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BUILDING- INSPECTOR RECORD
<br />DATE ID/SIG.COMMENTS OWNET BUILDER DELCIARATION
<br />I trrhy rlftrn ud( Folr, (f f.qury rh.r I d.rn{, rtum rh. Codrd'oB l-..nr tiw lor rlE lolhrint Elqr lS& ro1l.5
<br />ausircss !d ftorcssbfl Cdo Any Cny or Cddy whth Equncs r Imr lo onrlMl. rlIg- nr{)mt. &mlirh or Eprn otry
<br />netw. rir to ir\ isuac, ds Eqri6 rh. +r,lta ror *n |.mi b filc ! risrd idrft thd hc or rlE i lKn<rl |luNnr
<br />ro rlE F.yisi)ns or lh. cl'nr*lm'r Liusn L.* (Chaptcr 9. C.,llmrcrns w h SsrEn 7Ix) ot Divi.ro. I of tlr Busam\s ud
<br />Pbtcsnns Cii.) or Er h. d {E G crcn r rheftrr.i .r*l rh. beris lor rrE lllc8.rl .r.qrDn. Any violdion ol Sdion l0l t J hy .n,
<br />.!nlic. l'r,rrFrnilrubtc.Rlh..pFlkanlroa.ivillenrlryoffl 'n,.lt n lirc hu.dEddoll{riS50O)
<br />-!G f*v*, o ,r'" r'"'nny, M my cn!'roy(r wrh *oscs os rhetr v'r. ..n!rnsd Nn. *rrr d. rhc *qt ud rrE {nre i{ ft
<br />inrcndcd or of.r.d tu sL 1Sc.70{4, ausiN\s dd ftdcasions (-.d.: 'l lr Conrlckn r Lkc.{ hv docs nor lprly kr !n osn.r or
<br />rhr IR'Ixny *b hxill\ or i.rtrovcr r&pn, ylshodcssuchslrlhinBclforhcrellorrhnruChhhorhcrowtrcn!pl,ry!.\.
<br />[ovidcd thol su.h imtmwNnh ucml intcnd.d oroficEn fo.$L.lt h,ecvc!, lh. ltril(liru.r in{'mwmnr i\ otlunhinotu y.c
<br />dfom0lcrbn,rh.Oqm,BuiHcrwillh!!crtEtrnL,.fpolinstulxor.dilnnhliuorimphsthcpnrFnyfor0El!{rsof
<br />-1.
<br />6 owmr ol lh. nmFn y, rn crclurivcly conrlcliry v h li.cn{cd conrrlclor lo lr'tr(Mr ltE prD.rr lS$ 7(}l.l. Bui'rcs
<br />ri Piuf6\sn Artu 'l'lr Conrr&tn \ l-iftn* tru Jtus mr !0tlt ft' an ostu. or tbltdy rh. bu,kls o. mp.i,rs rhc.$n.
<br />od *no !-nrah tur xsnrftFti *irh ! Coornfirnsr liccnsd tununr t'rtcConrr&1or'r LkeK rlel
<br />-l0.EmIl
<br />un<hr Se1b.
<br />{ ^,,8:g. tt-.lt sI( ttrrlN,.i\,,
<br />R4.'erJ G.lt lV t/
<br />1!aati}:[.5:grllr!$llaN
<br />Df!!rL8lIL&f
<br />I lrrrhtrll,tr1utr\l.rl{ rlitolt\rtLnron.olrh.lnlL)strr!J.rlr (trA
<br />lha\c anl w,ll.Lnnrdh i ('.nifirulcolC,n,*nr(, Scll:li\uR n)r*Ltrlc^ ronrpansnri{,r, r\ F$vid.dhrbyS.(ttrir:1rr)Orlrls
<br />Ljh.rO/c. nrrhc ncrlmlrnec ol'rhc *ork fffwhkh rhc l{mir n r\\tral
<br />rhr *ork ntr trhrh rlis ll.n ir i\ i$k\l M ! $orkdA .onrjNnrr(r, i'Nrrnr r ( n,cr ml B'lirt numE$r uc
<br />@"nilyrh,' . 'L Fl"rtumc of rhc vo ror $hich rhi\ Frnnr tr rscd, I ihrlr , ctrlllkydy FMn rn lny mn'H
<br />$ a!ro he$m subr.l lo lh. srtrls .on{Ensrio. hs s of Cllirornir, inl !3r lld 'f I fi,uld l&!r \lhj.!r lo rl*
<br />*0*6 co,{Enslion,,ovnioN ol Sclion l?00 of llE L.lDr Onc, I nrll hrrhsnt omply *nh ihoa pmvti,n'
<br />WARNING ljuilurc nt Ecur. *ork.n ompcn!.lhn .ovcrl8c r{ u.hpf!!. onl 1hall \ubj.rr .ntl'ttr !o ai.ntul Fulra\ nnl
<br />civil fincs up lo onc hundrcd lhousari d.llan i$loo.(x)O), in oddilion kr rh( corl or compcnurio.. J,tutc{ $ pn,vidcd lnt rh.
<br />SR.,rnn 107F n I rhc ljt$r G\lc, [l(rc'r and trtrorr] i re\
<br />o,,"*''q-4 ^ppn-nr,l2?i*..--
<br />q*A-
<br />LICEMEDS)NIXAqE}A
<br />DECLBAIIIIN
<br />I h.rhy.fll.fl unds !.nrlryolnLrrury rhd I n [mnsd undcr F,vi\i.)n orChlplc.9 (.ommmins sirh Sc.rrr,7(xt)) olDivni]n 1
<br />ol ih. Bu\ft$ lrd PEfc$snr Cdlc, dl ny lt.nr i\ in tull fimc an .,k.r
<br />rQNl,Ial]l]uQli uitiDtNlircElira
<br />t hcrchy !fin! un,l.r Irulltotpcrjury lhll rhcc n a connruix,tr !ndi',! rlctu! kn rtu F--rrods...irhc qnlk i(r rhihrrrr!,tfin( is
<br />i$ucd (scc .10)7.Cir ( )
<br />AIS.ICANI.PECL/TBAUA!
<br />I ho!h, nld undcr lfr.lr y of FrJury om ot rhc rolb*ing delrsltrn(
<br />D.m|nior P.irnniAslf,s'os Norif.ril,n tucnl RcSu!,iior{ (Tillc,10. tun6)
<br />_R.qdErd t4tl6 of f{orif.dir
<br />-l
<br />cdi8 'hi rh. lt&rul rquldioni EBUdin3 a\r-no\ rmvrr dc nor +danhr. t) rni\ Fr&r
<br />@-r1 ,", , "'. r",,ntr rpnl*rririn r i,!r rhrr rhc .h'v. inlomri r a (onc.r t nFe ro comnl, virh rlr ciry a l (iNtri,
<br />-.rdidrc\ id sratc u$iElunnS k, hu
<br />'ld 'nB
<br />.o.shcr.tr lrl h.rcby r[tri- r.r.sddivcs oflhis Cil, a,xl Couly lo.nlci uF,i llt
<br />rh'vc Enri,,nc.l nnrr-ny tur itr\ncdi nurrxxc\
<br />/topli.unl or A*enl Si*nnkrrc
<br />p.mi,c n,me (p.h,): P4aca*r ez2-Ea/
<br />,,,.,g"'/'4
<br />Set Backs
<br />Formsi Steel/Holdowns
<br />Erection Pads
<br />UFER Ground x
<br />SLAB Floor
<br />Sublloor/VenVlnsulation A
<br />Rool Sheathing r-lL-v \,lt-bl F4r\ ( f-_FT-
<br />Shear Wall
<br />Framing
<br />lnsulationi Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />l\4asonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif .
<br />I
<br />FINAL Q -70-A \w\t)
<br />Cerliricate of Occupancy
<br />Notes, Remarks, Etc
<br />?Van
<br />SITE.WORK
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