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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNEX DUII,DET DELCATATIOIT
<br />I tRtt rrrm u,i.r Fnd'y of Frry rt{ I n ceq)' fr6 lh. C.iffrr6 LitM Lrr f6r rlt ,olb*h, la$n ls<.7011.t
<br />Bu'*s! ad Pn'f$siotr Cdcl: Any Cily or Cnry *hf,h Eluimr . Frril ro 6nnEl, rnd, inq.w. &mlilh r.Fu dy
<br />rlrElue rir lo it isum.. &. rEquiEs rrE +plid, ror skh Fmir t ,il r !i8n d !!n.ft thd lE or {r i! lioid ,,r$er
<br />b lh. ImsirN .f tlE Cmutd i Li.N.d Llr (O[plq 9. Con@Ein8 ran S6rion 7@ 6l Divlnn I 6t 0i Bulirtt rn
<br />PEL$Dnr C!d.) d rhrr lEqnE L.r.q,r E noD Id rlE h.r! lor rh. rll8.d cxmlr bn. A,y vbhir.6r Sdir. ?0.J I 5 hy my
<br />lppli.mt lor. p.mlt sbirt th. applkdl (. r.ivil pcMlry ol mt mE rhd lir. hudrcd d.Uc. (t500|
<br />-1.
<br />B owMolr,E FtrFny, n ny crllloJer *nnu3srr En il. @trFtr!.rhn, *illrlo rqrlrn0r*ltiEirmt
<br />inrdldGl .r o,Idcd for sk (Sd.70r-{. Bnsirc$ lnd Pmlc$ior Co&: Tn C.r 6.iol. Lir.E Lr* dB ml .rirly ro rr owE. of
<br />!h.IrsFny *ln hilds q r+.Dk rlrrdtr ]n vtn &,.r uh sll hirela q lEElf r rltDlgh hir r lEr o*n cnpL,rc6.
<br />rovi.d rh{ suh lrgoEjtfu& n irdd dolEsl li, st ltlr&E i triBuud nqt!!fid i' rld wahirm Jd
<br />ofelr?LrirE itr ()wa Blitil, ,ill h.r dt hrtLn of tffns rld L d t& did mr hild r irItuE dr FrtEry fc tlE IUF0: of
<br />-1.IowEof
<br />rhc tfoFny. .n.tclunEly (rtdin8 *nh lisit.o tr6to6dM rIE F'Fr (Sd 70a4. A6Es
<br />aIId ElGsinC lc Tn. O'nk-ror r Lic.nsc Lr* d@r fr +!ly k, !n.*n* ol prolEdy eho bu ild. or imphks th.r$n.
<br />rtrd pho onhB Lr $.h F.j.dr eith a ConrrEiodn lirnkd purMr ro rrE C6dfuroa! Lidtr* t *r
<br />-t
<br />d .Enqr !n&r Sarbn , B. & P.C. fd rhir EMn
<br />Ir.t.: o'x.
<br />!!}8EIEI:!:IDITE!TAI!r!
<br />DICIdBA.IITN
<br />I tEEh, efi d ondcr Frolr, .f Frjury .rc of rtr i',,Ik *in8 d.rlsgli,,.r:
<br />I hrE !d *ilr mdrin r Cdit r. of CoNnr ro S.lt ltrrE l( $'116 o'nrrF,i,n, N Flij.d tq by SFri.n ]7m of rh
<br />l,hor Cod., for ttr pcrforEm. oI lh. wo* for qhth lh. Fmi ir nsucd
<br />_lhrE d eilr Einrin brl6 on{asrrnn irer.- I rqumd b, S6rbn li!(r o, rlE L,rx, C.d.- nn rh FfcrlrN ol
<br />rhc solt n, shf,h rhirpcn. 6 r\ui Mys(rksi d,n crrB rd liniY tun,h.r .:
<br />€k
<br />P.lkyNumhcr_
<br />_, dd y rh.' n rlE FrfddN olrlt mrt fr rttt |ni Fmi n nicd.I.ldl tur ctrphy.nt Fl* in x, nmF
<br />$ !s xr iEom $hj.i1 b rlE sut6 onFner.n h*rorClliromr,t i8r rh{ irl rlmld h.ft8 $rFr' ro rrE
<br />sork.r\' .ornfxnrrn,nrcrisi{'nsolsc i,,n:17([).,rhclrh"('qL. l \t!ll. hrlhsirhor
<br />WAiNINC: F ilur. ro (r wldi.{rv.ndi,. curdSc ir & dlll,htn L, diniEl FElir r l
<br />cril liEr up !o oE hundEd !h.us.,rl Llollrh (ilm.nD,,i)tr drn8.r ar Fvid.d tor rt!
<br />Sccri,r.1l,76 olrfu ljl,n (qlc. intcr( xl atronf,y\
<br />,r,,,,. 7-7'2(9
<br />IECI.ABAIIO!
<br />I h.Ehy .rm ud.r FMIry of Friury 'hd
<br />I u liursd ud.r Ftrvirirn ot CtuFd 9 (6"mEinB eirh Sdi,. ?Im) of Dirirbn l
<br />of ltE ausir.s rid Plbrsi,tu Gn . .rn dy lictr* is D ni[ for rn .fi6r:R ,.f,!triNunE.. 81oJ7O
<br />f'1 1 ZA*^**v< e "r->
<br />c :4zZaZ.v--
<br />c!)dsral1:tr0NrlaulcJilacr
<br />I hercby dmm urtr Fn.lly of Frrury rhol lhm ir r onrMi,n Io i.8 .8.ry rd rh. F.lollm or th. mrk lo. shi.h lhi\ Fojr n
<br />iiqkn lss lo9r. Civ. C.)
<br />AEII(]INIDECIJAAII,!
<br />Ihdrbyrnimu Lr Fmxy.rp€jury or orrhc ftrhsin8 d.rbrnnnr
<br />txdnirim kJn \ A{Bl Ndir-r.ri,n tu r.l R+ulrbnt rTilt 4), P,n6)
<br />._RcquiEd Lrl.r of Ndi,i.ulion
<br />a cd
<br />'ry
<br />rhd rlx Ld.hl r[rlarDn\ Rg,fllB3 r{bk\ rcm'lal 2( ri r{,plirbk h rhi\ pruq!
<br />ir! rhr I h tr irhtr alPlrrxnt irn i\ drri I rrra r. oq y *irh rll Cir, rnd Co6iy
<br />odDLB rn Sld. L.*s EhluB ro
<br />.tr)r ftnrk,Nd lnrFny in rn
<br />Applicui or Aafll SkDt
<br />"""r,,.*
<br />.*r. , rnr,, fr z/ef ,n, -/
<br />-CeLL..-.'*-
<br />J,ZO
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loorivenVl nsulation
<br />Rool Sheathino
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext.i 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 />I ^ r-
<br />FINAL (14"tv n4 l)fl lIlc 1qs7
<br />Certilicate ol Occupancy JI Irl'
<br />Notes Remarks, Etc
<br />-?
<br />Rev. 08-07-2015
<br />Flood Zone Certif .
<br />tan rr AditBr
<br />- -T_------
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