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BUILDING- INSPECTOR RECOBD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNT,f, AUILDEI DEI,CARAAION
<br />I h.rch, rirrn u.d.r Fo[, ( Frjury rhi I m.kn!, fmn !h. Codr&tn l-.6{ tr* td rh. nr ruut Er$n {Scc.1011.5
<br />Busoc( .n hot(i'n Cdj.) Any Cily or Counry *h.h Equrr . rE{n b lrnnNr. .h.i .rnor',.. J.m,kh or rp.t u,
<br />(krw.fnik ! trsunr. w, E1t!ftr rh. rp0l(r rtn\r.hI.m tu llL . nSmd (.r.m.r rh.r h. or ar . |I.rrn lrlrsr
<br />ro rlf rmv![nr of rlE c(,trrr{lq r l-rtnrcd ljw (Cllprcr 9. ComE(of w n Ser[n 7(m ol Divnir ] orrh. aunm( .nl
<br />Pn'f.(in. CoJ.) or rhar lE or .tr (.r.hp( rhmfn,m.irl rtu h8L! ldr rlE k!.d.knlFbn Any vbhriln of Sarnn l0l I Jhy.ny
<br />.prha ntrr!.m ruhjelr rh< rpdr{nlt(' ruvilFMhy.f n{ frErhs riv. hu.,lr{ J.lla(tsu),.
<br />l.{rowBr.frh.Flrrlr,ormy.ilPtF.3*irhr.!.\r!rh.,iLL-qEns.tn..*ldorh.mlt.ddEnturrsn
<br />d.rLrl or olI.EJ lir sr. (Sr ]O44. auli*n rnri Pn,f.t'im Coi( Tly Codr.urd i l-rfis t:v 'le! nor +dy ro u owmt or
<br />rh. nn,tEny sn' h(rli s lqmE rlrFn ,n ,h ds rh *rl h'ms.lt or h.rclf or rhNu8h hn or h.r o*n .mployc.\.
<br />pn'vri.d rhd ru.h 8r{n'Earri c n'l d.nlal dofi.r.tl fi, {L.l( bM. rlEtr tr!!.r"rF)Ernl6bljvllli.,trrr
<br />of.uiltlLliE rh. olrxr Bui!.r v h,E tlE hnkn of Inrm8 rrEr h. or srr drl mrb{ lorul{n,wtEltoFyfqrEFIFEof
<br />_1. r\o*Erol rlr Frf,ny, rm.i.lurv.ly clnrr&rus uih t .nrJ co. n.(F t, Nniuki ilr rr.Fr (Sa.7044. auc(
<br />.rrl Pruft$Mcirkr'Ih. co r&ktr's L,c.ns. trw dcs n rtpl, tu d own.r of t'.Fny *lxl burldr or unCmEr rh.rn,
<br />tn! *,n d'dnl! fr rEn I'rr.k * h ! (onrnfi,(o lEnEl nu^utr t, ilr Omrr-lq ! lirnk ll*)
<br />_I rhcr.dfl u.'lcrsNtoh_. B &PC tur rhls r.:e,n
<br />D.l. _ over _rVORl(Effi
<br />IECIdAAIIA!
<br />I h.rchy afitrn unJcr F-mlryol p.rjury ok ol rlI n,Uoen! JNbpri,n
<br />I hrvc .hl wrll mor.n . C.d irr{. ol O"nE r to S.lf-|..!E f qxt.6 NqEnelrr..t Fv!.dfor6,S&r'on.lTq)ofrhc
<br />bhtr Cod.. fd.h. ,!.rfo|rm. of ltE *rt fd *fi.h rlE Fm tr L$u.J.
<br />-l
<br />Mvc oj wrll md.in *orl.r' .onlxntallr rr c..r r.qurql I'y ser$. l7ll.arh. Iibo,o c, nrrh. !.rfrr@**.of
<br />rh. *ork l,tr*hf,hrht ncmi r irsuJ My n r\u.!ft. Li'cr r I[l'.ynumh.rT.
<br />_l r.nrly rh.r n, rh. FdorruE-'. olrh. *o,k n whtrhrhtr lcrm n RrkJ.l !h2U rn.r9r)y rny FRm in.ny.MEr
<br />$ .r(, h.u)m tuhFr ro rh. s"ta(,.omtEnqr.n hwi ol Cd .m!,1r1+N thrt rl I rtrru lE .E \ubjcr hrtE
<br />*n*.n' omFnslri,n F)vr Dns .f scd k,n 17(xl ol rhc l:hE ciri., I {ull. inhwrh (rmply rih tlr)s rmvni'nt
<br />ItARNIN(; ,.r'lur. ft, e.dtrr $ork s .o r|rrnrru, (,I unl]wlul. rnJ \hrll \uhFr rn dnpr'y.r b ffr.l Fri.r lrl
<br />b., d.mt.t r! provrl.al loi lhc.'v'l lnr\ up I' on. hun(l(n ihotrsJri dolhF iSlU
<br />!8[a!L!!]!
<br />I h.Eby allrm ulLr FDly of FrJlly rhr I to lurEn url.I I'l]!n$n o! (llrl,d I tnnmn.r8 vnh S.ctDn 7fi)) ol Drvnbn I
<br />ol rlr BurE( u{ Pnni(nn! Ox!, rrn 6y ltr.nE r m rull r,,N !,n .llcct
<br />,/cl
<br />I trrby .fiim unr.r Fn.hy ol Friury rhd rh.E n 0 Larn(d.rirn LsjBs rscEy tu rh. ltrrr,lrlm. of rh. qrk lor rtEh rhs Fmn ir
<br />niu.J lse. l0ir7. crv. C.)
<br />APPLICANT I}ECLARATION
<br />I hqd,r,rlim unJcr I'cn,lry of p.rrrry on. or rh. n,l[,wi.E JcLnrpn\:
<br />l).n,l 0n l,crm rArlE(o( Nol i..ri)n &n.r.l R.3uLl,'..1l hrO. Pd6)
<br />-RcqurcJ
<br />l.n.rol t{n idrnn
<br />l .cnrly th{ !h. lad.Bl r.8!lri'n\ ESrdin8 $lE{o( rcm)hl r & al'flE.bk b rhB In)Fr
<br />-l..nnirhr
<br />l h.E r!rhn .Iltir.ri'n.,n (.rcrhar rh..h,E rl,trmr!,n r.om.r lrsretu!,.Iplyw{hruCry.,rlci,udy
<br />orJuEE(\ rnn Slri. Lr*\ Flai ro rturllrry coNru.ri,n, ml h.rchy aurhtruc rqrrcs.nr&vcr ol rhr Ciry rnl G'unrytu.nrd rF'nrrr
<br />.hN mnr,'md pn)Fny li'r
<br />,\ppli..nl or Atdl Sirn'lun
<br />Set Backs
<br />Erectron Pads
<br />UFER Ground
<br />SLAB Floor
<br />Sublloor/VenVlnsu lation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing 7-2'l'/7 ))*rd
<br />lnsulation/Energy
<br />Drywall
<br />Exl./lnt. Lath
<br />Brown Coat
<br />Mason rY
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />ineer Final Report
<br />Flood Zone Certif .
<br />FINAL t lz.^l,q Rt cd r err
<br />Certilicate of Occu pancy
<br />Notes, Remarks , EtC.
<br />Forms/Steel/Holdowns
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