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BUILDING- INSPECTOR RECORD <br />SITE.WORK DATE ID/SIG.COMMENTS OWNEN BUII-DER DETTAN T|ON <br />I h6.t, rrm und.r Frlly of pGJUry ltd I @ qo'l tlh lhc Co.lt.clrt Lr.nc L* for llE fob*i4 ra$n (Sc,"0!l , <br />Buli.Br &d Plofdion (i{c) Any C(y or ComIy whi(h r.quiG a Fnit lo @.ntud, !llo. imprcva d.nolilh or r@n ey <br />stfucn&. Fb. io irs isue., .tro ra+iE th. +plicsl to. Ncn Foi lo nE. !r8..d sdml lh, lE or ltc b l'..N.d Plralr <br />lo th. In vuioE of llE Conrktd ! Li*nt d l,v ((lEflr 9. Cohntri.s *nh S4rio. 7000 of Dnlrh. I of lhc BBin6 ed <br />Pr.f<hB Cod.) or rhd lE ir ir.rdlpl 0Edon.d rlE b..i! for rh..lLr6d datrFion Anyrnbi,nofs<rio.70115 b,t 4t <br />.p?lku for . Fnn ubJar rlr .pplrol ro r ov Funyof mt morc rhs n\. hun<n ddolle($m) <br />-1. <br />s o1le of$. pr.Flr. o nyGnployc wilh ws86 s lh.n cn. codt Mrion, silldo tlE uork lril th. n.ud@ ! ml <br />i drLd o. ofi6.d ad d. (Sa 7044. Buind Dd PTDIBioN Cod. Tn (onlrrlor!LicruL.w&6rct@dyr.do$Gof <br />th.p.arEry \ho bikld nrtF.\6 tlEotr.!d vho dGuh qr hi"glaor rdtrror rlrousrr h! q lE o*n BnPbrq <br />Forliol rhd sch osorqEi! c rd irad.d M oErd fttr -l. lf. ho$6c, tlE hlittlry q rvL\tffi ir dd rihin oE )s <br />or6r+lab( E Otrc ttdill- triI lElr tlE hd6 of Flvins dlr l! G s& dn d hild or itrprDE tlE FlFty &r lll F,F* of <br />L 6 om6 oath. EDDqry, m dclBiv.l, conrslin3 *nh licas.d connEl(E ro collniu.l llE FtFd (Sd. 7044. 06il6 <br />sl hDlim Co&: Thc Conlr&ld r Li.@ t w d6 ml .rply lo o o*n6 of FoFly sho b{'k! or inprov6 <br />'h6@n.ed rho offir lm Mh Ford!, *ri. coffidrrl lEsE d Drl:M b llt coddd'r Law rsl <br />-"-/V1;:-')',;ri tl k""*, <br />I h<.1,' lliim ututa Frh, ofp-ruD o* <br />I h.r. Md pill M'rrlh . ( drifrarc of G'lql to s.lf-lBu.. lor rcrldt @hP.n$rion. s !m!id.d for by S*l i.. :\ 7m oarh. <br />Lb.r ( odc. for lt pdfotruc. of lh. uoll for which th. Fmi b i$!.d <br />_l hd..nd Bill roi.r.i. sukm onrp.Elrbr iBll!m.- s Equir.d tt sdhn !7(10 olth. libor ( o<L. lo. rlF Fftnffi. of <br />rh. rsl rd ehih rhir Fnn i isxd My ffitd omFar.n i6Uft. nit rd poliq lMba e: <br />Poliry Nudbe-ErPiB <br />! rdi8 llEl h lh. Ffolfu. of thc rort fq "hkh lhu Fmn B isu.( I dall mr anghy.ny Fen in dy @F <br />e B lo h<oe sut,irr ro rh. $dt6 mnFEri,r IaB of ( .lifooit t d +R thn if I nrul.a tt oc tubj.rt ro t,E <br />solt6 $mF8di.n Fryni,c of S.crion 1700 of th. I ihor ( od., I $.lL fdh*ilh <br />WARNIN(; l:ailure h sK *ort6 .onrpdrsdion.ora.*. is unlasful. 8nd d anploF to om'nll Fmlti6 .nd <br />cnil Iind up to on. hurlrd lho@d dolld (1100.(xx)). r. tddilion lo rh..omFMrion. da,MsB a pruviJcd for lh. <br />lhd.hr xlli' rutrJd tf, lr' ,,l r{rilnl\ rl,rr l ntr,und6 lltr)visnrnof( hwls e i.omindcin! \ilhSdti,n 7m0) ofl)itisnJ.:l <br />of lh. tl@n6 dd PbfdioB Cod.. En oy ltce n d rull fnr.. dn.Irdr <br />CIIISIBICIIONIEIDINqJ;EUCT <br />t hdltr,.fin uid Fr,lyorFjuryOr lha. i!!@intu.lb.ladiDg rsdy to,lh.FfqM. of llE w fot qtih rhi! FDi ir <br />isu.d {sd 1097. civ c,) <br />A'IUQTXLD}jCIJEAITO! <br />I h!*, .rm lndd po.hy of Fjury on. of $. followinS dclrarions: <br />Dmolirion l,6mirr-A!b6ro! Norinc io. r_cdd.l R.8uht ioB ( I nb 40. Pano) <br />-R.qukd <br />L.ltd of tloiifdin <br />-l <br />cdr rt rhd $c Ld6d rcBlhlioB rE8ldll3 ab6l6 r@r tl e. mr tptltrlbL lo $a pror<r <br />_l c6litt rhd I h.\c r..d lhis.pplicarion cnd rrircthal lh. atrlc mari.n s cor(1 I arr- ro .rnrdy with oll (\ly !.d ( ounr! <br />ordiMnc6 ud surc lr\3 rcldin8 ro hoildin8 $'Errudiol\ en slan6of rhB cny sd Counly lo ord upon rlr <br />!bo!. lmrbn d p.op<ny n, <br />Appli..nl or ,l8fl I 5itnI0r.t:/ z,l1g <br />Set Backs <br />Forms/Steel/Holdowns <br />Erection Pads <br />UFER Ground <br />SLAB Floor <br />Roof Sheathing <br />Shear Wall / <br />Framinq rz-t7-t* <br />lnsulation/Energy \JDrywall pM7-Lo. <br />Ext./lnt. Lath <br />Brown Coat <br />lvlasonry <br />Pool Fence <br />T-Bar I -tr*]1 <br />Handicap Req <br />Deputy Final Report <br />Engineer Final Report <br />Flood Zone Certif. <br />FINAL /-Zo-/i -ldtla <br />Certificate of Occupancy <br />Notes Remarks, Etc <br />lz.J7+w a't fi05 4 <br />'"."'1---1 <br />-l.r(.4 <br />Numbd <br />- <br />Subf loorNenVl nsulation <br />}rg-rtl <br />Jy'eS/- <br />'+).44