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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG,COMMENTS OWNER BUILDAf, DEL(ARATION
<br />I h€!t, .trm urytd Futt ol p?iury tha I 6 anpt tDm rlE Coffi.E Ltde tre for tlE aollowb8 lar (sc mll.5
<br />Bsin6r {n PmI6ion Co<k)i An, City or Cody q,hich rcqut6 ! p6ii ro @inr!.i .ld. i,rFoE &nolirt oi qd &,
<br />iru.rrG Frro tu i!$e.. lto r.qun6 rhc glarr for Mb Fr{ lo 61.!i8n d rdalh th,lEor tlE i! lic.E d Fled
<br />ro E FovthB of E Conr-rd'r Liqlrd t v (Ch.prd 9, CotlllffiDs vith Sedon 70@ of Divirio! I of dr BdilE ed
<br />PtofdDN Codc) n rhd lE ot .h. B 6dp rhc.to6 &d E b6a fo, lh. .lkg.d qoFiri. Art vhlrion ot SdbD 701 I I b, oy
<br />.pplicd for . FDn sl&rt! rhc .rpli.&r ro . ciril Fu[y of @r mE th& 6v. tu.&.d &llrt (1500).
<br />l. a o*d oarlr FoFry, or my aDpblc vir,' u.s6 a rn hk o,qGrion. *iI do tlE sur rd 0E rnEG i! Dr
<br />m'q!d.d or oltr.d fr sl. (S< '1044, BuiIB od Plof6io6 Cod.: Tt. cb'dfuoir Lkm L.e &6 @l lpply to r o*G ol
<br />l,E poFly who hil& or irsoE 0E!4 rd who d6 $d! E* hiMlf or hdlf or llmush hs d ha om dlplolqr.
<br />pruvidal rhd $.fi inFlvtu E rDt iddi.d.r6ff .d for d. lf, ho*.c. rh. to di.B.r r4.s€!1d i! Fld wirin * )d
<br />otoqbio,'. rlE Orc Buildd *iU hrE llE hrda! otFsri4 0ll lE d rlE dn d hlild d il4..E dE r.DFy 6r l}E pt,F.. ol
<br />l. 6 olrE of rh. pioFry. m .Klui!.,r\ .offrti.e wih tEqan .o rdo6
<br />'o
<br />odruc! th. Fnlcl (Sc 7044, &Eind
<br />!d hlkir Co{k Th. Conrrdorr LicN Lq d,B mr $ely ro u oqn6 otD.opGly eho b{ild! fr iopror6lhd@r',
<br />&d *ho codn r! fo. u.h Foj<t. *nh. Cofirto(!) li.c!.d FlElrn to rh. Corl'dd,. Ltae trw).
<br />I dn.r.mpr unds SNr[n _.B.&Pc forthnr!e.
<br />]taaxlEusaAltENlarlll!
<br />DTOdXAIIA!
<br />I h6.by 6mrfl undd p.nalry.f p<rury o.. orrh. adlow'ns ddlearbns
<br />I h.vc ad *ill mirtdn . c.nifEd. ofcoNol to s.lf-l ur. for *orid comFMion. a pmviLd for by Setion 1700 of rnc
<br />bbd Co<la ld dE Ffor@r. ol$. elrl for $'hah dr Fnn ii is$d
<br />;{ u..,4 *,tt *ro,n "oad'omFsEn uEuEc. s r.qucd br sdlEn 17@ orrlr L:bo. cod.. ro, dE Ffollls. or
<br />ih. wrl ld shih rhs pcrnn s su.d. M, eort6 6np6!dEr iNue. ffiE dd poli(' .mbd dc'
<br />cm6: UzJnrrJ Alv t GL,l!
<br />.,,,., ..,,,,,,*, ?fNZol325 q \o.LQ. rA
<br />I
<br />I cEiiry rhr in rlE p.rfom.nc. orrhc sort aor wnKh thi! Fin E i!s.d, I !n!I nor dploy rny pakn in ey neE
<br />s b ro bcor 3uqel lo llE wrd'oEFE D. hu of crlifomr 6d ,gc
<br />'bd
<br />if I nsuB hdoe pti.r ro rll
<br />worta conFsrion prnvnioB of sdio. lT00 ol $. hbor codq l CBll. fonhwnh .ompry wnh rlEr FlvnioE.W RNINCT Inb. lo Ee srl6' omFdhn ov6.{. ir uL*tul 0d dl obrdt s dDplors lo aimrl Frlir 3n
<br />ciu! nn6 up ro om hun.!.d rholsd doll6 {t100.000).
<br />SErion !0?6 ofrlE L.tor Cod.. hr6.r ud lbn yt fG
<br />rn rdddNn n' rh. cor ol ion. daroB6 a rrovid.d for rh.
<br />D,t" Ar..c,, . r-o
<br />l)u( t_rR.\flo\
<br />I batt, .lr@ u!& p6uny of F9u.t rha I u [cGl urdd Flvirio. oachrFd 9 (@mnB wnh Sdbn 7000) oa Divi!6r ]
<br />ol dE BBilB !d Prcf*bd Co&. rd Dy ltce a h 6lll fo@ -d.n(1
<br />orrc Q.
<br />c31 u3qq 0q
<br />6..
<br />'
<br />O
<br />co![rir(1lo!Lti!Dltc_&0!!(r
<br />I Eqa .rrm u,.Lr F,ulr, of pcj-r_ rhn 0E i!.@^rtudnn !.dd3.sct forlh. Fnnllft. of 'h.s.rl6r stthihi, Fni i!
<br />nru.d(s6.1097. Crv. C )
<br />AIILICAXTIECIAIAIIO!
<br />I hdlby .lIfr uido poolr y otFjury on. of llE followinS d(Lrrriotu:
<br />D.mlils. Psirr-Alt6ro! lioidicnio. F.d..l R.8ulnioa (lnL 40, Pd6)
<br />R.qurd l,rra of l'Jdifdin
<br />I cdi6 fi,
<br />'h.
<br />Ldd.l Geuhioc
<br />\hd't, t,r I lEv. €d thi] .rplidir
<br />ordM6 ud Srd.lr$ Elliry ro b0rkl
<br />Eerdj,3 6tdt@ rtu\d R d +plr.bk to
<br />'hn FDii
<br />tr rn n.l. lhn $. $or. irfomrior ir corrEl. I r3E lo @trply vn[ dl Cay .!n CoErly
<br />lulhoru! rcFMlllivB of th! Cirydd ( ouryro 6ta uFn tlE
<br />.5.\. trHo.dl tr.Flt lor Ep<!
<br />,4
<br />Pdlra !. .{prtnr):
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subfloor/VenUl nsulation
<br />Roof Sheathing E.,i //,t l/L .2,/r/7?_.-4./,/1)
<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 />FINAL 2-2tr-7 qAh4;)
<br />Certificate of Occu pancy
<br />Notes, Remarks, Etc
<br />Flood Zone Certif.
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