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BUILDING. INSPECTOR RECORD <br />SITE.WORK DATE tD/srG.COMMENTS owNEa BUll,Dtl DEI-rrAnaTloN <br />I bactt .lEn urd6 pcrhy of Fjur! thr I n dmF fmr llE Co.ioctd' LE.ffi L,$ lot rhc folhwilE lErn (S€.?oll.J <br />liuin6! sd Prcfdio. Cod.): Any Ciry or Couty rhich r.qun6 a p6nir ro Ndtud. rta, inpr.ve daDdih or Ep.r u, <br />ndclue p.ior ro irt iMc.- rbo i.qut6 rlE rpptkor lor 3Bh Fmil l. fik r rian.d srdffil lhli lt or sh. i li. .d pul:Mr <br />ro !h. Ftrviri.B oa tlE Cont .dd! L'en.d Lrw (Ch.nq 9. Comftins *nh S<lirn 7mo of qviion I ol llE 8NtrB ed <br />PorBsN Cod.) tr rh.l n 63lt b ddF thdrlioErt rlEh6i tu Ocrllr.d ddFion Ary riohtionofs..lirn l0l! 5boy <br />raplrdl to, i Fii obirr tlE @li.In b !.iril portt olmr mE fim fir. tun<ncd &rllr, (lt00l <br />L s omd of lt pNFry. or ny dplorG wnh $!s6 a lh.ir $1. smpadion. wi[ do E vr ! tlE *d1@ ir nn <br />intodcj o,otrq.d for sL (s< 7044, Bwi@ ud PtulBiom cod.: Tn. (onrrcl r Licre t,* dr6 @l apply b u oMs of <br />rh.FFry tr ho trill or ingoE lhqEl! -d rrb dE qh Nrt hi]elr ur lE*lao. threuah h! or hF om dpLyc <br />Frvi.Ld rhd e.h inFnEEG Rml ndxld orotu tu r]..lr, h.q!€, th. hIldi,4 tr inpruffi aiuviin'n6'6 <br />of $rphiro. lli (nF &tildd $i[ hrit rlE hda ofFnliq thi lI or dE dn r,l txild c itrFo\t lh. F.Fl, 6r <br />'lE F,Fo.. ot <br />-1, <br />B o|@ oflh. F IEtr. m aclGiBly .onlding wnh li..ns.d co'lIr!.1od ro $dtucl rh. Fnjd (Sd 704.1, Buin6 <br />and P!trfcsbn Cod.: thc t dnkrcroa.l,icd. Llw do6 nor rpglyro o o$nd ofprcp.ny*ho buildt or inprev6lnd{n. <br />.nd *ho @lrre$ f.r ru.h FDFr wnh r aoMo(r) li..!6j prErrr ro rh.( onhcld'r L..M bw). <br />I m.r.d u& Sdbn . B lt t C fo' lh6 ,6on <br />D.t. Orldl <br />$oru(rq5, (.onlPtNsa t ()N <br />DlgaSaIIa! <br />I n6.br.mirn undd FMlty ol Fjur) orc orrh. rollo\inr &(Lnri,B <br />-l <br />hAG 'd*ill tuor.ar. C.nif.r. of Coen ro Sdr.lBc ld wl6 dp.n rion B Fo\iLd h. tts6rb.lTm ot E <br />l.hn Cod., tu llE Ffotrlre of llE *qi hr rtth llt Fdn a isEd <br />I hilc and s'll nrainriin rorkdt conDorarion iNurdncc, d r.qoir.d hr s(lnrtr l7(x) ol lhc I ihtr 1.od., aor lh. F n,mMc. of <br />p6ni i! isu.d M, wo sr .omtFMion iNumc.(nni6 d"d p.licy numhd el(,L <br />L <br />-r <br />c.nify rhar in rh. psfollM.. olth. port for *ni.h thi! rEnri is nsu.d. l.h.llnol dplor.ny p6on in uy mdk <br />$ sto b€om. $t'jd ro rhc wrtd'con d6r@. hw! ot C.lrlo@ M{ +R tfit if I should b.(oN.ut di ro rrE <br />*s*6 @rFE r ir I'oruioB olsarb. l?m oftn lllu(ct. l slEll. fonh*nn onpv *nh rtbG ForibB <br />wARNlN(;r FntuE h sc rorl6 orpaEibn o16ld. i! ulr*rul !i rLll ubid & dtphF lo qhlul Fnl6 an <br />.Nn fitr6 !p ro oE hur&.d lhoulad &ilhE (Il (xr,!). i. rdd'rotr <br />'o <br />th. ..r o[d&!sd B ForiLd lorrlE <br />saln)n 1076.frh. r,hrr a.d. <br />I hd.ny .itm und.r Frh, o f Fjury rhd I m li.s!.d unla Flvisbn otclu,rq 9 tonj]rBr,B * th Sdio. 70()0) of l)ir aFn l <br />of rlE &6iB.n<l aNtdio6 Co&. .n 6y li.de i in turl foE,n )blvlsa <br />cQlslal(llllNtllDldc-actitll <br />I hdby arm undd Frlry oa pdjury rh!' th* k a conslrudio. tadirs !3try for rh.Faomn.. olrnc "ork lor trhf,h rhi. FDn i3 <br />is$cd (S( 1097.Civ ( ). <br />AttlrqNr.l&clJaarlll! <br />I hftbt allm unti6 Fn.ll, oa Frjury onc ot lh. tollo* inB &{le.l idB: <br />rr.mhion PmnlArh..ror Norificdior lcdall ReuLthro lIirl.40, Pan6) <br />Rrq0ild tda olNdifdioD <br />_l cdi'ay rhd rh. rabd ..gularioB ESJding BbGrG rdnov.l s. nol .ppl'c!bl. lo rhi. ptui.! <br />l.dily fid I h$. rdd thir rpplicltion !d nn. rhd rhc oh,( intomtrkr i!.odd I .Bc ro om pl! * irh 6llcirt.nd (iunrt <br />ir! dd Counl) ro d'6 uF. rrEoi.!m d .nn sr.i.lr"s,.ld rd h6.trr rurlbr;. (FMdn6 of !ni! ( <br />rlir.6iio(d Fpdy ld <br />,\pplicitrl or ,1Enrt slsnrr LZg Lq <br />Set Backs <br />Esr:n slSle-elll-l o I d own s Z-Vr?Ilcza F-u2-.... E-,rl ,r5*.- <br />Erection Pads ,/A,*-,.2- <br />UFER Ground <br />SLAB Floor <br />Subfloor/VenVlnsulation <br />Roof Sheathing <br />Shear Wall <br />Framing <br />lnsulation/Energy <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 l-z t7 &rttttt 727 <br />Certificate of Occupancy <br />Notes, Remarks, Etc <br />I <br />L..dn'r Ad&6: _ <br />f-------T------ <br />tl