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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATTON
<br />I lEEty .rrn !.&r Fmly of F+ry lh.r I m.rcnr iion ln (i'dd1o^ t-irnc t w for rlt nnhein! rqsln ls< 70-1I t
<br />au\inc$ .d PmLsrion codc): Any cny or col.ly wnkh rqun r r Fnir i' oNrMl. rlls, irr,ovc. &m,rish or E!.ir ..,
<br />dtui@. FEr kr iri if,ffi, rlt GlUr.! rh..r,tlffr ror suh Frni b nE. tisEd (rcrnr rhd lE or sh. i. liansi Pulut
<br />lo rlE F vnio$ oflhc Conlrkl(tr s Li$ns{ llw (Ch!fl6 9. C.mftRrn! rrh S.crion l(x,o or Divihn -r of'rE Bu.ifts .nd
<br />Pmf.(ion! Cod.) or rhi lEor rlE is.r.n!* rlEr.tu,n rfil rh l\6 ror rh..llc8cd cr.n{'lb, Any vi,hrbr or S.dio. T(u l 5 hy rfly
<br />.pplianr rt, r Fmn subjek rlE +t'licrnr to r civ il Fcuh y ol nol nurc rhM riv. h!.dEd doll*l ( l9r))
<br />-1.
<br />s oqE. ol tlE ptuFn y. or my cr{'loFr wilh q.8.( !s lh.t q,b Nn{'.ns!l ioo. *ill &' rlE fr* n 'b ndr i! ri
<br />inr.rld.d r or.En fr {L lsa 7or.{. B$iEr r"<l PEt63iou C.<k Th c.drdrr's Lirl# Lt* &s mr rp?ly b $ osEr ol
<br />E thFny *l$ to rr3 or ntprDB dEb(.,n wh. dB skh M* hims.lr or ftrcltor rhtuulh ht d h.r o*n..q,hrc6.
<br />Fovid.d rh.r rEh lriFErdr E r, irdi.d r otu (r qr l( lnkB, tlr toislE d lrlmEld ir std *tl|u Ir Fs
<br />olmrpLlhr llE Oqrr Builtr pill luE tlE hrd.tr orrmvins lhd lE (r tr* did mr t ild or inFE ltE FDFry lr llE F Fn or
<br />-1.
<br />B o*E of rlE rrDpcry. d.r.luriEly q'drxrir! ,nh lcr*rl $ ds h mnslrul lh. rmr..llS< 7oll4. aaiEs
<br />.ri Plslisim Cod. Th. Conlrrctor's l-i..nr. bw dct mt rpply lo .n .*M ., ImFdy who builds or ingnrv.s lhs@n.
<br />md ltn onr8r! tq *h FF! $hhr Codarono Ei.*n t)Ir dhllEcotr dor'tLi.tn-ll,)
<br />,A &PC forrhis,rlstr
<br />l).t. l)rn.r
<br />ltttn(a&{ ('()trPF\s,rTtoi
<br />Dlgrl&ulgli
<br />I hr.t,ynlltnrun'lc. |EnJllJ_orFrrur'o Drrh(n,lk,r'.!dNlllrrtrh
<br />-lnlE!dwill
<br />i rh r C.dif..rc of CnMd to S.lf lnilE fd N*da d'tr{Etr.lbr ! F)viLd aor by Sftrbn l?(D of llt
<br />htrr Qne n,llE Frfolffi offi. worr,q whi.h rh. I'.mn ir r{.d.
<br />-l h.tc md wrll m'DJ.AvorL. cnmn nllnon n\ur.rc. &r Equicd by Sei ion l7m or trE L.har .Iiic. for ir Flormm ot
<br />ttE q rd r*ylcr*d s Br.d My.qr ' z?rolm 'NuIiN ffH rn porEy nun6cr R
<br />c.n - /77U//12 "r^, /Lfz/ 2',1'^,
<br />-t
<br />cdilr rh.r in rlE FrfomE 6Irh. *o,k rd whih rhir Fmir ir G{En. I (ll.ll d,l.nl0k,r rny p.R,n in ml mnmr
<br />s ,st' b.sft ruhFr ro tlE {rt6 mmp.ns.lnn b*r of C.lifDni4 'nd l8E rh.r ir I3lDuU t (oE sbrd lorh
<br />k ln oqE.srbn Fnvisi.B of S.nion l70O of rlE t txtr Cod.. I st!,|. r.mh*tuh onl0ly wnh lhoE pmvnionr
<br />$ARNIN(; l'rilu( ri a.trrt trorl.'\ .otr,txtr\,(rtr, \!\.r,!1. tr trtrlr l. .d rhall stAl e .rrplrrr ir dinml FEIB ..n
<br />. r 6'ri up ro oE hudEn rh.uend dollF {Jl{xl o
<br />"E
<br />oU9,rtnahn. d,m8.! '( r,o\id.! (r rh.
<br />\r.rtrr' 1076!l rhe lrhn (ixlc nrhrrtrdrr/o-tz /_t, ^*
<br />glllrBl]l:I&!..LENl]lNc-&cENIjr
<br />I hcEny amrm u&, Folhyol Fr]!ry rh.r thd. B. onrtut)n bnlin! {cEy ror !,r Fft,lfrk. ol
<br />'h.
<br />r(t tq rhkh ltn lffin a
<br />r(ErltsN l(r?, ( iv. c )
<br />AIIUf.II{LDECI,ABAIII,I!
<br />I Hry.trm uds pcuhy Dr rrriry oE or rh. ii'lro*i.3 dta Lflriri:
<br />Dcnniri)n P.rnrirs.Asirsror Norifrsrion t dcnlRcluhrio.t (Tdlc 40. Prn6)
<br />-Rcqun.d
<br />Lrttc. ot NdifBrion
<br />ilyrhd rhc falcrrlrcElLrhns E8uling.sh.sror Emrrlet nor{,!l$bh r. thi{ PoFl
<br />rlur lluc rcrd rhA rmlr ion rid $qrc rh.! tlr lhnc info,tuii,,n t.otu1. l 'ercb mry! *nh.! Cir, nrl counry
<br />,nliNmc\ !,ri Srrrc L,$\ ELr rulrlf.cnrrrtrc. nlrhh Cir) lri (i,utrry ro.nrn uF'n rk
<br />rh,rc np i,"rd pn,ncny n,10-/2-6t,pli$nl r,tgenlSieMtum
<br />"r^U*-* r.r"rt 4 Ibl
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsu lation
<br />Roof Sheathinq roltrl ,r &lirilN ,h\-
<br />Shear Wall I \
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext.i lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif
<br />FINAL to/4trlf rt/lb*/ 6-)
<br />Certiticate of Occupancy
<br />Notes, Remarks, Etc IlEE6,.fmu.rFuIyof,lriuy$rltmlicns!undcrFlviri.odfchrprs9(sllmEin,wnnSftrioo7m)orD'vkitnl
<br />or rt' au.irs .d PDtshn. Co.t , .,n ny lt.r n n tull fre !d .lT.d
<br />'**"t. e.?tr --/'".'^"" /tD?f5- rk)-/a t{ ..":r\
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