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BUILDING- INSPECTOR RECORD <br />SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILDEf, D&TARATION <br />I n6.q i,Im u.& pauXt of FJ.ry thi I m 6otpr &on rh. ('onr.d6 Lic.M trw 6r fi. folb*iry r@n (S< 7ol L <br />Bui.6r !d Prof6lion ( o&): Any Cil, or ( o! , whkh r.q!r6 . Fni to o.nNd. .hs. inprovq dmlilll o. r.!.n ey <br />slrudu.. ri.r ro ns isum., !o r.+rn6 lh. !9pli.et for ioch Fmii lo 6L . 3ign.d ndondl lhd lE or thc b licaE d !u6!dl <br />lo lh. D.o!aio6 of 0r ('onlr*! ! Lien!.d lrs (Clupi6 9, Comftins trnh Serio.70m oa Dnlrion I of lh. BBi!B Dd <br />PmfsioN Co&) d rhd lE r tlt t.rcrtrF th..6!m id rlE h-L for rh. dLS.d daFi)n Any virldion ofsctnt ?Ol I t brey r <br />splicr for . FEn $bclt llE .rplic.d lo..iril Frlry of ml mE $ nv. hudH &Jll6(t5m) <br />l, r om6 oathc F.F!r. or ny dplorG wilh *rg6 d rh.n ek ftmFE ioa Mll do tlE wqt ,td th. !nd@ a mr <br />inrdricd or or6cd lot s!1. (Sa 7044. Buin* ud Pmfsions Co& '11E Conrclor't l.ic.M L!* &6 nor +ply b e oqE or <br />ln. FrF, sho hril&or inp.nt6dE6r dn sn dG cnw, him.laor hwllor llmu8h hi! or hs os.nrphy6. <br />Fovd..t rhd ,uch i.lF.rsGb & mr idod.d doGld 6r rt I( t 6s. tlE hilditr! or inp.o\Ed i $B wihi. w Fr <br />ofolrlria lli 0\,6 Bo*ld vin hd! 0E hnd, or FovnB t rr E d JE dd d hdd or n4..8 dE plFry for llt F!po* ol <br />-1. <br />a 0*'6 of rh. I'.pdry. d.r.lGi(ly colnri.lin3 wnh licdsd.od6.to6 ro codn.1 rlE Foj6l (56 ?04,1, &6tr6 <br />and Pmfd.bnCod. Th.Co r.cloi! Licru l-rw do6 nol rpply kr u own( of I'lopcn y pho build. o. rf,p.ovd ln66t. <br />&d who .o.'rEd! tor tuch Fljels w h ! ContEcro(s) ltdEql puE@r 16$.Conlr.doir Li.N t *). <br />_l 0 cr@F urb l€lb._ <br />T!ATE85:SE![TNTAII!]!p[clllallqd <br />I ndcby amrm undn p.elryolFjuryoncorrh. iollowinB &.hrdt'G: <br />-l <br />h.r. -d sill rui! !h. Cdrifr.i. of coter ro Scll-ltuG for wtdr' 6mF.aior! s FDvid.d for by SEiio! l7m ortrE <br />L.bor Code ld E Fftffic of llE wt rd trtth llE Fnn i is.d <br />_l h!v. rrd w'll uiltiin m*nr' coiq.ts.rion iBotucc, 6 rcquir.d b, S.cliotr 1?(x) of th. L.5or Codc. lo, llE Ffo,rj4. of <br />rh. e,[ for tr lnch rha F_nir ir s.+JVt worrfl cnmttuion r6Lmc. tri6 ud polic) numbq &.1-kk l-v-J <br />? a l\ 55'-3/t <- / t"t <br />-l <br />c.nrfy rnar in thc FfolrffiC of rh. *ork for *nkh thn Frnn i! s.uoL I rMll mr dd.y uy pq$! h dyill1ff <br />e 6 ro b.(n. .objel to rh. m 6' comFc{ ion l,es oacdlilomit 6d qarE lhd il I thouLj tt on 3uq.< ro tlE <br />$ 0116' Nml.E rion povitioE of Selion ll'700 oflh. Llbor C.d.. I JEll ffih*nh 6nply lhh b3 pnrlllioN <br />ion o\ars. n ohrtuL Ed shlll sbjd & orylols lo sindl Frib !'d <br />100.000), u .d,nFn io rh..d ol conrp.Miotr d!r.s6 a p.orit d lor rh..tri! fu6 up lo oE nu.(M tfioui&ld doll <br />S(r6n 1076oarlE lrbr (dt. <br />|1.2.-v". <br />I hsd,, lrrn unds pdEhr- of Frury Fvrioi otCt F6 e (c.mffi i.e $nh Sdlhr 7l)@) of Dn6n n 1 <br />ol rh. thrK rrd PrcfBbc Co&. !n my lEru ir h full forc. &i.fid <br />t/\0 \ fls6 <br />,t,,, \ L.2" -tro ,{-5 Gt,^<4q ( &.s"hwt" -. <br />I hdr6t .llm uxld p6!h, of Frury r <br />is.d {sd 1@?, civ. c.) <br />tud bn la'dns .*try for lh. Fro.rr@. of rh. $$l tu $nich lhit FBn it <br />aPPt rcaNT rlfcr lt TIor\ <br />I hdlby .,rm und6 Frhy of Fjury oE of th. follosir8 .L.lrdrni <br />D.dolirnrn Pdmirs'Aibdkri Nor'llcrtio. F.dail R.sulat iod (TnE 40. Pdn6) <br />-Rqrun.d <br />tnl6 of ldiilriirn <br />ly*irh.ll ( hy&d Cou y <br />yed ( olnly to dr6 u[r)n fic <br />\7.20- 11, <br />Set Backs <br />4lel t+</u{E('7/ <br />Erection Pads <br />UFER Ground <br />Subf loor/VenUlnsulation <br />Roof Sheathinq <br />Shear Wall <br />Framing <br />lnsulatio n/E ne rgy <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 />5\L\q "^tr4ts <br />Certificate of Occu pancy <br />Notes, Rqmarks, Etc <br />-7 lq <br />Forms/Steel/Hol downs (l*( ) <br />SLAB Floor <br />FINAL <br />.17 <br />L.rxld'r A&tB <br />lolq.l rqul,r.B rgrd'ns .tbdro. rd\.I -. d +?lt.bL tu rh6 F!r.d