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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNAR BUILDf.i DELCARATION
<br />I h6d,, lmm undg pdlly of Frjury thar I m .imp Qom rh. ( onlfflod Li..n!. t,w lor th. fouoeins l.en (S< 701 I t
<br />asin6r &d Profdion Co&): Any Cily or Couily qhth r.qut6 ! pdni' ro @netucr. .116, mprore ddmli!fi or rq.n uy
<br />rrudEe Fsro hr iw..to r.qui6llE@lrdr fo.o.hFd ro 6h..{r.d omr thrlEorJa.lic@, Fl,td
<br />ro rh. Fvilio6 olrr CoiEr.t('r l,En*d L!* t(bBa e. (offi(g *nh Scriotr 70m of Dn'itior ! olllE BauB id
<br />PDldhB Cod.) or rhal ll or ii ii ctdnpr rhq.iiofr nd llk hGn tor $. .lL8.il .roFion Any viohhn or S..lao. ?01I t bt o,
<br />appltdt lor a p6ni iubjds th. lpplicul to.civil p6ahyoaml mor.lhe fiv. tun&cd dolla3 {t500)
<br />-1,
<br />6 o*E of rh. FlFry. E' alplo'lc *,'lh *'.sB s rlr{ *k 6np<db.. sill & tll $rl -d lli irur@ . ,br
<br />lroi.d s ofcld for El. tsa nx{. BsilB od Pirf6ird cod.: TIE Co r.rr. Li(oB t * dG 61 4?ly b 4.$E of
<br />th. E$rEty $'ho l{ill or inFoB rlsor d *rn dE sl' s* hiMlr or lErllo. rhmu8h nit or hd oqr nplolG
<br />provid.d rh.r such i,npmvml! G mt i'{c'.kd or oIIqld for EL lf. lrcwad, rh. hlildins or inF.ffir is Fld withit onc ,*
<br />olorphioa 0E o*c &ilda *ill h.E tlE hErld' of Flvi,B dE lE or ,E drd 6r hnld d rFDv. $. FDFr, ftr llE FnFE of
<br />L s o*G ofrh. prnFry. m d.l6iv.ly rodd uu wnt li.mrn .o'nrrclo6 lo oll3ft.l tlE Fbid (Sc 701.1, &a!B
<br />ud Pntosion Cod.r 1h.Conhctol! l-icd.l-.w do6 nor rpplyb mown6 ofpropstywt build! or inpruld rndmn.
<br />&d lho colnr.dtr for scfi Fojd! wilh ! Codidnls) licaE d p!Eu,'l lo rh. contcdm't l-t.B bw).
<br />, n .xmB un& Scr6n-
<br />I h.r. dd sill mrnrin a Ccnincl. of Col6l lo S.lllBur. fitr wD.kd! conrFnolio., s Fsid.d for hy s(rion ] 70o ol rh.
<br />Lrbor (ndq for lh. DqfomMcc of lh. rort for whicfi lh. Dqoil ii isu.d
<br />Ih.Eudf,,illmi .h *o.lo oEpdrrnn i!!l]Jt.. s r.{urcd b,S<iir 17m oadE t bor Co&. tu E Flolrll.Eofllr ro rm *hth thi FEh L i&,.d My w ta oEFlibn ilulm .air rd polty mhbq &
<br />Erdic:
<br />-l
<br />c6iit lhar in thc FfolM. of rh. sorl ft{ whkh thk Fhil n Nu.d,I !h.U nor @thy m, F$f, in lny muF
<br />$ ai to tE .mc hjd lo lh. wod6r co,nFsrnl s otcal'n,m'r, md dxrd rhd ill shotrl,j tE omcsuhisr lo rh.
<br />"!*6' omFdtion Folnio6 of S.d6o l7O0 o nh.omply qilfi ltrr Fourra.
<br />a.d ,ull subr.{ d dnplo !q ro_r@inal lgrll6 dd
<br />cnrl nc !p ro oc huni.d rhour.nd &,lla! ltl0o.000). h
<br />serrrn 1076.f rh. Irhrr {-dL i.rdd md
<br />DlgtaAI]Q!
<br />I h@by trm u.!& Fdy of pdJur, lh,r I o li(drr.d u.d- Flriion of Ch.PrG 9 (offiins * nh sdr.n 70Oo) ot tli! Bion l
<br />CAIIIaUCIA!..LIIDINGTTGEICI
<br />I ,Iry* lfro un<lcr Fuh, of Frlry 6r th@ !t r oEMbn ladiry rEay tu tlE Ffl,rlrlE olrlE s ht *nth lh! FE. a
<br />i*e.d (56. 1097. Civ. C.)
<br />ATTUIANII)ICIJAAIIII!
<br />I hn&y 6lfm undd pcnlhy olpdj!ry on. oflh. following dclddions:
<br />l).ff|(irn P@iri-Alhdtc Noriakdrn F€dd.l R.BUldhB ( I i l. r0. Pdt)
<br />R.rtutr d L-<rr6 ofNdii.dnn
<br />-l
<br />cd iry th.l lhc lcdsal ,.rullrinE Esddins atEror rdor.l e! nol .ppliconl€ lo this pn
<br />I (dll! lh, I lIr. rai iht I.gdto6nlPl, *hh.llCnyd ( ouiy
<br />ddrmc6 xd St.t. rr*a Eltnn ldhotn.rqr6.diir6olrhir('ny8nCou yro6rq uFntlE
<br />:H:dr#
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation It
<br />Roof Sheathing t0n/ilk l--trl-,v*'ltn,'
<br />Shear Wall t
<br />Framinq
<br />ln s u la tio n/E ne rg y
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />lvlasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />FINAL l/lJrlly h t npdv a.a )
<br />Certificate of Occu anc
<br />Notes, Remarks, Etc.
<br />llaBKDBl(OlttrN,tAIIA!llcuSalla!
<br />I lEcb .mm u&Lr FEry or Fjur) oE ot rh. rolbn !l3 &ch,IlnG
<br />of th. aBins .nd PmfsnrB ( od., dd oy lntu. n i. full rq.. , .ft*l.
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