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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE IDiSIG.COMMENTS OWN}:R BT II,DTR DEt.('ANAIION
<br />I h6.tr rr"n ndd Dc..hr' of rErjurt fid I m .rm nrm 'h.
<br />(-odrdoE LicN l,s for lh. aolhtrrns ltAn i9! ror l 5
<br />Buin6s anj Prot6ir ( flL, Any Cnr d (ouny tr hsh r.qur6 ! psnn ro c.do.r. rh., rmFore &,mlirh or lqxtr ..!
<br />ntudd., Fffr. nr Mn., a6. r.qri6 rh. .oplkdi rorsudFnnb frkrsi*n dnnmr thd lEor shc i licaE d n{mtd
<br />to rli F$ui.N ot rlE ( onr.[1d s Li(a!.d lil tcn4ia 9. ( omntrins *'irfi S.cri.. 7ux) of Dirilion .l of rh. BNm61 ,n.i
<br />ProfB6n! ('od.).r rh,! h. Dr Jr n.ronpr rh.r.non rnrt rh. tr.! 16r rh..lk8.d.rddhn 4., \ml,'ionof Sdnn 70llJ hr.i)
<br />lrplic! aorr!.m $hjeu lh. lpplionr ro a cN il p.n.hy ol no! hoE rhe fi\. fiutr&cd rnrll[! (t5lxl )
<br />I, a ownd.frh. tn)Fny, n n! mtlorc $irh *aa6 dr rh.n s,k conrpos.rion, willdo rh. sort dd lh. fif,1u. G mt
<br />int6d.d orolTs.J tu sl.(Sa 70.14, Busins ed Pn'ferhnr (i\d. Ih.(nntmclois I 'cor |isdoe.ol aFplyrouosn! or
<br />rh. pro!.iy $h.h,il&ornwr6rhdotriishrd(6uh*o h'nN.lforhelforrhhuBhhi.urhdosn.nplol.6.
<br />provildi rhlr su.h nnr.$EntftFl idodal olIdqi nn sb.lt hq'6s. th.]Dildinll orin{r\orl6nlti$irhinon. \-r
<br />otomphhtr rh.lnE Bailb "illlu\. rlE hdr ofF.\ms rh, h( or sh. dil d h],Ll or uirnn. rh. F)Fly for tlE r{rFr oa
<br />L a otrc of rh. Forsrr @ dcl6i!.h co.r81r! { h hc.c.d conrdoE to onErrud rtE F.J..r (sE 7i}l-{, &6i6
<br />dri Proftsin(-od. Ih.codmrol-! Lk.M tr$ d€er .fdth NndofFoFdttrlsnorurorinpror6rfid6.,
<br />d {ho comklr fn su(fi rmj.\1strnn r CodiRl.(3llkaErl r'!Ru, lo tlE Codrxlort l-r* l,$)
<br />I m.160 ondas<ro.
<br />loa&ias-cautEls r]o!
<br />[ECI.AT6IA!
<br />I hd.l,,v lrfim uidcr ,6dty ol rqjory on. ofrnc follotr 03 Lk<ladnrr3
<br />I n \t rn s'll mrun. (-dific!'. of CoM' ro s€ll.rMr. aor s.rlG @nFson. I F.vrJul tu tD S€lFn 1700 orrtE
<br />L,hor Cod.. for I lE FfolM. of rh. r.rl fd trnah rh. Fmir ir 6ru.n
<br />I hA. &d $'llo!'d!m *o c' conFEllFn iN.nc.. s rcqun.n b SdFn l7(x) orih.l,lFr ( od.. for rh. Ffoffi. or
<br />rh. $ort for $hth rhu Fmil ! isEd My w.rL6 cooFdk,n iasur c. cME etd Fl.y nudla r.
<br />,_,": @tyWaa
<br />p.,icyNunhr r \uL *1.A1-b-11 'Ob E,pnc!: , tcllaott
<br />I cditrh.t in th.Ffnrm.nc. ofih. {ort fo, trhi.h rhir Fhir B 'su.d. I sh.ll not dplo! aiy F3.n in.ny nen6
<br />$ a rn tt oft !uu..l ro th. n 0116' comp.nsri.n bq r ot ('!litumi.. .nd asr lld if I rhould haom rutjd lo rrE
<br />r.*d @.rraeini t,o\ i.FB of S.dnr I700 of th. llhor ( o&. I ltrll. f.nn$ iln mmd! * ih rhos lro\ E(8.
<br />|IARNINCT FirloE ro k6. ssl6 onlEehtr ${citr. 6 unls\tu|, ad rhrll stljd m dqikrtd b min l p.ens.al
<br />cn fir6 up ro oR hu*nd rh.dnn (t)llc (ltm,ur), $ &ldnxrn ro ih. cor of 6nFNrn\.. &nu*6 a Fo\iH nv !h.
<br />Sdrnn 10?6 ofih.l:hr(-dL mrd.rd rh'lE r f6
<br />DECIJAAfIA!
<br />I heby amnn usl6 Fn.h, of Fjory thal l dr lic.nel und. F.v6i,J. of(-haprd 91c.h,r6(int qirh s.dhn 7000) ofDirni(,n r
<br />of th. Busin4 rnd PmldnrB ( od.. ei hr lr.a q in rull lorc. tud .ft(r
<br />r,u\c.,*' L'y
<br />,,.,. . rol ralre
<br />q%il0
<br />cm,ndmA V,l.,i#lh^.,
<br />C!'Il]Al.LllOll.EliDACIEE!(I
<br />I n@b} tlIm und6 Fully .r Fjury lhll lhcc s ! .tNtud $n Lndm3 utr! lor r h. Frollle. of
<br />'h.
<br />tr ot\ for trtich rhir ,Enir !
<br />i$u.d rS<. !oer- ( n (- ,
<br />AIIU(ANTDIS,AAdIIO!
<br />I lErbr'rnm und6 Fnlxy of p.rlurt ok ol th. forl,,s rB ddLnr hnr
<br />Dcmli' hn Pdmirl^rh6rot N.rin.d i'n F.ddrl R+uL! hN ( I iil. {0, Prn6 )
<br />RctuiEd ldrdofN{rlEdm
<br />I cdiry fin rh. lntd.l ECUldioG Esadi.N 6lsto3 rd\rl e tur !p?lr.bL ro rh! FrF
<br />}|-lcdrb rhd Ihh. ranl !hs.pplrc,'o. ald r.r. rhd,h. ahr!. infomdion B corcd.I asre ru (on'tlr *nh rllC y&d C.u r
<br />ddruncd Md sut I .s ! ELr iis r. btuildi.B coM.1btr a.d hfthy rurhoriz. EF6ardiv6 . f lhn ( ny ind Counry ro dr6 uir. trr
<br />rli\. ron(nRl r)',!)('o rLr tr'!)rrrktr,
<br />^ppli.cnr
<br />or^rdr slrn.runX
<br />e.-ir* n"..1p.inr1, f(l-u.r'
<br />'tolnln
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathing nf,'4ln: k h*nt 7 A
<br />Shear Wall
<br />Framin
<br />lnsulation/Ene
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Ivlason
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />FINAL TW,'t? '>.7)6t te *K ',
<br />Certificate of Occupanc v
<br />Notes Remarks, Etc
<br />-,
<br />I
<br />,,.,",_{lql!1
<br />I
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