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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNI:R BIIILDER DELCAI'ATION
<br />I hd.b .mm u.d.r Fmlr, ol Fl!D. rhd I m .rmpr frcm rhc ( odri(oR l-r.e ln* for rh. fo,lo"rn* raon (S( 70115
<br />IrN'n* !d Pro le$n Cod.) Any ( iil or Couiy tr hth r.qurd . Fni n' m.d d. !116. inror., &nhllh or l.?.tr a!
<br />ntu(id., Ftr ro n3 sue.., aL. r.quic rh. .I)pli$nt lor su.h ,Ermil lo fil€ ! iisn.d slaldol rhn h. or sh. t li.dEJ pu,lml
<br />lo lh. FolihN oflt Conlr-lor3 l-i.osl trq {crqi6 9, aonnftm* $ih sfrli'n'Om of Dilisrn ! of lhc BNmN tndJ
<br />Prnr6t E Cod€) or lhrl hc or shc ir d.m$ rhn nod ed lh. bdi! for rh. tll.8.n .rmBion Anr vhhrionofs.db. T0:rl 1b{ i.r
<br />rrtlkr lor . Frn sudi th. rptli.mr tu ! .iril p@h, ol Rn mor. rh& fir. hu Ed dolle! (1500)
<br />l. 6 0*6 orrh. F.DGry. d m, oplor€ with $.t6 d rh.ir sk compasrrcn. {r! d' lhc *.rI d dE (MW i! mr
<br />irdr&l .r olldd lm rL lsc.704l. BuilB 6d ftordrhB C.&, IIE coffin'r l.a.B t $ d.6 ( +?\ ro d otrn ol
<br />ih. FDtEty $ h. tlrldJ or mlmr6 rlEsrn. exl uho dE Mh s!* hm*r or ha*lf or thmugh his o. hc oM dploy6,
<br />F(\ id.d rh.r 3uch mForqEt ft mr iia'd.d d ofiml i, r.l. r[ lss6q.lk tlildi'B or os.ri6r n nk sihin nR )w
<br />ofor{,ldiotr E ()*n6 Buittd will hlE tlE trr&n of F$ri,s rhd lE or ih. d'd mt hnu or inproE dE Flpdry tu llE IUF& ol
<br />L a otrE of rh. F!pd), m .r.lurN.ly c.drding $irh licord codr&1ou n' codrucl rlE lr(t,.d (Sr 704t, &B,nG
<br />rnl PDft3ei.n (-od. Th. Conl Kktrt l-i.osc L!\' do6 mr lppL ro m !s rq or IroF y $ ho boild! or imFror 6 lh<6o.
<br />rnd *ho (Irrr19 n 5uc[ For.(r$nh, (-.dr.(o(e) IicdFl l,UEumr r. rh. ('ontrdor3 Lictr.l,s')
<br />I m.rdlt ufti6 Sd6n
<br />D.r. ()*nd
<br />\ onxEns coitPfns{'rroN
<br />DECIAIAIIO!
<br />I hq.tt .rm orn r FMlry of FJq- oE oa rlE folhs 13 rhl{!'sG
<br />I hrr. in *rll Einr.r r Cdlilkd. of Co.gr ro S.ll-lmE fo. $ oil6 conp<sl tun- a FnId.d for ,,)L Sfrr ion :r 700 ol rh.
<br />l,ob(tr Cod.. for th. Ffo,rmc. of lh. w* for whd lhc pqnir i! i$u<l
<br />I ha\ . and s ill ,n.i.lirn worl6 comrENar ()n i'su..n.c. tr( Gl!tr.J h! sdr ion r7u I .f rh. L:h)i ( ird.. fu ih. psr,,matuc or
<br />rh. tro roruhrchrh6rmn 6 s$cl My tr{rl6 conpsEahn 'N!rrDr. rffi.rki Fni.y numtE r.
<br />,""- - L.uv1.c-h A.acricc.-rt
<br />l.drltrhdrrrhcFturmrc.of lhcsort fir rvti.t lh'3tEn * i({'ed. l shall nor dFl,'! .ny F*'n i,, nn) ,n-n. '
<br />y,6rolqom.sutclloth.{o*ql..mFr<hhl.rrof(.|'fom,rtoi.*RrhdilIrhouldtEoNrtrt.drorh.
<br />$*6s $mp6sar(,n lnristuB ofSdi.n I700ofth.Inb.r ( od..I sltrll. folh*ilh complt \irhrlx)t nrl\irhns
<br />\'lARNlN(; Ii!rlu.. to hu. qlrkn comIEBnNn c.\Fa[. it unhsrul, eJ shillsuh|er in.rplo)s lo m'ai Frh'6.nd
<br />cril fin6 up lo oN hunt.d lhousnl doll$ {tl in rddd.n tu rh. ror .f.ornrEr6.lio( d.,usd 6 Fo\d.n tu rh.
<br />S(rhn 1076 ofrh.ljtnr( d., d(.n ud dr
<br />o
<br />uEqaaarla!
<br />I h6cby.ftm und.r Fulty.f Frur- lhr I d [cns.d un& F.!nir. of (l!.fls a (..mffiins snh S..ln.70oO) of I)$nh. ]
<br />of rh. BEin-! md PmadioN Codc. drt my li.6* b in tull aorc. ,'d .frcl
<br />',.",'.",,,'.. <-(o A
<br />,,.," to-ftt//T
<br />c tfC ?5o I Y
<br />.r.,t R.rtr.
<br />cax$Buclla!..LEBDrNc-acl:N(a
<br />I hdltly lllm u.do Frh, of Fjurr rhr rlE. n ! mdruclion lcndrs lsdcy tor lh. Fforunc. of lh. work for {hich Iht poni n
<br />$udis6 3097, cir c )
<br />AIILICAELDESASAIIq!
<br />I ho{r .&m und6 ,6!ly ot pcruy oc ot rh. follo$inr dc(hr.rior!
<br />t}mh btr Po ire^lb.d6 Norilicn bn Fcddll R.suLrioB lTtL 40. Pfi6)
<br />icquiEd Ldr6 ot &,iifrrbn
<br />t .d'O rhd tt Hdd r+llniod Esrditrs 6tarc mov.l ac er lrpliobl. lo rhi! pBj.cl
<br />I .dr,& rh, I h6. rad rhn arpli!! io. dd n!1. $, !h. 6tD!. 'nfomtion i,s cotr.cl I a€rc lo 6rlP], wilh a]l Cily md Counly
<br />onl'n.nc6 &d Srar. li\ s ro hlildiry.oirrudi.tr id h6.bt idl$rt q,(5nn6 otrfin Cny sd Counry ro dld urF. th.
<br />-.L/dJ*)A. y''kJrq.r-o
<br />p /P/rr
<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 />Framing
<br />lnsulation/Energy
<br />Drwall
<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 />FINAL ttl9li b ,(.7'(aa q e,tlrf,t/ -.({drfi)Certificate of Occupancy I
<br />Notes, Remarks, Etc
<br />Jr.,c trtr.i,rrc,i F, |. r r, , trr\\, on tuF"6
<br />,rrr**, * ,*-r rtr -rl -77-a^t
<br />'rrn,inrn.mriprin!):
<br />tfl a.rc o
<br />I I
<br />II
<br />I
<br />I I
<br />II
<br />II
<br />II
<br />I I
<br />II
<br />I
<br />I
<br />I
<br />I I
<br />I l
<br />I
<br />I
<br />I
<br />I
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