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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNER BUII,DER DEI-CANA'fl ON
<br />I h.Rhy rfinn undcr Fnrhy or pcrJury th.t I dn cr.m/ rn,n !h. Ofi*tn l.iNtrc li* n,rlx folt*ina E{v,n lseTorl5
<br />Aunncs( .d Pn,lcii'n (ir,cr Any (il! or Coutrly trhti r.1ui,6 r Fmnr r. .trnnrud, rlrd, i'i{rdv.. d.frnth .. RIrr ony
<br />rtru(lure.rnrlo s issuuncc- llm rqlircr lhc q'd rrnl ror u.h Fmr[o 6k . iSkrl {dcm lhd h.or tlE ! lic.n<n Prlur
<br />b ih. F)!'\i,n\ orrr. Co.ratr'r l.Rukd ljr roEflcr 9. Conrr in8 rilh Sccri'n Tilx) or l)i!ni,n I or th. Bunm$ und
<br />Pmlcsionl cod.) or rh,r rFor rhc ncrcspt rhcrcrmmund rh. hlrn ntrrtE lcscd ci.mflFn Anyvi'l i'nor**rb.7l)rl Jh)rny
<br />nnllrcanr n{ ! IEmir ruhFlr\ lrr lpplicanr n, ! (ril FDlry ot n frr. rh:n lim huilhddoll{ritl )
<br />-1.
<br />as o{mr.trhcroFnt.i,ny.irk'r6} hsa8.srlrrE r*.onqEn{linr. uill & rlE \* un ll. {turm n tur
<br />il,.nLrt nroilcrd litr sLrSN 7044, Eusik{<! Pnrf.\sutrs Cdll: Thc Conr.ckn r l-i.cnc l i* &E\ fr, emly ro rn d*w of
<br />rh. FrIEny *hr horkt or i.t'nB r[N.. !d *hr dn uh mn himrll or tNlf o' rhmuSh hn ( h.r ow. cr{'bYs.
<br />pn,ril.d ihr! \uh inVn,wmnG m ir crkd or oficRl litr sL ll lx,*rr. rhc horkliry ur rlrl vrmMt$klw hmoN,r{
<br />oflrtrq,knn. ttrO$mr ao'[.r eillhat tlr hhlc, nf rotiaA rhi l* r 5h drl n{ t rld r{ inFnt rh. rNFn} l,{ tlr Frlrr of
<br />l. as oqmr of lhc tmFny. an .r.lu\ivcly conr&1ins silh ltrtrcd ol, rrdon (, (rstud rtE tmj&r ( S.r 7(lr-1. Bu{ms
<br />nl Bnrssm (inc th.C,,nt&loir l-k.n{ trf, d(E\ r, {pnlv t,annf,kr rrtnrFf,y uh. bui|l!or nnF,vcs rh.,con.
<br />'nd *ho ( E.r\for s!.h tt0j..t wilh 0 Conrn.i( (9li.cnkd nur\udnl r'lhcConrudor'\l,ircr\c lf,$r
<br />I an,crcmpr u.Jcr S.\tnrr
<br />Dir. ()*n.r
<br />rj)K[r:Bi].(a)Ir}:l$llar
<br />DD(IAXAITQ!Itrr.h! rrltrmtrnJ.r lrtrr r\ ol trrJur] !rror rh< n,lk,\tr'S (1.!Lr. r'i\
<br />-l
<br />hrvc &rl r r ll numhm ! C.nifr.l. ot (ttr(nr h S.lf I n{e nn *0116' mqrn{d i,n, a( FUr ila{ n{ b! S(ri)n 17ir) ot rlE
<br />lrhtr (:(xh. tu. rh. rxrfonwc ot rlE sork for *hEh rh. Frmn a nru
<br />I hlr c {d uill nuitrtlin workcra Lon{*nsolnn, in{trlncc. ss rcqun d by S.crn r 7fir nf rhc I jhur Colc. li)r rh. Frlormrc. oI
<br />th. wott fd shrh rh6 JEmn i\ i1ul. Myr lsr i,n{E.db. inruroNc.xrir {d F,laInunft.r at
<br />lc.n'aythxr hrhc p.rnnBN.,,lrlE rnlt ntr f,hf,hthA Frht i( trudl.l shlll rn.mpkr! rnv Frw,n inlnynEnftr
<br />y' N n, lt{ rr sunFl r' lhc $olkcrl, cornFnsstion los\ .l ( alilnrnir. rnd nlrcc rh 'lI \h.uld h.r nEruhrLitulhc
<br />so.kda (onrn(nst ih pn,!ti)n\ ol sdnr lrl [, of rtf, lrk, c(ik I dull. ldhsdh drnlllt Erh lhrc I'nn nr)n!
<br />W RN ING I rilur. ro {.urc *orkcn co'qf,ndinr .ov.tuSr i\ unhw tul, d shlll \uhF.l rn.nnloFr tosiminrllrnrhi\ tr d
<br />crrl fi.c\ ut, !o ok huslr rhouvrn J.llm (!llr,.l[x)r. in rdJiin, rn rh. .n{ of..nqtnqrn'n. dlnugcl i\ pnniddl f{n rht
<br />S(! ioo .1016 .i rh. Utr, (rlc. inr.r( un(larorEt \ ric\
<br />""., 2-Lll-11 noo,,-^, rll l(41-@ Gal?+t+
<br />LILEIjSIDIANIIAIIUA
<br />IID!I.A8d.II1IN
<br />I hrchy rfin'n u*ltr Fnrlrt Dr Frlury rhrr I an lNnarl uukr F"rri{ ol( h.fl{ 9 (.r,m'nnrng {nh sdnn TuxJrotD,stri{r 1
<br />ol rh Eu\i'r$ r Pnncsx,n\(inlc. rrl
<br />'nr_
<br />li(..{ i\ in liillkn.cdlcllrcr
<br />,'-^.,,,* 411 ,,(.\.Nun,h.,g5t7 25
<br />z-zs- ft tt/aac"t arq,.fo:fu.
<br />!-UIII-BI(IIOIIIIUILUTIIiII(I
<br />I lxftty .frm u.d.r FMty ol F Jury lh.l rh.E i. . mnrrdhn L'dins ,scr, for th Fnrrnm of rlE $sk tor *hih I hir Frmn k
<br />hlkd rsd :lrj97. civ c)
<br />l:nds \ N!'E
<br />-
<br />APPLICANT DFCI ARATI(JIi
<br />I Hrr-dlu urtJ.r pcn.lrt ol lxrjory oft orrh. folhhnl J.chrlrhtrr
<br />lXm'lirnrn l.rmir\ A\hc{o\ Noriii.trrni Ftd.nl R.tulItr,i\ aldlc'll). Pdn6r
<br />-r{.quncd
<br />lf, rrcrol Notiuri,n
<br />I..dilr rhi rh.lill.rrlrrtulrri,) \ rr8ddIE r\r\\tx r. rnlJ. ]tr{,,|)l'lirrnlc ri rl,'\ t",r.i
<br />l(dif'rhar Ihr\crc! rht,rpli( ,on.nd {rrcrhd tlr.0k,v. irltrtrurnnr is.(,trs.'r Ia[i.rt..umdyw h(llCiryrntl(.unry
<br />ord,mtu.i ant Sr!!.ljr\ Ehnt ro hrillrry c..nMl$n. !d lErcl'y rur tnnr. rFc{nrlrirt\ ofrhtr Ciry rnd Coutrry ro cnl.. u,itrr rh,
<br />.u,,u,-,-,*.,*,**,-"'?1,-tJ 4*-'
<br />l,,rn,i,,.mn,,(rrn,: lr'1tt*tEL Gttdue
<br />7- zt- rd
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/Vent/lnsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framing
<br />lnsu latio n/E nergy
<br />Drywall
<br />Ext.i 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-zs -te J"/.to >on
<br />Certif icate of Occupancy
<br />Notes, Remarks, Etc.
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