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BUILDING- INSPECTOR RECORD
<br />SITE.WORK pArE ID/SIG.COMMENTS OIT?IER IUILDEf, Df, ITAA TION
<br />I hd.tt otfm utxld FuXy of Fjury lhd I m dmd nom r Conlrlclm Ucor ls ft'r llE folh*in8 ,an (Sc.70! LJ
<br />8{.ira @d Prcfdion Codcl Aly ('iry o. Coumy *hth i.qun6 . Fmi ro odrucl. Jrq. inFove ddtullr' or rq.n &y
<br />*ude Fi,r r. ,! i6le.. .ho r.quiG rlE @plter for lch Fnir lo nk.3tr.d nao6{ rhn lt or dE a li.c!.d F,nar
<br />ro rhc prrvir6B ollhc Conr.clq ! Lic.n!.d l,w (Chrpt6 9. Comtrins with Serior 7000 ofDillrion I oflh. BBinB M.l
<br />PmfdioN Cod.) d rha h. d nE t amF rnataon !d rlE b..i ror rlE rlbcd qargntr Ary yi,Lrb. of setbn 701I 5 b, &y
<br />.rplicd ror. Fin !ubj6$ rh. Spli.er ro ! civil p.uhy ormr mE do liv. hun&d dolls ($m).
<br />-1.
<br />a NE of dE FoFr,, .r m} dplorG $irt w.s6 G fict $t o'nFurion. vil & dE eqt ad tn. iME ir d
<br />idord.d orolra.d lor uL (Sa.70{4. Buin4 ed Pr.t6ioB Co& Tt Codr.cror'! l-ic.M lj! dod ror @Dly ro 6 ou6 ot
<br />th. FoFly *lF bil& or ins!6 dEoE ,n *h6 dq rf,n N't hiell or ha*l f or rhftueh hd d hd om a,ploya
<br />F.vid.i thd i(h iq.lrrEtu c d -nqxLd r dH ftr il.. lt bBq. dE hlildlE d lqB6ld i' $tl silu tr )t
<br />oaconddDq rtE OMn &rilb wiu h.w rhc hda oflr.n s rhi h. or !h. dil mt hlild or impmr. lnc pmFry for rh. purpoe or
<br />_1. a oM6 of rh. F.Fiy. @ .rcl6iv.ly .o,tr.rins unh licouai cdrrd.roE ro oBrtocl rlt Frr..r (s( 7Or4, B!!sa
<br />ild hDkir ( od.: 'ln. Coflr.cln . Lt.B l,s d.!6 mr .r,plt b e of,E oaFotErI $ h6 b(ildr or inpmvd lhs@n.
<br />xd wh. coddr r e.h Flidr Mh. Connatqlr lto!.d pu6u,n ro thc conr.doi3 lf.e I!w)
<br />-l
<br />m.r prud-S.diE_.B &P( forrhila$n
<br />Drr.: ornn
<br />troxl(Fer' ( oMPrts Tlori
<br />DII:IdAAIIq!
<br />I hscht .ilm !nd6 Fdt, ol Fjq. oR of rh. aollo! ihs d<lrllDd
<br />-lh!v.adqillmi
<br />.m . C.nific3b ol coMr to srlf-IBoic for w rksr comp..!!l bn, a tri vd.r! lor b, sdion 1700 of rh.
<br />l,hoi (-ode fo. rh. Faol:llm. o f fi. "o fo. stih ln. Fni a isucrl
<br />_l hav. and *illmainlain vorl.6 co'rp.6slior iNrsncc, e Elun.d bySclionlT($oflhc l,bor 6d..lor lhc Fnrme. of
<br />rh. u!.t tor trh(h lhi! FEn i! is.d My wt6 ompadirn iNrG.6i,?rj,rlk) nlmba r.
<br />:-nAl€qzooon\"- \IL rS
<br />I cd ify lh{ D th. Ffolrrw of
<br />'lE
<br />*.d nx $ hkh rhir Ff,d ir &.{ I 3h,ll n mphtrnyFe. i,mr ,ME
<br />& a lo t .!h. lubjdl lo lh. Nlt6' conp6!.1ion hsr ot adifomi! Md d3G thal if I rlBuld bccomc bjEl toth.
<br />*0r*6' anFslir. FovitioN ol SElion lrUJ orlll. I ibor (irlc I lhlll fonhn'nh onrl! wnt lfio* Fori'ioB2ftffi,:,r.lm r. !..@ rnrld omFlnhn co\ql8. B u.h*nrl ad $dl .ulU..t -r, on. htrntlr.d rlhusd dfll.B llllx).r)lrl)).,n rldin)
<br />s*lin !076 ol rrE lrtor cod., inrdd .rd . dE t f6
<br />DECIAsAIIOtr
<br />I heb, .mm ui& Fdly ot rErjuy lnd I s lir@si undd F!$i!ion olclErla 9 (ennffiu wnh S..l bn ?0001 ot Divln'i l
<br />ot lh. IrGi,B .trd PmfdhB Cod., !n Dy li(@ E i, tull 106 lrl.fid
<br />Btz-/v/d
<br />caluat{.rtltlt.LldtllN.c]GElc]
<br />I hqtbr llIm utrdd Fuhyof,qjtrylhr ltE i ! odrudio.lddin* ttsfty for lh. Ffol]ffi. otllE $qi tor *nrh rha lsril a
<br />ilucd {Sa.30!r. Civ. C.)
<br />L.nd.r', AddE _
<br />AIIIICAULDECIAAAIIO!
<br />I rde+ .llin undq F .lly of F,ur- oE ot tlt rolbr in8 d.(lsd ioN
<br />Dcmol'lon Pmit!-Arb6tos Notificltion t.d6rl R.luldioN I lirl. 40, Pn6)
<br />-Rcqotal
<br />ld!6 ol l{rifKd$n
<br />I rdi! rhd rlE rddil csuLrio6 r.sidins B!6to! r@\ rl u. ry. q?lr.bL ro rha F$jd
<br />)a^n,,n I hlre rc.d lhis arplicaln'n ud sl.t.lhd ih. abor. i nndbr is cord. I ofra to comply snh .U ( ny ud ( ounrt
<br />.t. L!trr Elri!r{ !o hildine 6ofrhisCit. Coui_ to cils uF)n rlE
<br />.tre; mdrondl mFn, tu GF(iioi
<br />^ppli(.ir
<br />or
<br />^*6r
<br />si8..ruF ts
<br />l'..nilF nrme (prinl)r }\4oro-.1 :t(,,t".6 \--^'t/ufu
<br />Set Backs I /Ttc shzffi
<br />Erection Pads
<br />SLAB Floor B.-J-,1 _.{_3-r-/q lLlT)7,
<br />Su bf loortue n Ul n sula{idn
<br />Roof Sheathin s
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drpvall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />De puty Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />fu7D ,D/Afftt - raZ *tulc A7t7o.rcv fu,a,u ,,fui,/ *tv
<br />FINAL *ltltq .t '/,"146 )
<br />Certifi cate of Occupancy II
<br />Notes Remarks Etc
<br />".," ' wy'-t l,
<br />Forms/Steel/Holdowns
<br />UFER Ground
<br />-)
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