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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE IDiSIG.COMMENTS OWNIiR I}UILOEN DELCARA' ON
<br />I hcrchy rfrrn, undcr pcnalry i,f lerjury rhnr I u. crcmpr lm'n rhc Grntactn Li.ns. Lrw aorrhc fdlowing rcr$n rS{ 70:ll5
<br />Bu\ircss .tu1 Porcssi(r C(tc)r 4., Ciry or counry whi.h toituncs n |c nir kr conNrucr. nlkr. imp,ove. dcnnlhh or rcplt rny
<br />srrucrurc. prior nr irs hsuuncc.oho rcquncs thc {fdicanr hrstr.h pcnni o lilc r si8ncd srlrctrrnr rhar l{or shc k licctr\cd pursuitrr
<br />lo lhc pmvisions o, rhc Cotrn&lofs Li.ctrscd tlw (chlprn 9. Commmin8 *ir[ Sc.rion ?($0 ol Divirion 3 ol lhc Bu\incss and
<br />Itorlsions Codc ) or r hllt hc or rlr k cxcmpi lhcrcirou and rhc tusis nn rhcrllcScdcxcmption. Any violrlionofSeri,n 70.] L5 hy any
<br />apnli.anr fo! r ,cnnir suhjccrs rhc ryplicant ro 0civiltc.alryoi.or mrcihrtr livc hundrcddoll0m (S5lro)
<br />Lr\ osncr of rhc pn,Fny. r 'n! rmrkDtc\ wirh $n8cs 3\ rh.t $lc corfcn\d 6.. *dl rlo rh. w.rk $tl Eslmrur i\ nol
<br />idc,nlL{ orofscd f(tr *'lc(sc...r(u4. auimssrnd Pn,fcrsiors Codc: Tlc G,nrndois Li.cn\c La*docsru smlyn'$owidof
<br />rhcFlrcny ql(,h{ikl\ori'nprortsrh.d)n,aidwhod(xssuchw,rlhi'r\Lllorhc!\clforrhnrrshhir .hcrowncnlnloycc\.
<br />nmvidcdrhrrs'ch i'npmvcnrnh@ nor i'n.nlcd or o ltircd ,'or s!k ll hoNcrr. rhc huiLling or i'npntrurnr is s,kl wirhiL',{rr yr ir
<br />ol .onDldion. lhc o!trs Ruildcr will harc thc tn cn ol F)vir! rlw h. or nr did mt huild or i,np('rc lhc pnrFry ror d'c nnrtr,{ or
<br />l. N.sD.rolrho nmlEiy. r,ncr.lu\i!cly.onrra.ri,,E wirh li.cn\.J conrr.ttr\ t) c. ntu.rrlr lri,rcr(SLr Tlrs.llu{nc\\
<br />nd PoL\$n C.dc lhc(d.r.tnsl-iccnrl-.N(l'Ertrotrmlyrorno{trcr.lnrop.n}shot'uil.kornnpftrc\rhcr.ri.
<br />rtrd sho cotrtJ.( tur \&h pm]cch (irh r Contr.ron \ ) lic.ns.n nursunr t, rhc coft(ttr s t-trctr* Lar r
<br />-l
<br />amcxcmlr hdcr Sccrion
<br />lonr[&1co[ttlrNlarl0N- DEI.IAXAIION
<br />I tlRhyrrl'rmu .' n i.'lryclf.rrur)omolrhci"llnw r!dc..h'Jr'otrsY
<br />/\ b,, c u,] " ill ronr,in ! Ccnrfi.rrc ur con\cd r, sclr lnsuE r.r *orrc^ .r,frp.nsdn'n. as pn,idcd ror by Sal i,r :lr(x) o I lh./ r"r*Yc"a. r",,* n",,..n,nn!. cr rhr q .[ rhr {hit h rhc,r,tr. r N r.u.r
<br />lhrvcud rvill rtrl 'n conrcn\rli.rnr$ircc.dr rcquir.d hyS!\ri,)n.17(x)olrhcLrhrCodc.forrhcNnonn N. f
<br />n in\u'r,c. crrirr xrtt. i.rnu ih.r c
<br />a 1n
<br />I r.ni! rhrr i', rh. p.rr(nnuncc ofrhc work tur ahich rhil p.nnir n is{i.d. I shnll tror ctrlroy rtry p.rson in a.y m Dcr
<br />s' s lo E$coN nrhjcd i, rhc worlcs .oDrpctrsrt im hws or crliaor trir. rnd Lercc lhir ii I should tEonc \!h,cd t, rht
<br />workc^.onrt.nsdirrUovhioNoiSccrionlTmolihcLrlrrarodc.l{hrll.hnhsilhcon,llywirhlhosrruvi\nn
<br />RNIN(:: I:rilur. ri k.tr'. sorl.r coDr|ttri ,tr,..vc gc n ' r\h,1. rntl d ll\!tr cniploycr to oimiMl Ftrohic\ lnd
<br />arn . dxnu8cs rs trovidcd lor lhclitus up I' on. huftlrcd rh.u\and dolla lll(r).lxXr). ir rldiri{i
<br />Sccriotr:1076olrhc lititr Codc. inr.rc$ 3nd rrin4/
<br />I hcrchy {lltm u dcrNtrrlty.lpcljurylh l0 lic.n rfixisi, olChiDrrr9iconn,f,i.i',8sirhSc.riot?(XXr).tl)ir'si l
<br />rl rhc BusircssrM Pn,tus\nrNCodc, rM nry li..r{c,s $ tull hr.c ntrd clli\r -/c zt:,C
<br />-a
<br />I hcrct y ortrm undcr ll(mltyol'pcljurylhol lhoc G o co.(ruction Endins ascncr lor rh. I.rfornMc. orrhc work ltr whicn this llcnn n
<br />hru.d (s( 1097. civ c,.
<br />A.TIUIAITLDDCIII.BAIIQN
<br />Il*r'bynlttDutrd.rN nhyoipcrjuyo col'lhcli)lkNir8d..hrnri(rr{
<br />D.nx'liriod P.rnirs \h.nn\ Norifi.rrn[ Fcdcrn] Rrg!hrions iTirlc t0. Prr6)
<br />Rcquind hrrrr of Noriricdi(n
<br />l.cnilylh rhcrcdcrnlrcSuhlions rcB{ri,irE Nbcnos rcnnrv0l ir. n r :ltl,rli.$lc tolhi\ pmjc.l
<br />I ccn iry rhll I hrv. rc!d rhn rrrlicrrnnr irnritn l\.o'r..r I r8(it'.otr rs hJllCiri rdd Ci rr_
<br />r l$'nd r.pr.\rtrrrrilc\ olrhis ( iry atrd Coufry n) cnlcr ul!f Ihcu,lnxn..\ xtr,i sr.i.l rtr\ r.Iri
<br />dxNc nrnliorci proo.n! lor
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<br />g -aa-E
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Rool Sheathinq t/n/r* &'.Mn/L I 'e-
<br />Shear Wall
<br />Frqming
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />l\4ason ry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Cefiif .
<br />FINAL C//n/rt €rhnn-/tn--
<br />Certilicate of Occupancy
<br />Notes, Remarks , EtC,
<br />Sublloor/Vent/l nsulalion
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