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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNER BlllLDElt DEITCARATloN
<br />I ls.tr rfim un& Flhy of Fjwy rhr I o d@F too tlE Codr.Gtf Lilx trs fo,lh. follo*ia ,!&, (Sa /!!1.5
<br />Asid. .,i Prof4ion Co&): Ary C(, or Coud], shkh r.qu6 . Fni lo 6isM, .lIa, iEprcve daELEn ot q.ir &f
<br />, d@ Fi{ ro ir3 i!te.. .Lo tlquc tlE epltd for lat Fhn to 6k ! rtncd fioe. d,i lt d tlE b liGE d Fl,!d
<br />ro lh. FDvi.bB ol tlE Conr,*lor! Lt6!.d t v {(lr@|r 9. Com4irg wnh SElior 70oo olDivilion I olt BGB bd
<br />AlashN Co&) or thd h.d rlE n donpt rh6.too ad fi. b..b aor rh. dLS.d d@Fbtr Aly viohio. ofsctbn ]OJl., by Dt
<br />.!plE&! ror. Fhir sbjda rh. ,rpli6l b r.ivil pdhy of ml mt th& livc hudtcd dolLB (irm)
<br />-t.6 ow olfi. FoFiy, d by dphtd sirh s.{6 $ 0E 3,. oEF&xrn. wiu &r lrE $st 8!d tlE it(re 3 d
<br />nord.d or ofr6a] for sb (Sc.7x4, Buri6 ud Profdaoc Co&: Ih. codr&tor'3l-tff l,w 66 ml +?ly lo d oPE ol
<br />rfi.FF1v wtb hriri or in+.ot€ l,Eurtr al wl$ &E sri Nt himlf or hd*lto, lltousl hi5 or hd oq @pLrc
<br />,rcvid.rl rhr ruct inFoffii e d sd.d oro,IEcd fordqI[ h*M, E h.ildir n imFssEi irld*ihtrorc]r
<br />of@lprrbo- l,E Ot c &il& will h.E tlE hrrtar ofFoviry lhl lE or tr( dn d h:jld d i,gDri dE FDFIt 6. tlE F4... oa
<br />t, s ow oI rlE proFty. n cr.lN'vcly (nrn lins *llt li.q!.d L$ffioB
<br />'o
<br />.odod :lE Fojal (56. 7044, BiEB
<br />rd Pblsi, CorL Th. Co dol! Li..s l,* dc ml .prlr lo u ownE of FoFry wh. b{ildr or inpm6 lh.oD.
<br />tnd who @'rd! for tuch Faj6ll *'nh a Contr cto(r) Ia.rEd FlBd to tlE (nirrrld.! Li.G krr.
<br />_l 6.rdpi un<lc Scrion .a &P.C aorrnGran
<br />Ihl.: OlrE
<br />llllAr};8f:l;qIiDINlAllll!
<br />DECIJAAIIOI
<br />I h6.by .mnn undd D.@liy ol rsjurv oi. of rhc folk,*ins ddldd ioN:
<br />\( r'u'. -J *
<br />'tt
<br />*'n'n'n, r'(n'rtorc.rcoBo n s.raltuur. ro' w..k6 comrasarion er Fovd.d lor by salidn r7($ orrh.
<br />Lrbor ('ode fm rh( Dqfollle. ol th. *.ll lo' rn(h rh( Fmi 6 e.d
<br />I h^. aDl $ill roinr.in *ortd' conFEdk'n iN'e., B Equncd h scri,n l70a oattt tlh.I Cdj.. Lr rh. Froffi..f
<br />rh. q rL ln.whrhlhn Fn s i$u.J M) world'lomD.Mron iNurer.c!rc Nd rrl'c! nmbd e.
<br />,*,- .{cr:fuzvgl€ C^a- -l1l/v- qr, f1f '
<br />*,'.,r,.*Y6D5o%41*-}.,"',^ 3(zt lza>
<br />I c.diry rhal in rnc p.rforunc. ol thc worl for whrh 6i! Fnn i! nlucd. I shill nor @plor rny !.Brn in uy dord
<br />5 B ro ba.r rubet lo rE xdr6 onFoiotr I&s ofc.iifomi{ &d tE rhn ill !rbu! hd.m rt+.| lo llr
<br />wo*6' compoB lio. p6ttioN ol sdio. 3700 of rh. t,bor Code I
<br />\TARNINC aailur. to su. *nll6'.omFlrii.n co\
<br />'d
<br />ro cimir, Fq[E .nd
<br />c'!rl fin.\ trp lo otrc hun&.d rh.ured d.lls (lll)0
<br />G,l. i d.c ud dloiE! r
<br />74)
<br />I hftbr arrn und6 p.uity o I p6roo lh.r I d I'c.acl rohmc'ns tr'rh S.{iion lrc) oaD.Bon I
<br />or rh. adilB !d PN,isioB Cod., !d mr_ l.
<br />,-""-".,*-fi-J a
<br />*" ;zft/]") c'r,.''|'r
<br />CQISIAIII&NIEIDINGIGEUSI
<br />I hcty .ltm unb Fuly o f pqlry Oi dE! ir . odMbn ladilI qdy for lh. Flitlrrj,E olrlE rrl 6r whth rh! Fni a
<br />su.d (s4 109t. civ. c )
<br />tdiq', Nm.
<br />ASfJ.TCANLDECI.JNAIT9!
<br />I h6dry an'rf, u.ds poalty of pdjury or of !h. followrg d..la.rioN
<br />I)@olirion Pmlirs-ashcros Notil'icdlion F.ddil Rc3ulano (Tnl. 40, Prn6l
<br />R.rtutr.d ldr6.f Not!licdion
<br />I csl,fy th!| rh. a.ddal..suhr
<br />I i!.r r. comFlywtrh.llCilyrn'l Counly
<br />i\6 olthis ciry!d Counly
<br />abolr mq ion.d pdp.ny for iNpcr$n puFx6
<br />L
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Frarning
<br />lnsulation/Energy I
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.I
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif.
<br />FINAL >-17-u-D.J*
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc
<br />Apprr..rror ^!d' sien.'un -d
<br />"r U*r. rrrn rt ,?1
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