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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS O\E N f,R BU ILD}:R DEL('AIIATION
<br />I hs.ty Erm undd pdalry of Fjury rhd I en .<np li(ln rhc Codrrdon' Lic@ 1,.* for lhc lollowin3 r@rn (Ss.70lrl.5
<br />Buin* .!d Prcfdio. Cod.): Ant Cny or (tud, shich r.q!t6 ! Fmn to coNlruc1. !hs. ftr.\c, danotuh .! r.If,r M)"
<br />erudE Fs
<br />'o 'i! i,sltrq !k) Equn6lh.4'plrcet tu rNh Frr.n lo nL. !'sn d niffi rhd lE o. st. it licaEJ po'l6
<br />to rh. Fo\ti.6 ol Econrdmr tk.ot d l:f, {(.11416 9. (-ommtrhs *nt S.nsn 7000 of Divili.n.l of'h. Bu!i.6 sd
<br />Pnradrrs Cod.) or lt.l lE or lhc 6 .rdpt lha.lion and ln. t!!! frr lh. .lEsql .rdpli.n Ant thlt'ionofsalbn?0rl S br ary
<br />!ptl(!nr for a pnnir subjclsrh. !p9li. r ro !.ivilpcnalryofoor etrclhM liv. hundr.d dollas (!500).
<br />l. 6 osE of rlE FFry, or mt mplot€ {nh $r!6 a ilEir $L onF!.l[c $rll {ti r!! rqt t'd tu nMc 6 ml
<br />"ndrLd n oll6.d for rl. (Sa 704.1- BciB ed irot*rB Co&: TtE (ndrrld 3 Lt.B t^ do6 d +?lt ro a or F of
<br />th.FDpdrt wlb tlil.h or idFstdrha@ !t who d.E ech trrrrl hi .lf .r h.Blf or llEo3h hi! or h6 oB dpliry6,
<br />pro! id.d rhlt s.h inprorqdr @ mr i a!d.d or olTsqi for 5lc ,f, lbw!€, rlE bilCin{ or in{r.vM it bh wnhu onc yw
<br />ofcorpldb'r E (xE B{ilrn *ill hdr llE hrdn of Foli,r Oi lE s 3h. dil d hild or inF.!. lh. FlFy 6r llE FrIxE or
<br />I- 6 o*nq of rh. rnlErr, m .r.lBir.ly $dridinA l in l'.aEd .ont&loa h com.1 rh. Fold (Sd 70.1J. Bliins
<br />Md }hission Cod.: rh. Conrscktr r Lic.sc l-sw do6 nor dptly b a0 o$n( o l propsr, who builds or nntiorcs rhd6..
<br />lnd *ho co rxrt to. such Fq.n3 wirh. (thrEdo(3) li.d!.d puBMr n)rh.(lnk&lo.r l-i(Nb*l
<br />I m.rdp unld sftrion s & P(' r.riiir.e,n
<br />D.t.. Ortrd:
<br />\!oRl(f r{l' ( (tltlPElisa-noN
<br />ll:clJa6rla!
<br />I hd.b, .rm u..r6 FBnt d Fruq oE ofilE folb$iry &tl,rd.B
<br />, hrv. rnd will 6ri.rain r ( .nifu.r. oacolMr tu s.ll lfturc rd "od(d .omFc.l ion. ar Frvid.d for hy Saxon r 7ur o f lhc
<br />llh1r Code for lhc psfollru(. of lh. son for *ii(h lhc Fmn n isu.d
<br />I t6. r,i $ill tuint.in $orto. comFMbn 'Eurtuq 6 Equir.d bt s.<rhn 1700 of
<br />'lE
<br />l,tu Co{,.. nn rlE Fr{Irr)M. of
<br />Q tL)). /' t"
<br />I c.rriry lhlt in lh. I,.rlolM. otrnc wort lor shEh lh'r psm B isru.d, I shall @r mpLy oy Fen i. dn, nena
<br />$ atob<on ruqdr to th. worla'.ompsMion Lwsof cdrtumn. Md +Elhd if I3hould haomc qtltolh.
<br />wo 6 ompddion Frvbi.B ofs..lbn l?0oolllE t bor(od.,l tsll. aonhnilhomplr s'thlnoeFv6tua
<br />W RNINC: Folur. ro Ge svld omFdnn cor6r*. a u.l,stul, .,Il ndl sbd e dpL}s lo mlDl FsiE od
<br />cnrr 6n6 np ro oc hui{t d thoe,n d.U6 (ttm.m),. '..dd o. iyth.cns of (omFMmn. Jurs6 B F.\idcl fo, $.
<br />Sdto. 1076 oflh.llb.r (&L.
<br />'nr6d ed drolB rf6 I,,*,8-ro-t'7 ^,,u..,, l#rd
<br />r-,r . nsso corIi6?nd-
<br />DECtAS,Ijq!
<br />I hcby a,Im !.ds FEIy o r FJury $a I M h6r.d und6 FovnEn ol (lanr6 9 (6n1l1@'.9 *(h seli,n 7m0) of Dt iM l
<br />ot th. auins ed ProfsioN (i'd., ad my lic@ ir in tull forc. Exl .fI.cl
<br />Lr@c,t* B
<br />o,,, &'>o '/1 fi).|e/87
<br />I hatb, rtTEE u'& FrXy orFru.y rhi rh6. ! . oErtutad ldtdilE rsdy h, tlE Ff.lr:E. of rh. mrl 6r *tih ll! Fni a
<br />i!tu.<l (Sd. 1097, Ci!. C.).
<br />tadd ! Nm.
<br />altucAll.lcgldtrAra!
<br />I h.d, .Jrm unds padry of Fjo.r'on. of lh. followinS d*ludions:
<br />Dnannb. Pmil}^rbdtd NorilElhn F.d.r.l RcsulnhB (T l.,t0, Pd6)
<br />Rdturcd kns ot l'lorifi.nin
<br />, l(d'$ rhd rh.ldL6l r+uldbB r+,r.ln* BtErosron ..ld. mr +nl(.hl. !o r hn n^rd
<br />7fir{r,^o',* , r*,*rn! aFrt{dnn rn {,r.,hd fi. lhrc 'nromdtun s.or<r I asrd h ronpt}- sih ilt (-rr md (-(rnr\
<br />\.rdirn\6 and s!rr.l!*r EldtrE 'o
<br />}x,ldrns crMtu('Fn. rd h6dry.ihort. qr6ddif6 olrh6 Ciry md (iruntyto o16 ur{n llE
<br />ah\. m6r'on.d DmD.n! aor Ep.ttrn DUrDqfu
<br />Appnonr or ^rii sru,o* NZl4 n. Q- 5 " '/z
<br />;,,."...,,".,; -V ** Itb'::
<br />Set Backs
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUl nsulation
<br />Roof Sheathing
<br />Shear Wall
<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
<br />Certificate of Occu pancy EXrtrrg"
<br />Notes Remarks Etc.
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<br />Forms/Steel/Holdowns
<br />Erection Pads
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