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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS O\f I{ER BUILDEN DEL'AnlTION
<br />I hd4 lltm und6 p@hy of Frjury $!r I u .rdpr 6.., lh. Contr*o6 Ltou tt* lor tlE folhwirs r6n (Sc 7Ol l.5 '
<br />Dsi.6 .rd PEr6nn Co&): Ary Cny or Colr{y vircn rcqliB r pdni ro odrud, !ls. iiprovq d@olith o, r(pit e}
<br />llrucr@ Fir ro ir! sleq .lo rqun6 li. +diel for sh Fhn lo 6L. ric!.d nioMt rhr IE or iE ! li.e!.d F,td
<br />ro th. p'rvnioE ol tlE Conlricroi3 LiccB.d lr* (Chrrra 9. Com.ming wilt Sdlio, 7000 of Divitn n I of$. BaiB dd
<br />lrDl*bB Co&) d rh.t E d ,E a a@pt rhacGon ..d rlE bGi tor lh. rlL8.d 6dnFion. Aly lDldion ols<rbn 701 I 5 by my
<br />a!pl'.rd tu . Frn ubial! ilE gplicur lo . civilr.rhy ord mE llu fiv. nuildr.d dolbt (1500).
<br />L s o$E of llE F$F.ry, or my drplo,6 * h $.s6 6 t tr $k onpqdhr sll & dE rql rn OE dde ir mr
<br />'niad.d or ofrdal for d( (s6.7or4, BciE &d PtuladoN cod! Th. Conl.-loir li.e trs do6 d +ly ro u ow of
<br />!h. FoFrr f,'lD hiLh or i,qmrs thgBtr !n $'ho diB *t $rt him$lf or ha*lf or tlmush hE o. ha oM anplotc.
<br />FoviLd rh.r ruh 6!.oruid! d ol -rotd.d oolh 6r r]. lf, hor6q. th. b ln{ or iigoEEr ne!$ihii*tn
<br />olot9labn $. O*M Buld6 will hlw rlE hrnL. of Foviig thn h. or !h. did rcl hild or mFw dE FDFty tu 0E Frpos ol
<br />I. 6 o$n ofrh. FrFry, m a.luriv.ly.o r&rhs wi$ ncas.d.oilr&ro6 ro mtr{tud llE proJa]l {Sd. 704.1. tra'nd
<br />.rd PtobbnCo<|.: Th. Coin6roas Lkce rr* &6 mt 4piyro ow of FoFly *ho bild. o' 6pror6 lh6E[
<br />and who &ir*r. for such F.j.dr wnh r CrntEdo,ls) lca*d pduJlr r.r ih. Co,lrdols Li.ru Law)
<br />I M.r.mpl und6 Sdlion
<br />uatf,E8slltoMrlltADo!
<br />DICIJAAIIa!
<br />I hE.by cflim un&r FEhy oI pajury o* oflltc fono*,'8 d..lritioNl
<br />I hrv. .n will minrrin r CEriartr. oacoMr ro S.lf-lM fq wld orFErioa G Ftid.d for by Scliotr l?00 ot tlE
<br />Llbor co{q lor $. pafomuc ol$. N.l fM shi.h rh. Fmn i! sucl
<br />I havc dd will mdinrlh wort6 .omFrotrion iNurmc. ! r.qu!.d b, Sd(i..lru of llE bbor Cod.. for lh. pafotu. of
<br />tlE m* tu rhih lhi Frgl ! Br.d My *orld' odp!,.dDn ,qurft. ffi, rn Fk) rumba e:
<br />,.r- &/b. (ooa. f,ot t fa rd
<br />,",""**nQj5u) 2/ ,,,* 7'7q'2A
<br />I .drry rh.r in llE Ffo.rr@. ol rh. *orr hr wnah lhn Fmn i! Lt!.d. I idl ml setry &y F$n it m, ME
<br />sr sto b<on subd to th. srl6' conpqsdio. bw! otcali Md +m rhd if I should bc.om. rubjEl lo lh.
<br />un ds .omld!.lhtrFoviDBofssr6! 1700ottlr L.ti,I .h611. fonh$nh compb qntlhos rrorBF6
<br />W RNINC: Failur ro suc work6 .omFsarion .ovaig. Lr la{aul. Md shll $hjar s dnphF lo oimin l Fdb Dd
<br />cnrl fr6 !p lo orc hur&.d lno@d doll6 (1100
<br />Sdion 1076 olrh. L.hG C.& inrs.n ad tllomy!
<br />O"rr-b X-)o
<br />I krhy irfirn u.dd r.uliy ol rojury $d I M l.qsal u*ja *irh sdir. Tomt of Dilsion l
<br />of rh. B$rns dd t'rotsiou Codc, Elrj Dy lic.N n in lull aor..
<br />y'-'ta
<br />L(@. Cle \- Q I-" 1,-1L?o ,-,-"*,
<br />7/I O
<br />I h@by aftu rn 0nd6 FEny o f tElu..v rhd lh6. is ! coNlrudi.n oarh. so for *hf,h lha pqni a
<br />i!.ucJ (se. 1097. ci!. c )
<br />t.rda ! N.fu:
<br />APPLTCAI{TDIC| 4R TtO\
<br />I hrrb.!.trmu.&Frt, of FjuryoEorlfic aollorinSd.(l&nE :
<br />Dcnohio. Pomn!-Arb6rd Nor'fi.d6n r.dd.i R.guldioN (Tt1.40, Pd6)
<br />R.qun.! L.rrd ol Nor'f(, r,.
<br />I cd,6 rhd rh. f.d.r!l Rtstr1.rio6 ESedin!os movols. nol q)l,lrnhlc k,lh'i pnt&1
<br />I cd,ry fid I hlv. r@d this applicdion dd i!.oEd I .!ra to onply $'Ilh lll C ya,<l County
<br />odituNd Md $ar. li*. Eldll{ ro bo'ld,n3 dn:6ofrhir('ny d ( ounlylo olo up.nlhc
<br />rt{\ . 6li.n.d p6pdy for
<br />ntq-.a ^.16:-,t:2r>=
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathinq
<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 />tl
<br />FINAL DA"rtlla dLg-7
<br />Certificate of Occupancy I tl-
<br />Notes, Remarks, Etc I
<br />a L
<br />I lt
<br />Flood Zone Certif .
<br />un5 t10
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