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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS O\T NER EUILI}Ei DDII-ARAIloN
<br />I hs.l}.rm udd F6lrt of rErlur) rhdr I m dmpl fior llE CodricroB' l.i.6s li$ t rn. rolk!trinB ren (nq.,'.70t15
<br />8n!ih6s nnd P.oa6ion (-od.) A.y Cily or (i'unll which rcqon6 a FflDil lo conslru(. ahd. idatr.!., ddnolish or rqEn anr
<br />.rrudu., Fv t' n! &u.. ttr, Eqn6 rh. qrlko! tu $cn Fnn ro [L a risn<d rd.ffir rh, lE ot shc i5 lEdr<lj nllMd
<br />rd rh. F)vilios ofrh. (intdori Licdrd l-iq (Chaos 9. (-odm...r.! rnh Sdrfun ?(]OO ot t)ivtNn .r of'n. Bosin65 a,
<br />Px,fsh.r corL) orrld h( or st tdmF lhgciiom lnj rh. b66lirr rh. !lk8.d.lorlKn An)rFhrioioasdri)n?oil5h!in\
<br />nt,r,lta nr a rEmn suhars ih. lpplica.r ro . tu n FEL) of .or mic rhm fir. hund.d doll$ (l50or
<br />I. s r$c.f rh. FoFn). or m\ opLr6 tr
<br />'lh
<br />tr !!6 f,r rhs rrk onFMrrn. lldrlh.tr.*Iril i.rtulo.st{
<br />inrddol oi ordcd for sk (Sd 7rx,l, Buri.c Md Pr.fdnod (-.dc fiG ( irnlr.do.. L(oa ti* ddd nor q,pll n) an o* nd or
<br />rlt I,npdy *hn trilrt or inFo\6llEon. Md $lF do6s(h qo hiDs.lf.r hd.lr or rh(,u8h his or h( onr drn,!*,
<br />r.\ilclrhdsuch mF.\(t1d:Emr d!&rl o. ofidd nn ek lf. h.\66. rlE tliLlin{ d in{n\.ffi E $ld r ih'n.k \6
<br />ol.onpt! $n. tlE ( )l F trurl& \ rll hav. fi. b'rd6 .f I'or mg thd h. or $. dil mr burld omlp.o\. lll. p(,IEiy for tlt porrx,k nl
<br />l- &r .tr n6 ol rhc Fopdry, m .r.tusn.l! .onfucrins snh licms.n conlrlcror r, o6nN rh. lrolRl I s( ?Gl,l. llNndr
<br />.,rl Pnf:{ih (-od. Th. ( onrnclois l. i.cnsc l.\ do6 n.r qfly to d or nd ol rnoF.nr- u ho bu ild! or ihrm\ 6 rhdsf,.
<br />rid *h, conrr*t nn rFh FoFrs $ ih r c.dralon n lrcBn n{6Mr to lh. ( .tu41.r! L(.ft L!$ )
<br />I u.ron undd sdrir
<br />D.re ()nn.r
<br />\roRl(fns' ( onrPDrs^ l loN
<br />lllcljxllllo!
<br />t hschy !flid undcrp6slr) oilEtr"r_otrrof rhc nnh\rior d(l .rionv
<br />I har. rtl urll nrrl!'n , Cd,6..t. of colHr ro s.ll.16!r. f.r u or!fl $ry.Mbn. a ,'o\ kLd tu b, Scrnrn l\r(i) o r lh.
<br />I ltrr CGh for lhc FfonrMcc ol lhc srd for *hEh $. Fnil n isu.d
<br />I h$c.ndwill na'.r.,. *.rkd'.on!n Gdiion rnsuianlc. s rdtrt.d r)qS<iion r7mollh.lrl\,rCod., f.r rh. p(fMhrn.. of
<br />r h. \.rL r(n \ hi(h rht Fnit G ir$al. M! $ ort$ .omn isalhn inrursc. cmi6 md pol(' nunrbr dc
<br />I cdr! rh, in rh. F forukc olllE so* lor trhicfi rhii Frnir $ Gu.n.l sn ll mr mnh! an! Frn 'n
<br />a.J mdF
<br />$ GrolEotrrFral lo rh.trolto.dmFdK\n h$s of (-a[LmE tnd.Srrhd,rl d'trld b.oe suhd t' th(
<br />tr orkm co'nr'6sr'on rovis'onr .l s*tr n r Tm or rh€ lrlN (n'i., I shlll, lonhqih Nnplt *nh rho* Folisions
<br />\+AXltlNC F.rluE ro wu. \o 6 $mFsdion c.\6.C. ii uldtul. si 3hdl stldt e nrlots ro @'Ml FEh6 aftl
<br />.nrl find up t' on. hrn&.n rhoo*nd d.llN ltlrro.0ot)n{ umn(EorFn. drrox6 .r ntr\id.J L{ rh.a;4s(ri.n 11176.frh. r,I '
<br />(iyl. i,66r ,lar
<br />Lo/
<br />I ( r\sr.p( (,!j! r_llll
<br />[r(lA8AIlt!!
<br />I h6.!y imrfl undn pdrrr, oapdjurr rh.r I m licas.d u..Lr Fnr'ton orCliapra 9 (commdcins with Selnn 7firl olrrrtrtun r
<br />or rhc llsi6 lnd PmfsioB ( odc, Brn m) lk.e n in flll toR !4clI€l
<br />,,,"-,".^: [3 V
<br />,". lDf 7-2017
<br />?ald4a-*=
<br />coNsTRU( flON I FrtDlN(; ACFNCT
<br />I hftb) rm.m !(t< Fdly ol p.q!ry rhd rhd. i3 , odtud irn lfrjins !*tr) ntr rk Ffotu. of rh. $ o' t tu stich rtB rmi a
<br />'.ru.d(s( 1097, cn (')
<br />APPLIC ITT DECLAI'ATION
<br />I lEd]! allm undd F.[yoapcjury on. of rh. nnk win8 dcltraliofls:
<br />Damhrn Pmri.Ash6t6 Nonfic.rion r.ddd R.suhii).r (Irl. r0, Pd6)
<br />Rqut.d lnrsotflrllfi.llir
<br />I .difyihd rh. f.d6il rc-lulal'om r.!edin! ah.srx 'o.ralr...r .rfli..hl. r.lhir ntojcl
<br />lcd'f\ thii llln. ra(l ih6 rrri.n &i n.r? rhd rh..for. rnfomrlr Bcor.d I.{,tro..npl!srh.ll(-r}lnd(nunrJ
<br />nitlrirtrL.\.'ilSi.i.l tr\\ .,( nv.nd (-ounryh ar6 trNn rhc
<br />ihn c Mrion.n ,i,Fn) fur
<br />nDDli(inl or A(tr1 SitnNltr srt 7-2<t2
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />U FER Ground
<br />SLAB Floor
<br />Subfloor/VenUlnsulation ,A
<br />Roof Sheathinq Tt+-ta X.Ed(J Ylr>/'\ LgFl-
<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 1\rs\t'i /t/Ln())
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc
<br />JalrC IXl,r)€rZ /)-,"0 "l&
<br />--f
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