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BUILOING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNET BUILDEN DEI'ARATION
<br />I hd.br rrm undd FEny of Flury lna I D q.np{ nDn d. Co'{r6m LE.& tjw for dE lollowttS l.&n (Sa.701!.5
<br />&B'nd &d Prcfdior Co&)r Any Cny or Cod' r,trh r.q!E . Fnr ro codn.1, a. nnFotr. &rlah or lF., ey
<br />iDcluq Frr lo il3 sle.. lto EqiE lhc eplkd lor ruch Fni !o 6L r lBn d rrsnq{ rhr lE or ,E u I(6.d Fr&d
<br />ro lh. pmvuioN of th. Conlrdoir Licdsl l,* (Cn Fa I, CoMcncins vnh Sdrion 7000 of Divilion I oflh. Buind &d
<br />Pof<i6N Co&) or rh.r lE 6 lhc i qo!9l $6dof, arl {E hGG f.r t&.Icg.d qoryior tuy vioLrion of SalbD 7011 5 bt ry
<br />.lDltur for ! Frn $bidr rlE .p?lic.rl ro ..ir Frn,of ml mr.lho 6v.lund,ld &rllB(J500).
<br />_1, a o\le olrh. FoFry, or dy dplolc Grh *rs6 a rhc, $lc @mpc8dror, will do tlE q'rl !d dE rM@ i! @t
<br />inEr'.d or otrad f6r -L (Sc.r04,1, Builg ed ftlfdLu Cod. Th. Codtrld r lic@ L.e &6 Nt @ply 16 d ow oI
<br />drFrF) wt hd(l u if,qlv€ tlEuE -dr,lD dBsh En hiMlf o.lE*lfor tlrcush in d hi oM6plo,6.
<br />Fovir.d Oa $d! ilq.oEerl ft bl nad.d ooflsEd 6r rL l[ toeff. dE t LrE d in{rlMEi . hld wrn! m }r
<br />oforplioG tu (}rc Bt &*illh.Et h{do oaFovi,r ihr hcord'. dij ml hnld or rp..Eir.FDFry fiirlh.F!!oroa
<br />L a ouG ofrlf, FoFry, e dclBir.lt o rEri!ts e ih lkq8od (odr&1oB
<br />'o
<br />o'Eflcr tlE FoFl {S€. 704,1. &aB
<br />dd Fbtse Co<!, Tnc Comrdof. Li.tu ll* do6 mr .pplt r. D or.o ol Fopd, *ho bcild..r improE i,'d6..
<br />ed who @nt&1! for su.h Fo)ds wilh ! Conrdo(r) lrc.B.d PURUM' lo lhc Codr.lor'r Lic* L.w).
<br />I m .(@pl un& Sdiof,
<br />Dit. _,_ _ Onnd _ititituris coioi[s^rroii
<br />!ECI48AIIq!
<br />I hacby rrm und6 Frry oiFjury oE oftlE folb$in, dEl&.lioB:
<br />-l
<br />n w !r'd will tui"r.h . CEriardc olcodsn to S.lf-lNE fm wrtd onFsraot! a FDvid.d lor b, Scrioa 1700 of lh.
<br />L!!or Co& tor ttE FfollM. o f llE vort tor *nH) th. Fmn i isu.d
<br />2( "'. - *,,*-- *'ta' oiqdldDn Elltu.. ! Fquir.d br sErir rToo orrn bbor c.dc nr rlF F6ffi. orr
<br />'h. wt for *,hkh !h! FDn E q.d My@.La'@'4arioD iD.ff. c',E Ed poli, .Mb6 E
<br />poricyNu6b6::a /Z3EZZ-&-'ro* O1r/C/k(,.?/
<br />I cdiry $!l in lh. Ffo,:Mcc of rh. sort for wlth thir Fmit i! is..L I Jrll @l dploy uy F$tr ir uytmE
<br />$ 6 ro baor etitl to !t sdtd'@trFEib! Ls of cdifomir &d clE rhd f I .lbuld b@c stjd lo rh.
<br />@ d' or46.ltr. Fovirbd of scri.; lroo of u. L.!d c.d.. I rlrll 6dF s|4lysnhrtosFovirF6. !
<br />wARNtxCi Fdbc ro G@ s 6' @npdrioD ot6.gc it @L*tuL .rd 3h.ll $bjEl o drbF lo qi d Frlb -dcivil frr6 up ro on. nu.drld lh.uud dollrB (1100,000), ir lddilion lo lh. .or oa.orp.Nlioa dblX.t & prcvid.d fr. lb.
<br />Sdsn t076 oarh. L.bor Code in6.r.d !hm.y s
<br />^,,,. azy'.//'n 2d
<br />t hdttr .Ifm urb Fuliy ol Fju.y rha I 6 ltn .d und., FDvton ol (1rF6 9 (o'lljBiog sh Sdbn ?m0) of Divsirn l
<br />oa rlE Auis lld PmfdioB Codc ,n my liag n n tull fora !n.fiql
<br />,,,*,,^,7,a./,U, a \ ,,r.* r".r-
<br />^" 'ba/..*"Ao*^y*?-
<br />COI\STRUCTIOIT LENDII'iG AGENCY
<br />I hortt .fltur ut!& Fuly of F)ury rha lhdc . . @'tni*toi lndiB .8cry aor th. Ffo,m. olr,E srrl for *tit! lh! FEi i!
<br />isu.d (sd. 1097. c'v. c ).t ndd r Nm..
<br />AETIICAILDICIAAAIIO!
<br />I lE6, .trrn undq Frny of Fru.y oE of tlE lolloviq .L.lr.lhN
<br />Doalibn Pmii$Alb.36 r,k'olic{bo Fcdorl R.guhb.! (Tnk aO. Pd6)
<br />-- R.qulrd L.rlq of Nolificailn
<br />.ldirru rr" r.a-l ,.*.r.r.E Earr:na Btdolmvd & nor pel(lbk ro rh! FoFr
<br />{ .-,ry ,* , t* .* ,n" lprlxlton sd , ir. rhd rh. .h.v. infonn tbr is .ond. t isc ro comply Bnh ![ Cny od Coum,
<br />odinMc6 dd SIsl. l,*r rchli'u ro I'd.hyaur&r,.rq'.sldn6 6lrhi (-nv 6*l Coumt lo dr6 uB)tr rhc
<br />.bor. m'$n d phrrdy for
<br />.\Ipli.rnt or.\Bdr Sign.r
<br />\ n, . #t.-^-
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loorA/enUl nsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framinq -z-ktpAt,
<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 />Enqineer Final Report
<br />Flood Zone Certif
<br />FINAL a -2r-\))w\)l)t
<br />Certificate of Occu an
<br />Notes, Remarks Etc.
<br />d4 r
<br />A
<br />' .fe.s4/y
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