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BUILDING- INSPECTOR RECORD <br />SITE.WORK DATE rD/stG.COMMENTS OWNEX BUILDPI DELCARATION <br />I bd(q sffm u.& Funt of Fj!r, thi I m aai Eon lh. Co ods' Lt6e t^'f.r fi. folb*is 16)! (s6?011, <br />B6inB rrd ProfBion co<L): Any cily or cou y whth rcquirB ! pdnn ro .oEdruc1. altq. iDProv., dahlbh or t!P.n &v <br />nMEFirrotu islfte &o Equi6 tlt l'plal.! tor e.n pad lo nL. trSD.d rlsEn lhl h.o.$. a lic6.d F!!!r <br />ro rh. prlvnioN of rlE Conlndd.l Lrc.nrn h* (Cnlpla 9. Coffiing rih S<rbn 7000 or Divtio! I ot lh. aqin6 od <br />Prc,dioN Co&) or dEl lE or rlE i .!@F d!6.6oo .nd 0E b3! aor rh. .tk8cd d@Irion. Aiy lioldiot of Sdbo 701 LJ br &y <br />.rplicrn tm . pa6n sbjeB rlE .rtlic lo . .ivil Frhy ofml EE th& fi!. hu.(H &llE (!JoO) <br />-1. <br />s ow olthc FoFtv. or oy ..,!pbt6 snh w.36 B En sk onpalrbr wil & dE sn ad dE *lrrc i! or <br />i,noi.d s ofrdsl lo. gL (S< ?044, BsiB 6d ProldioB Codc TIE ( odtur ! Lio* Ltw tlo6 ml +ly ro i o*E of <br />rh.FDFry *t boil& or i,r.Dvd lh@ll. ot who &E 3u.h @,t hif,r.lf or h.*llorltmusll hii u ha omdPloy6, <br />ForiLd thd un iEFEEt r or i.a.t d d otu 6r r.l. lf. how. rtE hr d4 r irysdd i Dld rthn' @ d <br />ofotrplaia E olM &ilds *i[ h.E dE h,ilr ofF nE$rlrd!&dndh,ildorrvot!0EFDFytu tLFlp*ol <br />-t, <br />s o"s ol0. P.oFy. s 4luriv.ly.onrrrins vnh [.d!.d coturro. to orEocl llt FnFr (sc 7o+,1, &!ir <br />.!d Erkion Codc: Th. Conirrcroi r Li.cM L!* rio6 rot lpply to e ownd of prcpal, who bliltL or inprcvd riqon. <br />dd *ho olrrrr! fd st F!}ll3 wnt ! codr-ro(.| lirE d porrat ro E cor.D.rdt Li!& Lr*) <br />-l <br />ancr.mpr und6 Srrion .ll & P( for rhir r.ern <br />Irrt. Or..r <br />1|oR(kirs' ( onrPEi\sdroN <br />DESAEAITO! <br />I hftb, rmm uid.r Fn Iyof Fjury ot of th. rolb*ins d..lr,'rB: <br />-l <br />h,v..d v'll M.j, r C.rifrr. of Coer to Sclf.l6@ h. wt6r @nF,rbn . Foridt, for by SElioi l?00 ohlE <br />l:bd Cod.. for rh. Ffoll1@. ollh. wrt for which lh. Fhn a ie.d <br />-Ihr!.. <br />$ill m.imin wdld snFntdnn iellsq s r.q!i.d b, Sclbn 1700 or0r kbot Co&. lor llE pdfoi!!.N of <br />rh. wrl aor whkh $n Dcnn i, isr.d My mrl4 coorEadi.n iNulft. tr6 nd Flicy numb€ d.: <br />q 12c. ra to rp< <br />4'114'+v t ql,+ l4 <br />-1 <br />.qlif} $.l in rh. pdaolmnc. of lhc worl for whkh lhi! pf6'l ii isu.l. I rh.ll not 4ploy .oy lid.od i. a.y n nd <br />$ G h tEar rutiEl b lhc *qrd @mpddion L*! ofcdifomi& xd tse lhr if I rlFuld baom rub€t lo tlE <br />*.6.omFErionlrosioNoascrionl7motfi.htorCo<kI{ulLfonh*nhotrPlywilhllD-Flvned <br />WARNINC: f.iluc ro su. mrt6'.ompqMlion covcas. n @hwful. ed rh.ll ebJEl d ftplorq ro GimiMl FuhE &d <br />cnil lir6 uI ro oe hu,xL.d rhor6.,n dolllE (t100.0n(r). in con or comFB.rior dri.sd B Fotilcl lor lL <br />s..inJn 1076 ofrh. kbr codq i d.n !d rtrdq <br />j.,. tzf r-/t z <br />ITTLllIIIjAi <br />I hd6y rm u.& FlXy of pdjur,6, I u li(q..d u.da Flirbn of clrp(c 9 (@lllllGriD8 wnh Sclbr 7000) of Dri.b. ! <br />of thc BEiB Dd Prc&.sioB cod.. rn ny lt6g ir in tull fo K. rr.Yz" <br />- (i1 2 ,/2 n,/, <br />1z/t-/r t <br />gNilal]qua!..LluDldcicllI} <br />I hftby d,Im und.r FnllryofFrju, rhd rlE i! r coBruclion kdins istu, for rh. Ffollffi. of lhc eit for snich 'hi Foil i! <br />irscd (sc. 10e7. civ. (.) <br />affuQrNlllfclllallo! <br />I h6rby .,Im utxls Fuhy of Frry oE of tlE folhq in8 d,6l&d.s <br />Dmolirhn Plmirs-Asbdror Nori6.a! ion F.d.r,l RlguldrioN ( l'illc 40. I'3n6) <br />-t.qun.d <br />ltrls of N.ri6.iF. <br />-l <br />Glib lhd rh. fcn ..l r.SuhioE Esrdin3 Bt6lot r@\tl e mr .pdilbL lo rhi! p.oj.tt <br />I col iry rhd I l€v. tc&i thi8 lr4licalion ed slrr.rlB rh.v. infoflnalion is cot cl. I tstd to complyrvnh tI Cnrind ( 6om, <br />ordim6.rd Srd. tjs Eldiry rn td.b.. dhrnt ..Fertn6 of rhn ( ny rnd Codr) ro otd oFn llE <br />.tn!r nErion.d FoFny aor <br />,\ppli(rnl or,\Bol5htr.e l-/tv <br />Set Backs <br />Forms/Steel/Holdowns <br />Erection Pads <br />UFER Ground <br />SLAB Floor <br />Subf loor/VenVlnsulation <br />Roof Sheathing y2a/-/ b E<{z <br />Shear Wall <br />Framing <br />ln s ulation/Energ y <br />Drywall <br />Ext./lnt. Lath <br />Brown Coat <br />Masonry <br />T-Bar <br />Handicap Req <br />Deputy Final Report <br />Engineer Final Report <br />I ') <br />FINAL 'z//'7//4 ./wr/( <br />Certificate of Occupancy <br />Notes, Remarks, Etc <br />/1 <br />/l--"- <br />Pool Fence <br />Flood Zone Certif. <br />,.1('.4--t ) <br />l!d.. r A.!ta: <br />=