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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OW|lEI AUILDEI DEI' T IIOII
<br />I hacby lllim uldo' F,rly of Fjury lh.l I m dmpl 6Dm rh. Conrdo6 Lttu tlw f.t th. follosi.B ffin (S.t r0l I 5
<br />Bsins &d Prol6nn Co<t): Any Cry o. C.!d, *hit G+lG ! Fni lo sdt.l, dc. nrp.!t!, dDlirt or rt i dy
<br />nruclur, Ei, lo ,r! i!suuc.. tlo r.qtnq th.
<br />'Dplicet
<br />for iuch pqml lo ilc . 3i8n d d@al thn L or iE it li.dts d pusrd
<br />lo dE Fovirbs of tlE CorEr.rq! L6..d r.s (CIuF6 9, Coffii.8 enn Seli'n 7000 of Diviri.. ] ol rlE &!i'E od
<br />Pmfsiod ( odcld lh,l lE n thc saalF lhqcfton d thcb.!ie lor lh. dLs.d ddFi@ an, vhbriotroasdlion 701I J b,ay
<br />pplic&r for ! Fiir $bixlr thc rrplk$ lo . ovil p@rn, ormr mr. rh& nE hu'!d.d do[tB (ttm).
<br />r. ! rlE ofth. ElFiy. o my c.i9h'€ wilh *.s6 6 rlEt $l onFsrio.. fil {t,llE *dI tn ErMc it mr
<br />iddncd d olrdrd fd s.k (sc.?044. BsiB ed PrDrBi66 Cod., TIE conlEoir Lic6e lr*.to6 mr +Pl, b r o$M of
<br />rh. F!!qr) wh. hiLL or inFiEdastr rdvho {,6sh m hiMlf or lEElfor throusl' hn q tE om @pbrta
<br />Forid.d $! sh inp.oEErs ft lm ndd.d or o6dql f6, rb.I( 116-. tlE h,ildiB o! insoqGr b -U *ithh w )E
<br />ofampldbrr thc OiG Buildd sill hlE dE h(kn olFovilB lhi tE or ,E dil mt tilld ot inE nE lb. Flpqty 6r tlE Frpo* of
<br />l. s o\E ofrh. FoFtt. m .r(h6i!.1, orhlh8 $nh licaa.d @card lo @tu rlE Foicl (S€ roa4. ltl[r
<br />..d PlDtnir Cod. Tn. Co Ecroi! l.icnr. Lo* do6 mr rppl, to d own, ofpmFly who holld! or ih!.ovd thdof,,
<br />Dd vlF orri.l3 foi .uch F!ii1. enh . Coffio(, li.d*d Fr6@r lo lnc C.i[,*ld s tiw ls)
<br />I o qonrr udd serion
<br />D.r.:_ O,n.r:
<br />wor.riEnij aiini"L'!s^itoN
<br />D,ECld8dIlQX
<br />I hn.t', amrn undd Fdr, of Fjury oE ol rh. folhvins dchrdioB
<br />._l h.vc dd will minr.ir r Ccria(n. of ColEor ro S.l[.l6s for wk6 o6p6abi. a F$viLd tor by Sdbn l70o otuh.
<br />l,bn Codc rq rh. Fro.lrec ollh. $qi 6, *tEh rh. Fnn ir B!€d
<br />I h!\r.d Eill mrinEin qott6 .onF.elEn 6ry., G ,!qu,Ed by sdrcn :u00 orlk Llbo. c6.L. fot th.lEfollM. of
<br />rh. eort tor which rhi! p.n r i! iludl My eorkd onpaBdi.n iBurM. uis !d polry .ohhd e.:
<br />c.* 2v{,Lh. Arv€(Lirv,r i0$v4,u.{g;;:;; -
<br />aNC wsd7Lto q'
<br />*; -'.5/pt /)[
<br />I .dii rhll in rlE FfolM. otth. I'ort fo \tah ths Fnn n isEd. I dEll not mplo, o, Fen i. ey mund
<br />$ s ro bao6. 3ubj(t lo tlE wo.l6 .onFstb! Ls ofcdifoma .d 4d thd if I dFuld bcom $bi.$ lo llE
<br />$ 0116' comF!.lEn F!sn6 of Salb! l?O0 ofth. t to Codc l rtlL lonhu nh ohdr ritt rlD$ FlvirN
<br />WARNINC: lrilur. ro Em wolkd' omrEsl'oi cov6.s. i! ult*tul md lnnl $bial a dphs ro qimiml FEhi. xd
<br />.i! lin6 up ro oE hu,xlrcd rhou&d &rlld (ll00.000). i. illnion ro th. cor or comFB.lioll| d.,r86 B Fotitlcd for rlE
<br />sdiio.1076ofrhc lib.
<br />ou",rLkfi
<br />,I
<br />Lr)
<br />DEAIIAAIIO!
<br />I hadry rfiinn md6 Fn.ll, ol pajury lhrl I m li6!.d u,!(b F6io. of Chtptd 9 (.oMcinx wnh Selion ?0110) of Divaion I
<br />of rh. B{!!B !d PrcfdioB Co&, .d my lkaB iE iD tull foR sd.lf.d
<br />L')q q
<br />tli),a#-
<br />CANiIATCIIABJ,TNDAG.ACEdIJI
<br />I hd.6y rfim utda Frny of p6jEr rhr th.. t r otdtu.iir ladils .sfty for lh Ff()lrljec of fi. wt 6r *tih lhir Fn. a
<br />irrucd(Sc. 109?, Civ C.).
<br />L.,rdd i A&ts:
<br />AIIIJCABIDECIIEAIIA!
<br />In 6ry !&n ud6 p.naty of D.rjury o.c oalhc aollo*iD8 d..brl iom:
<br />D.@liiod Pqmng^rbdot Notlic{ion Fcdcrl RcsulabN (Til.,r0. Pd6)
<br />R.quircn LdG.a l'hiaE Iion
<br />I cdiry tha rrE l.da.l rcsxLrioN r.sidils ctdq tgmvn s. mt !p?tk.bL lo rhit Fojcl
<br />V.-,ry)tt , ** ,* t* lrrlt.rion !d irc. lh,r rtE .torc intonIrioa i! .or(l. I r8rc lo 6hpry wirh .r c{y .!d coury
<br />odine- .nd $.1. trg EbirB lo build,ie 6nr,tario( rd hd.$, &rlDr (+iE rG otrhn Cnt sd Co@t,lo 616 l4on dr
<br />*:m##ttmmt;xwDt
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subfloor/VenUl nsulation ,l \,%XsV-Roof Sheathinq -7ld &Drm
<br />Shear Wall 'lt'
<br />Framino
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif
<br />^1,1.,tt E4Yi(f,VFINAL4/,u //0/C w/@.t
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc.
<br />wN+
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