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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNER BUILDER DEI'ARATION
<br />I h@by rmm und6 F6ny oa Fjlry rld I n ddPl nln dE Co,rnd6' Lte t w 6. rlE lollowing lKn (Sd 7011.5
<br />Blrir6r &d Pma.*!k'n Co&) Any Cily ot Couny which Eqsn6 r Fna lo @dn 1. .16, itr'Fo\q tb&lil or Ep.r uy
<br />rtucre Fic ro irs isuei. .ko ..+iE fi. +?lsd for r!.i Fnn ro fiL r ris!.d fitu1 lnd lE or dE it licaEd plNli
<br />lo rlE FlribB of dE Cort*d! Litr-d L,* {CLp(6 9, ConljlEing *nh Saiion 7000 of DivGbn I ol rlE Bri,B Ed
<br />PrliBbd Co&) d lh, lE q ,r it dd,pl lhadrlE md lh. b.rit for th. dlci.d danFioD Any viohlrcn of Sdion 701 I .5 by e) .
<br />rpplicsl for . Fnh $bjct! rlE .ppli@r io . civil p.ohy of @r ftE ihE livc hun&cd dolld (t500)
<br />I. s o"re of th. proFry. or ny dpto)G wnh *.s6 s tlEn &k smpash( *iU & llE snt td rE tdrdc i! Dt
<br />itroxLd or otrqd lor rl. {Sc 7044. EuiB ad PrDfsird C!d. TIE coirrdd t l.aoe t $ dod.ot Pplt to u owF ot
<br />th. FiFV wh. b!i!ior itrgtrEttdotr rrd slB dcEt w hirull!, hd*lf or fimueh hi!.r hE oM oplq6.
<br />proviLd lh.l sh imFovuird. E Dl ilad.d ordH fDr sL. l[ h.*aq. ilr lrildi,ts.r il4r.ffi i! sld *ilhii oE tq
<br />ofomdabtr rlE osE auiEs wil lErc th. hrbr of Fevils fir lE d Ji d! @t tx d d inrFnE dE FtFty 6r dE F4r of
<br />-1,
<br />s ouE of rh. FDFry, m 6cl6iv.ly.. ffrre $nh [cd.d contrIlm lo.ollntu l llt pmj..r (Sd ,044. Bsin6
<br />.,n Eobd(DCod.: Tn cont.crorr Ltdc Lrw do6 (x.pplyro e o*n6 or pmtEny sho builds or irproG th-on.
<br />@d *ho coiradi aor e.h FlFrt! wilh ! Co E:1on3)licdE d lruEudn to llE codr.dd'r L.oe I.s)
<br />_l m.rmfl trtoLr s(ron - lr & r C r.r rhn r.&).
<br />D.t. O*nd:
<br />woi(ERs- a'o eErsATroia
<br />DECIJXAIIII!
<br />I lE.$y .ltm un&r FEly oa Frury oE ottlr hllolils d..Lr.tioa
<br />-l
<br />h,v. nrl *ill mi.rain . CdifEd. orcongt ro S.lf-lBw for wld' 6mpd..lror B FlviH to. by SGlb.l7m of rh.
<br />ttlor Cod., aor lh. p6fol1r:@ ofrh. F* fd *tah llE parn ir i*rc(l
<br />-l h.!r.d will tuid.in h*6 .lmFMion ilrumc. s r.qutcd try S4lion 1700 olllE t bo. ( o&, for lh. pafotu. ot
<br />rh. wl fd vhth lhii pGnn ir isad My v kdt comp.Mion iNurm. cEiq d'd Flty tunb.r E:
<br /><?Vz€ ?d^'d
<br />-z
<br />-r
<br />cdiryrhrt in th. Ffolruc€ of th. wo.k aor whict thir p<iil u su.d.l Jrll d ado, dy Fen in el nm
<br />$ c ro b..oi. subrdr lo rh. *drd ompadion l,B of Cdiaomia !d xd lhi il I 3lbuld hdom 3!tid to llE
<br />$orld omp.srio. FDvi.b6 of Sdin l?m oldE t bor Co& I d{ll lonh !h onglt *nb lfi.s pNviiod
<br />WAiNINCT FnhE ro se Eorld' @iFrai,n ar6!t. n u.h*tul 6d Jrll $bj.cl e dDloF lo dnnhd FEri: ai
<br />.i!il fE up ro .E hu.d.d rnousd dolltr (1100.000), in &ldir6n to fi. c.3 or conpdslio.. d&nas6 6 Forij,.d aor lh.
<br />sdion:1076 ofrh. kbor cod€, i 6duddbn y!fG
<br />/2- ? -tk
<br />I hs.by smrm unds psEhy o t Fjury rh{ I m licot lt u Fovilio. .f (lq,la 9 (coffirB $nh Sclio. 7m0) ol Oirnio, l
<br />nl rh. BJrmG Md PrlidroN Codc. !d n) lrd B d tull lorc d.iYdb-(- L-to
<br />K"
<br />* 72ZL<4 L4.bS4
<br />t Z-3-tg c q
<br />I h@by rlfffi @& p@ty of Fjury lh, ltE! a .olirudih hdlg .scy for rt FftrlM. oltlE *6r br vhth rnn FEn i
<br />is.d (Sc 1097. Civ. C ).
<br />ASfIIQIdLIECIJEAIXI!
<br />, hd!b, lrm u.ds F.lly ofp<Jury oG ol dE folhwi,! dELrdhB:
<br />Dcmlirion PmnlAsbcrd Norifi.albn [-cdd.l R.gub6tu {r nt 40. Pd6)
<br />-R.qun.d
<br />kl6 of I'lotiff,{b.
<br />-l
<br />.dify r&r rh. Ld6al r.sularioN rcsddins ab.sr @ov.l e. nd qPlic.bk
<br />'o
<br />rh6 FoF
<br />-l
<br />cdit rhn I he'. 6d thn .pplidiotr !n t|r. lhi rh. .b\. i.lornrion s .on.d I 'lr to .ohply *nh .ll Ciry Md Gunry
<br />o.diEnG r.d srnc LrB tdriB ro hrilding 6trrE lioc rd hs.by.ullbri4 r.p.6ordiv6 oflhis Cny dd Counry to oia uPon t
<br />!bo\. lm'io..d Fopary for ircpeiro. lurr{s
<br />fnrrr** *n"-,.*-,"
<br />\*n**..,rn*,,
<br />,",, /z-7 -/&
<br />€4.1>-
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathing
<br />Shear Wall I
<br />Framinq lhtltt,.-l>a
<br />lnsulation/Enerqy
<br />Drywall /z//t,'t d ,rM-,
<br />Ext./lnt. Lath \\rp\6 )4a lO pat tt S\,.,.u
<br />Brown Coat
<br />Masonry
<br />T-Bar
<br />Handicap Req r\ro\rl ,(
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />FINAL l//fr /tult l^/,a{4,)
<br />Certificate of Occu n
<br />Notes, Remarks, Etc.
<br />\'-
<br />fnl il)
<br />Pool Fence
<br />( Lil:7-ga9
<br />l,)
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