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BUILDING- INSPECTOR RECORD <br />SITE-WORK DATE ID/SIG.COMMENTS OWNER EUILDET DEIT TLATION <br />I hs.by smrE unds pquhy of pdjlry thd I m q.mrt from lhc codr.do6 Lic6* l,w for lhc fouo*lns lfun (56.?0l l.t <br />Bsin< dn Prol6b. ( o&} tuy Cny or Colny *hth aqui6 r Fmil 'o <br />otdtu 1. .lts. i,P.oe d@lirh ot r+.t ,v <br />$tuduq Fbr ro iB isure. r&o rcqriB rh. rp?licd tor .u.h P6hn lo frI. i taGd nIa@r rhn lE or dt i! licd!.d FNd <br />ro tlE FovnEB of dE Conl,..rd! Lient d lrv (Cll.pl6 9, Com*ing $ili Scr6n 70m ot Dilition I of ll! BuiB ed <br />PofdioE Co&) or rhd lE s 3h. i, snF Odcfom !d th. b..ir fn rlE .lLs.d ddnFN. Ary vioLlion ofs"crbn 701 I J try rv <br />.pplicul for . psnn rubjdr rh. .p?lkor lo r ciril p.ntlty of not tuG tle tiE hui&.d .toUB {1500) <br />-1, <br />s oMd oathc p.DFly, or ny dploy6 wilh w!s6 s lhcn sb comrdsdion, will do 0r wort !d DE ntud@ a er <br />i 6id q oiEcd fs rl. lsa.7o,l,l. BlJ.r6 od PrD6BtioN ('od. TIE cor.r.crd't Lj.te ts &6 nol +pt 16 d orffi ol <br />rhc rrrFry who hrildd inFD6 r,6(idwlr&Esnrc nim*taor h.Elf or lhiush hi! oi h€ oM 6rh)6. <br />p'!ri,.d th, .u.t ,DF\Ea. E E! -idn d ofiit d ft" rl l[ tbw. di bcildit M ior.tqrd it dd urhn or ]d <br />ofoiplde rlEo\E efik *illrEE tlEh,naolFDvrqs !lEorlE{lnFlhiBditrt.E E p.oFry 6.,t F,Fcoa <br />l. 6 o*n6 olthc prordy. @ qclNiv.ly codrElins wilh licasal .ont&16 to .o.drucl lh. pmj.<1 156. 7044. l}lai6 <br />,d ltolsno cod. TIE corrr..1oa, Lk.@ l.v &6 6r.c?lyto oow of FoFly who blildr or ihFovB lh6@( <br />.nd who onfuil fd ru.n FDFrr wit r Co'rdo(3) ltq!.d FE!&r b rh. ( orrrdd ! tj.o* ls ) <br />-l <br />e.6F uda Serb. .a.at.C aorlhi! lE!. <br />D.r. O'El <br />}QBKEES:(OUIj$AIIq! <br />DECldEArloN <br />I E<r* .rtrn @dd po.lrt ot Fjury oE of th. tollo* inB &r1&rhB <br />-lh&Grn*illmi.h.CdifEd.ofcoMlloSrlllMr.for\ulci@op..t!io..dForiLdforbtSalion1700oarlEL.&r Cod.. nn th. Ffoll@. o t tlE s.rl for shtt lt Fhn E isu.d <br />I h.E rnd *1tl e'rle wdtd onFE lnn i&rs.. 6 ..qu,.n b s.(io. 1700 df llE llhor Co&. for llt Ff(xrrm. of <br />thc wolk for shich ths pqnn ie iq.d. My MrL6i compoltlirn inrursc. cai6 dd poliq numbd u.: <br />c <br />I cdi&rh.r h ll. Ffolr]4c ot6. *ort nj *hxt rhs Fnn 6 s.i!.IslEll6l mph).ny F$. in ovtMF <br />$ 6rob@ncauhet!o E wlt6'conFs.lioo hu oacrhaomit .d.sr lht if I rhodd bconc rubjel lo llE <br />*!rld' o6Fsrb. FDtnbs olsElion l?@ ofl! hbo. Codc I CEll. fonhs nn onpl, $ irh thoe Pllvtio6 <br />WARNrIIC F.ihe lo sd xit6' otpddion ov6!s. it unh*tui. $d rhdl shcl d otplo]s to aiEin l FulE al <br />r. .nr hundr.rl rhousd doll r rll(xr.{)(l()). dd tr)n t\ rlr coN ofcoDFna kt., ddnaxs 6 pto J.d nr rh. <br />i.rdd id.tnE)'. tc <br />K-,., <br />I h6.!y rIfm urdd F.hy ol FJu, lhi I m t <6!.d u.dd p.oli3ioi or (tuplq 9 (o.1llErB silh S.(ir 7000) .r Dili.iln ! <br />of th. BuilB d Prcl4ioN Co&. ald hy licce ir in tu ll lot( dd.ffdl <br />L o)s '</ <br />I o/7 ,"^r*r*-2 <br />gr!$a!cu!]!.1!!!luclcEBcl <br />Ihdd,ylmmun&F hyofFlur,lhi thd. it a oftrtu.lb. kslbg !s y fot0r Ffolrlwc of lh. *wt litr stihrhir IE ni! <br />isu.d(sc :1097.(iv.c.). <br />ASlllL:adr.Decld8Arlo! <br />t h.!br rtrm u.d6 F.h, ot FJur) orc of rh. follor'inB &ttadhE: <br />Dnbliriod P@iti-Alt6rN Nolificalion F.dd.l R.guldi.N (Titl. t0. P.n6) <br />r. i! r6cr. I .sE ro .omply $ ih rI Cny od Comrt <br />iz rcprdsrniv6 of rhi. Cily Md Counly lo ora qrn th. <br />__,.10/ril,s4cLh'^ ' : - <br />Set Backs <br />Forms/Steel/Holdowns <br />Erection Pads <br />UFER Ground <br />SLAB Floor <br />Subf loor/VenUl nsulation <br />Roof Sheathinq <br />Shear Wall <br />Framing <br />lnsulatio n/E ne rgy <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 />Flood Zone Certif. <br />I <br />FINAL l\l4 t(I /4Wu+/)"9/Certificate of Occupancy It \J\ <br />Notes, Remarks, Etc <br />tl