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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.OWNER AUIIDI:R DEI,('AR TION
<br />I ls.try .rm un& ,EEb' of Fjury rhd I @ .rturt 6om rh. C.r.raloR' Lit& L$ to. rlE folh{in8 rtuf, 1S{ 70lr 1
<br />&Bin6 md Profdhn (-o&) An! Cny or Coudt $hkh rqtur6 r Fmi ro 6dtud. dd. 'mFore ddmlBt or q.ir u)
<br />.t!clc. Fu 'o
<br />ilr isudc. &. r.irlic lh. eplkdi for sch Fnn ro 6L r 3bN{ r.m'
<br />'hd
<br />,E or iE ! licsE<d rlEu,n
<br />lo rlE FlGirc.l E ('ontri<! r tic.tu d lltr (('h'Fd 9. Co@ine rirh sdbn 7(m .l Dn irio. 1 of rh. a6hs md
<br />PofBioB Co&) or thd lE.r sh. ir -mpl 'h6.6om d rh. t-rit for
<br />'h.
<br />dkg.d ddFion An! lioldbnols.nbn?0!15 q- lnr
<br />tpt licml for ! Fnn $b)dr lh. .prlicot to a orit p.ully o f not mor. thu fivc hu.dr.d 6ll& (1500 )
<br />I. 6 osnd of rh. F.p.ny, or my mployG virh trr*6 a\ ihc rn. co'np6sd ion. Nill do ih. "({t 0.d lhc alfldu. b tul
<br />inr.r'ddl orottq.n tu slc(Sc 70,14- B$inds Md hnl*ioar(ift lt.(onrrado.sl.ictrIn$do6ndrrllyrodoMdol
<br />rh. FoF! wkl t[ilk or imFor6rh66tr.r!d $hl &such ]!.t h,nsrlfor hd$lfor rhNush hit or h6 otrn.nrploy$.
<br />,rovid.d rhlr ruch mIm\ dxnl3 r. mr inrsdcd.r oFEql for sL lL hos6 6. rtE hlilln{ or iqr omri!$Usnhro..}e
<br />ofcorpklia rlE ()\ffi udlilg $ill lE\. iE bor&r or tmrins rhd lE M {E dil d hild or inItu. fi. FnFy t r [E Frpo* of
<br />L 66rGrfdEForEr,. dn.l6n.lycorrrdins trdn lEq!.d cod,*rc b @'dnrr rh. rrF {s6 7o,!l- 8.8d6
<br />dl Proksihcod. lt ('.nrdoir Lico* b* dcd rr'tir) ro eo$EoiF.Fn! {hr horldr or improt6'hoEn.
<br />..d $ho Nl,rrrr roi iuch F.j.t. r'nh, Coft&ro(r) ltoEd luEM rorlECodrtlq r Ltw l!tr )
<br />I m.re F unds ssrkh
<br />D.le oxn€r
<br />!aali}:ts$-(l)ufr!rarIa!llticuxall0!
<br />I h6cby amm und6 p.n.lry ofrsJUBoftofrh.li,lhsil! dclar0rNtr\
<br />I h.vc ,xl * ill rinrln r Cdif(rr. orcotgr to S.la'lBur. tu *.rte omFs, ioD. B Fot '&{ ror t'} s..ran 1700 of rh.
<br />l,tor CnL for
<br />'h. Ffoffi. .f
<br />'h.
<br />tr!* aor $trh rh. trmn ir su.d
<br />l ha\..nd qrtln.hllr norrd'comFtsltFn rBrrtu.. s r.qur.{ hr S.clrn l7O0 of lh. hlro. ( od.. aor rh. Ffor]11ft.6r
<br />rh. {ort lorshthltnFh( B etd My uorl6 o,qElrion iBurd. c.lE rn Flir_ numtE tc
<br />c-b- 6(JACc
<br />R,,,.yN.,b., JP-l u,l L '1 5 ile o r,.r^, 5"5'-l I
<br />I cdiry thar in rh.Ffomec.of lh.work for whi.hrhirrnmir is &unL l shall no! mplotr.t pr$n in rny mMn6
<br />e a to haomc sbdt ro rh. * ort6' conpsEaion Lu of ('!lifomi.. d.3rlhar rII sbuld tEco.rc rulr(r rotrrsortd smFsrion l,n'viiioB ol Scdion 37OO of rh. li (irk IJull. forrhurrh comglt_ I nn rh* Fovilodll^RNltc F.rlur. ro sd. *0116 mmFMhn o\Frs. . u.ritrful. .nd !i 3utlrd u mdo)s
<br />'o
<br />ainiml Fulk .
<br />k' 06 huBi.n rh.End dolla itlln,{xx)I, i. rH bn r. rh. cd of &aFdion, d,ru96 a Forid.d tur rh.
<br />Sdio. 1076 olrh. llhtr('ci.. inrddadt -(-
<br />DDSdSAIIO!
<br />I hftby,mm und6 psrhy of Fjnry rhd I M l'(!el unds |nrision.rchrprd I (.onmftin8 \irh salion 7000) of Dniion 1
<br />of rhc Busin6! {rd ProtsoN Cod., dd my licdc is itr tull tuE 9d €rdr
<br />,-.*.aO* $..-zu.,. C--6 I /;",".(
<br />C)
<br />E1 J,<-I\ C-,-/ l t F
<br />coNsrnu(-Tlor\ LE DINC aGf, N(1
<br />I naltlv rrfm uids Fdy of Fiury th, rhd. a r odrucli,n l6dls lsdy lor rh. Ff(tu. orrh. tr d aor rtih rhi! Fni 6
<br />e.d (S( 1097, ( iv C )
<br />AITU(ANfDECLAAAIIOT
<br />I b.!ty ,trrn un& Fnrh y ot pdrury oN of lhc lollos ins dfrlmr ions
<br />D.nohion Pmnr-AttE o! Norilicr'ion F.d.6l R.tuLrrN ( I nl. {0. Pd6)
<br />RquEd Ld!6of trd!tudi.n
<br />I .dlrry rh, r h. t dqrl r.{uhrirB rsrdtru stEros rm\ rl r. mr arDk.bL lo rh! rrnjt{i
<br />I cd ify thd I h,\ c r.rd r hB !,'pli.d ion 3.d nar. rhd rh. rtrr\r rnldmd i.. a coEd I +.- tJ comfll snh .ll ('i!} ond ('ounr\
<br />rdmn(B M! srdr. l .*! ELrin*l' b{ildinr coN tud ion, drl hd.ht aurh)in. rct 6ddivd of rh,r Qr r .nd Colnlr- lo dl6 lpon lh.
<br />il:"-^::,;;I"""ff;1,-//= ,.,, 1<, 7
<br />prmr,en.nerprrn,r,, lro6"l,- g"+):7
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Roof Sheathing
<br />Shear Wall ;\
<br />F ramrng
<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 />A
<br />FINAL 7-u-)7 v Ytb)
<br />Certificate of Occu pancy U
<br />Noles, Remarks Etc
<br />COMMENTS
<br />I
<br />Subf loor/VenUl nsulation
<br />I I
<br />I
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