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BUILDING- INSPECTOR RECORD SITE.WORK DATE ID/SIG.COMMENTS OWNER BUTLDAT DEI'AT'ATION I hd.tr .frrn uidd p.n lty of Fju, rht I B .rcnpl from lh. cdr..loB Lc.nE t w for llE tollowbS l@n (sa7011.5 Bsind od Prctdio. ('od.): Ary Cny or Coudy (hkh Equt6 ! Fnil lo @nlltud, tl(c. imFnv., tliolnh or E?an mv etud@, FFr ro iis is@cc. iEo r.quir6llE 4dkd for truh Fttril lo 6L. r*n.d nd@d $r lE or dE b lkss.'l FrlMl ro iE FrrBrod of dE co rrld! Licnr.d L{ {CIEpi6 9, ( om*ing wnh Sdion 7000 .f Dililhn I of ltE BBi6 od P,lf6DG Co&)c r, lE d iE ir sdpt th6.Aoo sn dE b..s lor llE dLscd donFior ny riol{bn of Sdrbn 701I t bt av lpplkol lor . Fnn $bj.dr lh. .ppli<n o r ciril Foany oa mr mc lhd n* hu.rl.d &,116 (1500) -1, s owc of th. FoFny. or my dplo)6 *irh *tg6 s rh.t sl. comFldion. *ill do lh. w.rt drn {E !Eud@ ii m' hrad.d orol[6d lor..].1Sc.7044, arilB ed PrclGio Cod.:'Ilt Contrcior't Lic@ rr* do6mt.p?lvlo &ollcof llE lhrdiy stb buil& c ins!â‚¬ tlE@n -.1who dG exn m* hi,rlf or hd*lf .. dmo8h hit s hs oE ar9royc For itd lhi $.h irqo\qrEg e d irci.d 6 ofirld Gx rl. lL t Eq. iE hiiEfu 6 i'gsg6 i ild wirhn oE )d ofoipkri(E tlE O*G Duildd *rtl IBE d. h,rrr olF!\iB tL li r 3lE .tit d hritj m inFort dE FlFiy 6( tlE F,rc ol -1. 6 066 olrh. F.rqly, m .x.lEivrly .! rslins wnh lic.6ql cotft!.ioE lo coBlru(l ttE F.jcr (S( ?044, &!i!B id PlDtsin Co.L: Tn. Conrn ro. ! Li.@ L.s d.6 mr .rpl, to & 0116 of prcFry $ho hilt ! ot ihpovd rhson. sd $ho odrrr! to. Mh Fois f,nt . CoirE lo(s) lEo!.d Frud ro rlE ( ontdd t tilg r.*) ;:-id/is/B DECtlSAuA! I ha.b, .rm utuld Frll, of pqrury oc oflh. follo$ii8 dELtdioB -lh.\.anwillEi.h.('slifrcd.ofcolslros.lf-lBur.aorwrlddFutron,6Fov'd.dforbyScrion1700oltlrLabor cod.. lor rh. Faolrucc of lhâ‚¬ *orl for whth rh. pdni ir isu.d I h&. &d willnli.llir sMldl c.f,F nion iMce d r.qut.d b, S.<ion a7(,0 ollh tlbor Co&. aor tlE Ff(!l,j.N of rh. Mn tu, *ntn rhi pqm ! i$.d My Mid' onpaldbn i6l]m cti, !d Fltr" !!mh.. r Poli.y Nunrbd -litf ir.sl -l .6r'r)- rhd i. th. F.aolrffi. otllE *ort tor s'hrh lhir Frmn ir is.d. I null mr dnploy o) F$n in ev .qk $ s b bcorc $bcl ro lh. $116' dnFdio. LE of (.]ifomi+ ,ii tec rhr if Lsuld haoG otin b tlE m 6 conFMlrcn F(v.i.'B of Sdion lrmof rlE Litu Co&,I Ct!!. fdhwnh ompt wnh $of, FbGbB wARnlNC FohE ro su. eorl6 omFBdn. old.gc t unhstul. lrd 3hdl tubj.d s dPlovs lo ooi$l FrXi6 !d .ivil nn6 up lo on. hu.dr.n thousd doll6ltloo.oool. in .ddilion lo llc con nl.omp.Nrion. dsEs6 a pr.rid.d r.r rh. s<rion:1076.1rh. b$r (l'dc. irldcn ed.x..Er'r fG I hmby rmrm und6 paulry o f Fjury lhd I e licaE d ddd pNvi.ion oicfiqlls 9 (cohmtrinB *nh Scdion 7000) 'f r)[ir'6' 1 of thâ‚¬ lrusilB ud Prrfshm Co&. e'd my li.ffi is in lull fot* &j.fidl. grlllaxcrla!.LElllrclcElcl I hdrl,y .ftm un!.. Fn ly o f Fjury the ll14 ! t @ietudnn k'di4 ts4, for rh. FlolM. orlh. ron 6r $nth lhu FEa ir irs!.d (S( 1@7. Civ C) AIIIJCATLDECIJIAIIO! I hady.frm undd Fn t, ol FjuD-' od ol UE folh*r3 dcLribB D.mhEn PmnlArbcros l.lolr,ic!1ion F.d6.l R.suhiioB l1nE 40. Pan6) _Rqtutql ttu6 of Nolifrdhn -l cori0 d $c ln 6.l r.gtlrbB Esrdins .!b.not lgBrd & ml apli.bL to thi FoF -l .drft rhi I hrr. ral lhir rpplarnoo r{ nrc rhd d. .hov. inron lrion ! .ond I !{c lo 6npl, wnh .ll anv ind Gunrt ordimicd;d st.lc t *r Eld"ls lo tDildi.s .odrucrion, sld hdcby ldh.ria r.Fel{ivd oflhi!ci(, ud coutvlo dl6 uFn 0E ^I,-"-Hil.1'.'T%r D.,. plblp, Prnlln Dr.lDrhlll Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor Subf loor/VenUl nsulation I -<"'-'- Roof Sheathing tt/ts/l''l -1 Shear Wall Framing lns u lation/Enerq y Drywall Ext./lnt. Lath Brown Coat Masonry Pool Fence T-Bar Handicap Req. Deputy Final Report Engineer Final Report /^\ FINAL il -21ir vtuta Certificate of Occupancy a \_1/ Notes, Remarks, Etc l.rco* ( lls Lr.e NuEb( Lcndef. Adri*s: .l.WVl Flood Zone Certif.