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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE tD/stG.QOMMENTS OWNER'UTLDPI DELC'ARATION
<br />I rErchy rrrrn und.r Fnrhy of Firury rhrl I rm .r.ry'l 6.m lh. Conrk-xn Lie.\c L5w lor rh. follo*trr rasn (S.u 70.il 5
<br />86r$ d ProLlah CIi.): Art C'ry or A,dy *hih Equcr . Fni h $tr{Mr, .ko. nnlrnw. d.mlnh or FFr oy
<br />(MUr. Iru k nt Brurt, ,lo EquiE h. .,| km t(n rkh Fmi h lik . rBEd {.t.m.t rh.i lr .r nE ir l..ncJ Flsud
<br />b rh. F)vni,nr of rrE Cotrk-.d'r Lirnsd tlw (Chrpr., 9. (bllwmr8 *rh S&ron 71XI) .f Di!6xrn .l of rh. Alnms arl
<br />P$f.($ns (irL, d rh.' lI r shc ! .rcnr{ !h.r.lmm .,n rh. h.$ ror
<br />'h.
<br />rlh.J .icryl-n. Any vri.lEn or Snrs n).r I 5 b, u,
<br />rIDlKmr fd { t'cmir rubjdt rh. {'nlicrnr t' i riv rrmlry ot nor tuft rhu lrv. hufllFd Jolld( (5500)
<br />l. rt owrcr .r lhc llnrFrl y u my .r,Il[,yas wrrh wrfcr ai trrr rnc .of,rp.n\.r{,n. *rll &] rlr *(t !d tlr rrn$@ B Nr
<br />lidrLa! or olLftJ ii, e]. ( Sr 7044. BUE( rnJ Pn,t t3nnr C{rL, Th. Co rard's t*!.c tiw tl*r d +t y ii, u o}Er of
<br />rlE FrItry *b llltlr or lqna llEF)n, lrl wh, &B (n sfi hmrlf or lRll or lhrcqh tu ii h.r oqn ..tlPbyri.
<br />provrLJ rhri Nch lqn,Emnh e n{ hr.tulal nr ohilrJ h, sL lf, h,wi tlr t il]uu d othvcmd n q q(huorcF&
<br />ofMldmdEO*FBudd.r*,IhrErlrtrJ.norF,ut!rlitrrih.Jnn{h ddrFEttrF{dryfdrh.Frlb.of
<br />l. .1 owEr of rlE FImy, .n c r.l!<rv.ly lonrr&lrt ! h larn€d .odr*r,n r. .rnnBl rlr F Flr (Se ?U-l, 8Bll5
<br />url Pbh:s$n C,xt -lh.ct,nr(ki't L(.nr LrwJ&s fr, applyn)anoen.rolpolEny vho ho,ldsor hth,wr lh..$n.
<br />.nJ who .sdtur!(x ikh F,Fk *rh.ctdEr.(n lr6cJ l{rd brh. Codr-t t l$.r lr*l
<br />l.m.xcmnru[l. Srtiin
<br />11()RI(trts' contPENsaTloN
<br />DECIJAAIIOX
<br />I h.Fl'y rntmun'lc. Irulry ol rqjury or orlhe n'll,wur JNL'rron\:
<br />I hrvc rDl *rll btrin t ctnrfErr. ol ConEni !' Sclr-Inur. tu $rldr comFnlrrN'n, .r Fnyil.J lor h, S(roh .17fl1 ot ih.
<br />t lI,C l.. tu ttE Frf()l]M. of rh u)rt fd ehah rlE Fmir ! (!u.rl
<br />yr hrv. uri r'll tuhrsr h,k.E' rohFh\lr$ r{rrr c. r\ EnrirJ hy S&rn)h.}7(r} or lh. Ilbor Cod.. lnr th. Frlo,rlM ol
<br />rlr $rt fd *hrh rlu! Fmr s irqd Mt *rxtd.gnttndrn mru'n. ltmr rd F,lit runb.r e
<br />.-- .Arnaev,q.," 2-.^,rc\ -lrarw,-a. c,c >
<br />rr,.y *,.*,'ajJ]::-lf a5-1?Q:!1 lz 1
<br />-lr.nrlrrhrrrrh(ncrloifrE.ofrh.eodntrrhEhrhFFrndrsrucJ-lrh.llft.r9r'y.nyg.r-n,n.,y**r'q) .{t' b..om rut'Frrorh. uodn'on{Enqrhn L$ofc.l (ma rtol.Are rh, I drrull trL.E.uhrrr r.rh.
<br />so*.r' .nq$er$n F)VM'B.f Seixr :17(l, of tk l:h* C(iic. I dull, torihw h (o.rtly *!rh th'r lmrvlEB
<br />WARNINC: l;r urc 11' s..'urc *,rkcs con{rcns.ri,tr .r,vcd8c F unkel . aol rhrll \uhFrr u cmtL,yq n' situll FNlrr\ and
<br />.Nil liRr up ro oE hudEJ l')uud d'lk\ (310o,0(n), r (rh k' rlr (r{ ol rorfrnsrion. Jm!.r as ttolU.J tu rh.
<br />Scc[rn 10'76 ol the trlFr On., urcr.n snj.tbmy r fat &30
<br />I lxEhy rlrmuftIcr F lry or F.rury th.l l.h lEnGl u Lr pn,vrsEn orchlFl( 9 (d,nftBr8 ,rh Salm 7m]) da Drvlm.l
<br />of rh. Bu!m* .fit Pn,fdrx,ns CtrL..nl 6y li.hr ir B tuU ,,tr€ .d.fror
<br />.5c F ?q\ jo Z
<br />I h.rct'y dlrn lLkr F.rlry or F!r, rh.r rlrrc s r .anrturbn Lnll4 rf.B, n, rlE Frfm! .,1 rlE wr for rn$ ri6 Fh, .
<br />,r.x.tl (s{ .l(197, crv c.).lrnLit Nrtu
<br />-
<br />A&L&ANLI'!CTA8AII!]N
<br />I hdtlr, 'trm hLr Fmhy nr Fr[, o* ol !h. k,lb*hg &{ Lrirrs
<br />l).drlirDn P.rmirlA\llcno\ Norili.llion r.dcol Rcruhrtr)n! (T lc 40. P.n6;)
<br />-R.quu.d
<br />l.trcr ol Ndu,(dxr
<br />I(d y rhl th. f.r|cnl c3ulrt.ff ESaJi.B .rh.rnn lmule h{ .ptl.rhL k' rhtr fnF!
<br />_I d'rt rhi t hft E!.! rh! rp?lurM nrl {& rh, th. .rl'k domri,n ( c,frr I lEE ro .orr+ry wnh .U Cdr .,n Counry
<br />dhlr.tu.r d Srrr. tjwt rhroS k)rLln3 c.n$ructon, lrl h.rcby 1urhitr. rc|r.(nrdr.s ol rhr Cny.fil Colnty n,.nt6 uFr llE
<br />lhnc nrtrrtr)hllpn,Fnv Irn 'n!
<br />3o I
<br />Set Backs
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Sublloor/VenVlnsulation
<br />Roof Sheathinq /o43 - ) ot ,g.dltD
<br />Shear Wall
<br />Framinq
<br />lnsulation/Energy
<br />Drywall
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />FINAL /L tz-t 9
<br />Certiticate of Occu pancy
<br />Notes Remarks, Etc.
<br />Forms/Steel/Holdowns
<br />Ext./lnt. Lath
<br />Flood Zone Certif .
<br />,",,, q/1,o/t 9
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