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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILDER DEL('ARATION
<br />I hd.b, rllm ud6 Fsny ol Fjury thd I o doF tlo rh. co,nrrl6' LK.@ l^ for tn. folh*in8 llen (sE 7011 ,
<br />B@ins .ld Prcf*ion Co&) Any Cnt or Cody shkh r.q!i6 . Fni ro odrud. s. inproE dmolnh o, rF.n ey
<br />nNdue FE. to ilr iseq .tto r.q!t6llt {rlt8l for sch DdEn lo 6lc.3tsi.d nn@r dti ll or ir. it lkdB.d Pumd
<br />ro rh. FovnioB ot lh. Co rxrois Lk6!.d llw (Ch.gra c. CoMdirs *hh s<ri.n ?0o0 olDivi.b.1of 'h.
<br />Bui,K ad
<br />Pmtsiom Co.L) ot rhd h. or slE L .rdB rneEom ud th. bnrit aor llE El4.d d6rFir. Any rioldbn of SarE ?011.5 t, &y
<br />rrtlk&r lor ! Fnir sbJdls rk .pplic&r ro 0 civrl pmlt y of nor moc lhd lit. hunrb.d dolld. { $m)
<br />l.s ffi .lth. F.Fry. d hy.rtrPlotE $ nh w.t6 s rh.i ik onFEiion. viu & llE wi nd ll'. 3tn)cie i mr
<br />inrc'd.d or o,I6.d lor laL lsd.7ol4. BsiG3 dd Profeii,B Cod. TIE (trddd-r Li.r t w &E ml eply lo d onc ol
<br />rh.FFry *ho t{ilA.r n!pm6 dEuq s'd wh dG st *tr.t ti@lf or hddf or illluai hir d lE om .nplo}q
<br />FouLd rh.r $(h inFnqEt E mr ii6i.d or oft,td ft'r nt l( lbms. th. hrilduB or inrlq-.or.d i] -ld *inn * )d
<br />ot@nddi4 dE olfr B{il,s *ill lrr 0E hnlor ofFa\irv dr lr or CE did mr tuits or inllrDE ,!. trcFy 6. tlE p{rDox ol
<br />l. a o{c of rh. FnFit, m qclNnrly conrturing wnh li..N.n .onrdtr6 tu etrrdd llE Foj.rl (SG ?0,H.86uB
<br />ad hDkir Co&r Tn (o trlor! l,ica$ Lrw do6 nol .ppty h e ownd ot preFn y vho huiE! or i6prov6 lh.6t
<br />ud uh.6nn$lbriuchFj<rranh.codrero(i)l(d!.dti6udrorh.(bdr&ld'.Lic@tt*).
<br />I am.r.mpr utul6 Sdron .B &P( forthbr.en
<br />D.r. Orn6:
<br />wonxF Rti-(-oitifris^iroi!
<br />DECIjAAIIO!
<br />I hd.l,' rmnn und.r F.dry or rsj!.y onc oa rh. lollorinr dEl{nlio6'
<br />Ih.nloduill i lh. CdrifE.I. of ColEd ro S.lllEw ad qsld compcri,., s Fni(H iir by S6iio. r70o oarlE
<br />t b.r ( o&, for lhc FfolM. of llE ro.l for wtth rlE Fmn i iB!.d
<br />I h!\. ,nd * 'll 'u'.ra'n *0r\6' .o'np.nar ion '6u6n.., &! r.qutr.ri 6t sd 6n :r 7(x) .l rh. t!t[r Co&. for
<br />'
<br />h. Ffolrrltr. of
<br />rh. worl f(tr s hrh rh. Fnn a $f,d M' $ od(6' ..mF*r,o. i6uim.r cdE md Flrcy .unh6 r.€xerqlT
<br />I c.nify lhd in lh. ps&,rtffi. of tlE *ort fn *hth lhir Fnn ir is.d.l nEll mt drhy lny pqsn in uy mond
<br />b B to t<odc lubjdr ro rhc ssl6' co.ipea.rion hs ofcdifomii, &rl rec tht if I .l'.uld b<or $t,.{
<br />'o
<br />rlE
<br />wrt6' ohFurioo p6ln'od ofSdion 3?00 otrn. LdF. Co<!. I Jrll, fonh*nh @mdy whh rl'or F.rilbBw RxrNc rdbrc b s@ eorl6 ftmFdir. 6\@s. n urhwall, md 3h.ll !!bj.d n dploF to qini[l Fdis in
<br />.ivil ,jn6 up ro om hnn&ql tlbudi dollr! (lloo,om,,
<br />'n ..ld
<br />'o
<br />rh. c.d oa comp.Earn n. dmi36
<br />hpn\r&d
<br />r,n rhc
<br />s(rion 1076 oarh€ rlho. co& ini.d .!n rbnEy s fc
<br />ltllf \k\r rr,\
<br />I @y !fim undE F..lt, of Fj!ry lh! I m li.liE d u,id FDvtio. ofclllpl. 9 (Nlffiilq f,nh Sdb. '7000) ol rrnB{n I
<br />ol rh. Burind &d P6l*io6 Co&, dd dy k.e n h tull forc..d.lId
<br />lL.ri.(,.tr\' B
<br />,',,, '/o'?8-/?
<br />- 8t38 r>
<br />(--
<br />I hdrt! dlm u*r F!X, of Frry rhn rh* b ! sldru.lion kndiry .rdy for rlE p6fontac ol rh. wk 6r $ii('n lhir FEi i
<br />isu.d (Sa 109?, Civ. C.)
<br />A?IU(:ABLIESJAAIIA!
<br />I hrdr.rm und6 p6.hy otFluryonc oflhc followins delsdhns:
<br />Ihftilrbn Pdf, e^stsro! Nolinc.rion t.dml R.suhtioN (1nh40, P'n6)
<br />R.qdrcd Ldr6 of Noriltr?li.n
<br />I drft (hd rh. f.Jdr I rcgu lauonr Elrdm8 6b.s'o. rdDMle. frl qrpli(ibk lo rhi! Ftrj.rl
<br />(/rrd^,o ,- , ,^, ,^,r,r ,pprr dIn rn nii. lhd ,h. .h\. ,n romd,on
<br />/nrdffk6Mds6r. trtrl ehlitB ro h'lduu cotuh( in lE.b !dlr'rn.
<br />I .xia ro Nnply wirt lll( irytud Counry
<br />d'r6 ofrhir C'rt ud Cou.ryro ale lFnr&
<br />il$\. hdrn)n.(l PIopdl itr rs,Er
<br />^pprlcrnl
<br />or .rs6l ShrluF ,<l/ ,", ,/O-28-/?
<br />P.rmll6 n,'n.{pnnr): )(Tdrrt,
<br />c_
<br />l/20
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subfloor/VenUl nsulation
<br />Roof 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 />l/
<br />FTNAL ///1/l? f/4L /4
<br />Certificat6 of Occupancy
<br />Notes, Remarks, Etc.
<br />--t
<br />-",-:10:!9- 19--
<br />.Yl,rll;
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