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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE rD/srG.COMMENTS OWNER BUIIIff, DEI]C TATION
<br />I h6.ty.lfm undd FElr, of pGjurr rhd I m ddpr 6om rhc Corrr*oB Li@ Llw lor rh. fo[o*iry ,@n (Sd.70!1.5
<br />BGins !d Prof*ion Cod.) Any Ciry or C.unry *nth r.qliE r Fni ro @dNd. rlE, hFoE damlit or rqn &y
<br />grlcrrq Fnrro u isule. rbo,lquna rlE.rp&d f uhFnnlo [ks4rtdriffil rni lE o. dE ! li.tB.d Fri]d
<br />to lt p.lvisio6 ol thc Conkactoar Lkdi.d L.w (OuOa 9. Conmdins wih Sction ?000 of Divisior I of lh. Bui6 ud
<br />Prrf6i,B co&) d o.l lE o rrr b .r@F rtd!6on @d EtGir aor rlE dLg.d amFion. Ary vbhionof sdbn 7011.5 byuy
<br />rltltot for . FnI ebi.dr ih. .ppliqn rc . .ivil pdhy oa mt moc lh& fiv. hund.d doll4 (1500)
<br />l. 6 oxd of t,E Fpd1n d ny @plor6 rnh e'r86 B rhd nL 6,p.[rio( $iI & tlE wt rd dE rruiE ir 6l
<br />i.rai.d or ofi6.d aor sL (sc.70.r4, B6itB dd PrefsioN Cod.: Thc Cofii.roii Ltce Ls &6 nor
<br />'p?ly
<br />ro d olc of
<br />{hG F.Fiy *h6 lrril& or inq!€ rlE6t! lrl vho &6 sh *vl nirelf or helf .r lhmuth hi! or ha ou dplorr6.
<br />Fovi,.d lhd sh irFovsnd e d nqd.d o.otuEd ir rL l[ liorlE. r,E h itug d itr+r@rE i, bU witin d )tofo,pkbi\ EOrE 811116 will h.v. rlE hnbr olFovins lhr lE6JE dd 6l hllt6 qov.ln. F!F,6r th. FrF*ot
<br />l. a o\l@ ofth. FFry, m .r.luiv.ly codi.los *nh licatra! codRloR ro cotu
<br />'tE Fljal (Sa 7044, &!G
<br />drl EoEsix Codc: Ttc Contrxro.r LicG l,u d6 tror rpely ro D o* n6 ofpropdy $ho boildr or inpro!6 rh6on
<br />od $ho onr-ts lor o.h Fo)<r! snh. Collr-io(, li.q!.d pul:ld to lh.CoekG t Li@ L!f,)
<br />I an.\cmpr undd SNhon B & PC nrrhis,.&rn
<br />I,.i.: Orn.r:
<br />$oRxtras,comPENs rroN
<br />Df(lJf,IIIo!
<br />I hq.t y imr6 undd pdalry of palury o.. oi rh. idb*in! d..luatoB
<br />_ I trrc -d *ill Bid.in . C.n'Rd. of Coen b S.lf.l@ td m a @mpoBriotr a Fovital fd by Salion 17OO of r
<br />L.bor Cod., for lh. Ffo.tMc€ of rlE wo.t for whici lh. ,Gdn i! su.(
<br />I b.w.fii f,il, Didri" *ort6 comFMion i,Elffi.. 6 r.qliEd by S€lion l7O0 of E Lrlor Co<h for E Ffdlrec offi. mrt fo. whtt rnir p6nir t isucd My wortd cohp.tunion iNurec. 6id !i polE, nu6b€ G:
<br />c*.' -ft^*< Feay'
<br />-,.,rrn^o,, 1 2-3 ( s tl ?
<br />-e,p*
<br />J-.LI-LJ-ZL
<br />I cdil, thar i. rh. pdfoll@cc orth.vorl for which rhi! pann i! i$o.n. I shlll not oploy ay pcaon in my metd
<br />s 6tob6ffsbj.(rorh.e 16 omFsnion I&.of Cdilonir an{rlhd if I3houklhaoftsrb,el lo tlt
<br />$nrld onFdionF.rirbBof Sdhn 17mof tlE L.bor Codc I JE]L fodhlnh comDly wnht & proviliJB.
<br />WARNINC F.ilur. to suc mrle' comFBdion 6vdrs. i8 ubwtul. &d 3hdl $bicl u @ploF to ainiltll Frni. dd
<br />$il find up ro oE hudEd (hou{ld dolLs (ttm,Ooo), in !.ldrion ro rlE con of .onF!dio'! d&r.s6 6 ForiLd for 0.
<br />'7/z tr tt
<br />^
<br />tcLr lra'z
<br />,,r(r:r.siDronx!.1crJ8 -
<br />l)t(],A8^UA!
<br />I td$y .lT@ u,iq F.lr! ot Fisy t[. I @ li.q!.d u,r& F!rni,. olc,i.dE I {offiirts wnh S.dbn 7000) ol DivlDn !
<br />of rlE BBir@.nd PofBiod codc, ed ny laae i! i, tull aoE. rd coer.
<br />.'"*".n*, (- 4?,lo.si 2a
<br />",n ?(z// z I *.^*<'pt-!. -*e ,2-
<br />coltlallgla!.Lldllaqlc[lg
<br />I halt y llrm u,r& Fdrt of F]!ry fi, rtc b . odrucli.n lddirS ls*y ror lL Ffofu. of $. 6l ttr *nth lhi! Fnr i
<br />iBlcd (sc 3047, Civ. C.)
<br />AIIIICANI,DECIdSAIIA!
<br />I ho*y.fm un& po.lr, ot Fjcry oE ol tn 6llo*i.s d..L.nho:
<br />D.molirion P.m t-kb€ro! Norinc'l'o. t.dqar R.8uh io.r (Tnb !0, Pd6)
<br />R.quir.d tdrd of r*rifE ion
<br />I cslri lhar rh. L!s.l rquLlioB ,qrdiry 6lEto3 rmral u. nor 4'phoblc ro rhi! Foitl
<br />I cslif, thd I hrr. Ed ths applic.rion &d $'. rhd thc lhovc intomalion ir cor.cl I ryre
<br />'o
<br />amdv wilh ill Cnv&d Coun'r
<br />!t* ir i ..a c.-rli" -,. w;" r*
<br />u 2,12 /,22 I
<br />o.dinmcB d Sld. bws rldirB toildin* cotr{rudiotr .,d hEcb] lullEriE r.rr6.trdivd o
<br />.bor. Mri6n d Fqd, lot
<br />".-n**..rrnr,,' f/- c-Lr Ot 2
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUlnsulation
<br />Roof Sheathing
<br />Shear Wall 't/zq/a )
<br />Framing
<br />lnsulation/Energy
<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 />FINAL Anh il*1
<br />Certificate of Occupancy / / l"
<br />Notes, Remarks, Etc.
<br />Sfr'hn :1076 ofrh. tlntr Code im6d.rd fiorEy s fc
<br />/tzlA;
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