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BUILDING. INSPECTOR RECORD
<br />SITE-WORK ID/SIG.COMMENTS OTVNER BT]ILDER DEI,(-ARATION
<br />I hdo,\ rmrm urd6 poalry o f Fjury rhar I m .rcmfl Fom r hc (inrrocroF l.'coB. l rw ror rhc fdlowins rcis,i (s.. 701 1 I '
<br />Bcind..hdProieion(od.l:Any(iryorCounr!nhrhr.qut-!Fm{krcodru.1.,lro.if,rr.\qrholishorr.F{nd'
<br />,odr( Fnrr. ir3 aue.. rk rqund llE ql9l(dr r.rechFhnro fki3tndld.lmr rhi lr.rsh.6lrc.n<d rrBd
<br />ro rh. F.\6NB or iE ConrEclq ! Licdgd L.* (Clupr6 9. Comnd-i.s sirh s6rni 7040 of lrrsion 1 6f rh. Ilun.6 ind
<br />Psfck,.r ( o<t ) or $ar & or sI. n crdfl rh-.iioD -d rh. b.sB ror rhc rlks.d ddrrior Any lk,lirxrn.fsalio.70:ll J bl rn!
<br />opplica nn6r.mn.uhjdrirh..t'oli.,nrroaciviltolllvornormrcrhdfiv.hrndr.ddollas(ltl)o,
<br />I. a ouF orlh.In,Fnr..r 6\ dphr6 trnh s!36 6 ri.ir y,L conFstx'n. rnl&' th. trGl &xl llt dtui@ is n{
<br />d.irldl or.lI6.d aor sk (S( 70.1.1. B6iB dd Pr.l*hB Cod. Ih. Cofr.<rors l r.etr* dnmt +ply hMorn6ot
<br />rh. tnrrEl) uho boil& o. !,[m!6 rhson. d qho d6 ffh sr hrmrlf or hGlr or rhoush hir or h< o*r nplol6.
<br />prcvid.J lnd such imlrol.lffirs e nor nrd{.d or .iird for sL ll h.*6 d. $. tlrHmE or iqro\ anot Lr sld w[hin on. yw
<br />olmn k!i)( rlt O$ n6 Bxik d $ill h!\r rh. tudar ol Fn\ in[ rh, h. or $c dil d hr&! .r ,nprok rh. ptutd, for rlr lxqr* of
<br />l. as orn6 ofrh. rmrd), eachsr.le c.nr&1in8 $nh l'..ns.rl (onr.dotsro coNfld rlE F0JRI (s( 7o.l.l- lhrn6
<br />.id L\.Eaiion ( odc, I tc ( \rntricktr\ l. 'c.nsc l.as do6 not appl, lo s otr n( or prorEny who tN'ldr or improvd rh6on,
<br />.nd sho.o.rtrannru.h,rrl.dssihrconrBdonrlrds.rlpu6m'rorh.(\nr&loasLicdklns)
<br />I m .tmfl und( S(rxrn
<br />D.r. Oin.r
<br />llaBN;atg)ufttraflar
<br />DElJJAAllrlI
<br />I lE.n\ rfirm unds Fuh\ ofFdru^ on. ofrh.foll.rq d(l Fn.
<br />lharc!,nsillminr.in!(-difrar.ol(-onsikrsclf.lNUr.for*0.16'omp€ndion,a0.Gd.dforbrScr$n:1700ol'h.
<br />rjbor ( dia tu rh. Frfoms.. o f rh. *olr fo. snich rh. pdfrn is iarucd
<br />I h8..nl r ill m.in'.'n s.rt6 (omF6dhn iBEm., a r.q!n.n qL S.dion l?00 {rrlE t,lE (-.&. for lh. Flol'r@. or
<br />llE sort lm q hth lhi! Frn i is,.d. M! n'oii6 .onFMion iluft.c,ir !d polt' Nmb6,.
<br />rv\r\iorCSf 6Zt
<br />1,,.\\ tr n- i5N \J u/c- Ot
<br />lutt{<s
<br />3+148
<br />Asv4ctY, -,ni" .7/r/Zot8
<br />lcsilrrrh{l i.rh.Ftumxcof rh. *o,k for$nkh rhrFnrt Lt Rtlcd.l3h!lldn orlo} rn) Fsn rn u) m.nF
<br />s $b b.rom. iubjd n' rh. sof{d ..hF6dion lasr orcahromo. &d a{rc thd 'f I rh.uld h...tu 3ut d io rh.
<br />solld'.omDdsrfunnnrvnioBofs(lhn!70ooarh.l,tnrCod..lr\.ll,lodhsih.onrply{irhrlkrrln)vieioB
<br />WARIIN(} lililur. ro <u. sorr6'q,mpsEllion cola.a. is unln$fll- dd shall ubirl e onplo\s lo sin'ulFBhi, and
<br />.iril ,in6 uf ro.* hu6&qi rb.usnd dt)lln (ll0o-(l)()). r rdd irn ro r coi .l$nF!d'oi. &rsS6 a ploril.t for rh.
<br />(l zall
<br />DECIJAAIIO!
<br />I h6.tr.lTm uD& Frl'yofFlur] i,u I m [crcj unt. FDrahn.l(]E G glNoffiin8 s hSdbn7m0loIl)rEihi
<br />of rh. l|6r,B ,rl PmldbB cod., rn m, lk.e 6 f, tull 16r.. nlt.fid
<br />c--lo
<br />TeP eteclpyq
<br />I hd.6.v .rm uxld Fllry ol Fiury ild rhq! i ! mirrudbn lddi,ts lstry for rh. Flol]re. .l E rrl 6r trtih
<br />'hk Fhi .
<br />drGl (Sc loc7. Civ C)
<br />drrtl(3llu:(ld8arQ!
<br />I hdtly,nim trndd Fn.h, ol Fjury or of rh. aollo\r i.r d.clsrr nnj
<br />Dnolili'n Pmns'As&.los Nolific . Ircddal R.ruhlionslrnb4l), Pel6l
<br />R.<tuu.d l.clt6 ot N.rr,tu,Fn
<br />I (drlyrhd ft. l<l6dli.anl,ioN Eredina at8ro3rdoral . nor qnlirahL kr rhis ,mjd
<br />l.clif\ rhal lha\. rcad lhsappl i.nn dilatcthdrltiun.inforn'di..6cor
<br />frd'mtus xn,i Srarc lNr'.htn!dn fi6cb rurh,,vc rq'.$r
<br />alsrc ,Ern'ftd pmFny nn
<br />ADpli.rnr or lBcnr Sigofln
<br />vAuf4{b€
<br />laSrerocon,pl\ {ihall('i! rnJ ( ounr\^"''^)^""?[,',"w,ii
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUl nsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />ln s u la tio n/Energ 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 />FINAL Tlzrln 4tt(r4
<br />Certificate of Occu pancy
<br />Remarks Etc.
<br />DATE
<br />1".,a"".t- 8'Z4Zd+
<br />I
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<br />Notes,
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