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, BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNER BUII"DER DEI'AN TTON
<br />I halb,v .ffd urr6 Fdly ol Fjury rhr I m .ratrF nDr rn (o' rrldt' Ltdr t * tor tlE folh*int r.en ls6 701| t
<br />Ituind rd PmlBio. Co{r.) A,t Cny or Couny shth rcquiE . Fnr to 6dtud. .nr, mFora ddDltt d r+.r ry
<br />,tucfuq lrlor ro tu i$uec.. .lso ra+n6 lh. rp?lic l lor ru.h Fflir lo fik . 3isncd ,r66t thd h. or JE h licdla, puMr
<br />lo llE p.lirioN of tlE Cmlrrt( t Lrc.n!.d t w (Ct prq 9. CoMftils wnl Selion r00O of Divs6n I ot tlE AuitB sd
<br />Pmf<68 co<t ) ( rhd lE or r& ir scflpl thc!6oD sn rlE h-it for rh. .tbr.d ddrFhi Aryri.hbnofsfibn T0ll S tr o,
<br />applicd aor a FDir iubjcl3 rh. .prli.ur to ! civil p.Ehy oa nor mr. thm fiv. fiundr.d &lls (ti00)
<br />L a o"EofilEFoFry,dDtatpb)6 *nhrss6BdEn sko,s6riD{i!&tlEsutrndElidE!d
<br />uno*Ld or offs.d lor $L (sd.7044. Auit6 -d ProtBioB Cod.: Tn Co r.ddt Lt.e try &6 rcl +ply ro s osE of
<br />th.Flpcty rto hoild! o. inlFlv6 Eo...,rd wh. dod lkh *nrl him.lror h*lf orrhN!$ hn dh6 om.nployd.
<br />FoviLd rhi kh u,F.vg6tlr c 'br ndd.d u oFsd 6. slc l( hoEq, dr hlilditB r irEolqEr i $ld Batu @ ,€
<br />of otrpldioE dE (nE Builtta rin htt ttr hda of FrlU tlri E d !t dd rll hlld 6 iqrn\! 0E FoFry 61 0!c FiFEol
<br />l. aon6 of rrE Ftrpoi,, m srlurv.l) odtrlIts wnh lkdE d.ondo6 ro 6dM
<br />'lE Fij.( (Sa ?0.1.1. B6ir
<br />!!d Prokih Con Tt.Conl,.clo.! ljcre b* &6 6r rr'ply to 6oge olFoFrr*ho buildr or inpmrB thd6.,
<br />ed who conl,rt' lorruch Fojc.1! wirh ! CodEcroio li(cB.d p{Bur ro rh.( onrr.cror'! LicG l,w).
<br />_I D ci@r( u!& Setrn_, B. rt P.C. 6r rni! lm
<br />D.l. OrEl
<br />1{ORI(EXS', COiIPT\SAT|ON
<br />DICIJAAIIO!
<br />I h@by rmm und6 pa.lry or pctury .rc ol rh. nnlowint d.cletmE
<br />-l
<br />I'rE rxl *ill @bl!h. cdiff,r. ofcoo5r 16 Srtf-lM fu dld @rFqr6l\ d Fo\i|.d ror !.v Sdion ]7@ of dE
<br />l.bor Cod.. fo. rhc p6fo,tle. of lh. wrt fm {hich rb€ D6nn t isu.n.
<br />I hr\. &d will nd'nr.in wdldt .onFadion iNrr.. s r.qutcj br Sdion 1700 olrlE tsbor C.de for rlE p6fGl1ru. of
<br />lh. ur"l ld q hi.h thn pcmn ! eE! My *dl{' @6F!rion ilue. Mis -d polky nunbs r.:
<br />Poli.y unb6:_Erpi6:
<br />-l
<br />carrty lnal in llE rqfolrrl.re of tL BotI for unth thn Fmn n isc4 I rh.ll mr.nphtey tEe. in my Effi$ a ro beoc eiici to tlE elt6 @np6ad nn hB oacdllomq !d lsrc rtd il I slFuld bcod $BEr ro tlEert6' comFudtu. FDtnioB oas.diotr l?0o oflh. t bor Code l JEll. fonhsnh eq,ly *ilt rh.F pmvisioN.
<br />WARNINC: Failu. to sw work6' compsEllion ora.g. i' ubhwfol. rd rh.X sobj.d m mplord to dnin l partid drd
<br />.tril fud up lo oE huxn.d lnourd dolln (llm.mo,
<br />a,/,y'^
<br />d oa.on'Fdio.. d^u86 6 Folt.n aor ilE
<br />' s.n bd indray e 16 /, Z,/'\,,',1{(rrW
<br />nf( r rRrarroN
<br />l'(.tua1u.dd Fo\ri,n.lchlrr6 erNmnr('nsq hs.dFn10001oIl)'\tstunII h6lbr amm undd FaohyoIp<jury rhar I&n
<br />o_.-,:
<br />,r, PrcfM6 Co&. ai dt lr@ n D tull ,orE dd .,161
<br />*7;7GV
<br />I hd$y lrm u.d6 Fdry oa pajury rh, it<. b . oistudnn lldins .3try for 0E pqf(fuc of rh. port hi *nich fin tEEn it
<br />i!s.d (s( 1097. civ. c.).
<br />ATILICAdLDESJAAIIA!
<br />I nalby.rhn undd pdal'y ofroj(y on. offi.lollowirs ddlualioBl
<br />lxmliti.n Pmitl^.b.no! Not6cdhn F.dd.l Rqui.rhE (-rhk.l0. f.n6)
<br />-R.qu
<br />nd Ldr6 of Ndi6ccion
<br />-l
<br />csl'ry lha lh. ,.dsJ rquhlioB .t3din8 sbdd lmt al e k{ +plirl* b $i Foir
<br />I cdiryrhd I havc rcld fin.ppl
<br />o.dillm6,,rl Srrt.lrB Ellill ro
<br />rt{v. Enpicd FoFry lor iBpci
<br />App[ontorArdrSh rurc:
<br />Pmtucdn.(prh0:
<br />icdhn dd nalc tul lh. .hov. infonMlion ie coEd I rgre lo omply wirb dl ( ily dd Couly
<br />buildin3 cordNcrbtr id h6.by 4rlbriz EFerni€ of thn Cny Dd Co6ry to dns uFn dE
<br />ry-l-ft ?Y -* ey'r/a
<br />//t
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads ilfl/,.1T;.1 tuNcC,i 'v
<br />UFER Ground t
<br />SLAB Floor q/oL/E =is -,7n ,6) t
<br />Subfloor/VenUl nsulation /v\9)
<br />Roof Sheathing
<br />Shear Wall 4.n)
<br />Framing f h4--r tlrth4 A,'nnvu*'t1.4<- * rjzu
<br />ln s u lation/E nerg y I U I
<br />D rywall 4sllnld ,)
<br />Ext./lnt. Lath I U\
<br />Brown Coat
<br />Masonry
<br />Pool Fence A
<br />T-Bar 4-214)fi K'rL)l
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif .
<br />FINAL c lr; I p,,Ed t6,
<br />.Certificate of Occupan cy
<br />Notes Remarks, Etc
<br />3-l q( fd tTt Pe*n c-l*s
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