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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE tD/stG.COMMENTS O$NF.I BTIILDET DELCARAIION
<br />t hchhy amrnr un&r Fnalry of Frrury lhd , rm.rcq fFm rlr ConlncrnF l,iio{ lr* ror rh. rolktwin8 Elsn (S{ 7o.rl5
<br />Bllin.sr rd Prcr.(b. Cricl 4., Cily or Coud, thih ftrqute ! Fm' h 6Ntu1, .ltd, id{rov.. d.mlnh o' qi, m,
<br />{llmrc. ,rin to ir. 6uFr. rls EquiE! ltE q{,ltur fin rEh Fnir h n,.. riSEd .ltl.rnr rlEl lr ot {E i lis<d Fror
<br />!o rh. F,viiions or ltE conr..lo* l-t.nEd Llv (Ch.ars 9. Comrrin! *irh Seri.n tur) of Divnhn I of lhc Br{ituri ed
<br />PmlcsnN cd.) d lh.r lE ( ilE t cr.trpr rlE!tron rd rh. harir r.r dr rlL8.n.rnFFr An, ri.,hli,n 6r sdatn 7olI5 by.ny
<br />applicsnr fq a pcmirrubr.crrrhc rtpli.lnr t,,civilpcnll'yor.ot nnlh.n fiv. hun<lEd dolh (t$0)
<br />l, !i owrHorrh.FlFny, dml.q,hrsr* h slsB!rrlfn $hoif.Mhn, $ll rr, dr qrt !n lh {rurG n d,
<br />i' crkJ or oftrcn lnr sL (S( 7lx,r. Busir3r r.d nore(t nr c(r,. Tn (lnrftcr.tr s l-itne l,e &rr nur 9ply ro !n .*rc. .1
<br />rh. Di{dy *tr hoil.li m !qm6 tltcn a,n *h d( qh rvt hrmlf d trelf ot rlFrSi in r td orr.q'hF1
<br />tmrtu.rl rhlr iuch imJ'ownc .E ml int.id.n d .lfcrd lor eL lt lIoNB. rlE lxildinE r iqmwnl r $U *irhin ok Fd
<br />oroq'L]li,n rlE Or'N' Builld will h.F ihc hrthn orFsvins lld h. or {E dn d hrild or i,FDk llE Fqdy n, th. I[rIDr.f
<br />_1. rro$B of rlE |'oFnr. m.r.lurv.lyro rdr3*irh
<br />.d l\rftssr Cd. ThcConlrErori l-ic.nr l:*dm\ n
<br />xad *ful conrtuk lor rkhFoFrwnhr (tdtu1on\) li
<br />, 'ld\ o n,fnr cihdd)n.
<br />I :;H'F;si-
<br />I h.Ehy ,mrn und( F,shyolF J0rtoft,
<br />-l
<br />hlk d *ill rinr.in r Cdirr.k of Corc b S.lf.lhuE i{, Nrt6 mtrFnr.rirn. rs lNtit dlorbySdbnl7(|of rh.
<br />Ldfl Cd.. nr rl* rErfomR-c nrrh. w.rt (tr qhkh rh. Fmir s hiu.d
<br />_l h,r. and , ill mmr'in r0rr.6 .of,p.nqrir m$r.B...r rcquirci by Scri'n.l7mof rlE trtr, Cur., fo. rlr FrlrIM ol
<br />rh. *Drl Ior*hi.hrhk licmir is issBd Myworksi onl|.nilrion instmi..cani$ rtd F,li.ynun$.rm
<br />_l c.nift rh.r in rlr Fradllm or rh. eort fn whah ihn lErmn n i$un. I dlll mr .
<br />$ $ ro tEfrE $tFr b dr eqt6i on{ENrion h*r of ('rlifor.( rd
<br />!nrkur\ .utr,rf\rlrn'tr.ri{on\ol Scdi(r l7(l)ol rfu lnntr Cixtr. I \
<br />rtril limi ut t, oft hundEn rhousftl dollar (!llx,.(Xxrl. in !::"i,il,u T
<br />I hcah, affiih und.r Fnally.lrrrju,r rnal I !n lie.*d !nlc, ln)li{nJn ol chol)ld e (comrEEin3 *irh s.diri 70uJ) or l)ivhi,n l
<br />of rlk auiiEs .rrl l\nt (r'ni Cclc. .d nry liccn< ii m tull foN xn .ffdl
<br />glusrBulJr0!..L!!.Dricac!!(l
<br />t trby rtrrn und.r F.,r!, or Frjllry d th.E ir r odulhr bdinr rstr, ror rlE Frrormm of lh. wtl r, *tkh rht Fmn ir
<br />isu.n I Sd. I)97- Civ C )
<br />APPI ICANT DECI ATA !oN
<br />l hs$J- ,trnn rrtler n nrh y nf Frrry rrc of th. ftnh* in8 tl(\ larrr,trs:
<br />Itmn n,n P.irrih A\l'.\1.\ NorifKrri,n Fdcrol RtEul,i,,n< (Tirl. ll). Pfi6r
<br />R.quncn lr c. o(Ndilf,rrnn
<br />_l criiry ihar rh. trrfrl(8uhri,nr E8rdr.8
<br />-l diirhd llEr. rc.d rti. lorlidir.(lrlBr I rsrd rosq'lyrnhcll Cry.d Counr,
<br />.nlm.tucs rnl srircli*s El,ritrE
<br />ltik mnr(,tud tn,Fny&r nr
<br />Applir trl or,trrtrl Sixtrrl
<br />tf ir,rf L c(L\E-E-
<br />:,"':;[tr;;***
<br />Set Backs
<br />Erection Pads
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Rool Sheathinq
<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 ,/1,/zt,//f ..Wg/
<br />Certiticate of Occupancy
<br />Notes, Remarks, Etc
<br />Forms/Sleel/Holdowns
<br />UFER Ground
<br />-LrpiEr
<br />-
<br />-Lirre
<br />Nu,{Er'
<br />-
<br />tt
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