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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNER BUtLDEi DEL(ANATrcII
<br />I hs.try ltfm ui<b FDI' of Fiury lhr I h qdrll iom lhc Colrftlqt Li(ts Lr* lot rhc folhwnts l@n {s*.70115
<br />tlui.G3 and Profdion Cod.): Ary C'ry or Codt whi.h r.qut6 . Fnil to orutucr, .lta. iE rore dtmlbh or l4.t ov
<br />rruduc Ei,r ro ilr isl]4., .bo Equtq ttE.pDlker fot Mh Fhn lo 6l. r.iBcl sl ffil lhr tE o, ilE it li€B.d Fruln
<br />ro rh. FovirioN oa UE Conn.cloa, Licnr.<t Lls (Ctlqd 9. Comtrins wilh Strion 7(x)0 of Divitio! 1 ol$. Bsind ad
<br />PbadirE Co&) G lh.l ti d dE is 6mF rlldttoD trd rlE t-i] for tl! .Ls.d aotrFion Ary uldiot otsdion 701 L5 b.v xv
<br />rlpltd ror r Fni rubjdl! rhc @?li.ml lo a civil p@lty of ml no,. rhe fivc tundrcd doll6 {1t00 ).
<br />-1.
<br />s osG of rlE FDFly, or Ey ddo,6 wth wts6 ! ih.t sL onp.drioi. *ilt do iE mrt . llE nr*lG i! mr
<br />inrddal or ofi6.d for raL {Sc 7044, asil6 6d PmfdhN Codc TtE Colnr..iq t t,t@ t& &6 d +plv l. - o*E of
<br />rh.FFry wrh tlil(i n irslc rtE@ tn *tb &G txn qni ht*lf or lsrtlor tlFush hi or hd om arplovE
<br />Flvidcd rh,r i*h isp.nffi e ml i'nd<kd n otfqld fo. sl€.ll l[rqs.lh. UnUoB d inp.orffi{ !' $Ll Yihin on. ra
<br />ofcon{lkbr lh. O*c AuiEd {ill h.E dE hrda! otF!vi'* d{ ltd.lE.ln d hid or inFDr! d. FF, 6r tll F Pcol
<br />l. s o*c of rh. FoFr, d addir.ly cotuins fih licd.<I 6tudo. ro odru.l tlt F!i<<l (S* ?(x4. t\!il6
<br />.!rl Proi3ir Cod. Tn. Conrr.croa. Li.d. Lau do6 noi .tpl, to e osd o I prep.ny *h. blik ! or ihrovd rhqon.
<br />lnd *ho co ..l! fq s.h Flitrr snb r Codrrlo(, ltoE d Fldu.d ro dt Conrirrd', lilg La )
<br />I m.!.mnl und6 sdr
<br />wolr(Eat'coMPa saTIoN
<br />DECIISAIIA!
<br />I hscby rflim u.dd pdall, ol pdjury onc or$. folhwi.s &(hrrioN:
<br />th3!.rdwiltmainlld.(.niE<ar.oacotHlloS.lf-lniur.tutrb.r'comp.onon,sFovilGlaorbySdlionl?00of$.
<br />L!to. Co&. for rh. FfoIrrB. ottlt *Drt f6 $hi.h rlE Fnt ir is.d
<br />Ih!!r!.dwilldai rin worl.rr .omp.Ml ion iNurm.- s 'cqun d b Sd ion 17() ol th. l,b.t ( od. tor llE Ffolrie. ol
<br />Ir
<br />03//47f1
<br />-l
<br />c.aity rhar in rh. Frfom.rc. of lhcvork for whi.h lhi! p6mn is isu.d- I iuu mr @pLy sy FMn in tuy d,lffi
<br />3i 6 ro ldom obir-l u llE w.td .oo!.rsir. Les ol('difolu rd eE lh. ill .huld hcoB lttei to th.
<br />s.rl6 onFdion FovihB otsd1D.l7o0 of rhc t t Code I3lBll, aonh* irh.ontly snh lhos tevnioB
<br />UARNINC Fnlo. lo sE. *ort6' omFldion sros. n lnL$aul .nd lhrll tubj.il o .nPbE ro aeiid Frti6 ai
<br />civ'l a(6 up lo oc hud,td llDus&d &rllo (tloo,0q)). o tdddion ro rh. con of .onFMion dtrEs6 6 prdrn!'n r'r rh'
<br />hts6l lnd.rt,fty'. rG
<br />K."l
<br />N
<br />hd{,, dmrm undd Fnihy of pdjury lh,t I on li6r.d 6da Fovnion ot('hpl6 9 (corf,Mcins q,'lh Stlan 7000, or Di! irion I
<br />t rh. Bstr6 !d ProfdioE Cod.. !d ry ltde 6 ; tull f.r.. ni.llcr
<br />o tlq
<br />P/@tK-
<br />grNlrarcuatrEr[Ldc.Acllo
<br />I fiRby ailim unda pqulry of pqq rhal lhR ie. conrdclion k dms ig4y for tlE Florr@c. oarh. "orl lor uhih rhl Fbi ir
<br />isEd (sd !097.(ir. c )
<br />knrd'! A.$B
<br />-
<br />AffLt(aBl.rl(t4aArra!
<br />I hdd, atrm unds poah y ot pqjury on. of lh. folloeir[ {kL le3lFB:
<br />D.,hlni6n P@neAsbdtE Nol'ft.lnn F.rl6.l R.*ul{io8 (l hl..l0. Pd6)
<br />-Rcqui.al
<br />td6 of Nirii.iin
<br />-l
<br />cdiry thd rlt L&d rqlldioM Egrd,{ ab.dG lEmv.l & d .ptli..bL b $iJ Fojer
<br />-t
<br />cdit rhd I h.rc r6d rhl! .ppli.alion d tl.l. thd th. alov. infomrlk'n i! cotrd I tgre to otrplv whh 3! cn, .,'d cou v
<br />onriDft6 &d srd. l.$ s Eld,a ro hoild'n3 in h.rctr .dhDt cssrdir6 o t rhlr Cht ..d Cou.ry to 6ra uFrn I
<br />sborc Mrion.J pre!.ny for i60.11
<br />|/.,ou.,n, o. n.-,.,*n.,u L c1";L t4,qzl
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loorA/enUl nsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framing Ultt/t0Vt ln-274(k*rl
<br />lnsulation/Energy \J
<br />D-Ir!A{a ll ,aa/Ext.l)nl. Lalh ld -zJ.l(
<br />$'r6wn Coat
<br />I'lasofiry--- JYrg*7-51'ta-)14 r
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />FINAL t)
<br />Certificate of Occupancy ll I
<br />Notes, Remarks, Etc
<br />,"v/i()
<br />qlt-tl N. 1\/'
<br />*rrdr o(FBnri 'MC 6ir id Fliq .umba i.
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