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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS O\I NER BUILDf, R DELCARATX)N
<br />I nd*,y .mrm u.ds F$hy of Fjury rhlr I 6 .r.mpl frm rrE ( onr6dor' l.icd< lr* Ior ih. f.llotrin! r.sn tS( 701r i
<br />Itusin6s ind Prof*ion ('od.) Any Cir, or (tmry *hi.h r.rtun6 r Fnir ro (nndtud. rh6, inpr.rc, dm.lnh .r r.l6t dr"
<br />3lrucluc. rrior lo ns isue.. ateo r.qut6 !n. lptlirMi f.r .u.h Fni' ro 61. . rit..n nd.lffir rhd ,r or sh. i! licd<d ,)uRUd
<br />b rh. F.\6F6 of trr Co.rdoa! Lkctu d lr* (Ch.IiF 9. (i,mftr8 *nh sdrirn 7000 ot Dtririo. I .f rh. au.in< ,,.i
<br />PmfsirN ( o&)or rhd lEdiE irdmF rh.r.fr.n !,n rh. hc. for rh. ,lle.d .rmF ion Any r xJLii.r. of Sd ion 70!l I tD.n)
<br />4?!i.!nl lor ! po l eu..1r lh. $phcr lo r$rlp.Mh!.f m' morcth6lir. h!.&.d &,116 (tiu)l
<br />L N oMd of th. FoFny. or nry .mplor6 *nn we6 a rh.ir kn. compnu ion. *ill tlo th. cdl dd rh. ,.k.tu. ir R,i
<br />dod.d or olt6d tor 3d.lsa.'7044. BBind ed PEfdioN (irlc lt a.drxt.i! l.t.M L!$,&6 mt.!ply lo e ov.s of
<br />ih. FiFq qho hiild or np.o\s rlE6tr ftl tlh tkE *I rD* hirelf or hdxlf or lhrcuan h6 d h6 orn opht6.
<br />Folit d rh, sch inFovdG$ ft Nr -rqd.d or orqld for sL lf. lr,trw. ttE hrildirg 4h\.6n 6sld *rhmoft \d
<br />ofcorpkli.( tlEO*E Boitla \ lEE r h,&! of F!\r8 rhr lrc3kdil d hrld d inF.nv.lh. p.trFry torllr F,IIEof
<br />L a ownd ofrh. F,psry. m .r.laiv.ly codrr.lu)g s ilh lica!.d conrrr.loN lo connod th. pFi.n i Sd ?04,1. BNindr
<br />a,n EokflCod.:Thc('onlrxloirLicd.L.wd(Emr.!plyrouosndoft.p.dy$hot{il.trorinprcr6lhsa,..
<br />d *ho .otu3 f6 rkh Foj<<li *nh r Codrrtoils) lass{ IrrEEr ro rh. ( o'nrelq s l,r6E l,r )
<br />I m.rmF u.d6 S<ln.
<br />nl)Sf,EBI:(AUflT$drq!
<br />IESJSAIIO!
<br />I h6.t\ i mrm u.d6 Fnlrr\ ol rEjur) oE or lfi. rollo\rirs &(l{d 68
<br />I I'a\r ald * 'll ruinlain ! Cslificlr. ol Cotrhr k1 SdtuBurc n, tr ort6 comrEN'ion.a rmrid.d fo,bySdlioi lr7(x)orth.
<br />Libor Cod.. for thc pdfomffcc o f lhc "ort for *ni.h rh. pamn t isu.n
<br />Ih,r.$d*illmiill.in*.*6coip.@tirnNudncqB..qutrdbyS.(io.7(x,.frh.l*or(i'd.-IorrhcrElolrMc..l
<br />rh Nrr ir rt{h rh! Fnn ! iq.<t My sixld @nFEnior tNffic.dE .n lElty nuDlid r.
<br />l.dr6lhli in llE Ff.rmM. of d. *orl ror whih thn Fnn ir iq.d l.nnl mr @ploy.nt F$n i. m, Mnffi
<br />$ 6 ro ttom st'j.rl to 1,. st tB' amFMnn l$! ofc.liaomE Dd *r thd ia I Jruld tE or Ebj.rl lo llE
<br />$.rt6 cnhFurFn pN\BDB orsdnn 1700 or rh. Ldor (_de I rlnll, fonhu nh $ndy *'irh rhor ro\nirE
<br />WARNINC ,r!ilo. ro su. e.t6' (hFarion .ores. i! ul.n,tul. r.d ,trlr 3ubj6r d oploE rd diniMl tEutE ed
<br />civil nn6uproon hu.&.d rhous.d dollm (1100,000). in !ddi!6n rd rh. cnd olcohp.@rion, d,mded as pmvid.n for rh.
<br />S..lbn :1076 ofrh. llbor (.ttle inr6.r dd dtunEy 3 a6
<br />D.r., l'1 . 2i,- -'7- '1 y c 2,.. t)"
<br />Lif E\sm coN rRAcroR
<br />DEIIJSAIIO!
<br />I hsrb, rmnn urdd plmliy of psjury I h.l I rr liccns.d undd tnrnion oachdprd e (comnocin8 wilh Seti)n 7000) orDirntun l
<br />of th. lruriB .nd PmldlhN Con., arl ny licre i. in tull forc. an .rkr
<br />a,,",r.",".(;''Z )t-1 )/A 'Po
<br />(atgaucflolirElDBclcl:!(r
<br />I ha*, rrm un& Frlry ot Fjury thi rha. i.i r srsrudnn bdrg 44r lff rh. Ffollre. na rlE s.rt tu f,nrn rhi Fmn i\
<br />iscd (sd 1097.ciY. c )
<br />AIILIIAtrLDfIIAEAIIAI
<br />I h.d,! !trm unrd D.nllty of FNry oE .l llE ,ollo in,r &(l&d hns
<br />t snolil'on Fdmils-AstElor Notinc.lion F.ddrl i+uh!ionr(lnt40, Pd6)
<br />Rq!tr.! l.tt6olNolifi(nl$n
<br />I .dit rhr rlr ld,rl EBrldioE EerniiS 6t caor rturrl e d @lr.bt ro rh! F.F
<br />I cdit thd I h&! Ed rhir lpplkllio. ai sd. rhd tlE at{\. i.Iomdion i! .of,.d I ieG lo mmdy q nh .ll Cil, lnd ( oonlt
<br />ordin.ftB md St . lrwr Ehti.g io buildh! .onntudion rnd hdhy .urhorlz. EprdalllirB of ltlii Cny ed Comiy to 6rd upon rh.
<br />tbo"c mroon d prnD.ny fo Bpcircn puD(E
<br />^prro.r
<br />or
<br />^.6r
<br />sts-rrE 4\ "/J 1//- .n,\9 l'"' -7o')
<br />P'mlrc rn. rprlnll: \," A
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Roof Sheathing
<br />Shear Wall
<br />Fram ing
<br />lnsulation/Ene rgy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Mason
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif .
<br />t,I
<br />FINAL ll / tt ll.t YIWI4L/l1Certificate of Occu pancy t/
<br />Notes, Remarks Etc
<br />I
<br />Subfloor/VenVl nsulation
<br />I
<br />Pool Fence
<br />l
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