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BUILDING. INSPECTOR RECOBD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNER'UTLDER DELCAIAIION
<br />I h.rcby rllirn ui&r Fmhy of Frjury lhd I m.tcmpr tr.h rh. CdmEclod La.ns lr* lnt rh. lnUt)un8 r.&!n t\.u ?0ll 5
<br />BurBr .,n Piinc$i'n CGL): Any Crry or Cdnry whEh r.quEt . Frni t' dr{ur- nr.., 'hPn'v., &mlnh or E rr e,
<br />nunr. Intr r, 'rs r!ur!, rle Ertoft. rlF rfirl.rnr fu ieh Fml ro rik r !3rhl (rctrmr thrt lE or {E ! li(tGl pued.
<br />n' rtc I'flrvnxrt ot dr Conr&toi! l-En(n L.w rclullcr 9. Coftfttuoa *trh Sdlhn 7(txl ot Drv8hn ] or 'h. BunN$ ud
<br />Ph,lcsioi! Cod.) or rhil h. or rhe n dcmtl th6cth'm lnd rhc h{ni r,tr lhc alLs.d crcmFli,tr. Any vrul,rkln or SetiJn ?0ll 5 hy any
<br />.Fdf,rnr ld . Fmi rul',.(r! rlI +tl(ror h a q!,1 P.mlry ol nn fr,E rhe ! rvc hustEJ &,lls\ (55t[r)
<br />-1.
<br />8 .wkroIrlE F'lrny.,E n, ct{*'rtrr tnh *!3( 6 rn u $h lomFnsr$n. v l(jl, rlI }dI &l rh. {arE ! n
<br />orcd.n ordrlcrcd n, sb lss-' 7044. B!(trrsaBi Pnn.(DnsC,nc:Tn G,nrdrt{ r L..n€ l,*dern, {4,1, k, an.*ftr oI
<br />rh. nt{rny wh' hurlls or uw)rs rltfrm, uri *lx! &tr rlch wl* hmelfor h.rclaor rhru!3h htr.t tEr own.mpk'r..r,
<br />pn,vrlel rhti (kh uqn'\Etrdr Edr lrrc dl ororl.arl lbr qk ll, hrw. rh. h.dim! o. rF)trd N ! *.tutft){{
<br />ol orl'lrih. rlE O@r Bu'lLr rr! h.s ilE hlicn dl F vlE rh.r h.,i d* Jr! n tn[nEF't lrr F rd, ftr rlE F[FEof
<br />L ri r*rcr ol rh. |tllrdy..m.\.lNrv.lv.or r!r h\.tr\rl.onlr(rtr\i!,(onnn'.r rlr lIrc!i is.. ?ru.r. Inrlm\\
<br />.,n hllhr\rF CoJ. 'th.(i'nrxd'r LK.h({tly ro u o*r. ol 0n,Fiy wrE I'uLl' or Fln'hr
<br />'hcra'nrnGl 0u6M lo rh. cirrEid r uie tr*)rnJ slr, ('dn.t. nn 0(h lrtrj*t * hl
<br />,,.,:*'al'6lioH
<br />I hcnbt !llrn nrlcr r--nrlry rl pcrjurv on. ol rht i',ll!'r'nI Jc!l$
<br />-I
<br />hrv. rd prll Emr.b r Ccnrfr.r. ol Cii*d t' Srlf. him l(* kt*6 d'nIErFjDn. tl Frvdd rln iy S(rir t7m of rh.
<br />l:ror Cc!. n, .lt Fnt,mN of rlE Rfi nr .fiih I L Fmi ! nauJ
<br />I h.vc int ulllmiinl.r wo,tcE' $nqxnr.ron rnQr.ec, a( rcquEn 6y Slrrx,n l7(xJ o, rh. lilxr C{*]!, ntr lhc !.rlormn(c ot
<br />rlE rort l,x wh{hrhlsFmr,r bud My *Mtsi .r,qrnsrrrr uiunm. (r.r .rn Plry nunh' m
<br />I c.d'lythi '.fi. n rl.rmEc i)l rh. *o ror *
<br />e' rr t' tx$E $hFrr' rh. hlt6i onlr.sano.
<br />n tr sro.tl,I rull .n{r,,.ny Frw'n 'n$y ntrrr
<br />rnu. 'Rl.frc rh.r rr I (h)ul(l h..om ruh](( ('rlr
<br />ro'k.r( (nnr-'n\rr(r oxnrrn1.l s.(rrr lTlrr ol I xL,I (hrll. h hun[(rmply* hrls{Dn)v$r'n\.
<br />r unLwtuL arrl rhlll ruhFr rn cmpk'lir n, lml IEelEr u!lvARNlN(; l,rrurc n, wurc "n .^'ronF.r.rrnr
<br />.rrl liml up t, oE hullrtrl rh,o$nl dolld< (Jl(rr nqr0n, ll]83(r ar Forrl..l lor rlr
<br />flr'q"q
<br />I h.Fhy.llnmtrnd.rn(nntyol rErjuryrh! I rm l'(tna{ unlcr oov olCt I,.r9iconmtu'nS *(h Ssrrn 7{XlO) ol D'v6.n I
<br />ol rh. B!\ .\ rnJ Pr l.\!or\ Cotl.. fi l Dy ll.n'. a r ltrll ltr\ritr,l.ll(r
<br />colsrBu1.fxlNL&lllaclG[ll]
<br />I h(rby .lri,m uftlci Fnalry orFrjrry thd lh.ic tr r q,nrlruclu kn ios r!.fty l tr l,x Frlorrurc oarh. M'rr nx ri{h rh! Frh E
<br />trnkJ rsc( !(,t)7. (\v (' L
<br />APPLI('ANT DFCI ARATI(IN
<br />I &6!,rrm unkr F.alry ol Frpry om ol rh. n'll'f,rf &.1,r{r,n.
<br />l)<mn[hn P..nrrsArh.do! N(if(.r.'n F.d.ral R.a!l4r)nslT t 4{r. Pf6)
<br />Rcqutr.J lrrrcrol Mr irr
<br />FlrJo* lrlxlor Emrvd m ri :p?hrhk to itur F Fr
<br />l(.n'ly rhl I I'r( '(x,l rlr^(,r.rh, rlrrlx)vr tril!trnrrnnr\L.n..r la!rrnld,nrflyw[[r1l(iry-rl(ttrnry
<br />I irtNrtt( rnJ srrrc trwr rcld
<br />ih\c mnrtr)nJ llnrFnr ft,
<br />[;:
<br />ul
<br />*'*"*--*''
<br />:,:'a ;ffi,q--
<br />Sel Backs
<br />Forms/Steel/Holdowns,l )hLlq Tr i,itfr.{?2./
<br />Erection Pads ut
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framinq
<br />lns u lation/ Enerq y E/'%/ ,c irld /D1
<br />Drywall q /t 1,,
<br />Ext./lnt. Lath g/,,( Lq iE)'t r/c,
<br />Brown Coat
<br />Masonry
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Enqineer Final Report
<br />*^*<t-.,t a-x'E'Pts
<br />FINAL /t- .l -/ C .A,/e/da.
<br />Certilicate of Occupancy
<br />Notes, Remarks, Etc
<br />_l rdlyth! rlE l.t].r.l
<br />Pool Fence
<br />Flood Zone Certil.
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