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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE tD/stG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />SLAB Floor
<br />Subfloor/VenUl nsulation
<br />Roof Sheathinq
<br />Shear Wall _.--=)
<br />Framing \1 -'<-t,.l -e%
<br />lnsulation/Energy
<br />=
<br />'l"lLI rn/,"T7s\
<br />tvqeptr'-Drywall Ll71t4'TEl
<br />Ext./lnt. Lath U I
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />FINAL EIU.M 1 |-a,-ctX ?D-/
<br />Certificate of Occupancy L lt UI
<br />Notes, RemarKs, Etc
<br />I
<br />I 0 6 L LI , ,J I
<br />-)
<br />(,r\\t tBt It rrrR Drr ( \R\Iur\
<br />I lE tr .rm un& Fulry ol Ftury lhn t E d@ti tun t& Codrftlm l-ic.M la for lh. folto*ioe @. lsd r0rl i
<br />B6in6s dd Prcadion Cod.): Any C{y o, Co@ty whi.n r.qon6 ! FBn to corolruc1. .[a. ioprov.. ddnoli!fi or Epdt My
<br />nru.tc. Fii ro ir3 isl,.e. aho rcqutd rh..rpltmi for sch Fnn b fiL. t'sr.d 3rrgEn rhr h. ot tt i! licsE d pu!&n
<br />lo rh. FortioN of E Conr,rctdi t-'qrd t w ((1Sq 9, Codf,fti.g *nh SElion ?Om ol Dirirk'n ! oatlE auilB rd
<br />hnBionr Cod.)or rh$ lE or . n ddp{ tha.6om dd lh. bdir lor lh..lkscd qdplirn Any iolalion of S6lion 7031 5 t, dy
<br />.lplicd f6r r Fni rub<t! IIE +Clirl lo r civilpsrhy ol ml mE lh.! fir. hld &'lltr ($m)
<br />l. s o$G o flh. FoFty. or my orglor6 *'ith w.s6 s lh.ir sL .onpar.lion. will & llE qst lld dE lrair. t ml
<br />i od.d c oltd.d ftf, sl. lsd 704.1. BGilE.nn Protusi'B (-o& TtE Codr..rd'.1-r6e Le'thd d sly r. - olrd of
<br />lh. p.bFi, who tril& or rryFE rlEEa lrd *t &6 $h mrt himlf or ha*lror rleush hli or hd om.iphrt6.
<br />provr:'.d rhd su.h @Flldmts8 mt iddrLd oro,Iod tur sL.l( h*6q. rlE t!finB or inqrtEEil it$ldwihinon.t{
<br />ofotrplrio( dEOrE h,iBn uiu h.* llE h,na ofFort $r h.or tE (H Dr niB nptow rtE,!DFy 6.lL F46. of
<br />-1,
<br />Bo*E olrl! FoFry, m a.lBiwly.ontdiu qnh licd!.d conr.im r. codtud rlE p.ojct (Sd 7o{'1, t}66
<br />ul hoE ih Co<b: TIE conhdot , Li.@ b* &s @t 4rl, ro d otrE orFopqly eho bol& or mPreE th6@i,
<br />od *ho codmB for ru.h Frjc.l! with ! Conlrelo,ls) licq!.d p!a@n ro rh. ( onlr&ld.! Lic.e L.w).
<br />I m.rdd u.& sdion .B &PC lqlhtlas.
<br />Drr. - Ofu6
<br />\l oRxrqs' ( oirgilNsaTloN
<br />DECI.AEAIIIA
<br />I h6€t, rfiirm uid.r p.n lr! olFlury oe of rh. aollowds d.cl&dir6
<br />I hav. dd will minrrin B aErificirc of CoMl ro s.lf'lNurc for *o,kdt conrp6el'on, s F.v!d.d lot b, Saln'n 1700 of lh.
<br />lrhor cdL, for ilE Dafolrw. of tll lut fo. whth lL rEn'l . is.d
<br />Ih.!.andsillmiiorainwd.B'.omFi$hnisur!.c..Br.quir..lb,SBIion3700oflhcL,borCod.,aorth.Ffolruc.of
<br />th. wod rd rhth ths parnn i! iea! My *dldr' .om,Ea!air. iM. ffir rd polay tudtE el
<br />.-o,' 5.r.r (nS11ia, gUTLAFS
<br />il la -lcl
<br />a
<br />-l.drify
<br />rhd in rh. Fforn@.oarlE wort for shi.h thn Fhn G isur( I rrll mr oploy ay F$n h uy mdE
<br />$ B Io h(oG sti!.l ro tlE mn6 oflpdErion LE orc.lfomir !n tsE rhi if I JruU b.(oft rutixl lo llt
<br />*o 6'.onFBdh.provtiosolsdlionlT00oflh.l!bo,(o&,ldull.lonhwiihcomplyennrh.FFovnioB
<br />WARNIN(; Failur.lo s(. soltd omp.Mion.nvdas. il dploF ro ainidl FEhi! ed
<br />0.. den+6 a rord.d t( lh..nn fm6 up ro oE hund..d 'ho6ei 6116 (slm,ftD). in .ddn
<br />\Rr6.11076 01rh.lrb.r ('oi.. im6ded!r,ll1B'r ac
<br />I hd.tr, lmm u.d.r pdrh, olFj,Jr) rhd I m hcla.d ur& Forni,i.6 9 {onffii,B { nh Sd ion 7000) ol Dnthn I
<br />!f (h. IrBtrB dd Pmf(ioB codc. ad m, lic€M n in tull lo,c. md rlTEl
<br />13
<br />,-,-*.o( SUrr, ({)(R;G BD,t1-- 6 ra;2
<br />coNsrnucllo I.{prrlca(:rnar'
<br />I hdrt'-v .rm undd FEh' of Fju.y lhi llE ur @.druclbn lddi,3.sst for th. F6lffi oallE Nrt tor *nihthir Fni ir
<br />$u.d (sd 1097. crv C.)
<br />AEUIAtrI.DESJAAITqd
<br />I io+ .fm und€ p6!Xy of pqjury oB ot $. tollowin8 d<LnlioNl
<br />DsDohion Pdritl^lbdor llori,i.rirn &.1 Rcgullia lTrL 40. Pd6)
<br />-Rc{uncd
<br />Ldld oaNoliiorir.
<br />od rcsdrns atElor roov.l e. nol !r9lt.bl. lo rha pojd
<br />.x, ldrrhi $GrD.r. iifotuio. i! coEal I .sG lo onplr *nh .I Cirr. Cod!
<br />hd.b, rurthrn. EFadidiv6 otthN C yddCoortb mrd oFn tlE
<br />ah\. ndrn{cd ln)l.ny lor il {-tfAp0li(rnl or ,\E6l SiFnrlur.,
<br />\*a EA<-A1I+P tr
<br />UFER Ground
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