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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNER BI]ILDZR DEL('ANATT)N
<br />I hscb .mm ur&r rFlhy of Fjury rhd ! n.rdpr frch rh. (odrrrc la.* Ii$ for rh. f.Io$i,E Ia).(s<?01It
<br />ItGin6r .id ProfBmn c.d.): Any ( [t or (.unr, rhrh r.qu,6 a Fmn ro .odrud, rira, inF.ra dsrclisn or t!?.n y
<br />nruduq prior ro irs i!.um., d$ r.qund rh. +plicer lor luch Ff,nil to filc ! ri{n d door lhd lE or 3hc h licdEd pG@r
<br />ro r h. FnlirioN .l rlr ( onhkroi3 Lk.red t r {Oupo q, ( on,nmir8 *ilh Seri). 7O0O of Divnion I of th. ltotin* ed
<br />PTfBFN Cod.) G rhr lE o. llE ir ctdp' rwron rd rh. t-i for rh. rlkx.d crdFhn AlyrioLlio!ofs61i,.701llbdy
<br />rr?l(r rorrFmnobr.c€llEqDlic!,rro..tr'lp.dh)otFrmc116fir.hundrn&ar(t5m)
<br />l. d o*'F ofrhc FoFry. or ny dphyc *'nh *rsB B ih.i $lc comF!.lio.. *'ill do rlE *orl ii th. nnrl@ ir F!
<br />inlfrLd o! olT6.d aor sl. ( sc 7044, Buind ed Pr.l6ioE ( od.: 'IlE Conlhdolr l-ic6k Lr* &6 nol mely lo u oM6 o f
<br />rh. tioFny who hril(i or i6t*ov6 rha@[ drl wh. dE och Mn hi@lf or h*laor fimurh hL .r lE .{n mploy6,
<br />Fo\ idd lh.l sh inF!\qEi! c Er i{drd.d n.lIad Iitr r]. lf, L6s. tlE trilfu o. i!'ForltEr L -ld *ihn oa d
<br />olompkir ih. O*E Bollb triI hN tlE hddr ofF.\,B fir lE tr JE did d hild m inp.lEdrFFi,6rllEF IEof
<br />l. nto(n6oa'h. Irr'rHr, m .rclulir.lt .onrrdinr $ih lic6s.n tufu&kE kr ('dnc' rlE l,oj(r IS( 704.1. ttum61
<br />d t\rfeqirn Cod.: I hc (irntocroa3 Lic.nr. l -o$ do6 nor lfply ro u ownd o l I'oFd y \ ho buildi or nnprovB th6oi.
<br />rnd \ho conrEh nn !!ch Fua13 s irh n ( bntmdons) li(arcn rucMr ro th. ( onr&1oi3 Licd< ljsi
<br />I ncrmF u.d( Scnrn
<br />l).r. (rf,n.r
<br />\toRxrRS ( or\IPltxsA ltoN
<br />U[(l, lt tlM!
<br />I hdrt,\ am"n und.' If,nalr\ ofpqju^ on. ff(h. nnL\lin! d^ln'rriuns
<br />I h.r. r'd nill tunnrin. Carrficrl. orco@ ro S.lf-lM. ld *ul6 onpalihn- B EorrLd ror i!_ Sclior 1700 orrE
<br />lrllr ( .d. for tlE p66lffi o, dE $nri fd wllth rlE Fnn ir isr.d
<br />I h.!. ind $ ill fr.inrdrn \$rld' .omFnrd i.i i6urarc. a rdlutr.d by Srr ion l7(n of rh. L.l$r ( ott., for rh. pdf.mm. u I
<br />rh. *o!t for shi.hihlr Fmit ir isd.d M, $ort6 comp.tur'nrn iBur!.c..mi.r sd B)licy nrmb6 r.:6t Evn-(sa Pmpqt t1l5!L4Jcry^,/
<br />n,\,*,_nf!o@Lqll,1 lll rjrpr6 zl/**
<br />I c.nifyrhal in th. p6nrd6ncc otrhc $o* ntr trtthrhiFmil ir nsu.d.l3hallnor dploy rny pd$. innyn nc
<br />s) aro lE on:. subjd kr rh. *or[d' .or.Fnsrion l.*s of( alitumia, Md +c 'ha'
<br />rfI lhould b..om..uhrd lo lh€
<br />{o,ld'.o'IIqsrionF irirN of Sdbn 1700 of rh. bbd ( .d., I !h.ll. aonn$ irh complr q ith rtns pm\ nnB
<br />$ RNINC P!tu. ro qu. *0116'orFldi.n a\dS. c unlr{tuL dd rhill rubFcr m dnrkrF ro oiniml Frl6 Md
<br />.nn n6 up r. oE hualrcd rhousld IhlhB Itlm.oOO,, 'n rdrn6, ro rh. o, oa omFBrih. rlm.B6 a Fo\ik frr ilE
<br />Sd$n :1076of rlE tlE (o{.. mr.6!i,t,nrr'r fc
<br />n/z,fr1 L ('t2- H
<br />LTCENSE) ('ON1'iAC'IOR
<br />DEC|JAAIIO!
<br />I h.r.n) .rm und.r Frty ol Fjuy lll, I m li.aBcl un&r F.r irin oroEpld e (omlmcin8 r nh S.dhn ?ofi) oa D'rirF, l
<br />ol rlE Bdn6.nd Pr.f6ti.B co&. dl ny l..e ir in tull lore,n crl<t
<br />B 6743ot
<br />7o/z 1 I 17,"",..",", Ar.^AaoN (bNsrt>lcrrolt')
<br />qlllIAICIJA!.LllDllCllJlul.a
<br />I hdlty llIm ud.r rEdr! orFjury rnd dE. a. otBMnn bxthS lgtry fot rhc rrgfotu..f rlr $.t fo, trtrh rhir Foi i
<br />irru.d(SN 109?, Civ C )t ndd r\e.. _
<br />dttu(dtl.lE(l.d&lrll)!
<br />I lErl,J aflim und6 tErhy of tnJr' on..irh. rolb$'i+ d(ldsrk)ns:
<br />Dcnrnirn'. lmirs-Ash.shBNo[licatn,i lj.d6al R.8uhtuns(1ir1.,10, l,an6)
<br />Rcqurc] tdr6 oI Nonf{d i.n
<br />I rdi! rhi rh. r.ndrl r.suhriiN Esndm! srEr6 rm\.1 u. e{ @pla.nk !r, rhir Foit
<br />lc61'lirhar lha!crcldr)nrlr'plicaxonmdsrir.rhar rficahr\c rnnnnliln,n Gcotr(1 l !!.a ro .odply wrt trll ( ir!rnd(i,unrl
<br />ordiron.s Md Stote li$s Eldin* ro buildrns cotr(rudion. arrl hs.by .urhoriz. rErffit.riv6 ofthls C ) ud ('ounryro arE ur$n rh.
<br />rt \. rffirFn.drnFl, ln r
<br />appliorr or almi Shn.rorc
<br />P.rn,ranrm.(prin,): 71 LhL.il|lffff , ,. /o/ztf /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 />Framing
<br />lnsulalion/Energy
<br />Drywail
<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 />FINAL l/zrlu,i:ot^ f.?)
<br />Certificate of Occupancy If
<br />Notes Remarks, Etc
<br />Flood Zone Certif .
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