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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNf,R BUILDER DELCAITATION
<br />I h6.t'y a,Im uid6 Filny of Fjury ihn I m .r6p! n$n th. Conld.lo6 l-ic.@ t w for lh. bllowinS rd$n (Sd 701 I J
<br />a6in6s !i Proieion Cod.) A,y Cily or Counly which r.qun6 t Ddr[ lo 6ctrud. drc. improve dshli$ or re.t my
<br />iruduq Fs ro its isu4c. dlo Equn6 rh. n laai to, .uch Fon to 6L . !i8..d nnqEn th, tE or $. a lacdsd p{tulr
<br />ro rL Flvaio6 of rlE co.rdd! Licn$d t $ (clrF6 e, ( onffi'trs unh S6ri,. 7m0 .f Diti5i6. a oa tt BGilr ad
<br />Pr.GsbN Co&) or llu lt or nE it adpr lHrom s'd tlE bG. for IIE dlg.d 6mpri|.. Ary vbldi,. of S.(rn 7011 5 t y .ny
<br />lPplic$r tor r Frrh subirl! rh. ippli{.r to ! c'vil pcDlr, o t.or mrc th6 nE hun&.d &'llB (1500).
<br />L c ow.f lh. Fopdry. or my dplo)6 rith w!s6 s lh.n Fk con{Ead(.. wil tL ilE *$h ed tlE rrElr b ml
<br />ioxLd fr oflcoj f( {]. (Sd ?0,1,1. BsilB ed ProlBiod Cod. TIE (-odkors Lkoe Lw &< ml +9lv b e o$c of
<br />rtE Fopd! $ ll1 hril& r !rg!r- dEq !d s ho d6 an rul trrelf or hd*l tor tlEou8h hn n lE os olphtc.
<br />Forik thr .u.h in+o\Ed: r d -ndrlai or ol$sl f.r nL l[ h.*6s, th. hlrldltB d iiglrqEi t $ld {irhn oE }a
<br />ofodpldion. tlE O"rs Buill6 will h6r 0E hfrd ofFos.s thn lE d !h. dA mr hrild or imFlw thc proFty tur tr. FnF* ol
<br />l. B r'lrG of rh. FDrEry, E dcluir.l, cotur.lirg *Ih li.caat .odr&m ro oldru.l llE F F {Se 7(x4. &6o6
<br />en PiDki. co&: Th. Contdoii tic@ l:w dG mr !t,pl, lo & own6 ot FDFry wls h{ilds or ihp.ord rh6oq
<br />ed *l$ co.nrxis tq 3uch Frj{tr! vnh. con6do(r lr.B.n psl!@ krrlE (bdrrloi! liG L.s)
<br />I m.rdt, undd Sclnn
<br />ltaaf,rf,l-(alrllltAlla!
<br />DECIAAAIPd
<br />I lE€by rlfirm und6 Fnahy of FJuy on. of rh. tollo* ins d..lrdrioN:
<br />I hrv. ad will Mir ri! r Csrifrn. of Coilot ro S.lll6urc fo, sq(d NmFdion. s rmvij.d tor by Sdlion l?m of rh.
<br />t bo Cod. rd rlE Ffdllm. of th. Frt fn f,tth tli pqnn ir srcd
<br />I h!r. a.d s ill Minllin wo,l6 .onp.6tlFi 'Bure.. 6 Ettuir.d b, sfrt h. 1700 of th. l,bor Co&, tu lh. pdfolrM.. oa
<br />b 7- r't(
<br />-l cdrlyrh.t
<br />'n
<br />lh. p6li'@n . oalh. work aor *hich rhir prmn ir bu.d. I rhallml ntloyoy pd$n i.3n, flEnd
<br />s d to ba!n. ruqd to lh. "0116'ompqsdion Lss ol C.litom6. d.sG'hd if I snouk bdom. sbj*l tolh.
<br />$rrt6 omladion !.!\iioB of sdh" 17(J0 orlE uEr ((l. I !hru. fdh${h omrly *nn rir rnr ai}a
<br />w^nxrnc: Flilur. ro se rul6' omrEdbn .o\6rsc 6 urhrtul. rd {rll ebrd a o,l9LF ro miEl FEii! !d
<br />cNrl n.6 uI, b om hurd.n llxE d doll6 (lr0o.0o0). '. ddnNr ih. con of .6dFdhn. d&E36 a For iLd ror ll!
<br />sdtuo 1076 of fi. t tor Co.t , intcr ud 6rtorrEy r f6
<br />I heby !,Im uri6 Fuly of FjuD thi I o tcd.d u rF Foriioi of Ctlpl. e (mffiry *nhScli,n 7m0l olDilLid:t
<br />of lhc ltuind ed Pmfdn N Codc. ad my lr* B D tull lo,c. ed.re!
<br />thr. k-#z
<br />I hftB .Obr uidd pd.lt, ot Fjfy ilr q! !. o.rnrrnn hdiB l8dy for tlt Ffdl1u. of 0Ewrl6r*l*hrhi] tEEi il
<br />isEd (Sc. 1097. Cir. C.)
<br />attll(AxLtJlct4BAlla!
<br />I hody.Iimu ja pd.hy ol FJUry oe of rh. follo* ins &(Lr.rDB:
<br />Damlnio. P6mns-Ash6lor Nolifi.alion F6ldl R.guhnrB(I l.40. Pat16)
<br />Rqun.i tlrdofNdi6.di]n
<br />#I*ffiffi;;EsidDs ab6r6 rdn.l @ mr q'pl..t k b rhis FoFl
<br />n drl !t. thd tn. rhr. intomalhn Ecotrccr.l asc kr Nndy*hh.ll( ily.n'j Counry
<br />iotr lrd hd.by lurhorn.,q,6euriv6 ofrhh ( n, and (olnlylo 6ta uB)n th.
<br />rlx,( ndrn.qj pmFny Lr 'BFrio.
<br />ipplicrnr or ar.nr sigdrtrr.tJ"v l/lo'*
<br />k-)ct'/a
<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
<br />Framing 4/Ah l-Vt\t*4.-4
<br />ln s u lation/Energy
<br />D ryrva ll 1,ll .,,'{v 5.tsa I fd-4<\
<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 w l/rv 9.Da ..tctu41
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc.
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