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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILDET DEICAR TION
<br />I lE t, rrm u.& tErly oa Fj'ny thd I 6 ad'F 6!n ir Cotu&roR Laoe tr* for t f.lloving laln (Sa ?01 I J
<br />BBhd drd Profsion Cod.) Any Cny or Coudy shi.h i.qun6 . Fni ro odrucl. !Xa. n@rcvq dholirh or rE r ay
<br />3h,(uq prior ro irs isue., .t!o r.qriE rh. tpgltur for Mh Ffrir ro fik . sisn d n.lc,6i rhd lE or tlE i! lic.trel p!lu,{
<br />b rh. FovisioB ol rh. co r*lor3 Lr.u.d Lw (C}rE6 9, a.mins wnh scrion 7000 of Divnbn 3 ol tnc B$itB md
<br />PrcfasioN Co&) o rhd lE rlE it ea4l rt-doE &d rlE bdB for th. ilLs.d aanFb. Ary violrionofsdion 7011.5 by 6y
<br />rpptcut for r F6n tubjd! ttr @9lkor !o . olil Frny oamt Ift rl$ fiv. tun(H &,ll!r (15@).
<br />l. s o*E ofrh. FoFrt. tr ny dplolE qnh wrs6 a dEn bk @ilFGiion $i[ & llt sqt rn lllc rnrrE ir rbi
<br />ddr,.d or ofr6.d tor slc (5(.7044. Bui!6 dd Frof*ioB CoL: TtE Cod!.ior.t Licau Llw d,€ tul +9ly lo o ow of .
<br />rh. F$rrr, *ho trir! or inprors EEn, rld $'lb do6 luch m himElfor hasclfor tlmush hi! o. hd oF.6ployc6.
<br />providai rhrr !u.h imFDrsEn! e ml iddrt d orofrdd for r]. l( lE{4€, ttE hrddint d DrFEvdrn ir ib wnhif, oru rr
<br />6amnphi,( lh. o'^E Auilla wil h.w d. hnb orFovi,,g lhi lr or JE dn d h,ild q inqoE lh. FlFrt fd tlE F,pd. of
<br />- L s ow otrh. Fopqry, @ d.ldEly .on *tnts fii li.s!.n .offioB to onod tll FDidl (Sa 7044, h!!E
<br />Ji hoisim Cod.: Tn. Conrr-roar Lk6c ljw d6 mr sply ro D o*n6 of Fopsry vho b(ikb o. imprcG Ina@a
<br />d who onllEcl3 tor luch FoJ.n3 {ilh r Co.r&ro(3) li.@d ponlld io tb. Cof,trl{ir l-tffi Lrw).
<br />-l
<br />6 crdF ulrld Scr6n-
<br />lhl., Or.r
<br />.B & P C. iorrhn rNn
<br />wonxERs coMPEns{alo{
<br />DECTJAAIIA!
<br />I hGb, tfrm u.ds p6dly of paju.y oE ofllE nnbwirs d..Lturiod
<br />I llrv. .d will EiDlritr . C61ifEa1. of Con6l b S.ll-lEu. tur wld ooF!.rion. 6 FDvid.d for by SElioD ]700 of th.
<br />t$or Cod., fd th. Ffoltlre ofrt. mn atr *,hin rk FEi a i$6d.
<br />V, ",. - t, ."*- *6 @Ep@.rbn i6lJ:e.. r ,!qod b, sctio. l7m oror L&r cDd., tu D. Ff6ur. oI
<br />E N rc whf,trl[! Fnr r Erd My wdt6 or4@!rb. iGl|luc 6ir rn lohy llMhG E
<br />,.*, - &,LnA lr"< -"tG,.-/+
<br />po,,cyNuhb6 ... €at*zLgfup* - bpc ,tlr.
<br />I .ctit lh t i. th. Flollle. of rlE mrt 6r glth rhi. ,Emn ir &u.d I rldl ol atlgloy ey Fsn i! u, t!&F
<br />r E ro h@od llidr ro lh. wt6'@rpdrbi LB olc.litodi.. ,i, g!. rnr if I .lDuLt bc.G rrir to lt
<br />mrt6' oE drion FDviti,B of Sario! l7@ of rh. Lrbo, Codc. I rlull lbnl*itn @@ly wnh tto- FvirioB.
<br />waR]lrNc: F.il@ ro s@ eqtd'omrairion ovo{. i! ulreful rd thdl rbtxr D @ploF to dnniod Fdir &d
<br />.ivit fu6 up ro or. hurdcd thoula.d dolln (1100.000), i! lddirion to rh. cod or conp.nr.lior d&n46 ! prcvid.d for fi.
<br />SdLotr 1076 oirh.l-dtlJr inlnd &d dhnEy s rd
<br />,1 <{}. Lar:eI
<br />EECIJEAIIAtr
<br />I hdrty .Irm ulda Flhy or FJlry lhn I s licqE d ud6 Fovniri of c,rnd 9 (snllrE"'g $nh Sclion 7000) ol Dianion l
<br />oa rh. a6iffi ard PmfdioN Cod.. ai my lkru n in tull forc ad.lTEl.
<br />96q4fz, ..,,lirsr.r
<br />COIIiIBIJCIIA!.LEdDI!.GICENCI
<br />I h.r.t'y ljIrmund6 F.iryofrdjurythll rhq. i!.onnruclion Lndins.Aocy forlh. Ffomec. oltlEe for *hich thi Fnn b
<br />inusj (S< 1097, Civ. C )
<br />ATIIICANLTIOJAAIIO!
<br />I h.ily lfm urdE F dhy of Fjury otu of dE tollowirg d..krdior:
<br />Dqnolirbn P@il!-Atbdd Notit..rioD F.d6.l R.euhbB Onlc.O. lsr6)
<br />i.q!!d Ldts oftld'6dih
<br />.-l cdr,fy rh,i fi. fcLltlcsulllioG ttse0ra 6t.n6 ,ENv.l e rcl F,li.!b& ro $i Frjri.
<br />I catiry lhd I h.vc rdd rhi! lpplkarion ..d .1. $!r th. abov. iifoflDdion i! coE61. I ryE lo 6nply wilh dl cny ud couty
<br />odrM€ !d srdc tlw RLr,E ro hildrr8 coqrrarDn Ed I'qdy llnh.riz EFqdrivd orfii! cny tud codly lo dlq uDo! 0r
<br />rtow nEtEn d ploFty fn laari Arr.{4 /:;:::ru:pry/ __ ^* tftllt,
<br />Pmxcu'.{prho:
<br />^
<br />'0lC r<{rt' {-.. .-
<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 />Framing
<br />lns u latio n/E ne rq y
<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 />Flood Zone Certif
<br />rl N x-?,r
<br />FINAL Vq 7 s2+w ()/
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc
<br />?-rp
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