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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OITNER BUILDEX DELCARATION
<br />I hsct', rltm uds Frly of Frury On I a a6!p( nom 0E Codrd6' Licru r.e aor rh. followi.g i@n (Sr.?0]1.,
<br />BGi6 dn ProaBion Cod.| An, Cily or C@nly *hkh r.q!ir6 r p6hn to coldrucl, !Xc, inprov., ddtllh ot rqs uy
<br />nnde. Firr lo ir, iMG. ibo r.quir6 lnc .pplrdr for such Fii lo 6!c i .Ai.d nn.rGn lh, lr or {E i lkdE d F rEi
<br />ro thc prDvnioN of tlE Conr.r.rd', Lic.i*d kw (Ch.pr6 9. Comdtrins \nh Sdion 7000 of Dvabn I ofoE AGi,E !
<br />PDI*i.N Co&) or rhd L d rh. i datqt rhdrfrn &n rlE b6i! fo, 0r .lle.d asryion /by vioblior olsarbn 70115 by oy
<br />.rpli.dl for . Fin sbjdt tlE rp?ltrd ro . .iril Fn I, ol rcl mE thr 6v. hldrcd doUB (3500)
<br />l. s owE olllE FDtary, or my.nlploy6 wnh w!86 6ltar $L mnFlrion. qU *J rE *dt rn Eitudci! mr
<br />fiadql or ofr.r.d tor d. (Sd.704a. B6iB &d PrDIBIB Co&: TrE Coirndr'3 Lke l^' &!6 ml aply lo e o*F of
<br />rh.FoFtr *ho hril4 n n!g!E t E@ rn et. d6 irt! sdt hirelf or lEsltor tlNUBh nn ot hs om. plot6.
<br />F.lit drhn sci nItroE'. !ed i.ld'd.d qolIdld for e]. ll lnrM. rrE tlikjr4 d iio.ocEr n$Uwitnhm'r
<br />olconpkior tlE OsE &itb witl l!* dt hlrlor of FlrEs lh. lE d iE dA d hliu 6 !'prsE l,E FoFty l& ,E F,Fc of
<br />-1,
<br />s oqE oflh. F!p6ly. m qclBiv.ly cor adhs rilh !i.ds.d tunt.*16 to @dru.t rlE Foi6l (Sa 7Or{, Bt !B
<br />.rxl rhfrsin ftdc: Th. Conrrdols t-'c.M llw do6 mr .!rlt ro u orE of F.Fr, *b. toilds or 6pr.\€ rhs@t.
<br />&d wh o rIl! fd *h FDjdt *lrh . Cod,rro(i) ltdE d po]u.r lo rh. ( onlrrclr'i LkN bw).
<br />I m.r6npt undd S6lnn-, B & PC. tuha r@n
<br />D.l. orld
<br />uax[E8ur]0r4frdsAuo!
<br />lE(tdaarjgn
<br />I hn.by rrm unrld F,rit of Fjury oR of rlE aollo*i,U d<lJ.lhc
<br />-l
<br />h.vc Ed vill Minrlin ! Csrifral. ofcolhr ro S.U-16r. for h,tdr cmFnt lio., B Foriioj for br Selbn :um oloE
<br />L{hrr ('od., for rfi. Dqfotlll4. of tlt *!rt lq *tth llE Dqon i is.d.
<br />_l h.v. ,nd *ill 6rinli! mrk6a comp.Narion iNm.cq s rqon.d by Seiion l?00 of th. Llbor ( o&. for llE Ffonltr. of
<br />ln. worl for *hich rhir pdrt it isel M, wkqr' smFsio. ilMft. 6ir !d polty n@hc E
<br />c !
<br />",.0.,. QOQu q1 L-Zo \3 z tzslta
<br />-l
<br />cdiry ftd in lh. p6folrle. of th. *o,k for shrh lhis p6ri n $uc<t I !n!0 nor mploy .n, Frsf, in lny nr.!c
<br />e B b b<.f,e subjer lo tt! soltd' cotrrFMio. lt6 .acnraomE &l +r lhi
<br />'a
<br />I tnouE b6oc stid to 'h.*ortdC N.rFs.rio. Foviriod oasdiotr I7m olrlE t 60r C.de I dEll. fdi$nh odply vith lho. provii{,6
<br />$aRNlNC: F.ih!. ro M wta' conFd.rio. or6!s. ir uLwtul. atd lhrll ubjd e 6ploF lo siEin l Funi6 ard
<br />civil linB up ro oE hu&.d tnoM'i dousr (1100.000), in lddnnrn |o rh. con of conFsltio.. d,nrg6 a Forii.d for lh.
<br />IECIjSAIIO!
<br />I hdr6, .rm u,i. Fd, of Fiury thn I m liu.d ur& F.vitbn of Ch.Oq 9 (@ohocos *[h Scdion 7(x)0) of Dirilion I
<br />ot fic BsiB ud irclisi,B co&. e] ny lj.ag B ii tull to(. a'd .fiet.
<br />B q3500\
<br />,.,.,, r4!!ltf .".,.",".tr!n &J+0+_lo0-Y[qfl0ro
<br />(;olllalJclllllrElDtlc.Ac[dcr
<br />I natsr' .lrm q,q FEly orFjury th, tlE i r.odrulbn ladlB tgdy tor tb. Ffolrlac of tn. *ort t" *t*h Lnis Fhn ir
<br />iscd (S<. 1097. Civ C ).
<br />AITII(AII.DISJAAIIA!
<br />I hoiby.iftn unb porl'y ofFjury on ofrh. ro,h*i.s dGhmr'o.3
<br />(). nolihon Psnirs-Atb6l6 Norificrrio. F.al6al Rctsul io., (T'r1..10. Pd6)
<br />-R.quutd
<br />Lnls olN.ti6ciEn
<br />-kdib
<br />rhd rh. f.dE l Esuldr6 rlsldhs Btdor lGm\d rc mr 4plr.bk ro rhB Fj.(
<br />V.-,ry ,rr. I rr.* ,-a ,rro .rplE , io. !d ,d( 'h, rtE ,hov. rrotubn ir coE d. I .gre to comply wnh dl cny ed (-oumy
<br />o.dinmd .!d Shl. L:s Elru!8 to b{ildi.g corstu.rioo. ed EwrlJ .uthriu rq6diiiv6 of lhL Cny !d Coulr, ro alg lrpon lb.
<br />,
<br />asr3\x
<br />rzlto lrg
<br />Set Backs
<br />UFER Ground
<br />SLAB Floor
<br />Subfloor/VenUl nsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Dryvvall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />FINAL /q//4 --,-w7u )
<br />Certificate of Occupancy 7
<br />Notes, Remarks, Etc.
<br />S*rion lU 16 ol th. Lbor Cod.. i cd Ddlntu! lc
<br />^,.,t?[rol lE ^**,,,.e r\fJSi(a trqwa
<br />' L|(.tsNSED C(rltrRAt'TOrl
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />Pool Fence
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