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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILDER DEI,(AR TION
<br />I ha.t, dlm u.d, r@lry of Fjury rl',l I d .rnnF nDn rh. Co.lr..ldr Lic.M t * fr'r fi. ,olLwiry ,@n (S<.70t 1 J
<br />Buins .nd Profstun Cod.) An, Cily ot Counlr ohich rqtub6 r F In to @nllrucl, dl6, idFovr. Llnollh or Epan My
<br />tueFirtotu islffi..Eo Equi6 th. +dtet for sh Fni lo 6L r isitd {ioEn thrltot!t b lta!.d FM
<br />ro rh. Forsioa of rh. Coourtdi L'..nsd tr* (Ctupla 9, Co@nin! *ih S6rio. 7000 of DilLion .l of tlE tluind dd
<br />Pmfdbs (1d.) or lh.r lr c rh. i .rdrr rls.6!n bd th. b.sii for rh. 6lks.d adFion. Any vDlll'on ol s<lDn ?01 L5 by uy
<br />lppllcor tor ! Frir tuudr rh. eplidr ro . civilFuhyof mr m( lha fir. hu,rt d &llc (ltm,
<br />L 6 osM of rlE Fopsi!. o. m, oplolE wnh f,.s6 s rlrn sL.onFurbn *ill & lL rsr ad {E o\rlG it Rrl
<br />illrdrLd or oflqld for $L (Sd.?O!|, BolilB &d Profdio6 ( o<k In cot r.dn r Lk.e t,w .b6 d ,[l, lo a o*F or
<br />lh. Flpdiy sho hild! or inp..v6llE6( ed eho &6sch h' himr.lf or helf or lhrcush hn or hs os cmpl6r6,
<br />FovkLd rh.r rNh inFrtqer. E d non d qoffcld 6. uL lt ho*w, rlE hilduB o. idtr$qd ir $ld eihnr m ra
<br />otcompkntr rlE O*c qddd win h!v. r& Ud, ofForins rtq rE6raE dil6r tdld d inlrltt lh. F)Ft, trtlE F rror
<br />-1.
<br />B olrd of rh. FoDdlr. m d(lurir.l, collrerins *th li(dsd .rtudoR
<br />'o
<br />otrrrud tlE I'ojal (Sd '70iL, 86i6
<br />srd frDtsin cod. Th. Corrr.croit Licmr. llw do6 mr +tlt lo d owns of prop..r y q ho buildr or impbvd th6o..
<br />.nd *ho s'nE 1! t( *h FDiItt *nn. ConErlo(!, laqE d Frdurn ro rhc Cdncln r L.oE l,$ ).
<br />I m.rod uda Salion . B & t C. tor th6 lo9n
<br />D.r. Or..rl
<br />1to8lt!851(o!tt[Nsarl0!
<br />ItEgdSaIroN
<br />I hftby afiirr undd ,cuxy of Frlury... of rh. follo*ins dc.l*6rioB.
<br />I h!r. rn tr ill r! sb . ( difrd. of Colsr ro 5.1!lNr. aor s, Ld, comFnroo[ a For id.d for by lialion r 7o0 orth.
<br />t htr Cod.. aor rh. pdfome. of ln M* ror shich lh. pdnil k isu.d
<br />_l h.r. d s
<br />'U
<br />mr'nriin sorldr .onFG.rFn iEu'.ft., s Equdl t, sdion I?m .f rh. l,bor ( od.. ror rlE Fiollr@. ol
<br />rh. ed( lo hrhrhir pdmn ai i..udl. M,po di..mFsrio. iBoran.. @id ad rDlicy numbq &
<br />[\pn6
<br />-
<br />-lcariryrh
<br />i. rh. Fioi,mc. of th. vo for*hichthbFmn is irtocd,Ith.ll nn oploy oy pd*rn in uy meH
<br />$ B ro b.$m sbj.rr to rh. *!rid' @Eposiion h*! orc.haomq td ,Er tnr if I r[oold tE oft st al lo llE
<br />rvt6 @mFlerirn PrrvnirN of S.dion :17(rO of $. libor ( od.. I rlull fodh*irh omply *nh rhok FoviioB.
<br />WARNING: [ole ro $ur worl6' compoE lion .ovdas! ie unLwtuL $d lhdl lubiEl u dplo]q 16 aimidtl Fuhi.s md
<br />.n'l tin6 uI l. otu hu(n.J rh.uetuj
<br />sdr('n.1076 0frh. titrt (i'd., inr66r
<br />F6.lioG ddnrsd c Forkldl ao. rlE
<br />u(littHrrcu.&ILlar]DttLrBrllo-t
<br />I H, lltum ui&r Fo!, of Fiu..v rhr I d licq!.d un& Frri,nrn otclufls 9 (c6njl1@m* $nh Sdior 7(j(D) of Dtr isi,n l
<br />of rh. Buiod &d PrufdioN Cod., .ri my lt.a ir in full forc. i..l.lId
<br />l'rr,t"Cl*., lE 4/
<br />,,,,"72//7//A ron!
<br />(9rl5]a.L(lrAi.L}Ir-UlliGili!!(I
<br />lhrc[y ann rnd(lnalr]olFj,rrh rh6.'sa.o8rru.rk,n ldd,nsd!6.t li,rrh.l!6lomrn..of rltr\o* tu$h'chlhsfonn( 6
<br />is[d (Sa. 1097, Civ C.).
<br />kidn ! N.n.
<br />-
<br />ATSIITAIL!}:CIAAAIIA!
<br />I h.6, r&ti un& Frrhy of pgjury oft of t,E follo* ins &.letr (N
<br />D.molilion Pmil3-Artdor Notificltion F.dsll R.8uLt ione ( I nE 40. Pan6)
<br />-R.itun.d
<br />[.n6 of tldifdior
<br />I cdrily rhd lh. Ld€rl r.suldioB Eerdl.s Bb6rd rm)!d e mr +plt.bk io rhi! FoF
<br />-l.dify
<br />thd I hr\. m.drhb t plic.rion &rl srl. rhd tlE rto\. into dio t.orcr Ls.c ro conpl! *nh .[ any.rd ( ouniy
<br />rxdil1e6 sd srd. ll$! tdri'lr ro bo dills coidMi,a !d harb'sdbriE r.F6.rirtr6 oltha Cnt.i cou.rt io dc uron fi.
<br />ihor. ,Mn iond lmpdy fot
<br />"( 727.,2/le.tppli.rnr or.\adr sitn{u 4^r9t
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />Subf loor/VenUlnsulation
<br />Roof Sheathing
<br />Shear Wall K\
<br />Framing l-*-t1 Y.\4'd
<br />lnsu latio n/E ne rgy
<br />Dryvvall
<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 />FINAL 2-zo-11 ).VLtl
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc.
<br />".,.*/17/1r
<br />Set Backs
<br />SLAB Floor
<br />Flood Zone Certif.
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