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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OTA NER AUIL]'ER DET-(-ARATION
<br />I n6.b .Itm und.t Fuh) of F)uD lhd I m.iaq, &$m rlf, ( odr*loE l-Ea< Itu for llr folh$iry 1c$.(S(70rl5
<br />lrur'nd! and Prol*6n ('od.) A., Chy or (bunt, shth ratur6 ! Fnil ro .onrtud. ahs. impro\( ddnoli.rh or EIan .nt
<br />ndu.. Firr b ns is!oc.. dso rcqut6 rh. q,plicer tor .uch tEf,n ro fi1. . si+n.d ll.lm6r lhal tE or .h. n li.G.d rtrRMnr
<br />ro rh. F.vaioN ofrh. (\ntkloas l-i..nr.d l,w (Ch.pr( 9. ( oho..cinr *''lh s.ci6n 7000 of Divisioi ll otlh. BEin* 8nd
<br />PFf6io.r Coi.) or rh,t lE G $G i!.tml, th6.non.nd lh.tBs,i.r lh. alks.d cdnpion Any vioLlh.ofs.di6n 70r15 hy lnv
<br />aprlnad for.Fni snjdr th. +pli!.|lo. cn rt !. hrofml frtr.rhtr 6r. hondt.d &'llc (1500)
<br />l.soqFollh.FoFny.ordydpk!6unh$+66th6t$LltmpqEnton.$Ill&llr{dtndrlErMl@amr
<br />mrdd.d or ora.d fm rk {56 704r. Bulin* ud PnldioB ( od. llR cdnhdoi! l-ka* litr' &6 rol 4d} o m ostd of
<br />rh. mrrEry wlFtul&.rimlr v6 rlE6n. dl uno dc au.n *n* him$lror h.Elror rhnu3i tit or h< o$n dPIL,y.*,
<br />proridd rh.r such i'nrov.mt e mt i drLd or olfdld for sL lf. h.{6q. rh. tlrliiiu or inlioml i! $ld wilhin.n. vw
<br />ofcur{,Llion. th owE ttlilds Mll har c rll txrtn ofFnns rht h. or nE dA ml tu d ot !,BroE dE rn'Fry [Y rlE FlEok of
<br />|, s osE of lh. F.rE!!. d.iclurtr.ly.omr<ri4 dh lKa&d codrdoE lo sdtud llE Fj.tr {Sft Tu,l.lrGin6
<br />.ll Plrlsi, coi. t h. Conir*loi! Li.otc lru do6 mr q?ly n, d o*nd ol FoFny u'ho build! or iEpt \ 6 rhdon,
<br />ud who @'nBd, tor ruch Fojds *nh ! ('dnlr.do(.) lic.Eal r{sut rolhc Coftr&roit Li.d t;{)
<br />I d.rmo un&i sdn\6 , B & PC tulhis rcen
<br />la86Ef,sgllu[lisAnQ!
<br />DECt- lt rloN
<br />I hd.t'y lmm und6 F.ly oa Fjury on. oI I h. folhwsg ddmrioro
<br />I h.vc dd q ill nrint.in ! Cdlificot. or Co.6r ro s.la l6ur. ftr sotk6- mnFn$tion. $ pro!id.{ rff b s(lion 1?0o o f rh.
<br />litn ( od.. fm rh. Ffolrlltr. of lh. sod for $ni.h lh. p6nil n isu<rl
<br />I h.\. lnd *1ll runlln *0116- coEp.@rir. ,EUle., - rdlrr.d 11 Sclhn l70O orlh.l$or Co&, fo.
<br />'h. FfMC o,
<br />rh. *!rl fu rtih rhn Fnn a i$.d My r nt6- (omr.M.. iBuffi. crir .n Flat .unhd E
<br />Pr'ly'r Numbd I rptrd '),1/ '
<br />Zll I cd'b rh{ r rlE Frnlrlru. orrlE *o,t i! *h.h rh6 Fmn ! is6d I slullmr clphyd} pden i. lny m E
<br />r B ro b@d $U<r ro tlE $o 6 @fl{Eds. hs: of C.lifomq !d lsG lhd ill tt old bdor $bc-l to llE
<br />*rrtd conFldirn F.tnioB of Sdion lrm or rlE Lltm ( ode I dill ronh* nh Nmd! e nh dFx Frr thB
<br />WARNING: Failut. !o EUc u'ottd drmDiMt. sro8. i unlt$ful, ud ddl lubdl 6 dploF ro miEl pa i: ..d
<br />civil ,ir6 up ro on. hurdrd rlousd dolld {t10O.000). i.6adiior to thc.on olconF@lion. d,ru{.! s !.ovid.d for lht
<br />serion !076 ofrhc ljhn(ird., d66rdnd dior*! s fd
<br />It( I\\t0(|\llr\r rrR
<br />DESJAAIIA!
<br />I hd!t, rm undd pquhy o f rEjuy $r I h licqs.d undq F{!6. of ch.pla e (nnnFcrs snh S.(nn 7un) ol DNsir. r
<br />of rh. auilB od PmfdtioB Cod., dd my licN b r. tull forc. &d.lrel
<br />.B
<br />".,. oft/tt
<br />. 17//r1
<br /><"*-.-*4
<br />COXSIATCION.LI'IDI!!.ACINII
<br />I h6.by lrm undcr Fnillyorp.rjurylh rh6.ira.on3lEcri)n Lnding t!6cy forlhcpqn'Ir@ccof lh.*o* ntr trhich llis I'6n n
<br />irlu.J (s( 1097.Civ ( )
<br />AITUCANIIIICIJSAIIO!
<br />I hadry.trmund6 polhy otFjuryonc orrh. lollowins ddlaririons
<br />D.fr,hion PmneAstsr.r Noiificdhn l.d(rl R.3uldnN (rilk.r0, Pd6)
<br />R.quir.d Ldrd of r*irfEdm
<br />I .dtit lhn rh. lGid.l rcBuhtioc r.grd'ns 6bdos rmoul s. mt 4,plicrbk t. rhir Fotd
<br />aI .a il rr'u r r,,'. .,a rr'u 'pel'c,uon ,rl i,r. ,hd rhc rb.v. i.r.rurion is cor.d I as'd lt, coiply rvirh tll (-ny
<br />'nd counry
<br />nnlhlncd rd Srdct N Elrw ro hl'ld'n! (ntudrol| ed h*.by rurhoriz. r.p.6.t'l.l iv6 ol rhn Cily dd ('.unty ro dt6 ulrn lh.
<br />.tx\!. f,hri...d F.Fnt for iBpalion purxB -p/r/n
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing ( !1j-* I /t r/D i.*a iAt 64 l)hl/n '>,DGu*nt Kl
<br />ln s u lation/E nergy t
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />I\ilasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif.
<br />FINAL /l > /16 tt:])l gl
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc
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<br />-+,'.,., vft/11
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<br />ltlu
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