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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNER BUILI}ER Di]L('ARATION .'
<br />t hd.b an,m !.dd FDh) or Fiury rh! I m .rdr, from rlE (-o .1106 l.{e I^ ro, rh. fl'llotrinr ,@n jrt ,011 5
<br />tldin* mt Pro66n'n (irL) Ant Ciry or ( ounty \hi:h r.qunB a rsmn ro co.nNcr !lra. ampm!.. d.holirh L'1qtl<u,
<br />sflrluc, pmr kr irs is!M(.. ilio rcqutr6 lh. lp' rul tu such Fdi lo 6L i .(ncd {imr fi.i h. or dE i! liG!.d llriol
<br />!. rh. to\ilhN oadE co r*rd s lice*d I$' t(lr4ia e. Comd'ns \nh Srriotr 7000 oI Drvhion I ol rn Brind md
<br />Pnfdbru(o&)orlhlllEorth.nnofl(hacnomedlh.b(irfnrrh.alk*.d.rmBFn.Any\tLri..ots..rn.701I5l,.n)
<br />ap?ltrnt f{n a Fn rubj6r! rh. .pplk.d ro t.i\ il I,.Mh} ot mr mr. rhd nr. hundGl dollB (ttm)
<br />I. $ own6 of lh. roltny. or dy dpl.y6 sirh *116 s th.t $L 6nFdion. $ill &r E *rrt rn dE lrlurc i &{
<br />i orLd or oFdd hr nL (Sd ?0{,1. t}siB Dd Pinf6i.ro ( o& TtE Conlr..lor! I-iccu Llw d,6 ml .ppl, t.6 ow of
<br />ifi. F$Fry trho nrili or itrpmv6llEEn, md qho &s sch s\nt hmdr or tdlf or llNush hn 6r lE. ost mdo)6.
<br />fioid.d rhrr !u.h mFo\qEll' G d -rr.Ld trolEld tu rj. lt tntrqd. rrE trildi,* d inq.\ffi ir $ld slhin ok !u
<br />bfodl'lairtr rtt ()*E Uuildd vill hrv. rlE hrdd ofFoving rhi k or $. dd noi hrild d irr.oE rh. !tupdr, 6r E FrBEof
<br />l, ns orns oarh. Iropsry. h.rctun.ly codrrcrinB *nh l{66.n c.'nrrbB
<br />'o
<br />mdM rh p$jd (56 704r. 8r&6
<br />/n Plnali[ co&: Ih. ('onidor ! Lk.M Ls do6 ml .p?1, to s ostr6 of p.op.ny uho builds or imtro!6 rhron.
<br />lnd *fi. comadr for sucn lroj.dr wirh ! (tflr&ro(, lic6$d Fi!!!.n kr rh. Codrtror'r l-r.e l^l
<br />l r.\.orl! , nlcr S(1r(rr
<br />lhle (rstrcr
<br />Iuralit;BlllDrff:IlallQl
<br />I,Il(l.d.BtrIIQN
<br />I hscb) .lltn ntrJd p.nrh) of FJ,'r) ok olrl[,oll1Nrn! ddlIa!tr,6
<br />I hav.Md*illmai !m r ( cnir{d. dacohgr to S.lr-rBur.loi unld'omFdNn. s F\il.d for l} S(lhnl?ftoflh.
<br />t h, Co<L. fd rlE rrrfolffi. orlh qort for *nkh th. p6nil i isu.d
<br />I h!\. .hd s
<br />'ll
<br />minl!'n \ 0&6- comrmrnrn iBn6k., s ,.qutcd br S<l irn !7lD or rk l.hor (bd., ror
<br />'h. Fafonnn c. of
<br />rh. trort lor shi.h rhh Fnnir is isud. M, workai comF.dion insurscc cMic ad [i'lr) nuih.r c
<br />l(Erify IlhIn rElomN of rh. sofi tor $'htn rhi! lcmir i! ir.u.d. I ]h.ll nor mnlo!_ !n, p<.sr in any iiic
<br />$ r ro b..o@ subtd h $. *ortd comFstio. las! of (_.lifomi!. .nd 4E rl',l il I si.uld lt o@ ebr<r b ilE
<br />{.rtd omFlnir. FstbB o, Sdir 17m oI rlE tator ('o&. I rldl. fon hsnh $.rrlt q irh rh.E ptrvilioB
<br />W RNINC: rdlu,. t. su€ Nrkd' coirosaDn covdsc it unldvtut. lxl rhall !.bFt s dnphlq lo sinrul FrhB d
<br />.nil ,ir6 urr r. om hun<n.d rhorgd d'llr! (tl@.(r). in rddnion ro rh. cd of .omFdion. d.rus6 ! proridcd tu rh.
<br />S.nill !076ofdE l.bor Codc inr66r and d$ftv's16
<br />Appuonr:
<br />U(I;IiIID-(AXj.BACIAB
<br />OECIABAITO!
<br />I ho.!y aflin. und6 p6ahy of Fjury rhd I d hGr.d undn F.\ nk\n of (-htrn6 e {c.ffi'n* * (h Sd.n 7000, .a Dn bFn :l
<br />ol rh. tr6'6.nj lblsn 6 (-od(, rn r! lic.B i in aull f.,c rri clld
<br />c0tillxll(rox.LElllltc.&q[ti(}
<br />I horl,,r 6rm uids Fd) or lEju r.- rha hd. L r tunliM1bn hi.8 r*tr} fDr th. Ffotuc. f, r lh. $6rt fttr $ hi.h thu Fmi .
<br />istu.d(s( roe?. ( iv. c )
<br />ATTII(AtrLIIiSAAAIP!
<br />! hadr !trm und6 F.h) .rp.rut ot ol ih. folk'r
<br />'nB
<br />&.Ie, i'N:
<br />D.mhior Pmn!-&tEi Norifiori.n Fd.nl R.sulrli8 ('I nb 40, Pd6i
<br />R.qu(rl lnrs oI tlor,f(-dir
<br />I .dllv rhd r h. r.nd.l r.8!hrh6 lrrsdins 6tr{os r.m\ d a. mr ipdclhk
<br />'o
<br />rhi! Fd.d
<br />I c61rfy rhd I h.rc G.d lns antlaa pn nd n!t. rhn lh. ltr\. inlotuFh k .ml l.*rdroomPlr_ trnh.ll Cn) ed (tunr!
<br />sdumB ud Sr.r. LlIr rchlns r. boilding .oMtucr tr'd drl hd.by.urh.riz. r.p.ddnc of rnis ('n' ud (\,unt,lo ord uF,. E
<br />abr. arnrn.d Ispdy fot iE0cclion ru,FE
<br />Apflicrtrl or .{!0r Siqnrtrrr
<br />Set Backs
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Su bf loorA,/e nVl ns u lation I
<br />Roof Sheathi
<br />Shear Wall
<br />to 4t n >40rt/l-*gc,t
<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 />Flood Zone Certif
<br />2*flrte L;Pt7
<br />FINAL -l\4-h h -
<br />Certificate of Occupancy
<br />Notes,.Remarks, Etc
<br />r (9 2t t 7rlI
<br />Forms/Steel/Holdowns
<br />1r lrtl 'tl
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