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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNER BUILDSR DEtfARAIION
<br />I h-cby ilt,m uidd Fn hy of Fjlry tht I o ddB nan !h. Collr*lN Ltoe rrw ror th. folhwirs r@r (5e 70ll.t
<br />BuUld .,n Prordion Co&): Any Cny or Cody qhri Equr6 ! Fni ro 6trnflr1. s, i4rouc &6lirlt or r!'.t xy
<br />nMuc Fu lo il! i'lle.. .ho rc$nB rE +drd 6r uh Fin b f k . tsld ntoi.d rhi lr or iE it lkdtt d Fmlr
<br />ro rh. ForuhB ol tlE Conrr*rc! Lra!.d L.v (Ch.gn 9. Comci.g rnn Sdhr ,oao of D,vnbn .! ol l,E E$UB Ed
<br />PtlfsbB Co{tl ( rh.r lE or df, ir c@F rna.&oo ri rlE t-s tu tlE .lh.d ddrFion A.y tiolni.n of Sdbn 70ll.J by s}
<br />,+'pl(or n, ! Fnn sbts! rn .r?liclrl to ! dvil pqlny of ml mr. lh& nE ht.d.d d.'Ia (1500).
<br />L s o$M of rlE Fopdty. or ny anplcrc wnh wrs6 B rlEr $L onFlrior *i[ d, tE xdt.rt tlE sE@ it 'sllrcd.d r oltd.d for $L (56 ?M4, BEiI6 ed PrefdrB Co&r TtE Coff-ld'r lj<ag L* dod ml ?Ply to r o*E ol
<br />r,E FrFty wts t!'tl or inFovd tlE6tr an "b &i6sh m hiMlf o. hs*lfor lhDulh hn or hd om mPk'F6.
<br />pro!trLd rhlr ruch inFroffi e mt idq'd.d tro&ld t'r $L lf. how, th. hildi,B or utprwoEfl i 5B *nh.i on. t*
<br />dfsmpkri.r rlE (nG &rildd *illhlE t hrdo ot Foviig lhi lE or dE dil tul hrild or!tq!v.lh. FtFry 6rtll Frpo!.ot
<br />l. .s or..d ofrh. Fsp6ry. m .r.lBiv.ly conrra.lins wilh licd.d $irE.roB
<br />'o
<br />snstd.r llE F!j.€l (SE. ?04r. t\!in{
<br />r.d Psision cod. Th. Conlr*lois Li.ds. lis do6 mr rpply lo e osnd o f protqly who b{ild! o. i6p.ov6 rhd@n,
<br />!n'l uh$ <mrE(r n* iu.h F.!r! *ith ! Codtuo(r ltqs.d p!6@r lo lh. Cotu..rorr Lte L!P)
<br />I a8.\.'n undc. sari)n
<br />Drl.: _ O*E:_
<br />lrblt(rq-s'aoir"i,ts -o-oEclaSalla!
<br />I lEq .lIm ond6 Fllr olFjury oft ot$. hlt wlB d6L..rioE
<br />I hrv. tn will Ehr.in. Cdifrn. of CoMr ro S.lf.l6@ 16r wla ompdErioE s FlviLd tor by Sarl,. l7m of E
<br />t bor(dh rdrh.FfMGof tlr*qt forwhthrlr96in. is.d
<br />I hlvc lnd s ill hlinrlm mrt6 cohpoBdion i@.@., d !.q!r.d t, SGIDn 1700 olllr kbot (-od., fot $. F
<br />rh. "ort lor "hrhOBD@t(s Ber.d Mv *o,la'.omDadD.:Nurh. ffi rdpli} rmbd d.
<br />,-," : S[u&]4 tr^<- C"
<br />.,n,",.*' Z{hf4$flO!4,,,* ,lD/lolAOaO
<br />I .6rit lhrr in rh. Ff.lM. oalh. wort for whicn lhlr psn ir i$u.d, I !h!ll no' orloy &y Fsn in ey nldd
<br />$ s ro bdon 3ubcl to th. wort6 o6FEdirn b{. of ( rlilomq Dd .sr lhn il I dtuld baoa. sobid to 'h.$! 6 mmDc.dirn D.lyaioN ofserion l70o ofth. u!, codc I cdl. lnnh*'nh oddy wft db- FlririoB
<br />wARNII\G, riiLrc ro su. s!rt6! onFEdbn ovBls. u uL*tu1 .,tl tull subi< u oDPIoF to oidtul FtI6 dd
<br />kr on. hundci th6u.,i dollB (t100.000). in rld Fn ro rh. coi of .omFdion. d!,8s6 a F$'d.d for lh.
<br />Sd$n 1016 ol rhc hls Codc id6d lrd dloE--i fcY--t
<br />I h.Et'y.mm !.<ld FEly otp6Ju,y lha I e lr.aE d u.&r Fo!ol Ch.Drq 9 t@ffiis *ih !'6rbn 70OJ) of Dn i.mn I
<br />or
<br />'h.
<br />Bst!od Pt ftsioE Codc !d N kae n i.LLJ csb d.1r3 <-P$Lcr
<br />""," 'laJYl ,/\4 (-,-*.Iz-_\)
<br />corsrBucuallElulc.A(rlcr
<br />Ihd.l,.mirn und.. Fnrlitof!.tjury lh.d thsr B ! c..rfld$n la mB +6ct for lh. pdfolruc. orrh. ktrk aor trtEn rhlr Fnd i!
<br />trntrJrt.. rr!,-.( '\ ( )
<br />LExtd r Ad&6
<br /> PPLIC Nr D[(I AT-ATIOX
<br />I h.d,y Jfi ui&r Fuhy ol Fjury om of rlr follo*i4 d.r!,rrirB:
<br />D.mln.. PoT $A$616 Norifadbn F.dd.l Rerh{N (Tnk 40. Par6)
<br />R.quft{ llld of lloi'ftiir
<br />I.cn'flrh rh. f.ridd r.trldioE rcgardi,8 db.itN.mor al &. nor tppl(abl. b rhis Por.d
<br /><!-..
<br />I luv.r.rtirhirapplicliionsdsrat.thol rh.ah'v. inlonhdrnn L.ondt I .*re lo complv wirh .ll C ya.d(i,unry
<br />nrr r.d$s Elnri.r io brildi construcliotr a.d hr.hr.urho,z. rcprs ,ln6 oflhis Cnyt d Counryr() nrd uFln rh.
<br />r\c rrnri,n.d polrny n, iNl\rrion
<br />dqU
<br />- l2'^7/\1
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUl nsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framinq
<br />lnsulalion/Enerqy
<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 />FINAL 6+t-zl Lcrc,ve*t5 ?t7
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc.
<br />-+
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