or tha' lEor th. ir.rmt' !h6.from dd rh. bdir for rh. ill+.J.rdpri.n ant riolar io6 ol sd ion 70lrl 5 h\ .nr
<br />irpli.adr$,p@nsubj(lrlhcapplicsnltorcivilpd.hlotnolnor.!h.nlirchundr.ddolltrs(55001
<br />l.60\6ollh.FoFly.orm,6plo)6trhhsre6!rh.r$Le'mFMio(will&'lr*nldnl'trM@id{
<br />iddrLd orofnr, fdreL(s6,Or.l. BuuBr ud Esl6nBCod.'IIE (-o rxrm r Lalv I^'&Enr {r,h rouo{Eoa
<br />!h. F.Fry *hot kk or lqre\E rfiqm.!d rtD {,c ixn urrt hirlf or h6*lf or lllrcll8fi nir or hq o*n @pL}6.
<br />Pr.vil.d lhll ruch inFo\m's e mt rrdnd .r offdEd f.r eh ll ho$ad, rh€ toirltrg or imF6 .ffi ir $lll $ nhin on. t6.fconplai,( fic (xn6 Alik 6 will h!v. rlE hrdn olFoviry lhd lE or !h. dil mt hrt or iqrnv. lh. Flpdy tor lh. FrFs ol
<br />l. ao$F oath. prop.n!, m !(clBir.l! codrRlinr $nh ltrdtral..ntalo6 t!.oNruil rlk FoJ.<1(sd 7olt, &8n6
<br />ai Pis&ssii ( 6dc: Ir,c Conrr!(oas Licar l'$ dc nol .nolr lo M of, nd of For.d y s ho L il4r or nnpro\ 6 !ha(n.
<br />.nd wno .ont&1s aor rrh pNlds wnh . tu.tado,ls) l'.dsdl tuBudr o th. coflftd.rt l].m. lis )
<br />I m.rmr{ trnd6 Sdirn .B &P( forrh6r.Mn
<br />!).r. oi n.r
<br />IIOSI|IXS-.(OTTIENIAIIUDDr( t 4Il Tt()N
<br />I hdcbt amrn umle FDhy olF)uryoRorrh. n,ll,trmS d.{luirx,6
<br />I na\.,n {nl Minrd. ( dlrfrd. of ( onsr ro S.lU6u,. ttr KrLd! conFEdnn. d Fn il.d ror t" s(1Nn !7ixr or rh.
<br />llbor cod., fot rh. Frolrrec .r rh. rol fq *tEh lh. panii s isu.d
<br />I h!\.and $iU mli ain s orkd' comF$ilion iBura..., s r.qun.d ht sdrion 170o ol rhc libor (.od.. n! rh. pcfonffi. oa
<br />rh. $dr for *hrh rha Fh,l ir rsEd. My uort6 comp.lunn ilMmc cMir Ed F1la' nunb.r d.
<br />€t
<br />I cdrayrh,r n rrE Flol1ijm..a lh.*oil rd\tthrh'rFrn n isu.d. I rhlll mr qi',lh) dy psen rn !n, m F
<br />$ c to bmm iut ct to rlE $.rt6 comFns6.lr{. of (.|'fi'm( .nd laR rh, if I rhtrkt h. o@ st dr ro ih.
<br />s 0116' Nor.nslion p$irmB of Sdi.n 17(Xr of rh. llt$ (-lla., I dEll. lonh{ iih .onfl! s dh rhos tro\ ir$rj
<br />\nARNlN(; |hilor. ro kur. work6 .ompdrrton covs08. ic unhs,ful. iad snlll suhjd u oploy( kr rminal pcnlh6 and
<br />(iril lin6 u, t' orc hu.dr.n lh.uend d.in tuiliion h rhc.o( of comp.rqrion. dntut6 * pro\id.J for rh.
<br />sdrion 1076 orrh.l,t ra,iL inrdd et
<br />I haby rrrn undd F liy .f Frrury rhd I o
<br />ol rh. BNEr &d PmfBntu Co& 'd mr
<br />n or(turiq 0{emnr4'ir rilh S€(rDn 7({)0) orl)'\r(,n 1
<br />|*,*C*""L
<br />^,.,4'>5'A 0t'1,-,
<br />{oo ? <n
<br />I hmby .mrm u.d< Fslry o f pqury thst rhs. ir . co^{ru
<br />isu.d {S( !097. Cn. C }
<br />a*drr. f.r lh.p6nnnMc. oflh. \orl for rhi.h rhn p6,nil s
<br />A.ETUCAILDES.AEAUA!
<br />I lEqrq ,trn un&r p6.h) ot Flur) om of rh. Llhs i.s rhcld hm:
<br />I).ftnnion Pcmli3-Ashalor Norilic.rio. Fdl6.l R.suliio.r (Inl. {0. Prn6l
<br />Rcqut.d l.ll6 of NotifMlion
<br />, .dil} rhd rh. Lddrl kruhrioB Gnrd,is slEsroi rdft,ul dc mr rorlK.bk ro rhB For.d
<br />I cenift thal lh.\er..drhN iprlic.r
<br />orthnnnc6 and srhlc lrws rcldiu ro bui
<br />ion erl n.r.rhdr rhcrhn. 'nlnmdiof, r.onel l agrEro(ompll Hrh all(ir\ and( omr\
<br />rqr6.nra!n.\ol rh ('$ a (.trnr!h cn(1 trtrnrrlr,:':#ilry lding co {ruci(\n. :ukl hr'.1,r
<br />,,.@s-2.tt7
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUl nsulation
<br />Roof Sheathing
<br />Shear Wall
<br />lnsulation/Energy
<br />Qrywall lit x/it ', u a *tl, 'dli
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handica Re
<br />De puty Final Report
<br />Engineer Final Report
<br />Flood Zone Certif .
<br />FINAL L/ts s\n llal c$
<br />Certificate of Occupancy
<br />Noles, Remarks Etc
<br />Z,..,, ?-ci 2o0
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<br />Framinq
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