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BUILDING. INSPECTOR RECORD
<br />SITE.WOBK DATE ID/SIG.COMMENTS O$NM B[ILDI]T DDLCARATION
<br />I h.Bhl.lrrm u.d.r Fnnrr, ol F4ry rh! I .n crcrqn lhm rlt Co'nndo^ l,rqc t:* aor lhc folh*in8 a$n (str Torl 5
<br />Bunn.s rii Pmf.srbn Cnl.) Any Cily or CNnly *hEt nluircr ! rE,( ro .mdtur. rlrc, nnllft^q d.frnirh d EFtr sy
<br />iB_'rrc. Fir b ir\ nsnftc. {lsr r{uiE{ rrE ll)tllid (tr ru.h Fnrl 'o
<br />filc ! (i8ned (.c,ml rhlr h. or iE a lkcn{n tu\id
<br />n, rhc Frvisi.ns or rh Conhr*\ l-a.n*d Lis (c-lup'n 9. GnENins *ith Sarion 7fi) otoiliion i orln. Busift* Md
<br />Pnn'rr\i,n{ Codc ) or thal h. or rh. is qcn{' tsct .m ad r h. n!$n tu rh. slLS.ri crcnpron An, vnn uof S.cli,n 70ll.5byey
<br />trptlli.rrr for ! Fcmlil sub,liJi rtr nptliuunlk' rcivilpcMllyol nor nxncrhd,iv. hu'xlrdl dollrs 1$5m).
<br />-l.
<br />r\ owEr oarh. FoFny, rr nry cnrtnry.cs wirh wascs,i Iltir v'h.rnnFnqiion. *ill.h ltr w.ll und llE st lr i! mt
<br />inrcntal nr o[.nn ror sk I s( 70.14. Busims !.d Prof.sbn\ C(t 1L (l[lr&loa\ Lt.nc lj* dE\ d'r uprly b 6d owftr ol
<br />rn Ft'rrny slx, hoilds or lltnEr rEfrd lrl *lr' dra ikh h* hiN.lror helf o lhmughhtr n hc, o$n.q,loF6.
<br />0rivrlal rh.r \ucn invmrmt*i G n i.rc'i.d ryofcql nn slc lt h,EE. rlr hJiuing d i4r,mur n { *thi, m }w
<br />of.Nq ratr lhc orEr BtrilLr will IBE llE hldor of Forins thd lt or rlE dd Ei hitr or lqrsw fic Fqdy ltr llE pollFe of
<br />l,d\ownci.frhcJnIf, r, "n rr(tu{vcly .oMrnn8 tr [ h lr.nsd Nnurrnr\ (! ..trsrflr1 rlr In trrrt l S( roq,Ih\iE$
<br />i lhia$rxrC(nic: ThIContektr \ l-iotr\c l-awdo* nor{'lllyl(r oo*ncr.l nnl]cny*h,r hr,ld\ or fn,vc\rhocntr.
<br />!o,l qho.ntrtJ.rskn\uchF('Jcr(wirhr(irrtu(tirr\)lr.d\.\]ftrr'urnrti'hcOnracroist,iccn*l.r*r
<br />lrn c\cflU undcr SR_rinr
<br />l).1. - -
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<br />(}w.
<br />wort(EratoMPr{s -a-
<br />DDclJf,AIItI!
<br />I lEBby .ifim uflrr FNxy ol Fru.y om of llE folhring ddla.li)fi
<br />I hlw dn will nEinrm , Ccnirrdc ofc.renr ro S.lf- lNurc lr qoltss .oqxndion. 5t tNvi|J fM hy Sa' ion lxxr ol ilE
<br />lrrsr C.nc, 16r tlE ptrrotr1e. or lh. eo ror ",nd dE Fmil i{ Nrusl.
<br />-l h.E c*lwill roin!! woIkca cnnWNsrion idslrarc. &r rqtltql h, sc.lion r'7morth. Ubor (l'tk, nn lhc pe.irrur. ol
<br />rhc uod rbr qhich rhis I'cirnir h isnEl My wdlot .otrlltrn$r i.n in(uon.. crEir rd Flty nomhr sc
<br />TZB<i/,ry 'h,' in
<br />'h. F,r*mEc ol rh( krl In, whrh rht |. mi i. $ud. I rlEll mr .q,h,y.ny FNh in u, mnF\ n, !\ hr tr\rft ruhF{ ro rlr Hrl6 olrlk.dbn la$i orc2[roM. ud larc rhd if I <lnuld lEoE rolrctr k, ttt
<br />wolrdr.oqf,nerion0mviq,nrolSNininl?(I)ofllEL.tnrCo<L.I{uU.t6nhsirh6orlywnhrb*I'mvtFnt.
<br />WARNTNC rlifurc ro sE *rtrkcri coqao$rnn owEgc i\ unh*rul, !,n shall sbFr $ sIh]$ ro oiniMl FBlti5 m
<br />.ivil nN\ uF k,.trc hunnrcl rhn^r'il Jollrr\ (Sj0O,[X)OJ, n diri(n,r,rh.
<br />?l1\'
<br />ofconrEnsrior dinrscr a\ I'orid.d !o' rri
<br />il ,{qlt cl c. id.r{!rl !turmy ( Lrs
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<br />DESUAAION
<br />I lrrcnt llrirm ud.r pcMllt of lErue llEl I sn liuxJ uds thvirion of clirrd 9 (ommmhS * h "..--li,n 70ml ol Division l
<br />ot rhc Srmss .fl| Pror.sbni Oxr., rd ny lt.n€ is in tull loN ,rj .fl(r
<br />,,.".."a,r.' 6)56rt6
<br />*" 'rifl' '
<br />,,,,rt.,,"r,,.x -r Dqv tr',(l
<br />go!$f,lllrlNrENtrNti-&cEN.LI
<br />I llrrl,y ulrirn uBLr Fnrlry of Frjury rhd rh.rc h r $nn ru.rirn L drnS u8cruy rnr Ihe lcrfommc ol l h. work ftr ehi.h rht rrn n
<br />i\su.d rs( 1097. cir c ).
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<br />AITLTCANLDICIJEAITAIi
<br />I lE!t!, dtinn uid.r Fnrlrr ol ndlu' y ui. nf rtf,' li,ltuwrg rlc.lrd i, tr
<br />I\nr)lirnn, lcnnirs Ast do\ N()ri[.[ri(r\ I:.d.hl Rc8rhtio.r rTirL,l0. Pi/6)
<br />-_RcquncJ lrrrcrorN{{i&rhn
<br />L I Nnilv rhd lh rdcmlEflhtpn Rrrrdmr.tt.srd Fm^rlnE h lpllrltk h rhn pmF
<br />W&a<< ttrln thnwftdt.ILB lp.rlrri.ndrd ndk th,t $c at{v. inrornnhn iioE r t asr r.6q1y wiu dlCny $.1Couniy
<br />on,in rtl 0d srar. tiur ru!i"8 kJ bui!'r8 crr(ruclrcr .d *Eby lulhorirr rcFndnt\ or rhir Cny .fr1 (
<br />fi^c nrnirnrJ FnrFdt ri,,n\F.r[n
<br />sv l^J \F/t0t,lir$r or ,tlul Sixnlrum
<br />l'N il( D rlfi ):K
<br />1,4 ,i?Ej-
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />SublloorivenUl nsulation
<br />Roof Sheathino
<br />Shear Wall
<br />Framinq
<br />lnsulation/Eneroy
<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 />Enoineer Final Report
<br />Flood Zone Certil
<br />rl
<br />FINAL 1NL u hll,ry8r I
<br />Certif icate of Occupancy
<br />lltVlzl - bttq MIt t
<br />Rov.0B 07 2015
<br />Noteg. Rsmarks. Eta
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