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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS
<br />Set Backs q,c-<,
<br />Formsi Steel/Holdowns /:,/ -b-o0
<br />Erection Pads )t._L Lc^
<br />D
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathinq ,u )<.,<1thq t@l2 r:4U
<br />Framing ,5 '64
<br />lns u lat ion/E n ergy >/,,r: DE it-tEtV
<br />Qrywall -,/-., q r<.
<br />[ext,Ant.talr, 5li4i4*fn Dt .flJi*u
<br />;tu 2-1Lt*\tsf,own Coat /blc,',-x
<br />eaba+<l=*+asorry- <l)1&fAt 7.'/z,t/s {"0
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif .
<br />Lte,/bFJt - ?d^ ) 4({,i /., 7) tl/irlv S.:'i'frcr<u&!
<br />FINAL tt /!r/r<9>K<
<br />Cerlif icate ol Occupancy
<br />Notes, Remarks, Etc.
<br />OWNIIR BUILD}:R DEI.('AII TIoN
<br />I lErchy dlftr undcr ltulry,,1 p.'Jury lh.r I m c&r{'l fmm iht Conh(nn l-tu.n{' l:B l({ rh. rtrll,rrB r.oco (Sd.7011 5
<br />BusiNss a ,tnrasrx,n ( dlc) Any Ciry Dr Ardy $hah r.nurc\ a F'ni i(, rrntu1, chd, nr{'n^c. d.mlish .r q'at sy
<br />nftrm.,rd b ns rru.rc. rl{, h\un.r!h. li)pla,nr ntr rkhFrmir ro tiL ! ltmi (.rcN rhai lEor1nc n kcnan p Nlar
<br />ro rh. F ri\x,ns ul rh (i,nr&tr\ l.k.n<d hw (ClDprcr 9. Conmkr8 s h S.errr Tlln nl Drvnnn I or rlE Bu\im* ud
<br />Pmf.san(Cdk)o. rh.! lEorrh. s crnf, rhc..fmm rrld th. h.ns for th llL8cder.rg'r()n Any !r!Er$n oa Sdnn 7O:l l 5 bt r.l
<br />rpriald lor.Fnnn iut',.1hrlr .lplf,d b..i!ilFEllyof mr mrcrtnn ri\chudBidollrI!5rI)I
<br />_1. a\ n*E otili FoF.!t- r, ny.rihFr *irh srlcs ar rtFn $h cun{EMitr'. rrlld' rlr *qr.td llr drErE i rn
<br />id.ni.rl or ofi.Ed ld ek ( Sd 7(!1. alnrBs .nd Ptut$.an< Cdc 'rhc ('n .rktr r I arn€ t re &Et ml 'rpl, ro in owftr oa
<br />ih. I[Idy *lI' t('U\ o nthrs rh.En. !d llh &F \-*h qnt hmr.lf.r lEr€llor rhn,uah hN or h.r ostr.mpk')rcr.
<br />prcliLi ihcr suh itr{Ki!ftd\ E mr hr. d rr orurrl fnr slc ll lt)*.ru. rh. h{r{nR nr rnFrEr N s! wrhin nm }rroIonr.1htr rh. ()*ftr BuiLLr *illhrE rtE lnd.T ol pnniry rld lr or \hc drl d hrllo. rnF,k rh. F)Fny n,tltF.I!{of
<br />I. x\osn..olrlk|nol{'rv. trr.r.hN'r.lyrotrrr.ri',gBirhli.rn\cdr,trr'krn\rr.of\nt,rhir,rr1rrSo.7lH.l.llLAi"r.,
<br />xtrd sh!' (o J.r!ntr{rhttr,'I.r\qirhn(,tr r.r1(r1\)liccrr\L\l|[hu Drt)rh.(,n rx.rtr \ , ir.trk l rsJ
<br />-!u
<br />cxrnrfl und.r Sudtr,n-. B &PC htrrhtrcavr
<br />t rr. ().mr
<br />naxf,!:StlroMtENsA.ullB
<br />DECIIAA.IIO!
<br />I hrcby !nrnn !n&. FBrty orF|!ry nm !lllr r.lbrir8 d.{luarirflr
<br />_l n:tr rd ,ill @inrrm r Cdilirt. nr ci,nc.r h S.lf lnrrE fd rorkd' c.nvEndi'n. .r F)virdl in hy S<r nn .l?(I) of rh.
<br />lrtnr C.dc- tm rlx IryntrE .of thcsfif *ith rh. Fmii n iirud
<br />I hr\ c !d *ill mif,r.rn *od.r. (oryr.!.r ir. i.erE.. r. rcquiEd by .EL! ir .t7(l) of rh. I jh, ('sL, fd rlE Ffl)lllErc .i
<br />llE uolt fm *hahltrrEn
<br />'(
<br />nqd ily *8ls\' d'n{E$alim insurnc {f,,n F,la, Nmh.r G:
<br />-lccnityrhri
<br />irrtE Ixnonu'r. Irh.work turuhi.hihisFrn,ir n n\uc,l l\lullrnrc{rL'y tttr*)ninrnyminB!
<br />{, r\ ri hennf, \ubJ.d n) rhc *orkoicrntkr\nri({ hw\ofCrhtuirir. rtr(lr3(c rhrrrll firl,l h.oB \uhE.r r,rhr
<br />\ork.^ .otrr|tN i,tr! t".\ !,ntr l Sf1rrn, rTixr or rh. l rlxn (in[ I nr l l,n,lr$irlr (o nrtny qirhlhor pmvnioN
<br />WARNIN(j lrx lrtrr t, !1un. \o't(r\ \,tr |[r\Ipr (rflrlc r\ utrl.trvxr.I s'l'FLr rtr rn oycr n, [i' nrrlFrtrhir\ ntrd
<br />.ril lim\ uI nr or l$ndRlrlrou\rn d"lli^ r!l(xr.{xx)r. ir ldfi,rr r)nug.\ a\ nnirrdcd lnr rh.
<br />t:'11':"tt
<br />I hcal') lrtum ud.r Ftulry nlF,rury rhd I !m lkinyrl tndcr F.rni). of(lEr{6 9le rrtin8 f,irhSBjnn 7lr[DolDrxi,n.l
<br />ol rhc lt!{F3s lod lh,l.'\r,n. (itL. rl my l-ffi t in tuU nnc ad .lrNr
<br />t-wt
<br />Lrndcr'r Addrc{s
<br />-
<br />APILICAII.DEII,ASAIIAN
<br />I hsrtry anim unrLr Fn! lr, ol lrqury om nf rh. folk'*ing &rlE! hnr
<br />Dcmlirion Pc.mir\ AitElr,r Noriltrrx,n F.rlcEl R+!l,rl'n\ (Tirlc.t0, Pd6)
<br />-Requircd
<br />Ir!rq or MiirirriD
<br />l.dntrh{ rlr ldkr rcEuLtk) Et.rlrry.\tE{o ldc rtr +df,rhk h rhF rn,tf
<br />I .dfy rhJr I h.\r (d .hF imlf,.r,n .rn {.lr !c inl(ndx'n ^.orNr l 3!rR t,.omplyr hall CirttBl Couory
<br />oiliturcl ind Srjrc Iis! ElNrn* n' l'lrlal13.,lurhnr. rl'.{nrrr'!$ or rh^ Ciy rd Cuu.ri_h.nrd uln. rlr
<br />dtrnt nrnrr'R{ tn)Fd, r(tr m,rrl /-/q-tb'\ppli(xnl {r .tlrnl Sisnxk,n
<br />Jltt\ tA,x?Ftr
<br />UFER Ground
<br />Shear Wall
<br />I
<br />-** x
<br />I!}!i.IIBI]CII!JNIEN!IN{iACE!O
<br />I hrNhy fln u'kl.r F-irlry t F4u.y rhlt rhrrc n n mnndcrbn lcndint uAcfry ir llk jsrlorrru(. or rh. sork f,tr whf,h rhis IEmt (
<br />nsucd lS( .l(n?. ('rv C )
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