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BUILDING. INSPECTOR RECORD
<br />DATE ID/SIG.CCMIlIEJ.ITS OWNER BUTLDER DELCAI'ATIOI'i
<br />I Hy !,Iim uid6 F!.Iy or Fj!r, lhn I n s.nfl tld lh. Conlftls Lrnt l,$ lor lh. fol!.*iry rtr; (s(.70r L
<br />Bwin6 En Protsbn Co<l.), /sr C y o, Coudy $i.h r.qun6 . Fni lo oistud. .h6, inForq &tuliln or r.p.t m,
<br />Ndue Fior ro ir! isle., dlo r.qi6 rh. {lpli(sl nn luch Fmi lo 6h r.'SrEl llrdrdlr llld L ot tlE n liaE d FE!,I
<br />ro rh. p.trvirioB olrlE Conrrdd't Lrc.n*d L.w ((tuFd 0. Colmdine wnh S<ri.n 70oo of Divilion I olrh. Burind dd
<br />PDfBnG Co&) 6 lhn E d ilE ir.rdrpr rhd.froB rd llE hds tu lh..lLeal qdFbi. An) r bldion orsdbn 70! 1.5 tt d,
<br />.lplkol ao, . Fmir ubjcrs rh. .pplic! ro advil p.qhyoImt mr.th.r fiv. tui&.d dolhr. (ltm)
<br />-1,
<br />s o*E of rrr FoFry, d m, mploJ6 Mh s!s6 B ihcr eL NnpcMi{,tr $ill &i IsrrtarjtlE3dE!d
<br />inrorlal .. olla.d for eL (56.7044. AsilB d Pr.fBi.B ( on r Ti. codr.dr! t-icde lr$ dE rcl .pply ro x orE of
<br />thc FDFry * h. hil& ot inF.1€ th@a d *lb do6 sh *ut hmr.lf or h6*ltor rltdu8h his or hd os @ployc.
<br />roliicd rhd sh imFoqdt G mr i .il.d n otu ftr 5L. tl lB*ns, dr hoilllB 6 in9tunEr a 5ld $inh om )d
<br />of.oopkioq $. (xM Buil& wiu htr rrE hrd, ol Fovine lh, tE or ilE dij ml hriu o, irp.ov. fi. FDFIy fo th. pllFE of
<br />t, s omd ofrh. I'opdx o cicluir.ly co.rrldinr unh litos.d conl.rkrB lo @dtud llE Foj.cl (Se 70{4, B6'nd
<br />!d hokir Cod.: fh. conr.cror'r LicN t f, (h6 flrl !p?ly k' s o$na of FoFrr }ho t{'ld! or inp$6 th6on
<br />i.d *ho .odrd! tor rucfi FDj.lls *nh . Cod6.lo(!) lFoE d FrRu.,, lo llE co.trdN-s l-t* trw)
<br />I d .rmDr u,r& kb!-, B & P C. for lh! @!
<br />D.t.: Oir6:
<br />]&aB5!8S:CqAIEBSA[A!
<br />DEqdSAITO!
<br />I hd.nt .rm u.&r Fah) ofpajua or ofth. rolb*ss dftLtrioB
<br />tn !. dd wilt roi.rlh i Cdrifx . of coMr ro s.lf-lBurc for m 6t'6mp .tion,6 Ftrvid.d tot bySc'ion 170o oflh.
<br />Ir!9r C.dc aor lh. Ffolm ordE r!* fd ttah ttr Fmh it ist d
<br />.. .nd *ill m.imm *ortdr onFrerio. !Bu.ft.. s r.qurcd t y Sdlirn 17(x) of th. hbo, Cod.. for $. Frlommc. of
<br />n n is.d M, wsk6r .onFdion iEurld csi6.,n rrlk! numb( t.
<br />",,,,* u)cDlYSrt v I
<br />-l
<br />(ol,fy rhlt in lh. Ffornls. of th. *oIl for *hkh thi. Fnnh i! is.d. l 3lull 6r dn 16, sy pq$n in uy @6
<br />$ 6 ro b.Gom. stt6l ro rh. sort6 on F,udDn L$s of CEtifoh!!, md asE lhd if I should b.coft subjar ro ltE
<br />"ort6' coEp6llb. Fovnioc.f s.dio.I7m olrlE t hrr Co&, LrlL fdh$hn 6trd! enh lht proetioB
<br />\,vARNlNCr ldlur. t' cs. worl6' compqs.rio. .6v6+. ii unl,waul. i.d $!rl 3ubli M mpbF lo sihnld F.his t
<br />.nil fmd ut ro orc hud lhoMd (11116 (ll0o,o0o). rn rldhh.lo lh. co3 of .omFMrion, d&re6 a Foe .a ror rh.
<br />Sern,n 10?6 ol rh. lihl Cod., mr.d nd.uLmv r
<br />aul\&tllo!
<br />I hqcby Tm ui<ld pnuty ol pqirt lhr I e li.as.d un& Ft\i3aon of C1+ra 9 (offillc $nh S.dbn ,0{0) of Dna{n l
<br />of lh. Buia lrd PmfdioN Coda sr, B, li.@ ir in tull fo.c. id.ll.t
<br />?I
<br />caNsra!]cro!..LEBltaclcElcx
<br />I h.ltry llrm o<t< Fn.h) of FjuD_ lhi ltEG i3 t otlrtudbn Lidrg lBtry ror th. Fforll1m. of th. trorl for $hth rhs Fmil !
<br />isud (Sc 1097. Civ (')
<br />L.nd.is Ntm.
<br />-AIfJ,IIJAtrLIECIJ8AITr!
<br />I hd*r rtrm u'rd.r pq'.lrt ot Fjur' orc ot lh. lollovins d..ldions
<br />Ddmhior P6m'ty&b6ro! Ndific{ior t.da.l Reuhirtu (Tilh,a0, Pd6)
<br />-R.qotcl
<br />llrrs of l'{o{if.ibn
<br />cd ray rhd rh. fdld.l ,.8uhlro6 r.ardDs sb61or @ord s. mt qDhc.bk lo rh. pm)d
<br />ly rhd I Mvc rod lhi! appl$rtr'n tld 16r.rld fi. ai(,vc inionndtr)n i!.on..l I sara lo .orply * nh tll Cilt md ( .unlv
<br />..d Srirc L.nr rcbx.s ro buildi.* oNtudiotr .urhr,. r.F6ddr6 olthB c yedcou tkrolstrFrnrh.
<br />qPtx ,,,,"1ulrfllg
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framinq
<br />ln s u la tion/Enerq y
<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 />I
<br />FINAL /o///nd 4P t//I
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc
<br />SITE-WORK
<br />*,., \D/ trlrS
<br />.",.",,,. ctrr,L
<br />,,r,c ro/t9//r!
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