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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erectron Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUl nsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lns u lation/Energ y '>.
<br />Drywall ?--tl- /(U,lr/2('/t)
<br />Ext./lnt. Lath
<br />Brown Coat
<br />[\,4ason ry
<br />Pool Fence
<br />T-Bar t-71- ff )).(M'a
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />FINAL aa2
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc
<br />z a
<br />OWNf, R BUILDER DEII'AN TION
<br />I hqdry lllrn ui& Fdry ot FJury rli I d crdF nob rlr conrrd6' Lrc.nE tfr for ilE lollo*ir, ler (S.t 70ll 5
<br />BuinBr ard ltof66n Cod.): Ant Cily or Colnr, $hkh .dtxb6 r FEn lo co'(dcl, .lta, i6p.ov.. rtdtulnh o, qE d,
<br />rrucluc. Firro il] iMe.l$ r.qui6 rlE +lier lor ut Fni ro 6L.!*n dnia@r tht lEo, CF i! Ii.ds.d F]Be
<br />ro fi. Fai.ioN of E Co.rrxlor r l-rc.n*d t w (Ch'9la 9, ( oMftin! *nh Sclion 7000 of Divnion 3 of lh. BGiB ed
<br />PNfBbE Co<lc) o. thrr lE or jlE ir dcrp( rhadln rd rh. b-ir for llE .lh.d sdFior Any vhLrio. ols<rion ?oil 5 b, xy
<br />.poltlnt for r pdnil 3ubj..r! rh. 4plicor ro . civrl paulty ol ior mE $e fivc tui&.d d.l!G (1500).
<br />_1, a on@ 6ath. FoFfly. or nl dphr6 wnh w+6 6 rh.t $1. .onFeion, *ill & lh. wnt rd lll snarc ! rci
<br />i,rod.d orofiqld for nL(Sa 7O+r. t uir &d Piofs6N Co& Tn Cq{dcrd 3Ii@ Irs{bcqnnpl!'ooo*Eoa
<br />!h. F.F9 *rD hlri or i6F.rq th.Ea in $b &€od! w hi@ltor ha*lfor rhrclBh hn or lE om mplo'6.
<br />I'oviLd lhd ruh imr.olqE{r & ml idod.d $ oltuld 6r $L ll ho*6s. th. hrildiB or ibFuqE{ i DU *ithi, oE )r'
<br />of otrddB rlE O"G Erild6 *il h.r! llr hd.' or FD\IB rh. lE or slE dd Dl hdd q inq!\E rlt FFy 6r rlE F,pc or
<br />-1,
<br />s osa of rhc ,(bp<rr, M .r.luiv.ly co"irldins sirh li.aEal rolnndou lo oNdd tlE Frj.n (56. 704-4, adiB
<br />. Eakb. Co& TIE coniftor'r l.(.e tl* dod tur $?ly ro 6 o$c of FrFny rL boil& or mFor€ lhso..
<br />&d $ho Nnfut! for ru.h Pr.jal! wnh. (ontndonr) licaed puR@ ro th.( oft.doir l,ic@ Liw)
<br />len.rmrpl Md6 SdrBn .lr & P.('. aorrhs rcaon
<br />D.r. ontrd
<br />!!B6E8S:.C9u[Ed!AIIO!
<br />DECIjAAUAN
<br />I h6cby .mm und6 Fndly of Flury om of th. following ddlI1ior
<br />-
<br />I h.v. srl $ill @inllin a Cdili.d. of Colqt ni s.lf-IBur. lor srk6r onlp.nelio., B rrovit!.d for by sdlion 17m of Uc
<br />tdor ( od.. fd rE Ff(xr]e. of rn {dt lor *nd lhc Fd ir isu.d
<br />-l
<br />n v. rnd *ill Midiin N.t6 .omFMbn iffiq 6 Equn.d b! Salion !?00 of llE l$or Co&, for F Ffffi of
<br />ih. "ork for shich rha pmn i! isld. My wo*o oEFGdion iEurda c.rid ard Frlicy.umbd @:
<br />I .di& rh.r ir rn F6lrm. of rlE wo* fd $hth rht Fhn ! is.d. l indl Fl oploy u} Fe. n..r ffi
<br />r, Bro b..oft obj{tr lo
<br />'lE
<br />troitfi'omFadio. hs otcdraorni !,n +E thr if I rhould h..oE $tr..l to llt
<br />f,.rt6' omFE rb. pmv|]ioN ofs6ri.n 17m oldE bbo. codc I JEIL nah*nh ompD wnh rlr* FovBioG
<br />WARNINC t.ilE to Eu. &116' conrqs.rion ov6!s. ir uLwful..d.lull libJd & mploF b ainin l FE!i: ed
<br />c.il ,iB up ro oE nu&.d rhuend dolL! (lloo-00o), i, (dnnn lo rlE @i oa corp.a.rio( d,r,g6 - Fod.d for lli
<br />S(lion 1076 oi thr hbor (-od., iarqEr md bn y t lG
<br />-i+;\F<xr-ri{rFir r oiii-rr ror
<br />D}:CLTMIO:
<br />I [ddry .trm urda Fdy of pciury rhd I d li.alrcd urdn Fvisiro ol(.ruflq 9 (mffiing wnh S6lbD ?()0O) ot D'rilnn ]
<br />oa $. acin6 ald ltDtdioE Cod.. ed my licry i! in tull forcc d.[.rl
<br />,trr" lt lc t7 c..r..d..(
<br />co!ua.!(!o!.t [llaclq[Bcr
<br />Ihd.ny rfrm mdd F@ht of prluD_ rhd lhd. ir. odtudhn Lrdif,B +o., for lhc psfom c.of th.Nrt i)r shkhrhG pdnil a
<br />,s.dlsa l()l)7, civ C )
<br />Af,TIICANLIECLAAAIIO!
<br />I hdrb,v nED !.da IE h! of FjuD oE of lh. fouoEin8 .krlt .li.B.
<br />Dcmolil$n Pmns-Albdro! Norin.dn'n F.!d6l R.8uhr[B ( rtl. 40. Pd6)
<br />R.quir.d ldrd of Ndi6@rim
<br />-t.dit
<br />rhd rhc a.ddal rqulalirnr readi.3 atErormo\01e. nor Epl'catl.lo lh6 poj.(1
<br />I cdrly $, I h.y. @d rhi! appn..bon err nar. rhd lh. rbov. 'nfof,ndion 6 codd I +re t! onpl, w h lll ( ily and Counry
<br />ordinma .nd srr. Lr$ ELrg r. hlilli.B..Ihdioo drl hd.lt Mt rt EFe dtrB of this Cir,.,!d Coory ro drq qbn di
<br />ffi:.":;:::".*[,"*h{<^,. 12.17-t2
<br />TUAITrEgdTD """, l?..ll4t
<br />l-Aqt9 4tu/,. / t/4rzo
<br />ao aJh..1.,.2 c l+c *'-'rr.Z J)-cb6(@\
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