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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNI:R BUIT,D}:R I}EL(-ARA'I'ION
<br />I ho.lry rllm und.i FEk) r'I Fjrry ihd I m .rmpt trm
<br />'h.
<br />('onlrxk'6 |-aosc lis for th. touosinr r6$n lsR 70rl 5
<br />B6,n6s si Prnf6od c.&l Ar) (-iry or Cou ! rfirfi Rpr6. Fmi ro s,Eru.t,.n6. 'mFora d.tml6h or rqff M\
<br />eDdu., Frr ro [3 Nm., lk. Equu6Il€ 49l,cet for s.h Fni ro 6k ! iign.n nd.tmr rh, lE or 3t 6 l(oEd puBln
<br />to rh. rrovisions oafi. conlr.crois Liccnrd kw (-hapt6 9, ( omnqcin8 *ith S<rion 7ol)o of l)reiion 1 ot th. Busin.*r and
<br />P.oGsioN Cod.l., rh.l lE or rr. is dmfl rhsdrm rnd rh. bdrs tu rh. rll.s.n.rmrnn,n An! rn)htionofs..1irn70.rl thqtn)
<br />rr?l'.r lor.Fnrubd3rh..p9li..dr...arlpdh)of mimr.rhsfi\.nu.d.dd,ltmIttfl))
<br />l. Li os nd ofr h. pop.ny. or ny oployd wirh * !a6 s !h.r kn. .omtEnsr ion. qrll do rnc $ork ed rh. slulrtr! ! nlr
<br />id.rldl orofir.n aor sL(Sd 7(}1,1. B6inded PrnfdbB ('sd. n Co,.dorsl.r.@Llw&dmrEoleroMorn(.f
<br />rh. FIdr tr tF tx'!t 6r ryiv6 tlE!4 trl r l. d€ uh *id n'nrll ot ls*lrd rhmlsh hK or lE! o*n drlo! c.
<br />Fo\ klGl thd rl(h nForEsnr E mr dqtLd o olTqlrl ttr ot lt ls*6d, !h. btrldriY ot ltFro\ffi 6 eld \ ih'n oE rr
<br />of.omFldbn fi. o*n6 Boir:!6 *ill h.\r th. tlrdo of Fovhs rhd lE or slE dd rer lxild or i,nlro< rhr l,$Fry f.! rh. Frrp.r ol
<br />l. a otrE oarh. Fop61v. m dclN\cl! $drdriis uirh h.ok{.onr&1o^ r. codtud rlE Fol<l (Sc 7orr. !u!6
<br />rnd th,63ion ( od. I h. Q)fudrors l.ic.ns. lr\c d 6 nor .pply ro in oqnq rl p.oFn, q ho buildr or mpm\ 6 ihdmn.
<br />and slrc conrr&ls for luch roj.de * irh i Codrrcro(s) licsad puBudr h rh. ( odn.ttr s Li.mr l !s )
<br />Ion.r6Fu.rsdrFn
<br />lr.t. Ornd
<br />$(!ral(f Rsl (1r[ri,ENsA I tol\i
<br />DECIJf,ATAd
<br />I hd.ty ^fiim u..ld FEh' ul p6ju,r_ om ol rh. nnh$ in8 &.lr.rhB
<br />I h& rd *'ill m.i.rai. . ( d'akd. ol coMt io s.lf-l6ur. fd $ orld NmD<Bdio.. s pmvid.n to' b) S{.on r?m o f rh.
<br />t,}r)r (irt aor rh. Ffolrld. otrh. tr! ld trnth rh. Fmn n is.d
<br />I havc.nd*ill m.inrain sorl6 .or.p.nrrlion iBu,am.. s ,.qutBj b! s(1ion:170,0.f'h. kb.r ( i)d.. lor lh. psfominc€ or
<br />th. *nrl n \nichlhsrsrir B LsEd My sorr6s' (onpq$lmn iNdd..ctrr a,l Fnt) numbo r.
<br />I cdtri lhrr rn rh. Ffodm. olrh. qort for sh.h rha Fmd k ileua! I JEllmi mrlo),, My pc$n i. !n) ho6
<br />$ a b hcom.ubjar ro
<br />'h.
<br />*ort6'mnp.nsrcn l.u! of Cllitomi!. md {c rhal ill rhdld b..om $ba1to rhc
<br />wod(6' comp.nstion pmvtn'B of S..lbn 1700 oI lh. I lbor C.d., I dtsll. aonh*nh comrlt wilh tn s [ovisioN
<br />WARNINC: t-rilu. ro <u. $0116 ..mFsion .o!dg. . unL*tu|- !fl1 sh4l subd s orll,hrs lo (mMl FBhir i.d
<br />cirn fi6 !p ro o* hurd rlbusnd drrld {tlo,J.fixl). in rltni). ro rh. cos of c.nrrol'on. d.n s6 6 Ford.d loi rlE
<br />Sftrkn, 11176 orrh.lrtr'r (i .. 'ntd.i ud dr.ft)'s 16 /-'74'*D"t", 1o -a 5 - 11 Iffi
<br />I hebv !,Inn unds poalty o r pdjury rhal I d licos{ u.dq rdvisRrn or( haprd g (mnrflrm.ins silh s.clion 70m)olDn 'iion
<br />1
<br />of rh. ltciEr anl Prof*nd Co&, ,rl my lic.M R '. tull tu( &n.rT(r
<br />rt
<br />a5
<br />csrt?6
<br />(O'-t'l
<br />corsBllcuodlr DaG-aG[lcI
<br />I h.nl,! lrm unrl6 FEly o f pdju r- lhr ltE n i oldnf,ibn tddins trdr for th. Ffoffi. oIrlE $rt tur \nth lha Fnn i!
<br />isud(sc.1097,civ c )
<br />Imdd'r Nm.
<br />AITLIIANIDES.ASAIIA!
<br />I ha$l dtm und6 Fnalr, o I Fjury oE oa lh. folto* ir8 d..l,r nra
<br />Dnfrllnxrn Pmng Arbd.r Nor rli.d iin li.dd.l R+uld6tutT[1.10, Pd6,
<br />R.quiEd I.trd oaNohfi .ari).
<br />I cdrry rhd rlE r.dsd r.sul,rsN Gsrdmg stEror r@r rl ,. d 4rl{.bk r. thir t,oF
<br />I.dify rhd t hiE r.ad lhG spplicalion Ed st.l.lh.l rhc nbo\. rnL,malion r cor*r I alrc r. $mpry *irh all( iry.nd Cotrnry
<br />ordininc6 &d Sr6t.l.ss El,ri.s ro ttrildrs coosruciNi. !d h6.by !dhon,. rcFrsdird oarhis ( itt.nd Counlv k' dl6 ur.n rh.
<br />.;,;,";
<br />-..,:^ ;, -' /,/-14
<br />l,sn,n,,nr,trr,r,in,r so < (( < <o(rJ
<br />to- t5 '/ 7
<br />Sel Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUlnsulation
<br />Roof Sheathing
<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 />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />I
<br />FINAL ///{/rt --W6
<br />Certificate of Occu pancy -t
<br />Notes, Remarks, Etc
<br />I
<br />I
<br />I
<br />I
<br />I
<br />Flood Zone Certif.
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