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BUILDING. INSPECTOR RECORD <br />SITE.WORK DATE tD/stG.COMMENTS <br />Set Backs <br />Forms/Steel/Holdowns <br />Erection Pads <br />UFER Ground <br />SLAB FIoor <br />Subfl oorl/enVlnsulation <br />Roof Sheathing <br />Shear Wall <br />Framing <br />ln su lation/E n ergy <br />Drywall <br />Ext./lnt. Lath <br />Brown Coat <br />Masonry <br />Pool Fence <br />T-Bar <br />Handicap Requirements <br />Deputy Final Report <br />Engineer Final Report <br />Flood Zone Certificate <br />:xPt tr <br />FINAL F EB=l2l [9 <br />Certiflcate of Occupan <br />Notes, Remarks, Etc. <br />Omd-BuilddD*lar on <br />I h.tB lmh rid6 pn.lty of Fiury $1I n cxmr lm rhc Co.r8td' Li.a3. Llw rd rh.lollowins rcso. G.c r03l J B!in.$ <br />nd PEfati@ CoiL)r Aiy City 6 Co! y whi.h EquiB . p.nir ro c6.h.( rl1.r, inptov., d.molth or r.pan , {tucruE. rdo |o il! <br />nrMcq .lto Equid tl* lppli.Dt fd rucfi F6n o fiL . .ig!.d tt.roal lh.r h. o. rhc ir lic.n!<l puBuMt lo th. prcvnioB of rh. <br />cdr..rdl Lit. .d L$ (Ch+ir 9, Cffifficin8 riri S..ri6 70oo of Uvhi6 t of th. Burii& ed Prcf.Bior coa.) o rh.l h. d <br />!h. t., pt !hd.t6 Ed ilE bah f6 rh. .llcFd dmFid Any viohriotr of Sccdon ,03I J by sy lpplicur ror ! pmir tubj.cB tt. <br />!ppli.$r ro . civil pdrlty ol lol n* $m fivc hm(H dollrn {t500) <br />_1, a omd ofrh. prop.nr, d my dploy.B wilh w.86 ! lh.ir rc|. cohpanlltioh, *ill do fi. eork rnd rh. fiu.ruE ir nol ifl.ndcd <br />d o[.r.d lc tal. ( S.c 70,14, Buri.d, od Pmf{i@ Cod.: Tn. C6t rdor! Licmr. t w dod noi rpply lo e ownd ol lh. properg <br />wno buil& GimForc, fi@@, Dd sno d6 lkh *ork hitu.lad h6t.lf d rhrouSh hir orn4 own mploy.6, provid.d th tuch <br />inFovcror e nol anlod.d d oflftd fd r!1.. Ia, ho*.rrr, th. buildi.B or iDprcv 6l i! ,old wilhi. on. y.r of compl.rion, ihc <br />Oend-Blildd wil, h!a. $. bu.d6 ofp.orin3 thar h. or!h. nor buildor ihprcrc f* tn. p!rpo!. olsl.) <br />_1, a dn.r of rh. prcpdry, 6 d.lqiv.ly .onrsiins wnh li@.r.d oturd ro codh.r tn. proj.d ( Sa. ,0.|a, Brinat &d <br />Prcfc$i@ Cod.: Th. Co.E!.ro!'! Licd. Lq rlo.t nor rprly to E dir of prc!.ity who blildr o, idoova rh6eD , ud *ho <br />contr.cl! for luch prcjectr wirh . Conr.cio(, lic .d pu usr ro rh. Conlndo.i Lh . L.v ). <br />_I &n .,chpt o.d.r Sedoo <br />-B <br />& P C. lq $ir rcso. <br />woRxDns coM?ENsaTIoN hrcr <br />^ia?roNI hftby iinm und.r p.mlry of Fjury on. of tt. aollo* irs dc.l6tion!: <br />_l h.vc ed will mrinl.in r C.nilic.E of C66r ro SclfltuE fd *ukd' cmp..!{io., s pmvid.tl ior by S.ciioh !7oo ofrh. <br />L.bo. Cod., fd fi. pdfomhc. of {r wdL fd Bhich fic p.mt n i$!.d <br />_l h.E dd *ill ruirbin *6to' cotrpcB.dd i utua.a Equircd b, Sedon,7oo ofth. L.bor Cod..ld $c p.rfmrnc. ofrh. <br />mlt fd qhich rhh pfrn t isu.d. My *qt.rr' compc.rlrion iaumcc cmiq &d lolic, iuhb.r !r.l <br />Policy Nuhbd:_Erpn t <br />(Thi, ,arion .cd noi b. cmpl.Ld if rh. Fhn n ld O.. hu.dcd dolls {tt00) d lcs) <br />-zd'rr,runn"pdrofru& of rn. vo.k for *hkh <br />r$or Cod., I rhrll, (onhwith <br />dm8d a prorid.d for $. S.ction 10?6 of <br />iirddr sd tn6.]! fc6. <br />LICENSED CONTR-ACtORS DECLAR TION <br />I tB.by fim ond6 p<dq ofD.rjury lhlr l6li6!.d undd prcvhid oaCh.pk 9 (cono.n.in8 *irh S.qion <br />rh.Bo!in., sd P.of6nmr Cort ,sdhy lic6!. i! in lull forcc..d.fccr <br />ofFjlry rhar rh6. i, ! c@nrudbn pnfmlic. of rh. qort fo which $i! p.mk ir <br />1097,Civ <br />APPI ICA\T'S DECLARATION <br />Dnolirion Pffla-A,bdrd Nori6..tim F.d.nl R.Buhrio (Tnl. aO, P.n 6) <br />_ R.luiEd L66 of Noilicirim <br />I !3r.. tocomply wnh.llCiry.nd Colnty <br />z <br />II <br />!I