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BUILDING. INSPECTOR RECORD <br />SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILDEi DEI T'ARATION <br />I hdb lmm u.ds Fulry Da p6j!ry lhrl I dr d.mpl fmm $. Conlftlor' Lic.n.. Iiw aor llE fouo$in8 t.&n (Se.7orl .5 <br />liuind ed Profdion Cod.) Any Cny or Cou y whah t.qui6 . Fni lo on!rud, .t6, inrnlc ddltn or EFiL v <br />nrud@ Fir ro irr iBlEc .to r.+n6lh +rli.!n fot sh Fnn ro 6k. ristEd 3lnaElr lhd lt o 4. a lkqE n FrsEI <br />ro rlE F.virioE ol rh Contrb'' Lic6r.d t $ (ClEpla g. Coffiins wi.n Sdion 7000 of Dvnbi I of lh. BsiE itd <br />PDli6iod Cod.) or $ar t d dE ir qdF lhsdln &'d llE b6! for rh. rll.g.d .,aFi,n. Any viol.lDr of Sdb. r0! l.J bv rD <br />6ppli.dr for . pdTn subjelr lh. .pplicer ro ! cilil ptuhy oa mr hor€ lhe fivc hddr.d doll6 (1500) <br />-1. <br />s orG on,E FoFl!. or ny dplo)d wrh \'ts6 s lh.t 5h @E EBrbE trill & dt r'6t .n llt iEiE i! tDi <br />i,tci.d @ ofiqld fm -L (SG ?O,l.l, Bsi6 dd Prof6ioG Cod. nr ( olnr..rd'. tilg t* do6 nol +ply lo - olrc of <br />lh. FlFty *h, hil& or i,po€ dEEtr !d who {,G f,rn wn hirell or hcrlf or rtouBl hn d hd om.,plorq <br />provi&d thll ruch ispmEcrL @ @l nlald.d dolEr.d 6r Ek l( hq'@, 6G tiildinl or itlprovffil a sld within on. <br />'6ot.ol4liblr [E o]E BiEa wiu ttE tlt htlbr olForilg 6a tE d cE di, ml hild ot ittgov. lh. F!Fl, 6r tlE F,Doc ol <br />J4Ii. - "*. , '* *-y. m .r(lBtr.ly .otuN'ns qirh licq!.d.odBr.r ro otdrucr rrt plldr (s<. 7rr{4 s6i6 <br />drl h!&sion Co&r Th. co.kr.(olr Lic@ Llw.106 nor.pplylo uovnnolpreFnywho build! or impDvd rhdon <br />&d *ho .o..r*t for s.h Foiar3 win ! Colrr*ro(!) lka..d FlBld lo llE Colnr.dor'. Li.te try). <br />-l <br />e sdF u!.ld Sanio.- <br />I hd.t'!. s,Irm !nd6 Full) of FJ-r_ <br />-l <br />nrv. dd will minrain s Cdiltril. of Co6sr ro S.ll-l6ur. lor workdr .onrpastion, e Fmvid.d lor by Sdr6n r?rr! n r rh' <br />L.br Con . aor lh. Ffolrrle. ofth. wlt for *rrkh (h. p<nir i! is.d <br />I hlE !,!d will tuid.i, *ulii @np.di'n iM.. B Equiad qs sdion l?(x) orlh. L$or C.&. tu th. Ffo'ffi ol <br />rh. erl fd $nth rhs Fnn 6 ae.d My 6tdt onFErion o.!fu. .$it .!d poliy n@bd G: <br />I cdit rhd in rh. Ffode. oflh. eorl for shich thi Fnn i isu.d. I ihlll ml dploy loy F$n in Dy seE <br />$ s 16 taom. iutidt to th. wolt6' compdsdion Lws oa cttiaomia Md .srE lhd il I rlbuld b..oft rubj.cl lo llE <br />6fid' 6oF6.rirn prcvilirB ol Sdnn l?00 of th. blhr ( odc I tdl. fodh*ilh ompl, snh lhor grovirio6 <br />$ARnllC: f!il@ 16 $G rdt6 orDFsion orE!8. B mh*ful. dd:hd $t dr e aphF ro aiEid lErlb &d <br />.ivil nn6 up lo d hu.d.cd ltbu$d &'llG (00.000). h.ddtion !o rlE cd of mrFldioa dlr'{B E Foril.d fo,lh. <br />S&tn). 1076 olrh.lrhnC.d.. mrddMd <br />u.lr.rButor <br />I lEch, a,nm und6 FEhy o f Flury lhs! I m For ilion o f (n!Pl6 9 (offir.s wnh s..tio. ?000) or Divi3io. l <br />of rhc BsilB dd Pol6lioN cod.. dd ny liraE is in lull aore and.lTcr <br />clllllaxclla!.LEdDr{ilofdc\Ihq.t, fm !nd- Flhy of Fjutt tnd $e ii t mdtu.tnn kdi!ts.*dcy for dE FlotuG orlh. *ort 6r $nih lns Fna a <br />irru.n is* 3(l)7, ( iv c.) <br />AEUCAUIDEO.AIAIIO! <br />I hc*, rrm uBLr Frrfty of lsju.y oc 6l rh. folh*in! &.lsd ioE <br />l).tuhior P@nl^tbdor Norifi.rlbn F.ddrl R.suhr ioN lTn L {0. Ptn6) <br />_R.qun.d l-r6 ol l.Jotificdioo <br />- <br />I cdiry rhd thc f.do.l rslLrioN r.grdi.t 6b6lG rdn.r rl E. Nl a$lrlbk lo rhn Foi..l <br />icdhfl ed rhr. rh, rh. lhr( r.fotuhn <br />buildiry conctucr iol\ od hd.ty aufioru. <br />{tlltr <br />CGaal <br />,!,(r'.. D|\ { h.ll(_'r\ rnd <br />tr6olrhs( iN!tr (,)unr) n, d-"y;{r1 <br />Set Backs <br />Forms/Steel/Holdowns ./t^ta <br />Erection Pads t\\\Y'\/-yA <br />UFER Ground I lt't ) <br />SLAB Floor <br />Subfloor/VenUlnsulation <br />Roof Sheathing L1 ,'uan(D <br />Shear Wall .<.Qrd P:5, 6}fdr.*'r. pretq ('tt <br />Framing 4r* <br />lnsulation/Energy <br />Drywall <br />(Eitlnt. Lath ?)I I ,LtZ4 /t t) <br />Frown Coat <br />Masonry <br />Pool Fence <br />T-Bar <br />Handicap Req. <br />Deputy Final Report <br />Engineer Final Report <br />FINAL <br />Certificate of Occupancy <br />Notes, Remarks, Etc <br />Flood Zone Certif. <br />ceia:- <br />-EIpG: <br />- <br />enTtT-