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BUILDING. INSPECTOR RECORD
<br />SITE-WORK COMMENTS OWNER Bt]II,I'ER DDI,('ARA'TION
<br />I hd.b .m.n und6 podlry r)r Fjury rhd , m .rcntjl Eon rh. Conrra.loN l-icorc l.!s for rh€ nnlorinr r@qrn ('Bq 70115
<br />tlusins o Prof6ion (iri.) Any (-irl or aount) ehih r.qun6 a tEmn ro.otr{tud, ilrd, imrov. danolih.r klxndy
<br />{tu.tue Frr !r ilr k!n.. ilso r.qrr6 lh. ap?licer n, 3u.h Fnn h 61. . sieEd r nmr rht lr or a'. b liccnr.n Bread
<br />llt lh. F.ti'krrt of rlE (tntd.rs Licor.n h$ ((rurid s, ( omm.tumt $nh Sertr{ 70q) of DsLsr. I ol rh. B{!n6 and
<br />Prol*mni ( od.lorlhllh.orst ! .rsfl rh<drcm !d rh. b.!6 for rn !l!.S.d.rdrprNn AnyliolllonolS6rnTotl5h|lny
<br />iDplican! for a Frnn srbjds rh. 0'lliLrir h a .iril pdilry ot oor norc rhan fivc hundrql dolles ($(n)
<br />l. a otrns ollhl p.oFn). or Br- npkr)c *(h s!*6 c rn.i sk d)mpo!.lion- siI Ar lE *Gl sn llt r,rrc !
<br />tdad.d or olrdcd ld sk (S( 1014, BurllB ed Pml<r,6 (.& nk (idrdoir L(.* Ii$ .h6 m! {,p!r r. e or F.f
<br />rh.lr.Fi! eho hilll. or 'nqrr\6 thden. ild *ho d.Es.h {o* hini.lf or hc*lror rhtuush ht hd o$n.nplo\c.
<br />pmvld.d llltrl tu.h imFovffir! @ nol inlqdoj or olk nn $k lf. ,n'u6 q. lh. hildin3 or inproffil ! g'U {nhin onc te
<br />of compldbn, rh. ()*n6 Boilllr qill IEE th. h]rdo otFllinu rh.r hc or s]E d'd ml hrild or in{hr! ln. pmFl! for lh. plqFs of
<br />lr* ;x :.'.r,n::l;*ii:llt*.1:iililiL";lx l;ffi ;:fr::l.*Tffi irffir."*f; ,li: H'tr
<br />ud uh. co.tEcr3 lor ruch In)ak sirh tr ('oniEclo(, li(akd puBMr xr th. Conrrrtois l-icm. tnq)
<br />I .!.mpl 0nd6 S<tFn
<br />(LLz.l," y.--d.t-
<br />Ui:!! ts ll()l
<br />I hscby afl-rm undd lEnohy oa pajurr on. oa rh. iollo$ mI J(ler io6
<br />I &1. drl $ ill Eid.i. . (-d'fic.r. of (-oMt to s.lf- rer. foi $ 0116' NnFndkr. 6 Fo\ id.l tu b S<ion :17(ro ol rh€
<br />Iihor ccla lor ih. FaorlMc. o f
<br />'h.
<br />*ork fo. *hicn lh. p6frn ! alu.rl
<br />I h,v. ind * ,ll miinra'n tr o,L6 conpcn$nor i6!6m.. $ r.qon.n br sar ion I ?m of rfi. llbor (i'dc. ror rh. Frornrm. of
<br />rh. {.rI for\hahrha Fnn u s6d M, scl6 conFdF. iBrffi..es rd Fnf,r nuobq d.
<br />I rd't rhi r rtE Fn .*. of rrE trorl lor qhf,h rh'r Fnn ir ($rrj. l 3hrll nn mprrt mt F*n m .n,_ mdF
<br />5 eto bdaru ubel lo lh. \ortc mmFaiE. hss of( lliaomia drl {r rlE ilI $ould h6oft rub.cl lo rrEtr.rt6 codpderion pmyBioN otsrrFi 1?00 oarhc lrhtr ('od.. I Cull. fon hvnh snpl, tr nh rhor DmvBtuB
<br />WARNINC: l_lilurc lo su. ssrkd' ..mp.B.lion .o!drg. i! u.l.waul. Md shrll !!bjd tn orloF l. dniMl Fuhi6 md
<br />c!-il fin6 ur' !o om hun&.d thoNnd &116 (ll0o,0oo), in.r nion n) rlE.ost oaconqrerion. d!m+6 !s pr.ril.n fq lhc
<br />Sd'on :1076.1th. ljtrr (.d.. i (d drj ,io.E1'3 fc )>4,.,_([o/ n L
<br />t)l( l.\R\ll(rr!
<br />I lE ty .lTm u..ld Ftuny ol Fjw lhd I m lr6!.d undd For ii{n of (tuF6 I (.omilei.E s nh sd.n 7uJ0) of I)n Brcn l
<br />of rh. BNuB rnd Pr.f*nN Co<,.. dn d) k.e i! n ,ull torcc l.,Id
<br />q,Nflf,lJ(IIOlIE![lxqACEX(}
<br />I hftby .mrm un.Lr Fndry o f Frlury lhd lh6c is r .odtud6. kndinS rs6., for th. FaomMc. otlh. rnrk tur \tich lhn rEnn n
<br />su.d (sd i0e7. cil c I
<br />AETII(A&LDECIAAAIIT'!
<br />I hdq .lrm u.do tEhlr) of Fjo r. oe of rh. tollours &.bnnrns
<br />I).tu lil rn I'sr s-Asb6k8 Nol
<br />'fical
<br />irn lj.d6al R.suht inB { l nt {, Pmt )
<br />R.cun.d tnt6 of Ndifi c.lion
<br />I (d it
<br />'hd
<br />rh. lqknl r+uldioB r.srJrs abd6 rdn,l ,. mr qtplobL k\ rhu ln!.d
<br />' $!.-'5 ,r,^ r *,.,-a,r,B !r,pr'ca,nn 0,rr rar. rhd rh. 'hrc mrof,ndn'n s cn€.r. r +'arn comrry q,rh sr ( iry and ( ounry
<br />- niinsc6 and Sri'.t$eFldiry'n hiildinsc drucr iotr dd h@by aurh.rt. rcprBordivd o l lhis Cil y ed ( ounty lo old uBrn thc
<br />nr.\. n.r nr'.J rB,Fn\ r,r 'n\hrnJ'I'ur!G
<br />1-.pprr..",-rr-,,,isn.,*. q eL
<br />/'i1, irlN..-c(,,,rnr), A^r^ ^- rA'ti-\2: .7-" ,lr4r
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />S u bf loor/VenVln s u latio n
<br />Roof Sheathing URlo .
<br />Shear Wall lY ?.,l.-n+ 81 Y
<br />Framing
<br />I nsu lation/E ne rgy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />FINAL qnj /N rM A?fv <L
<br />Certificate of Occu an
<br />Notes Rema rks, Etc.
<br />DATE ID/SIG.I
<br />I
<br />I
<br />Masonry
<br />Pool Fence
<br />Flood Zone Certif .
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