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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS O$llEN BUILDEX DELCAiATIOIT
<br />I hacby .,nm undd Frfty of Frjury thll I o udpl 6od E ContrrloE Liag t:e fo. di tolLrwins i@i (Sc.?ol l.J
<br />AG'r sld Pbf6bn Co<L): Ary Cn, or Cou y shEn '!qui6 . p6i'r ro coilttud. .h6, ioprcv.. d!@lirh or Ep.r uy
<br />!duru., Fir, ro ir! ir.leq .lo Equta th. .pplim for tuh FDI lo 6L . !t!cd 'lrcEi 'hr lE or dE n licdE d p@d !
<br />ro rh. pravnioN ol rh. Conl'rbir Lko!.d tlw {Cll.prd c. Com@ins *'ir[ Serao. ?000 of Divirbn ] of rl'. BBi!E !n
<br />PrcadioN Co&) s thlt lE d dE b dotrp rn6.6om Dd tfi. b.!n aor lh. dl.g.d ddrFior Any vioLliod of Sdlior 701 l.J by Ey
<br />rp?lk&r tor. Fnir sbJ6art +plicr ro.civilFuhyormr mFtlD fivc hur*t d doll,c (1500).
<br />_1.ad{cofth.p'oFry,ornymplolcwh*a*66rhdslc.od{Egr6,.will{bln.*nIrdlh.*tIlEiml
<br />idod.d o. o6d.d im sb (Sc 704.1. B6iB ed Protdios Co& Th. Conrxlq. Lrce t& do6 @r tqply lo s offi of
<br />rh.FDpqt, wlD hrn(h or imFo6 (Eol! r'a who do6 c.h mn hirulf or h.Elf or llmu8l! hn q hd oh dpby6,
<br />Forli.d fid eh mFoffi m mi idaicd d o,Ed 6r olc. ,l hwM, lh. bildi,r or itrrprsvoEr b &ld vihii w )r
<br />olcornpldb!, 0E ()*E Burl& will hft tlr hdn of Forile llli lt or 3lt dd br hrild d ,!r.!r! d!. FlFry tJr lt. FdFc of
<br />-,. s ow ol th. Forqly, e uclBndy ronr.cturs *nh li.sB.d .onraro6 6 6.fud tlE FoFr (Sa. ?O{. a6IB
<br />.,i h!ftsii Cod.: Tnc Codr!.loi3 l,ic.Nc hw d.6 rot arply lo u owns of FoFiy who h{ild! or idpbvd lttu!!
<br />ed who colrrEdr foi ech Foial, \'nh r Con *10(!) li6.d p6u&r ro rh. C! ruroc! Lf,.M r*)
<br />-l
<br />d .rdF uldn Sdioa-
<br />toaf,[f,LqoM.tEtisaro!
<br />DESJAAIIA!
<br />I h6.by llfm und6 pa8,ty of pdjury onc oflhc fDllos i'llt dcl4cioB
<br />ZII ha!. ed urll mifle t Cslilrd. of CoMr b S.lt-lM. ls rGl6 mnFurDn. B Fovld.d for b, S€rion 1700 of llE
<br />Lbd Cod., fd rhc Ff()t:@c. of th. sod for s,hi.n lh. p.tn t isu.d
<br />I lEvc md vill inrlin Nrt6 conpaE riotr iBlllBc a 'quid by sdlnn 3700 otoE lrb(, cod.- fo. rlr Ffolllle. of
<br />dE Nrt fm whxh thllE n i qts Mys 6 mmpqudEn 6uec.cds rd pol*, nudbd c'
<br />,^-, adc '+r/d, , /^."*W---**aa/21/2/
<br />I can,ry rhr ir rh Fro,:tB. or tlE mrl ror whih rhu Fh 'r nru.d I tlllll nor aptoyD, L*" tfr.*
<br />r alob(otuebj6rrorh.m 6' oEp@rion Lrr ofcdi6rm.. .d *E lhr it I *ould h<or $t,itr ro t,r
<br />lo.td conFsrion prcvnFs ols.clion lT00 oflh. Lalor Cod.. I sh.U.h conply *i$ thor Fnvi.i.d
<br />subid M dDloya to oiniMl p6Ebi6 0d
<br />comD.d6r dam*6 a rro!'dcd for rlE.ril nn6 up tu on. hundr.n rhousd doll,n (llLlo.ooo), rn
<br />ntEd mJ di!)ffi r fG
<br />tEnrhy of prlury lh,r I dn [.as.d ud6 F.vnn]n o f Ch,I{6 I (com,llfiltrJ \ ill' S.(ion 70@} of DirBion :r
<br />of rh. B6ilB od PtufBoB codc, !n my I'c.e a in tull foE. rd
<br />b LrcftC
<br />?a4^",""'.,
<br />I h@b, l'fm udd !6.Iy of Fiu,y 0d lhd !r. 6drEtio! lddioa .ady 6r lt Ffoill6. of lh. *ur 6, *t!it tlt. Fnt a
<br />i$,.d (sc 1097. Civ. C ).
<br />AfILICA ADiCIJf,AIIOIi
<br />I rrys ,Ikm undd Fn.lry ol p€jury o( or rh. folbsos <LlEdD6:
<br />Dsrch6n P@ne^rb€ro! Norinc.lion F.ri$l R.sul{ioN (TirL 40. Pan6)
<br />R.{tur.d L.r6 oI Nonfi.nrion
<br />I .dit rhd rh. fdc.l r.gul,tioc r+edD8 6b6ros ram\ d E mt qDlEtbk $ th! r,.Jal
<br />I cdia} tld I h.v. rad
<br />'hs
<br />rpplrcrlion d rh. ibovc intum{r'on n.oircl.I asc lo.ompl, *irh rll Cily.nd cosry
<br />oiliMrcB d Srot. L:u Eldit{ lo hI
<br />rb.v. nBrbn.d propcnt for Epdbn
<br />appli.rnl or A*cnl Si3n.tur.a"'f'
<br />.urtbria r.F6arniv6 of l T'-ip;iy
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loorA,/enUlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing 6 /8/A/.gt%ru-
<br />lnsulation/Energy 71V2r &@t/a &v,
<br />Drywall I /A
<br />Gxfint. Lath 7/til2t 8U,//)75c6)-6rown Coat
<br />Masonry
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />flood ZoRe Certif.tt tt .atqw[*r)A TtH.tar L+hilil itlv
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<br />FINAL I v5/2t ktuffi vd
<br />Certificate of Occupancy
<br />Notes, Remarks,€tc.
<br />Set Backs
<br />Pool Fence
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