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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNET BUILI'ER DEITCAI TTON
<br />I hd.t'y lIrm unda F.n, of F,try rh. I m d.r$ nla rh. Colf*r6 tiae tie f.r dE folbwina ,q$. (S...?01Lt
<br />Bqrd rrd Prcadion Cod.): Any Ciry or Coudy which r.quG . Foir ro .ondo.r. .lrs, iEprov., dsmlbb or re.t (y
<br />rlructuc, Fi,r ro its iiiue., abo rcqon6 thc .ppli.Dt aor iuch Fni lo 61. . lign.d n@d $.t lE or $c i licqsd p@dn
<br />b rlE rmvisioB of . Conrrrroar Lic6u.d L.w (Cblpra 9, CoMdcins $ith Scrion 7000 oaDivirion 1 oalhc BaiDd 6d
<br />PrcfdbN Co&) d rhd lr or 3tE ! dan$ rls.toE ad lh< h.n for tlE dLg.d doFhn. A,y vbLrion of Scrion 701 L5 lty ey
<br />.pqli.{r lor ! FDn iubrd! rh. .lplior ro . or il po.ly of @r tuc rhd frr. hunhd rbllD ($m).
<br />l, s oqG oath! FnFly. or my dplo)€ w h w!96 6 lh.r -k comp6Ba,ol! *1I & tlE eql !i rlE tum ir mr
<br />inrordcd or ofr6.d lor !.lc (sd 7(N4. Bui.6 od Proa*ioN ( o& TIE Conrr*roat Lt* L.w &6 mr +ply ro & oua of
<br />ln rNFly who boild! or uprcve ltEon, dxj who &6 $d w.t hitu.ltoi h@laor rh^ugh his or lE oM dploy6,
<br />rovdcd rhn $.h inFovde15 e er inroi.d or offdld ir el.. lf, how, dE hlild!'s or ltqusEl it Dld wrhin o( yo
<br />of 6npldi@ dE o'*rs Buildq win lEE th. hdbr ofFows tni li d .ic did er hrld or m4.D\r lt. FDFry 6r tlE F,Fo,c of
<br />l. 6 olle of $. F,pqry, m achliv.ly.6l!rar ins wnh [ca!.d codr{6 ro cotucr 0E Fojal (St 704,4. &!,16
<br />lri i\Dtsi. Cor,.: Tn. ContE lor'3 l,ico. L.w <tod .ol .prly lo omq olFoFy who buitd!or inpr.E ihdon.
<br />ud who @irn r. for N.h Foj6r! *nh . ConrEto(s) licqBal punu!,rr ro ltu Colrrdoi3 Li.@ Lrs)
<br />I e cr69l uda s<rid , B. & P C f.r thii l@n
<br />D.r. ()rnr:
<br />!Oaf,f85:(O!',II!SAIlqB
<br />PECI.6T4IIO!
<br />I hd.by.rm und6 FdhyofFjuryon€ oflhc lollowins dch,.rioB
<br />/ I h,y.rrdwill mhtM . Cd,lEdG olcrlwr b Scl Eurc (r s,L6 @mrqq'u..d,d lal lor b' S.' l.bo, Code for rh. Dsfo,lr:*. of rh. qorl for *hkhfi.F,r ! su.d
<br />&*..o*,rr*,r.,^-orla comFMn. UElJlts.. s ..qurcd bys<tion 1?oo orrhc t b.r co&. rordE Fr(xljff.or\ th.-$orl lor *hkh rh! pdni 6 eld M' worla'@nFsFnIrM.(j.e dpolr) nmbd ft
<br />/* S*1+C ?a& fusurvn4. . , -(;;",-- qibB"rl -FrpE t^- t-?)
<br />l.dir} thd in rh. Fao,rffi. of tlE $ork tor *t.h thi. Fnd B is*d. I drll d dpby ay Fen iroy neE
<br />$ Bro bdomsubjd
<br />'o 'h.sort6 omFuion L$s of Cdiromq dld *rE thn if I lhould b<om $br<! to E
<br />*orla.onFsrionpr.ltirBofsdhnlroo.lllELitorCodqIlhrilfonhvirior9l,*nh b* pmvir66
<br />WARNINC Fdl@ ro Buc ert@' conFBllion ova.g. n u.hwtul, md 3h.ll sbjcl & dploF lo oininil FuIi..4l
<br />civil fin6 up ro otu hundrdl rhoMd dolld (t100.000), ii rddniof, lo lhc con oi conp.Nxo.. d!u86 d prolid.d for $c
<br />- t'?'*sc/I. ltlo,--1()7 Llllll-Lulllt!!] \! |aB
<br />DECI4SAITON
<br />I hdlby lllm undd FElt, of psru.y rhd I d lEdE d uds Flvarion ofchrprd 9 (comlE.in8 wnh S..lion 7000) of Diviion l
<br />ol $. aBird ed PbfdioB Codc. dd mylicft.ir hfull forc€ ud cfidl
<br />0
<br />cl)luBucuoM.!!Dl!c-6cE!l;r
<br />I tcby .llm undd Fully o I Fjury rhll thEc i! r coNtudir. lav.li.g .*dy aor llE FfotrMcc oathc sorl (jr *hi:h ihi. pdnt .
<br />isld (Sc 3097, Civ C ).
<br />a.Elllcalr.llEcldSallotr
<br />I lEdy lrEn unds ,6.lty of Fjury oc 6a rhc folovirB delxaioN:
<br />D.rmldio. PmileAtt6lor Norificlrhtr Foj6.l i.suLrioo (Tnt 40, Prd6)
<br />R6iulrd Ld16 or NorifriEn
<br />6b6bs rmov.l d. nol a9pli.ablc lo lhn rojdt
<br />crllll ln.rt{v. inn,mai6n is.ordl I a8re to enDly *rrh ill ( iry and Couly
<br />Mlsriz. r.D.erd^ 6 of this cny lrd cooty ro ara up.n rlE
<br />$or. n6rrn d FlF r aor iEpcclion
<br />feprk.
<br />r or,ud \i8n{ur.
<br />N'r i,Nrm.(Fri":
<br />*,,r- ( 7->\
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUl nsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framinq
<br />lnsulation/Enerqy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />I I
<br />FINAL L /71'7)I- ryi f/
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc
<br />,,(-*,,*, R r--L1O
<br />\* s:_tz-}i c..,d.r..:a,
<br />y//^
<br />Flood Zone Certif.
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