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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNET BUILDEN DEI.CARATION
<br />I hqcby .,Im uidd porlly ol Fjory lh3l I o dmpt 6!n lh. Co.r.dm Uc.nr. LlR for lh. rolbwi.g l6n (Sc m! I 5
<br />Buins !,!d hoaaion Cod.) Ary Cny ot Courny *nth r.qut6 ! Fmi ro o'd d, .16, !tFov.. tlsDlih or t ., &y
<br />irud@ Fior ro tu isule. .lo EquirE rn +pltd for 3Kt FD, lo liL. tEi.d nic@r fin h. or sh. ir licauol p@!a
<br />lo rlE Foli3bE of rlr Conrr&rdl Liant d L.r (( 1upr6 9, Conmein! with S6ln)n 7000 of oavi.io. 1 of lh. BuiB -d
<br />PmfdioN Cod.) or thd L or !t. ! q.mpl lhq.frof, 6d rh. b.si! for lh. dLs.d daDP6.. Ary vhlrtio. of Sarnn 701 I 5 bt Dt
<br />!prli.. for . Fdoi rubrel! th. lrplic&t lo . oril F nyof ml mcln6 fir. hutt d&rlld11500)
<br />-1.
<br />B o\rc of rhc FDp6rr. c oy coployG wilh w!s6 s lhcn sE cooF!!!rn. s do rlE wnt in dE nDcE ir rd
<br />inrqi.d or ofiq.d fc il. (Sa 7014. BBi!B ed Ptof6ir6 Codc TlE CorE dd t Li!& t u do6 mr .gPly lo u orE of
<br />llE Er,rq! *ho hlitl or @06 rEa( rn who rlE st wrt nitrulf or h6*lao. rhmugh hn or lE oM cnployc
<br />provit d lhlr .*h idFldiEB @ d inroi.d or ofiad for rt . l[ trqtE, it budditB or np.Dr.rd ir $ld $.nn w ta
<br />ofcomptrion. rh.(XE BurBa willhm r hda ofFltilg rl! lE or CE dil ml bitt n itr+o* 0E Fltdy 6r rlr Dl4...ol
<br />-1,
<br />so\rcofrhcFoFry, m dclBiEly@nrul,s *'nh lEoed.!flttroRto mo!tucl llE Fnid {se 7044 4ui6
<br />.,n PlDi6bn Co&: Tn. aonr..roa, Ltce t * dG .or .pgly ro x owna of Fopd, who 6!ild! 6r improvd lhFao.
<br />ud wlb s.r.d! for r!.h pmjelr wilt r Conl6clo(, ltEEaj p6ud to rh. Culrrcld t l.i!& t w).
<br />_l m crdF ur& sd B & I'C forrhk r.ein
<br />]!OSA!8S:CAU$N!AUIr!
<br />DE(|JSAIIq!
<br />I h-ch) rltirm r& p.n ly of FJUry oE otlh. folrol'ina d*h.tioB
<br />-l
<br />h!v. drd will @iniai. ! CdifBr. of Coisr to Sdfn@ tu wtar omD.NnEl\ B Fvilcd tor bt S6lir l70O of UE
<br />tlti, Codc 16 tlE Ffffi. of tE rnt 6r "iit! llE Frn b ie.4
<br />-l
<br />hlvc lnd siu raiolli. wul6t' .onFBrhn iEffe s r.qun.d bt sdn. r7m olrlE L.bo. Co&. fot th. Ffol:lG. of
<br />rhB ponn i! io.d My *dt6' smFlrhr iNuJd. @ia d lDlic, flunb< d.:
<br />I cdr'Ii lhrr in rlE Frolrl4. oarlE *ort lc whth rhis Fnil n isu.d. I lrEll nol al,loy &y ps$o i. &, mdnd
<br />- s lo bd.ru ub6r ro rh. @it6 cobpaeion laE of C.litomi! sd ler lhd il I thould tcom sbcl to llt
<br />mrl6'mftDdldhnDmvilbdofseiionlTmoath.t bd Cdq l ltElL fonh{th @Eply *it tlDs FDvirk 6
<br />wARxlNG F!t@ ro G@ $rt6'onpqEdbn cordsc i, @h*'6r1. $d ndl $brd e dplorE to sinind Frlit dd
<br />cn fi.6 up lo oe h@dr.d thoMd dolld (tlLl0.0o0), in .ddiioi to tlE c.n or.onPdlaioi. dar46 a ForiLd ror 0i
<br />Sdion 1076 of rlE bbo. Co<,c idd Dd lndiEy . f.6.
<br />K".,,, xi{6 it
<br />M.llra,ular
<br />I hdr!,.ffm unda p@ , oflqtury lhn Imlt6E d! ld Etrvtir. of Cn pIa 9 (offius *nh S.shn 7000)orDntbn 3
<br />of rh. Buin6 Md PFTBbN Co.L, r.d fry lie ir h tull for !d.fi61
<br />t /"-*.
<br />\..
<br />Lqnltj
<br />qrtl tel -"-*,- loqlt Is"{\ Sf.-"r JI^ lllL
<br />c0llIBllg&!.LElUlc.AGE
<br />I h6rb, .ram uid6 FEXy of Fju r- lhn lh6. ir. @(rtucrio. ldrting .*dcy fn fi. Floll@.. of rh. w tur whi.h !hi! Fnn i!
<br />G!.d lsa l0ir7, Civ C ).
<br />ASIIJCANLDECIdSAI]O!
<br />I hcrtt .riE u,r& Frhy of Fiury 06 olrlE folb*i.3 (bhrailc:
<br />DdDhbo P@il}^tb.ror r,idi6crrio! F.dad R.subrbtu (Tnlc 40, Prn6)
<br />-l.qur.d
<br />ldra oltlorif.rion
<br />-l
<br />caliry rhn rlE fcd6.l rcsul ioc EBrdinB dt6t$ rmv.l sc nol ,pdt.bL ro fib Folxl
<br />-l
<br />.ai& lhr I h.t. rad lhr lppltdior &d nlrc thd $. .bov. irtonndion ii od.d I .std b onPly wnh .ll cnv lrd Coul)
<br />o.di@.6 sd Sbt. L!s! Ehins ro toiknns cotrrtu.raol| an hd6y .dlb@ rq6qrt6 of lh! C., -d Coury h .i{d I@. dt
<br />irnF .Hnn n mffi r.i ildhn m, ,
<br />[wu"-r*e,-rsr-,,.,7/4"- .//t - D.,. sldll
<br />[,*,--,.,,n.r, l^/rtt,"^ -Iz,;r6lraltl\ 0 (/
<br />tl
<br />Forms/Steel/Holdowns q.bl,fl0 il,lrvr*'6)
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUlnsulatron
<br />Roof Sheathinq
<br />Shear Wall
<br />Framinq
<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 />Enqineer Final Report
<br />Flood Zone Certif .
<br />FINAL
<br />Sel Backs
<br />4/tt///f
<br />"l/?1r//,
<br />/k1/
<br />It'Certificate of Occuoancv ([
<br />Notes, Remarks, Elc.
<br />'JOq3 (r3l
<br />"U.<
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