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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground {\
<br />SLAB Floor
<br />Subfloor/VenUl nsulation
<br />&oJ Sheathing vL\3r l\+
<br />Shear Wall l0 l3i rl
<br />Framing io )r1
<br />lnsulation/Energy ia 1 l,NI9LI
<br />Drywall I
<br />Ext./lnt. Lath
<br />Brown Coat
<br />lt4asonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />De puly Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />./-,/,Lt ,,/a-,/
<br />FINAL /,// 27
<br />Certificate of Occu pancy
<br />\oteg, Remarks, Etc.
<br />\td I_/--^
<br />/-/?^ZA=
<br />OWNER BT ILDEN D[ 'ARAIION
<br />I ha.try 6mm undq p. lry or Fjuh- lhnl I m .(mpt frln rlE Conrdo6 Li.@ t.d* aor lh. nnbwins r@,n (s( 70rJ 5
<br />B$r6s nd Prof6i. Cod.l An\ ( n) or Cou,n! vluh r<qur6 ! Fnn ro mdod. rlro. iil'o\., &ftlish or rqntr d)
<br />sldctu., Fhrto ns LsM... rtro r.1ut6 lh. rrglictrr nr such tff ro nl.!3isn.d sidmi rhrl lEnrsh. i licms.d puN t
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<br />rh. rh\sbtu olrL (tnrarr s I(oed li*.tch4'r( c, (!mFci.s \ h salrn 7000 of DnBDn r orrh. BGi.a and
<br />ProLsioni ( od.) .r rhd h.orrh. i!.rmF rhr.Fomtudrh.b6'r fo, r h. allq.n .ropri.n Anv lhhrhn oasdtion 70115 n, on!
<br />alrlic,n' l .p.rnr$hjdsrh..rp!i.nrlo.cirilrtMh)oldmr.rh.,n1.hun&.n&ll[J(l:lrtr)
<br />L a o{E of rh. FoFdt, o. m, mplo)d {dh *+d 6lh.r $L onF!!b.. siu &, ilr {rf,t ai rlE rdE i! mr
<br />'ddrL<l or o,I6.d tor !1. (S( 70,14, BNiEr d Pmf6ioB (-o!.: T1. Co,nreroii l-t6c liw d'6 Fr .rpry t6 e o{n6 ol
<br />th. F)Frv u,h. hrl(h o. nFn!6llE@.. !n u,,x' dcuh *n hirullor lFdr.r rhNwh h! or hd.*t dplors.
<br />F.rrl.d rh,r iuch mF\E,Et E d ddrd.d M olidnd i, el. lr, hN6r, rlE hl'rllliB d mguffi 6 $ld *ihh oE !w
<br />of.ompldion. lh. ()$n6 tauill6 will h!r! th. hrkn ofForin! Ihd h. or !h. di:l ml hild or ihpror. tn. F,Ery lor lh. F[Irs ol
<br />l. 6 oqE olthc rmFsry. m.tclutrrlv colnrrro8 *'rh li.d!.d onrrrod to sdrud rlE rmj{tl (sd 7ol-1. BdrlK
<br />Md rtotsrh cod.: Th.(-ont*'or s Li.6.. La* d.6 n.r sDrlt ro e o$nd oflr.rcny trho hril& or rmPto\6 lhcNn.
<br />ud utu co rr]ls td luch rmixl! qirh ! Corr6.1o(, li(d.d puRMr ro tlE Conrrrroir Licd L!s)
<br />lan c\.mpt und6 s(lion
<br />llrl.: OnrF:
<br />IU.Bf,tA5:(Otlt[trAIAr
<br />I'I;CIAEAIIa!
<br />I h.r.hr afliirn trndr t n'lryofFJtrBon.oirh. r.lb\rin! d(hmhonc
<br />I hrlc di willoeinrs'n a Cori6c.r. of Cotrsr k, Sclfi Bur. for $ukd' drdpdNdion. as Fovdld nn b,s(lion 1700 ofrhc
<br />hbor Cod., ,or llE FfM. of
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<br />uorl lor un(h dE Fni ir isrn
<br />*h!rclld"'ill roi rin "ork6 c.69d!t6n iBuatr..6 r.qun.d hl. Sdhn t7(x)of lh. L.bo. Cort . torrr.Frol:r6.of
<br />rh. tr\,rt fv snkn lhi Fni n i$Ed Myn 16 $nFEdio. iEuruc. cuirr rl Fli.) numb6 ar
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<br />Po,(, NunrE {n qP'fZqt r,",6 \- \-\o-,
<br />I cdiryrhar inrh.FtulmN.of rlf, sorl aor $hkhrni.p-f,n s i{u.n. r rh,llnor mpk}t Mr" F$. in inv ndK
<br />$ F !o bcom st .(
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<br />rh. $!rtc mmrEBdin hq! nf Cdinmi,. ud +r lhd il I 3nolkl tEroft sub.d r. llE
<br />r0*6 mrpql{rion FovnioN of S.dnrn 1700 ol lh. trbor (-ode I sltrll, fodt*ilh comply wilh rhJ< rh\ iiiod
<br />WATNING F.i6r. r. ffi tr{rl6' onFMion cora+. B ol!( tu|. !i ndl rbd d arh)s ro ainiEl Fuhi! r.d
<br />cilil lind up to .n. hundrcd lfios.nd dollaB ($lltr,ooo). i. addnion ro fi. con of.omp.rcri.n, ddtrigcs 6 rrovid.d for lh.
<br />ofth.l,t r(ci.. hldd rd drolm ! 46-a
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<br />I td.l') .ilim ur.kr Fn ht of Fjdr_ rhd I o li.G.d undc F!\!Fn orclqid 9l(o.1rrff',ts $ni saliri ,00r) ollhisnrn I
<br />of rh. Bu!'o< ud Pmlsions Co<!.. rnd my licmc is in tull for.c ad cfI6r
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<br />fid.+,ry !firm ,rdd parhy
<br />isu.dls<.1097. ( iv CI
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<br />ca!$Buclloxi.!ru!G-a9E!(r
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<br />ATITIIANLII;OJAAIJ9B
<br />IhodryofmunJd Fn6lry ofFrjury om ofrh. aorlowins d(l& 'oNI)ah,tirhn Pdnnr-AsLlds }1r,ri6.dx\o Fcd...l R+uhtmnr (r'nE.10. Pd6)
<br />R.qrtdl tir- of Nr{ilf, dirn
<br />I csliayth.' rh. io:Lr.l r+lbtiotrt r.8adior.itE{o! r6no\.1 . nor iprli.ahk ro lhk pn,rd
<br />Icdilyrhlrlh.vcr..drhlrtrflrli.artr\ne {ar.rl'drh( rtr r 'rn,md k)n
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<br />cn'rsr lagrakrromtly$(h all( irrantl(i\'nrr
<br />o.dilje6 !d Sur. li*! Erding ro hilding .odrcrn(lEclD &nbrnc EF.snn n 6 ol lna ( ir] &d coun!) ro ar( upon ir
<br />x[\r nKnrtr.J nn]t).d] l,n ,n\pnrkrn lrqlsis
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