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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILDER DEIT'ARATION
<br />I hd.t! .rm u'da Dddy of pdjur) lhi I m dmli non rlE Coturdnt Lic6F tr* for th. rolburs ..en (Sd 7O1l ,
<br />B6ind .,n ProBlion Co&) A.t Cny or (tdy shrch r.q!c i Ff,r lo 6tdM, .na. if,Fort, &tDlirh or r4.n ey
<br />stlucl@. prrcr ro 'r! inuu... allo rcqun6 lh. .rplicd ror such rdnn ro nl. . 5i8n d fimd lhd lE or !h. b liccN.d l'rsu,n
<br />lo llE FovtioN of iE (onlt&id ! Lic.nt d t w (Ch!rl6 9. Comdtrts *nh Sdrion 7000 of Divi.ir. I of ttE Buir ed
<br />Pof*bc Cod.) d rhd lE or iE i qs4l thdcton.rd llE b6. tor tlE dL8.d qaFri. Ary lnldion of Scliot 701I 5 b! ut
<br />!p?li{nl for . pcnn $bj6lt th. tpplic&r ro . civil F h,of nor moEllun nr. hon&.d.lollm (t5@).
<br />l. 6 o$ffi olrlE EDrEny. q Ey dpktt6 wnn *.tt6 s dEn $k omFEron. trilld. EE(t,n Ern.lcitmr
<br />idarLd qofrc.d ld !.l.(5-.70{,1, Bulir ud Pnrdh6 Co& TrE Cdrdn! Li.!e l^ dB mr +Plt b o o*E of
<br />rh. rn,p6ty who hil& o. EF.VB th6o.. st *ho do€ uh *!rl hintclr or h*lao.lhmusfi tn or lE o*r dploys.
<br />Foviiql rhd rsh rnF.l.EE E iddd.d or otuld iy $j. lf, lDw6E. llE hiui.s ot ir+Evml ir $ld wtthjn oft td
<br />ofcof,pldbE tlEo*E Ai!6 vil l$r tt hrrla ofFer$ lli lEor*.6d @l hiB r rFst dr Fopdy tu dr F,rEof
<br />l. 6 otrE of dE FoFly, m a.lBiv.ly 6'nrrrhs *nh hcs!.d.odraoR ro o'(oct lh. FoF.t {se 7044 86uB
<br />!,n hrtst co&: Tt.( onkrdoa, Li@ Lr* &6mr.rtlyro eoEs of FoFlr_*hD b{ild! or inFoY6 rhson.
<br />&d *ho .ollr6.t for ru.h F.jdr wnh . Cornrclo(!) lidts d p!R!d b th. Conlr..int I-i.@ l,s)
<br />_ld.r F u.&S<rbn-. B &PC fo,rhB
<br />/e/z4tg ,--v
<br />I h<.be ,fIm un&r Foh, oaFJlr] oE of lh. tollo]
<br />I h.\r .n * ill @inrrl. . cdlilrcd. of Co66l lo Scli.l@rc lor f,rldr co.IP..!noa. s Fo\ id.n ao. b, S.nion 17ui of E
<br />t htr Codc fu rh. Fft,tle. of rlE *orl for rnth llE Fnn a teqj
<br />-lhrv.and*illnsinlainwD.'..mp.Mrioni6ure...sr.quiEdbySsrb.1700oflh.tlhi)r(.o&.forrh.pdfon@ccolrtE $!rl fd qnth lht DGBi s issl My wkdr comF.Mion inllltec cri€ id Brlky nunb.r &
<br />Polky Nmb6
<br />-Erpng
<br />-l
<br />cdiryrhar i. rhc Ffo..uc€ oflhc pork lor {hich thi! Ftil i. islcl. I tnlll nol otrlloyoy p.ren ir inv mund
<br />$ s lo b.om 3ubjd lo lhc *orrd'c.nFMion l,*t.r Cdifomi& &xl lsE fid if I 3lslld b.cor subjd b llE
<br />mll6' omFE li'n FlvsibE orsdion l?m olrlE lthr Codc I !h.rl finh$ hh oqiy snh tn. prorni,B
<br />WAN\ NC: t_ril@ ro ffi $0*6' cofrpqsrioo 6rdts. i. unhstul. ild lhall sbjd o @pbF lo mdl tidii.s !i
<br />cN,l nnd ur, rr oft hurn.n lhous'j dollss ($l00.(x)o), in addiridi ro lh..o( olco'nl.Mr
<br />Sdrn 1076 ofrh. L,ntr co&. int6d dd mnr.* . rG
<br />I hdrhy .Ifm !.& Fqrtry of FJur' rhd I @ lirtei uft!.r r CttFd 9 {o'ffiiIa snfi Sd s. 7000} of Dr nion I
<br />or rh. BBmdr Md PrufdioN Co&, a Dy liccc i! r ftlllo.Esd€fi6r
<br />Lic@. Nqhbd
<br />(OIIIBIICIXTN.IIIDTNGAGEICI
<br />I nd4 .fim !nl6 Frlly o I Fjd, thr dE. ir. odtuni,n ladins .g y for rb. Ffolllm. of rh. $ort 6r stth $n Fnil i
<br />i!.ucd (s6 Ir97. ci! c)
<br />APPLICANTDE('I
<br />^TtATI(TN
<br />I h.*) 6trnr !nd.r !.n.ll r of FJU) oE ol fi. folloq in3 d..l&, rN
<br />D.nnnioD PmnlA3b6l.r. Nolif(dhn F.ddll R.8oL!xrc (lntr0. Pm6)
<br />-R.qun
<br />d I !18 ot l\hif.dirn
<br />-l.d'ry
<br />rhd rh. tusJr.suldtrrN csddtrs shdl6 rdmlale. nol @lr.bk ro rh6 ptu al
<br />-l
<br />cd rt rhn I h^ c @d rhir il'9li..ion d trrc lhe ft. .tjov. infordbn ir cotrd I .sr lo Nnd, whh .[ Cnv 3nd ( ouitv
<br />mdmr6 !d Sl.rc trE Gldila h b.ilding Godrd$( &il ha.by dhoriz r.Fsniivd ollhn Cnt dd Coul) lo dl< upo. dE
<br />t?/=.ldir.\. tri-rtr.n.J ll,.r.n\ l,a n\redu{' nurF\- --7 /
<br />rpp,ic.n,o,.ud,sisn.,u* Y44/ _
<br />P.mrr*n,me,l,rin,,: /r"/txgc H-C-AR-Nra-/4
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framing
<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 />Engineer Final Report
<br />Flood Zone Certif
<br />FINAL
<br />Certificate of Occu anc
<br />Notes Remarks Etc
<br />L
<br />r/J9 le q\(,q Y.rtf6ttt 1^A{5-1Y,rl
<br />dsnasc d provid.{l fot th.
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