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BUILDING- INSPECTOR RECORD SITE.WORK DATE IDiSIG.COMMENTS OWNER AUILDFJR DEL('ARATION I lEd, crrm ldkr FEny o, psjorv 'h, I o .(mF frlm lh. Codral6 Li.r Llq aor th. folh*Ds ru,n (s< '70r I 5 tlsi,B ul Prols[n Cod.) Ary Cny oi Cody qhih r.quE r Fmr lo mnttu.t. !xd, ioFor. &nblJ .r rq.tr rlt lrtudE Fsr ro ! Bod.q .ho ..qund rh. rpplrMr f.r tu.h Frmir ro nk a s'lnql srdmd rhd hc nr shc is h(m!.d puNrnr i{' lh. F.lirios of rl! Conrrs.lu s l-(.tu d Lls (( hrpld 9. ('o@dcrs siih scrion 700(J ot Dntioo I oarn B6ins rn,j t\.f*tnr (-o&l or rh{ h. or ltE ir amF tha.non rd (h. hiti for rh. .lLB.d adFior Any l blri'n ors<lrn 70ll 5 by !n) .p?li(a nn a pdni rubjds rh. appli.et ro r ciril p@hy df n.! mor. rhs 6q. hlntlr.tl d.lla ($500) l. B o$G ot rlE FDpqry. d oy qnployG * irh $!s6 a rlru bL comFsnn. *i[ .L lll *rt in rlE rNR ir ml i dxkn orofid.d fd nL(sa 7o$. AuIB rd Prof6i'6 c.dc TIE condoir II6el.* dBd +pl!bdo*ffiol rh. FbFry who hil& or in{nv6 tlEbl\ ..d *h. &6 kh *)rt him.lf o, ndllor ltEu8h hn 6r hs n*n 6rpk)rd, provid.d rh.l euch inFlwc e Nl idod.d or oltanl lbr sL l(, lE*ea. tlE hiillins G npo\Eml i! sU silhin on ,w ofonpkNtr tlE (xE BuillE uil IEE ft h!d6 ofFotiIa lL lE or iE d'd rcl h!! d lqet 0r F!Fi, 6r dE FfFE of l. s o*E of lh. rroFiy. m crcbn.D cot racrDs with licqsn.odrrda ro.odtud th. pmjd (sd 704l. l,llDs ,.d AnlanaCod. rh. Cont*roi! L!..e tlr.LE mr .9rilr ro s olnd oaFopcr' s'ho buik! o. rmpror6 rh.6tr &d {ho coffir for ruch D.orâ‚¬rs w h r Co mro(r ltaEcd !lrEu!,r $ lhc ('o.rrloa! l-i.@ L.s ) I m.\.nrfl u.ds Sdlion D.r. onnd woRxERs ( oltlPEN!i.{TroN DE(IJXAIIA! I h6.t'r rmm undd Font olFjur) oR.f rh. nnh{'nB ddh,.'ioB I hav. &d willtuimrin,(.nifrarrof( oNdrt s.lfI6u,. Lr *.rrd comFrdion. a ln,ridal fu b,Salion 11700 orlh. l.bor ( qj. for llE Ff('lM. of rh. u o* ror utrch rh. p6E i, iscd N\I h,v. lnd u'llmi .in q ort6' compdtrion Nur.nc., s r.gun.d by S..lion I700 orth! llb.r Codc.lotrh. Ffomm.of' rhc mrl tn *hrh lhs rEmr ! BUGd M' worlB' comDsdroo Bu,e--. c8ro !i p.,lt) nunb.r d..* slq{o (ebr) ";-;"..* st rt-$( ,:..- >lr\ $ I cslitlhd i.lhc p6to.M. ofrh. tro,l rv *hrhrhnFnn is i.rudt.I3til mr drht sy Fen ii oy mu6 $ N lo h6oft iubjer ro th. *0*6'comrdsrion li*r of Cdlironid, ud r*E rhar itl rh.uld b4oft 3ulrd lo 'h.*o 6' (onFrE rhn pmvirioB of Scrion 1700 of th. htor ( crq I CdL lonhvilh .onply snh rhos prnvilioG wAR IN(; Foilu. lo tu. soltd'NrFEr.Nn or6!s. u u.h*61 xn shnl sbFt ddo]s lo sinh.l rEutii !d cDil fin6 up to on. nundrcd lr$@d rto,lc ($loo.Ulo), r idli'ion kr rh..o{ olcohF .lion. dam86 a providc! tor th. of rh.lihrCoJ. dddmd a dlrn l liE n-,i n,t(t.,.r\ I t( t:ls!_l) ( (l\lR,\( t()R D TL$IIQ! I hdrht .,Im uid.r p<ult, o, Fjury ihd I m li.dul u,ia Frr iion or C&Bs I (amtffiirs vnh !El,n 7000) ol trriri.rn I of rh. BuiB &d Prefdir (o&.&ddyI'coeirintullfor(&ld.lfdr \3 q slrr Iffi (OIIIBgcIIaIllilPllC.ACllCI I h6.ty allirm und6 p.nalry or rdlury lh{ rhd.t r codtucli,n LndinS rs6cy lor rhc psfomecc ofrhcwork lor $hi.h rhis tEfrt G Bucdts<:r097.(i\ c) atll.l(6Nllict tStrlo! I h6d'y lfm und6 r6!hy of D6jlry onc ol th. following d(l6drr6: Dcmlnh. P.mit3.A$6rN NolifMion !'oJ6.l RquhlioE ( I il k 10, Pln6 ) Ratutr.n Ldrd.I Norifi cdrn I cs! '6 $, thc a.ddal r.suldioB E3edi.e artFcor rm'rd r. d +'plalbk u rhis prord \5 I câ‚¬n ily rhd I hdv. @d ihb lpplrcarion ed srarc rhar rhâ‚¬ !t{vc infomarnn 6.oncd , rBE h $mply r nh nll Cily and Cou y o.dinmd &d Sl.r. ta*! Ehlirs lo huildirr coMrucr ntr !d hschr &rh'ru( ..Faad n 6 o f rhir CU d! ( ounly lo 616 upon rlE rtsrc .mrr*d FrFnt fd trFlrn Ap0licrnt or Asâ‚¬nlshn{lun I \cr ."Alxl 4 Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor Subf loor/VenUl nsulation Roof Sheathing Shear Wall Framing lnsulation/Energy 4/rtltt )*trt ) Drywall L,/ Ext./lnt. Lath Brown Coat Ivlasonry Pool Fence T-Bar Handicap Req Deputy Final Report Engineer Final Report Flood Zone Certif. I FINAL tla/ti -'>&tfi t Certificate of Occupancy / /- (..- Notes, Remarks, Etc -rnt f l k./.i)tt t L I I I I I I I I I I I I I s