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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNER BUII,DIJR DEI-('ARA toN
<br />I h(.t'y rtlim u.dd ,6aly .l p.rjury thlt I m .r.mpl fiom lh. (n.t@loE l,icdE li{ nnth.foll.triry,R$n(S(70rl5
<br />lltrlind and PtulBion Cdi.) Any Cny or Cou.n) u'hich lcquir6 . p6nii ln cotrrnrci. !hs, iol'ovc ddnolish .r rq$tuy
<br />rlruc'u( Fin ro ns isuM.c. llso ..rtun6 rhc ,pplrdl to, ruch Fro( ro fl. ! rrn d rld.|mr rh, lt or 3h. ir li.G.d aE& r
<br />io lhi FovilnJN ofllE Conlra.loar Lrc.$.d hs (( h.pr6 9, (orm6(inB w h Sdlrcn ?u)0 of l)niu'n I oIlhrBu.inslnd
<br />P(f*FB C({j.) or lhrl lEor rh. sctmpr lhs.liom md rh. h6n 6. rh. llk*aj.rmpiio. A.r rnrhlo.ofs.(nn 70 15h\lny
<br />rmli..d for r Fhii subJcr. ih. arplics[o ! ov il p.Elt! o I nd mr. rhd 6r. hund'.J AlllJr (15tu1
<br />l. a dxG of ltt FoFry..r my ddolc \ ilt *!a6 6lh.ir $L onFErion, qdl6 llE rqi d rlE !r*rc. dr
<br />iddrd.d d ofir.n for $k (sc 70.1-1, BGi6 ed PirtBioB Co<l. TIE Condrft r l.r.c ti* &,6 mi +pl! '. m o$ffi ol
<br />th. FopaD * ho hrJd tr i,rgoc ilEaa rd *lF &6 *$ w* him*lf or lExlt or rfimu*fi h'r m hc .nr mrklld-
<br />Forid.d lh.t rxt inpmrffi e d ndrkl d olid.d tu nrr l( lN$sq. rlE h llB m rp(^-_.trd i! $B ri'hin m 16
<br />ol ongkioo ilE O*a BuilCa ril hn rh. hrbr orFori,E lhi lE 6 !n. dn r{ h]ild 6 lr!.Drc rh. FFr li{ F F,pocoa
<br />l. a oqF oallE FoF y. M.rclBir.ly .ofrf rU tr rh lr.rB.d.odr-B r. odtud rlE Fnl.d (S< r(}r.l. ttliB
<br />.rrd PrDisinC6dc Th. Co.rr..rols Lk@ tr$ &,6 mr lrplt ro xotr.q ofFoFn) *ho huldt or mrrcrdihq<tn.
<br />tud \ho ond! for .h p.oj.di $ht. Codddlr,la.c.d p(l!d u rh. cndkc r l-kcB Ls )
<br />I n.r.m undd Sa'ion
<br />D.r. O'rd
<br />Mli}:85:(!Uf[l-S,t-u()r
<br />DfcraErlr!.ll
<br />I hd.h\ !mm undr lHahr otlElur) on. olrh. hllNr 'nr d(l.r.rtrrns
<br />I n$. ei will rointri, a cdifica. oaco.sr r. s.lf l.iur. for q orkns' comlt,runrn, ii F,\ !d.d f.t he sdion 17(r0 . f rh.
<br />l,tn (-o.1.. for rh. Faotruc. o f th. *orl for $nich th. p6n 6 Esld
<br />lt I h!\. and rill nainl.in sork6 comp.netion imurrnc.. a r.quEn br sdt tun r70(r o I rh. Lhor ( id., ntr rh. pcfomanc. or
<br />lhr $ ort for rhich lhs Fnil is is.d My sorta mmpaslion i.s!fum. .Mid .Dd rFl(y numtd d.:
<br />iTU
<br />P.ti,rN"-t*,, f\2.+ < 7- [2O L r,rrn6 C'r- l&
<br />I c.nilr rhal in lhc pshrtunc. ofthcxork for qhich lht p..mil is it!u.d. I sh.ll.ol dDloy !.y F:otr rn ny mm.d
<br />yr N k' lEcom. subjer to th. *ort6' conFMion Lrs olcrlrl6m,i. nd ,{€ ihd ia l lh.uld t-om. robjd tu th.
<br />\ 0116' conFlel ion pmvbioN of S.(ion 1700 of th. ljthr ( o!.. I tlsll, f.nh$ ilh 6ndy rvirh tbr F,vitioNIV RNING FiiluE 16 s@ *6116' .onpq6d ion co\dqr. n unbwful. &d !h!ll luhld e opk'F r. (mm.l tEst'6 dd
<br />(nil find up ro on. hu.drcd rh.@nd dollc (tlOO.000). h .ddirio, ro rh. co3r oI cohFaerion. d!m+6 prorid.n nn rh.
<br />Sclirn :1076 ofrh. ti.r Cod.. ini.d.nd dbffi 3 fGa i -
<br />"""-j--"';Dr,., l'l z l r't
<br />^"",,-.,, l, +-\'' Llct'iEEp aoNr &ra?oR
<br />DfCr \i.^ r roN
<br />I hd.t ) a,rrn u<Lr rqEllyoIp6jur}lhi I M lic.6.d undd F!\ ihn of (trqr6 e (c.nlffi'n8 silh sdno 7(x[l orl)rn'o. I
<br />or rh. E6ind lrd PmfdioB Cod., rn my lr.tr 6 n! tull lor.. l.rTdi
<br />/' -l ^,l(ms.rtis L Lol l0 oVot T
<br />lalzltT T
<br />calslal.(fiaNrE8Drdc-acElra
<br />I lE.b! .rm u.&r FMh, of Fiury rht rlE n. slgto.ri,n lddig rsn' Lrrh.FLl1rte. ofrh.*. forrnrh'h6Fni 6rs.dtsc !0e7.( 'f c)
<br />APPLI('A'\ DE('LAIIA'I'I(TN
<br />I hd*, arm u.d6 p.n.hy ol pcrjury- on ofrh. foll.$mr dc(l&didn
<br />l).ftohion Pm.irs-Alb.ios Nolifi..rio. F.ddal R.suli ioN (Titlc t0. rrn6l
<br />R.qun.d tnrd of Ndifi.nion
<br />I .d ify rhar rhc Ld6al rcgulalioN rcssdins Bbcslos rano\ al ar. nor .pl'lrc0blc r' this lford
<br />I(drl!rhdlh.\ereadrIhitflicdrlonM (d.rlmr rhcah\r inntrtr'arkr ar.nNr lr!lrt,(otr,lnr\ l'ill(lrva d(\nn!
<br />irr tud (ifunrt!. mtrr trFnrh.
<br />ro [z1t
<br />o in.rc6 nd Sl.lc rlas Elar ing ro hiilding codtuclo( dd_hscby lurhorizt r.F.sr v6ofrhn('
<br />rh\r nrm(tr,n d propdJ lo, tupa",on !r,Eo6----> /
<br />A,pr(rn, or Ard, srrnr,u* l.-' -4-' 1 .o,.' .'; I t /
<br />Pmr,( ,.n. rprrno: l//?* L llt
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf Ioor/VenUlnsulation
<br />Roof Sheathin s
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handica Re
<br />Deputy Final Report
<br />Engineer Flnal Report
<br />Flood Zone Certif .
<br />FINAL /tlr(hl)Nn @.n 5A
<br />Certificate of Occu pancy
<br />Remarks, Etc.
<br />Set Backs I
<br />I
<br />I
<br />Notes,
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