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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE tD/stG.COMMENTS O\INDR BUTLDER DEL(ARATION
<br />I hs.b lmrm und.r Fallv (,tFjurr lhll I d dmpl iiom lhc Co rer{R'l.a.e lrs ror r& fDlh*inB ttdn {li<Toll5
<br />a8rnBs rdi Profenon ( ddr) Ah, Cirr- or coud)_ *hkh Equn6 . pdrnir l. odrud. 1116. rmrore da i.tn o qln my
<br />srddueFrtrronr a!!d.. rtt 6piGrhc lFpli.d lor sr(h Fnn r. fil.r isn dsrddrmt rhn h.or ri. b li.@J ?Nd
<br />r. thc FnrsioN of rlr ( onrirdor'r l-.aEa, Irtr (chlrnc 9. Comntrin! $ irh Sd i.n ,m0 of Div'rn,n I ot lh./,u!n,G Dd
<br />Proldons (nd.l m thd lr m.lE i.topr rlEciion ad rlE h6i to. rhc.lks.d.rEnflirn Anr rFlitirnof sdi^ 70:r ! t ur( mt
<br />q,plicr tor.Fm( rubJcri rh. rrfli. r. a.nilpdulryoatur mr. rhD fir. hu.drdl d,llrB t l5m)
<br />LBo*EoftlEtmFdl.ormtmplotEwnhr+6cfi.n$botrpdBdmLsill&lli{tritdllEni.l4.d
<br />nndrd.d or ofrad Lr -l. lsa 7(x,1. ltuiN ud PFfGbB Cod.: Tn Col[,rrr'r Li.@ t s &q Fr .ppl) to x o$ffi ol
<br />rh. Il.p.dy $t hrirt r rF.€ rha@ in xho &6 sh !.rt hirelf o h6rla or trmun ni d lE o{r dlq'by6,
<br />Fold.d rh,r i(h lnF\6dr ft ri ddd.n olH 6r$l. lt hoetr. r bualdi'B n iqftrtlrd lrldsihin.E)r
<br />ofcdsLiq! rlr ( xc ttlildd rill h.\r rlE hldd ofFvi'€ dd l! d !r. dd mr hritl d !r!.ov. 6. Fll.D ki ft F,D(*.f
<br />l. 6 otrG 6f rh. liopdy- m.r.lNiEly @dn rina xnh li.tu d.oddo6 ro tudrud rlr FoJal (56 7orr, o{sitr
<br />ad Pmksi.. (-od. Tn. Conrd.rr ti(ru L.$ (116 mr sply ro s o$q of r.rEn) $ho hll& or inpFrq ihna(
<br />and *h. N.rer.16r ru.h rmisi wnh. ( od6do(3) lrasd puBd b th. codrldoar lj@ t.s)
<br />I 0c\.tr\, trr,ld Sdri'i
<br />Drr. Onn.r
<br />woRKarij;aaNriFNsA oN
<br />DETIAf,AITO!
<br />I ncr.hy.m,nruflnstEr.ltyollEjuyo collhclnlbsin3 dlarations
<br />I ha1. e'lj will mtrinrlin a ( cn ilicit. of( orqr to S.lf'lNu.e tor {!rlt6 corhpsrs! 'on.
<br />d Fo\ id.1t n" hy sdr ion r 7(r o f th.
<br />lrt$, (i'le tor lhc lsfonnM. of th. \ o' k for r'fii.h lh. p<nil b i$u.d
<br />ll'r\. rtri "'lLn,rtriitr, \.,los'cotr,|tnsirio. 'nuitr... s rRlurd h\ Sr.rtrtn r-rri{rfl
<br />,lf ,. r li11li.l 'l', tr'r1 '\ 'I.'.1 \l\ r lLt*rFTvri,ir. . .r. n 'n.m,lr.li*JL+<-, . f-r-^^
<br />1tr'\Jn'|\' 1 ?v?h to
<br />'|'ir'^
<br />rh. hb.. ( od., fw rlE nrfomm. ol
<br />1o (tz (b
<br />l.cnrl, rhi in rh. p6rol11a. of rh. rort for rhi.h rh6 Fmn ii e.{ l3h.ll mi dplot..t Fatn r d! F6E
<br />$ 6 ro tmB rulr.( nr dE so 6 omFaiio" LEorcrlt mrrd+Elhr if I ilbold tqo@ $t d '.rlE{.rt6' coEFer en rrar uirB of s.crx,n 17o0 ofrh. L.bd Co.L I shrlL fnhtr nn on{'l! *n
<br />$n fiH !p h oB hu.&.rl rbur.na dolla (llm.oml den{.6 a Forxk f $.
<br />l*t lt11!Y
<br />LrFFf,sFq coNTR{croR
<br />DECIASAUq!
<br />I h6!t arrn unr!6 Fn.ht of Fjur! rhd I m li.d!.d u,!&r For i3io. of Ch.Fq 9 (.ottllrffi'ns q nh S.clio. 7000) of Diririrn 11
<br />oI rh. Buind ed Pbldio6 C{d.. aI] my lic.e ! i. tull f.ft. an efid
<br />r'tz4t-/ \
<br />ltt lil
<br />0 (10b
<br />t(t ,".r.r.,".(
<br />colstBucIlQNt [tDlNc->!(r
<br />I nRhy .m!'n xndd rH.lty o f Fjury rhar rn6. is . coNtucr ion hndio[ asocy for r h. tqnnmc. .l rh. r.rl lor { hi$ rhir lEiri b
<br />issudl (s( 1(r7,(i\ ( )
<br />ATTLI(AILDEOJAAIIQ!
<br />I hdrt) llInn !.dd rEnthy of lrrju!- E of llE lollowi.* rlelerliont
<br />Dgmhrion lmis.A3tEoi f{orifrrm l_cdsi R.3uldioN (Tntc .10, P.n6l
<br />R.1uE.J ldrs.f Ut'lEdsn
<br />I rd rft rhd thr fGldrl r+rl.l n B r.grding ab6ros rtmr sl d. mr dr,rif,ahk n' rha prorEl
<br /><cdir thd I rE\.E l rh6 t|nlrdpn rrj iar. rhd hn6cotrar I 4raror.,npll trnhrll('dtr.d(i)unrt
<br />onl$ncn ind sr{.lis3r.h'llln, hi
<br />.hr\.6dri,{.d |'.l.nr n{ ftFrx,n
<br />^ppllcrnr
<br />or
<br />^16r
<br />sh..ru.. X
<br />luthro. rqrsntn B {f rhu ( n} ud (itunir_ ro 616 upon E
<br />"."rufz1ftJ
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathing I0-z:"11 vlkld F4ILA I,}-PY
<br />Shear Wall
<br />Framinq
<br />lnsulation/Energy
<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 nlloltl ?A)oo--+s7
<br />Certificate of Occupancy
<br />Masonrv
<br />Pool Fence
<br />Flood Zone Certif.
<br />Notes, Remarks, Etc.
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