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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWIIER BUILDER DEL(-ARATION
<br />I hd.try.mm und6 poali, of Flu., rhd I m.r.mt, frlm rh. Col,,rdoE l.i.ce lr* ao.rh.nnbsiryr@nlscturl5
<br />BsrlB .,rl Profsion (odc) A.) C t or Couiy *hth r.qur6 . Fsir ro .odtud. !ts, inFore &Nlsh d Ep., er
<br />nrudue Firr lo t is!e., &) Eqric rh. {l)lkd for ruh F. tu ,it . risEd rd66l lhri lE 6r ]h. i! lic.nrd pun@ i
<br />to th. IrlrntuE or$. Coflrteloi! l,icd*d Lrs (Cnsrrd 9. (i,nfld(i.8 wirh sdion ?oi)(r oa Division I of $. ulsin.s ,nd
<br />Pr6r<n6 Co<!, or rh.l lr n s& . ddlF dE.nom md th. bdi! lor th. .lh.d qali{r Ar) irhFnotsdion 70115 t'-t uy
<br />amhc&t forap.mi subjdr!rn rprlic.nllo!cirilp.nrhyolnormor.lhuliv.hundr.{dollail1500,
<br />l, 6 oqE of rfi. ForEny, or ft, drphF6 snh sas6 a rh.r eL onFdb.. will6 dE f,{i an llE !Br@. mr
<br />i6lori.d or n,Idai lm sL (S< 7u4, BNilB Md ProfdioB ( od.: Th. (t Blois l-ic@ Lrw &J6 n t Plt to M o$rd ol
<br />th. rmFry $ho bil& or i,rs.trE rlEEr !n *h d6 *n tr\,t hielf or lr&lfor rhmo8i hn d lE o*r atlo)6,
<br />Ford.d rhi 3u.h mFDv.lEt e mr idad.d ddr6dl ftr s.L lf, h6$6s.iE b{iE g or irF$qErr i! nld *ithin oB ta
<br />olsnpl.ln( rlE Otr E Buil,li sill h.E trE hrrl, of Fo\ing rht rE or iE dil mt trild or utprDlr $. FDFry ft, rrE F,tbe of
<br />L s o*c ofih. FoFlt. d .rchsit.ly co"dins $ nh lcmi.d co'rrr.to6 ro orttud ilE Foid (s< ?Ott, t os6
<br />,n Protsin Co&: Ttc Conrrsrori Lr.e liu rk6 R\r rprlr ro o o*G .f FoFrr $l$ b{il& o Bpror d rhco,.
<br />and who Nm@1! for ru.h Fjds wnh a codnc'o,ls) licd*i p6d ro th. Conlr6cloi3 l,i{@ Lw)
<br />I o cxonpl undc Sslnn
<br />D.r. Or.,
<br />r*oR( r Ll' c(tnr PENsiTtoN
<br />Dl:clJa6I0!
<br />I hG.t ) lnim un&r Frxy of FJUq ok of rlE folb$mt d..bdirE:
<br />I h.r. !r'd $illmi,rlh r Cgrifkll. of (oMt ro Sclf-lnu. tor urrk6 .omFdion. s Fnrid.d for br lidlion.u00 of rh.
<br />tihf Cdt . ad ilE Ffo,rffi. of rlE *rt lor stth rh. pmir s su.d
<br />I h.E lrn sill mi.l!i. srrtd codFBnDt i,Ellje.. 6 rqun.d q{ sd$ !7oO oarlE l,bor Co&. t r rh. Fim. ol
<br />lh. *.rI tor *hrh rhit Fon a isrEt M, mr!d' onFdio. iBufr. ffir lrl FrlKy nuotE &c
<br />l.difyrhd in th. p.rfommcr o I th. $olk for which lhis Fmil is irsu.d.l shlll nor onnlDytnrFR,n in any muno
<br />r arob6!ftsbarto'lE*! 6'snrposnDn bsrorcal'romia {xl +Grh. ill Jnuld tEonBubj.Tr tt' lri
<br />u ort6' conFEron p..v!rcB ol sdio. 1700 ol rh. klsr Cd!.. I idl rdh" nh mndy s'lh lho* I,ov6i.B
<br />WARNIN(; Failur. rD sdr. rork6'conlrurion cuflB. is unla\otl \hrll strl)rdr .ntlor.r ro dnnnal |tnh6 rkl
<br />$n flB up ro oE hrn&.n rhou{nd.lolLE (1100,0(x)). ir alln
<br />SdNn 1076ofrh.l,borcodc i.t6€r ud drocy s fG.
<br />.oBFM$i. &,r,96 a p.ord.n for rh.
<br />DI;SAAAIIA!
<br />I h@l,y rlrm udc Funy of Frury rh, I m l'.de! urrd F.BFi ol Chllla I (.onmtrm8 *iih s<r.n 7(()0) of Dn isnn I
<br />of rlE Buin6 Md Pr.asioa tu&. lld hy licce 6 6 tull (r& &d.ft&t
<br />,"",,..,".K
<br />ca!$f,1&f10xl,t!Dldc-acE!.G
<br />I hdrby lIIm un<Lr FEly otFru,y lhd {E i!. @.iiEib, rr<!i!s igd, f rh. Ffotu. of lL E hr sni.h rhi! Fmir i!
<br />isu.d (sd 1097. c'r. C )t-J. t \m.
<br />atfll(lNfuicltSallo!
<br />I h.dy arm unds p.,shy olFjury on. oI lh. folk'sin* r!.rlEal ion!:
<br />D.nblnion P.mn}A$doJ Ndificdhn ldarl Reularns (l nk r0. P,r6)
<br />R.qoncl tlr6 of lidif*.lnn
<br />Ic.'1,1vrhar rh. f.{srl rcsul,r()ns rq diI)s an-t)s r flnovnl nr n.r mlicrhl. ro lh6 nrejLrl
<br />I .dia) r h, I hv. rad lhB applr.rion d,] srd. r hd lh. ih)fomdfn s coftn. t !*ra ro $nplr $ h.ll('irvand( ounry
<br />ordi.!N6 turt! slr'c Iiws rlariu to huildinr .dk)rn. rqr&nd n 6 oarhtu cnt E Coo"lt ro nrE uE n lh€
<br />thr. lMrin d FDFiI lor
<br />AIlli$nr or Alox shn.rurc
<br />pernn,ft n.n!. (prrn,), Nl.floL*' Ctqt<e L
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUl nsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drylvall
<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 />FINAL tr\:,.\ r'z .,/,/,tu4 .N
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc.
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