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BUILDING- INSPECTOR RECORD owlrt:R atrtt,t DR Dr,uc R ItoN I ha.b! alfm und.' Full! of FruD rh.i I m.ro ton rh. Codmon t-k.* 1.,{ fo. rhc folhui4 tdn lS<r0ll.5 Bsrndr .nd ProlB6n Cql.) AN Cnt or (-oud! lhih rntund . Fbn !. cod'!d. .hq. imFo\e d.hlnh or qEr Dr srruc1@. Fbr !o ir. su4.. .lo r.qun6 rh. +pl.. lor ru.h tEnit b 6L. sBrd nnml lhr h. or nt ! ltnn d tlE8i ro rfi. FlvbioB of tlE (ontncro.! l-ico&d Iil (( hrrn( 9. ( onnfrinB tr h sftr.n 70ft or Dnirion I ofrh. lrcin*.nd PNf*nr.s Cod.) or rhi h. 3h. itd.mpr lha.6om xd rhc bGn for rh. llks.d .!md nn Ar) vioklionofsalhn TDrl 5 6yanl aptlicanlforuFmilrubJ(trth..pplicanilo!civiltn.hrolnolmor.lheiv.hu.dt.ddolld(t500) L c olle oarh. F.Fnr. or my.nplot6 q trt wa86 a rh.ir $k comFulio.. will.h lh. smt.d tlE rB'i@ ! i.l inrdnd sofiad for nL (Sd ?O1,4. BBilr* Dd Pr.fdrpN cod. Th. Codrrloir I rtr llw &d mr +?ly ro orn6ol !fi. FoFry * ln hrrl& or 'trFNB rlEEo &rt * h. dE qll Nrt fiiBlaor h.r*lf or rthuah h,r or lE o*n .!tPh) c. proriLd tnd ufi mF!!Er! e 'd -rdr,.dtrolEol fs el. l[ tn*6s. tlE hr'ld'ilc dF llrda$ld$rhooE\* of.dpl.io^ rlE ().*ffi Br'lda $il! l$! ih. hddr ofFoiry rk lr n llE dn trr hnld o. !rrF\! ltE FlFr! tu rF,Frol l.6o$Eof rlE I'trt'dr, m cr.lurcl, conk*1ms qirh lic6s.d co.'r,rroR ro o4dtu.r rh. For.d (Sd 70,1,4. ndit6 and fttrEsiodC.d. I hc ( on'rrdor. Li.ds. l,w .h6 ton qrl, r. e o*nd ot lroFn y uho blildr o. iFpror6 lhsnrn, lnd wto co n.t! fLtr ruch r,lja-ls wirh a co *1o(r licd.d pu6ur rorhc ('onti.roai l.icl@ t:s) l.fl.rcmpt u"dd S(ion D.r. OUF laalil:8li.(autErr rax IISJa3IIOT I hdrb.mm utuLr F6lr) olFrlur] oRoarh.Iolh(n8 d.(1 r'r.B I har. &n $,ll tuuun ! (.nift.r. of Congr ro s.lt lBu,c f.r l$16' .omtdMon, a Fo\ i(k lor b' SdrM r7m or lh. I ibor Codc. for llE p<follM.c of th. uort for which lh. p6 il a nsud I hav.and $,llnr.int.'n sorlm' c.np.roarlon iNu,.n.., ir rsttrn.d hr s(lion r7l)(rDlrh.lib.r('od.. for lh. p.nrnninc.ol rh. $ o.l for qhich lhit ndn{ n isdl My vorlft- comn adhn iBurdc. camd orn rni(r nuob6 t.: llzof t I c6iifr_ lhd i.tlEFformnc.of lh.sort for shEhth! Fmn a is.d.I rldl mi nrkl)..r Fsn inant m&M e a ro tdoG sut'j<t ro rh. *ortd omFdFn L*r .l( rl'fomi., dln .â‚¬R rhd il I JFULI trrom llbjc(l ro 'risortd' onFMl io. pnrvi!'oN ol sdion I700 of rh. Lhr ( od( I JEII. fonhqilh .oFt'ly wiln lhos Forn.6 WARj\!NC Flilurc to Ku. worlm' comFo$lirn covms. is urhwfrrl. od !h!ll tubidl m dntloF io aim'hal Fmhii lnd civil fitr.s up k, on. hundr.n thousand dollas ($llr(r.(r(x)). in addilion to rhc rorr or.o f.mtrion S(tion 1076 orth.l,htr (i'd., ml6.s d.llorrr s ts a),J- 1' ls-lf- 11 r l( [N.BTF!F cnii D}I9SSAIIAT I @ lllm unds rElhr o, Frurr tht I m lEd!.d !.lF rF'Enn ol Ch.fld el(onrffi'ns rih Sdhn 7ur.).f l)'\il'n ] .r tn. BsilB d Pr.f6mB (-otL. d ny lkc ir M flll foR rn dT<' o .t0-/5- t?t I hot' lrm un& Fnlhy .f Fjrr! lhi ItEc a . m'druclbn ladts .sdy for rhc Fftffi. of dE m* tut rtf,h tt! Fn. i, is&! (Sc 1097, Cir ( ) altu(axr"DlltJaallo! I hErt y altoo und.r todlry dl pfiu.y on. of rh. followins d<l,nr iJn3 llrrlinrn Pmil.-AltElo! Nolilicnio. Fcdid R.ruhlnnrll L.m. Pd6) R.quiEd l!'dorN{frdM I csrii rha rh. tdsd rcsuhrioN rredms al or ,@n 'l m to{ @litahL (, 'h! FoFl rfrrhdlh.\.r..nrhirrrpli.ltionsld sl.thd! rh.anr. inlomdion L.orNr lr*ralocompl) * h all ( iJ d.d ( otrnrt Md St.r.l,\Bi.htnu lo h{ildio-s codrucrN.. @] i(cby iuthorncrqrMr.rn6 ofrhir ( ny Md Colnly to olq u|on lh. . l0-t5-t) SITE-WORK DATE ID/SIG.COMMENTS Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor SubfloorNenUl nsulation Roof Sheathing Shear Wall Framing lnsulation/Energy Drylvall Ext./lnt. Lath Brown Coat Masonry Pool Fence T-Bar Handicap Req Deputy Final Report Engineer Final Report Flood Zone Certif. FINAL o -:ai\/ Certificate of Occu pancy T T VI Notes, Remarks, Etc :::-m*::w*E y\4L(5J.i ^<- 7oE Yib / t^/,>_ I I