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BUILDING. INSPECTOR RECORD SITE-WORK DATE rD/slG.COMMENTS OWNER BUII,DER DEL('ARAIION I lE tr lfIm undc Fulry of FJUry lhn I @ Gr@F n m th. Coir-1o6 Li.* t w for lhâ‚¬ loUrwir'g fenlsd.?o]I J Bsi.s dn ftoftsnn Co&l Ai) cnt ot C.d, $iih Equc r Fni 'o otdiu.r. dld. inFile ddmli$ or ir., -r<a 3lructue Firr b n, is(ft.. .Lo Eqrn6 $. @9li.ut for 3u.h Fnn to nb ! linc<t niffil lhd lE oi dE i! Ikau.d FNdi ro rh. FovitioE of lh. Co.l6.lr'r l-kmEd Lrw {cluprd 9, Com6.ing unh S6lion 'ro(xj of Divilio. I ofllE BusiK dd Protsi.B Cod.) o, rhll lE ltE t ddrpl lhd.frn dn dt b..ir for llE .Ucs.d .raqion. ^Iv iohlb. of Sdion 701 I 5 bv &v lpplicsr hr . Fni $bjclt llE .pglgrn ro t.ivil F nyolml mt.lh& li* hurH Arlld (!5@) L d oM6 of fi. FoFy, or D, dpbr6 wilh w.s6 o lh.t slc comFE iotr *1! & tli *cr rn llE ltnde b d iddild r o&r.d tur -t (Sa.7O4a, &!iE rd PmfdbB C.d.: Th. Co.ld r Li!& U* &6 ml ,plv lo n o$E of rlE FDrdy db hild 6 inqo6 !ls@ .n * ho {tB 3dt wt hilula or lE*lf o, tmuS} hn d ls oh 6lplovc provid.dlh.uchihprolEFl3&@ridai.d.rofiad6rsLt(tb|(G.dEhoildlaorit'ForE6rnbldwnhh.n.rr oton9llb.. ttE ol.G Buildd wiu tuE dE budd' ofFlvilB tli tE or tt c dt ml toill or i,q!E lnc F!pd, 6r rlE Frpo!. of !. B ow or rh. proFln @ .xclriv.ly co' rlclins wilh licd!.d col'lEdoE lo .oilmd dE F.i61 (SE. ,044, &6i.6 ud h!l!i.. ( od.: Th. Co r-tort Lic.@ rrw d66 not $oly lo d ox@ oltroFly who b{il& or inpbq rhqon .d *tr onEr3 tur $.n Foid! wilh r Co'rrtlol, lioEd FrBrr lo 0t Contdoir liw ta') I ancrcmfl undr sdn)n B & l'( forlh's,slson D.r. ornd \n.oRxFrls cdnlPFNsATloN DICIAEAIIA! I h6.$t rmrm und.r F.any of tEjoty oR of th. f.lkr*ins d..kriii.B -l hrv. !n will mi ln. Carifr.rc of Co@l lo S.lf-IEu.6. rdta omFlrbl! a Fo\ircd f b, SEli,n ]700 otllE r,hd Cod.. lo rh. pifolruc. of th. mrt for *'hich lhc Fhil L isucd Ih&..!dwitl i .i, wtd .mpdnion iffiq ! GSn.d br Sclbr 1700 of{E t DorCo& lorth.Ffo.lG.of lh. w rm rnah lhi! Fnn ! isrd My wdld odFlrion iM. otra .i poliy Nmba E PolrcrNumba:- - - ErPc: -Icariry$n ilfi.Ffolrl'.dof E w6tt ftr wtkh lhb Fnn b &u.4 I 3hdl mt dploy 6y F$n in &v lllllE s s b bdtu sti.r ro E B.d6'6trsq!.bn L*. ofc.lifomE Id ltc$r ial iDuld h..(fu ubct bdE woil6 cooFsrion p,Dlii6B oa S.d ion l7m 6/ lh. t &r ('o&. I JEll. fonh* ih andv wnh @plolq ro aiain l drnis md i.[ d.Ns6 a F.viLd for rh. WARNING: Irailor.lo su. worl6 .omp.rottn,n covBasc n unl.*ftl, Md shall ciil fin6 up ro or hurt d rhoBri d.'ll6 (1100.000). in tddnio. to rh..or s<r$n :1076 of rk L.hor ( cl.. drnd ai norE) r f6 -/q I h@b, lfrm u*16 FEhy ot Fjuty rhll I m licdE d ur&r Fn\ition ol (tup16 9 (onjtr.in8 wnh S.nnn 7000) ol Dilaio. ! of rhc Bsins ud PmldioN Cod!. nd ny li..s b in fuU torcc,ri.Ifer o.a 1!' ? Q:l 7 c..,-"".K I h-.br .r[m utr& pouiy of Fi'ry lhr $d. L . 6dt*rbi LdiIg t.dy 6. fic Ffoffi of tlr 61 6t dlin thir Fii it ira-d {se !097. civ. c I L.ndd 3 NM. AP?I,ICAN DECI-ARAT!OII I hddr JEn ui& po.lrt ol Fj!,-} onc of th. IolhwiiB d<l,tdioB: rr.mlhion PaTr+&h6rM NdifEain F.ds.l R.suhiiont (Tnt l0, Pa16) -Rcquircd lntq of N(rificdir I .diry dll dE f.dd.l ,.!uhi,B Egrdi.s !!in6 ,ftd -. d +PliabL ro lhit FlF .alit lhr I hrv. Ed th! Tplic.lioi &d xr. thr {E !to!. i,6m'dion b cd4l. I .88 lo omPlv wilh .ll Chv 8d Coulv o.dillM6 &d Sl.r.l^3 Etrt ro hildins conlnrl61 rn Drbr E retin6 at'nn Cnr 0d coory to 616 rP.n !ho\. @rbn d FoFn) l( idtErid Apptir.nl or Apurl Sltn.lur. "*u- -^","n",, 7S t? A a> -,.,lo -L547 Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor Subf loor/VenUlnsulation Roof Sheathing Shear Wall Framing lnsu lation/Enerq y Drywall Ext./lnt. Lath Brown Coat Masonry Pool Fence T-Bar Handicap Req. Deputy Final Report Enqineer Final Report Flood Zone Certif FINAL l/-? -t1 f?- 1 tst 't21 s 4ry Certificate of Occupancy Notes, Remarks, Etc.