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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.MMENTS (!WN8 IUII,DI.I DEI-CARATION
<br />I h.r.t, amfln und.. p.nulry of Fqury lhll I utr cr.flrpt rmn rh. ConlEto6 LL.nE L.w ror rhc foln,$in8 rcrvr lscr 70ll.5
<br />BusiBc In Profdthn cld., Any Cily or C@nly shih rdruiB . rErmir lo on{ftr. .lrE, a'rTrcft- dcmlrh or qin lny
<br />(ruduc,Iritr ro ilr t\o!r.. !t$ r.qxt.! rll lppli i,or luch Fmi n,libs (i8ftd dd.ftn! rhrr h.or{E 6lr.ncd ,'!lfu.t
<br />k, rlr Foirirn\ ol r,E Cofltr-lr'r Lk.nr.d t u (Chlp'c L Commrin3 *ilh S.ction 7o(D or Dilisi,tr I or rh. Burirt$ md
<br />ItoLr.nns C{i.) or rhll llrs}E ir.r.mrt rh€Efmnlrl rlE llrt for rlE albscn cr.n!'iion Any tnLrio, ot sdrr 7oll5byrny
<br />.pplicul lor rn mil iubj.rlr rhc .ptliclnlro !civilpc lryof lr, mElhu fiv. hldl,cd d.ll4i ( $5flr)
<br />-,.
<br />$ o*mr ol rtu pmFny, or my cml,loF.s sirh w!8.r is !h.n $E .\'np.nrorion. will do lhc *orl ['d th. slrEi6 h ml
<br />i d'd.J d oficEd fu sL (s6 7(}1,1- BuriB! rn ! PrDr.snB (.d. Tlrc Corrrrdtr.t Latn- lr* &B tu' {ply ro o o*E ol
<br />rrt ptrrEny *tn h|ill d,qmB lh.E r.,n *h, dE Bh m hitu.lf or lErclf or rtFurh hi m lE own cnpt F.s.
<br />pnvid.d th{l .uch tr{mwnl3 c mr inl.d.d.r ofrard rn rk ll h,wE. rh. buiuin8 or i'tmwrnt ir sld wihi. om FUofdrlllri[ dE O*E aujltr will hE th hrr,.i of FhrE drt lr i, lrr dU n, hliu d iqrDE rrE Fordy 6r rlE F,FE ol
<br />-l..rosEof
<br />rrr F)p.ny, .m gchsiwly onrdi.S ri'h lk.ncd co rrnB b oniu'
<br />'h.
<br />pmFr rS( 7(llj. Bcir(
<br />rfil lloiNa.irCodd-lh.(i'nrtuinr'sLi.c.f tls de! mr omlr b rn o*n$ of proFny eh) hriHr or in{'rov.} thdsn,
<br />.tn eh sl'lmi rs trhFFs vni r Coddonn lffrd Fl^ud hrlrcodrd( i LitB L.*)
<br />Imrcr.ou UDLr h-rr,n ,B &P( fnrhhElcrr
<br />lr.l. O*ne.:
<br />woRxFra' coMPnsATr(rN
<br />DECIAEAIIIIN
<br />I h.rcby lffirm !nd.. F.iry olFjury.rcolrh. nnhei.S d..|!r!ion{
<br />Ih0wr eill inrri.oC.nili.nrcofCon*nrioScltlnsur.nrrworkc^ co,l1lEn{riJn, dr Imtid.d for hy Sdrt'n 1700 of tlE
<br />l.ln Codc.jr
<br />'h( Ff{'1l.N or'h x rq IhEh rlr Frtu r nruql
<br />,.rt6. "n.r " 'lr
<br />*,nu,n ..*.rt c!,qEn.nrsn in$rrR., .r k{un.d by s(l tun ll(D of rrE t2titr Cod.. tu rlr rrrfomrc. oI
<br />llE krl lry whth rh6 Fm'l i isrn. My *ortdr' o,qEtr{irn inqrN otrs !d Inlt, nuhlq el
<br />;a_zszo
<br />I..dify rhtrr in ih. l.rrormft. ofrh. *ork (rr rhkh rhis Fnnir is i.\u.d, I {h!ll n.r cmFhy ony !.mn rn rny nrnB ,
<br />$ r ro tE$trE subr.<l lo llE pmtsr oriEN.ri'n b*rofcilnni.. mtl lsr lh:r ir I ih.uld lE om {hj.tr ro rtt
<br />*0*6 mnlEnsi6. poltio.s of S.ni'tr:l'r(xlof rlE lilFr Cqlc.I {BlL roni*irh.onpl, *irh rh,{ Fovki,.(
<br />WARNING FriluE lo *uE R)tkcn ..r{rndii,n d'vcBBc i! unlrrlul. dnl ah.ll $hj.rr o.q'k,rrr x' ainirol FMlli.s aftl
<br />cNil liftr uI tu or huinErl rlr {ld.lollt^ rll(ltfilD. in rddnbn b rh. .ixi or.on{Erqrm.. drm8.r.s F.vncd ftr rlE
<br />S(.otr 1016,'l rh.l.'hn (i , rr.{ rnt nk,'r}'\ 1..\
<br />L-22: zo
<br />IIECASAI&!
<br />I h.rty lffi n utulcr Fnllly of pcrJury rhd I m lnHsn und.r Frrishn of Ctuntr I (rmmkin8 *irh Sdi.n ?(rr) r or Drnis .l
<br />7'
<br />rh. Bu$r(dJ Polc$rn<(irr.. an m) l*n$ tr
<br />'n
<br />lull nrr di.flNr
<br />Ll 2q 33LffZ...,.*,.. K*?v la$1tr!r-ua\llJra1j-l1ir:!r
<br />-i lFEty .fitrm ui&r Frhy or Flry rld rrEr. ir . 6dnf,ra'. t.di{ 4mr ror rlE Frtlmr .r rh. wt fot *hth rhn Fir ir
<br />irsu.n{S.. 1007. Civ C )
<br />AIELII]ANI.IIETIJXAIII,I!
<br />I hattlyltrmu Lr Fnalty ol F!r, oM orrh folfir*in, &rLh!i.ni
<br />D.rnirioo P.,mirt ArtEsro! Nnrialcrrion rded R.slhriotrs (Tirlc{r, P,n6)
<br />-Rcquncd
<br />t.llq of fioririorir!
<br />rhit rh.lcd.dlEfuhri'n( rctEdrnR nh.1[^rcnrtrrlm fr{ rt,plMhk t' lhF pn,F1
<br />rd'ft rh:r I hxtcr.drhnappl.rrbnurlrrri.rlux rlE !tDr. n,l l rENn,conl y{ h lll Cnt antl (i)!nr:_
<br />!h,vc trnrinEn pnlEny n, rrlEr!tr
<br />K\[tn{ nr \rrtrr \trr qr
<br />,t-,'". **" 'r"r-fJt t\ND/\!l S flolb.o+S
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />SLAB Floor
<br />Roof Sheathinq
<br />Shear Wall
<br />Framinq
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />!lasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certil.
<br />FINAL 8'?o'za 2- L,st -,97a\ - Zt7
<br />Certiticate of Occu pancy
<br />_Notes, Remarks, Etc r^n'4)o
<br />a(t,
<br />Z.d Z.z-77
<br />Set Backs
<br />UFER Ground
<br />Subf looriVenVlnsulation
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