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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE OWNER B!II-DER DEt-(-ARATIoN
<br />I hs.t^ ,ftd uda Fnlry of Frury rld I m .rmF nnm rlE Codrd6 Lr@ lis ror rlt folh*m3 rdn (s( Toll I
<br />It4insi ,r'd ProlBrn (-od.) Ant Chy or Cou y whrch r.qun6 r tffit lo cotrrru.l. rh6. imrhra domlirh or qRtr m)
<br />srtu.r(., Fi,r to itr isurc.. .Lr. rcqun6lh. aplicul aor sucn pdn h nL. !iFn.! ndffir lhdl lE or 3h. i! licd*d pue.nr
<br />ro rh. Fni.i.rN ol tlE (inndori Li.6!.1 lj$ {(tup(a s, ('.nffi!n! unh S(lio. ',lx[ ot Oraio. ] of rlE B*m* fld
<br />Pmfslhns cod.)o. rhr! lror sh. i..rmpr rhgcfion md th. bd6 for th.dLrd lronrnion An' violrrio.ofsdnn 70llS hvan'
<br />lpplicinrlor. |cmil iubj(clh. rrplica lo aci(lpnlhyofnot tur.Ihd n!. hun&.d doll&s 1l5u))
<br />l. A o$M orrh. F.F1t. or mt mplorG *irh s+6 s rhn slc comF6dn,n. unl & rh. trnI an rh. stulE 6 mr
<br />inldv.ki or or6d for el. 1Sd.7044. 86'.6 &d Prof6iiotrs ( i'd. Thl (.{)dr&kn-r l.icak lrs &6 nol 4l'ly lo tu o* nd oa
<br />rh. lnrrnv *lh tliLk or urfi.vB rlEm ffil sho dB $t {. him.lf or hqrlf or !tunush hb or 16 oqn .n k'}6.
<br />ForiLd rhd ch rFrEMtr c e, d6rldororTdql tf,ek I(h.$6(.drhr rnB d urw.\qEn a e,ld*.hnok !d
<br />ofcomddir.. rh. ( )$rd Ruilt r will h.rc lh. lan a oaFovin8 tnd h. or sh. dil ml hrild or it qo\. rh. rnFrt f.r lhc pulTr)r of
<br />l. &! .M6 of rhc rroF y, m .r.En.l, .ontrdi.* $nh licdr.d codndoE ro .olrrucr thc Fojrr (s( ?01r, &cmd
<br />and Pmfrsio. (td. Th. (-onr r(tr'! l. icd. l,e do6 ml .!pl, lo e oun( o t pnp.iy \ h. 6lildr or improvd thson,
<br />lnd *ho odr!.lrfor ruch proj.{! *nh. ('olirrotr ltosd Fcurd rotlE('o rdG'3l.E@t,ul
<br />Ia .\en, rnllcr Se(rk,n
<br />D.r. orn(
<br />uoR(aRs a (uirPErs TroN
<br />DECIA8AIT(A
<br />I ha*r .mm undd F.h! oa Fj!r) oR ot rh. aolhq 4 {k(h, d n6
<br />I hd\. and * I tuinli'. r ( dili.rl. of ( otrld t1 s.ll-Ired. lor $ orld comnatoli.n. .! rovidsj r(tr b) s<lhn 1700 of th.
<br />l.bo Cdq to, lhc Ff(,rM. of rh. u.rt for }trkh rh. pdnn i iq.d
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<br />'on
<br />171xl or rh. llb.r (n&. foi lh. pqromincc of
<br />lh. $orl for *hi<h thb Fmit is (e.n My trorlG conFsnion i6ure..,fu n polt,numb.rd.
<br />(MH ? (1.1 tt <*1 \
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<br />*',n,-* -h tuq/<- tlto<c1,\ ,.I= ... ['t1tt
<br />I (difylh,r inrh.FrL'm.rccoflhcuut ft, whicnlh6 pq,n'l s itsu.n,I shdllnor drn'yMyD€sn inanymens
<br />h s r. tE om ruht{rr lo lh. elld omFMFn L*! ofcrnfnmi!. rnl rrr rhdr ,a I srnuN L<orc ruhjd ro rlr
<br />*a1r*6' oEpcsr irn I,o\ 6b6 ol sdid. t70o of rh. l rt r (_&r., I slEll, nrhtr lrh c.mplt s nh rhor tror iriB
<br />\ARNINC: r.ilu!.
<br />'o
<br />wuc sorls comp6r3lion co!6,tc il ularfrl, Md slall3ubjd i. mp[,!s lo mm'nalFstE dd
<br />civil fin6 ur lo oE hundr.d lh.usnd d.nur ($lfil.ur]l. in sxnir. h rh. (d olcomFNri.n. &nu[6 !] proridal tu lh.
<br />SEIfn 10?6 ol'hc ljtnr ( odc. nrqca and
<br />(zl-''-.1 t?-
<br />!EC!dAAIIA!
<br />I heby.mrm unJcr p.a.lty o I pgjury rhar I d l,cdE d und( Folsion ol( hapld e (clnmdrins wilh sd n 7(rx)) olDn$ion l
<br />of rh. Bcind ed Pr.a*ioB (o&. ed Fy ltoE i! n tull r.rc dn.fidr -,
<br />SoroaLf,*:9f
<br />\\ (
<br />La\/17\ul t?,-,.%
<br />('ONSTRTJ(-IION I F\DING AGDNC1
<br />I h6.h,.lltrm undd Fo,lry of p<rjuB ltal thq. is. connrclion lc.dinr rsd.r f.r rh.lEf.mMcc oflh. so.k lin shich rhn fEni n
<br />isu.d(s( :r0e7. ( i (-)
<br />AIIIICANLDfCI,AAAIIQ!
<br />I hdtdlfm un&r F.lrr ofp6joo.n. o,th.follo*i.8 dcclu mns
<br />Ddmln6n PEn s-Ast*trs Notn(dhn F.ndll Reul.rFns (Iil. t0. Pd6)
<br />Rcqun d Ldtdoatidific hr
<br />I cdat lhd rh. fcd6.l EslhioN Eleding 6h6!d lgmd r. ml {'riiclblc lo lta pt\rct
<br />I .qriry rh, I l$. rad rhi .ppltaior !d lltrc $r rh. .!orc inforniioi i .otr*i I reE t. ondt snt rI Cny ttd Cou.i!
<br />..din,R6 anl srd. t \.rcl{trB r rldiq cotdrudirr !d had,) ullF@. rcrr*dd n 6 or rhi CnJ" .d CounlJ lo o16 uFo ltE
<br />te- / r'ilr)vc ,c rnnrd U.tr1l
<br />Appli..nr o. n*dr Si*nr 1\ Scfe+tn-J ?o-v-\
<br />It+
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loorA/enUl nsulation
<br />Roe{ Sheathin t-2-l(YWtAI
<br />Shear Wall^U td
<br />Fram in -22-t(tr.ru)0\
<br />lnsulation/Enerqy U
<br />Drywall
<br />Ext./lnt. Lath P)rILl -294r Y.W%\
<br />Brown Coat \J
<br />[,4a son ry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />,^
<br />FINAL -7{-[.\f--fr0)
<br />Certificate of Occupancy v-\J
<br />Notgs, Remarks, Etc
<br />Ur-',/VAIL,
<br />U
<br />v c Ur--Y ,.-\A,tI,
<br />ID/SIG. COMMENTS
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