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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNER BUII-DET DI'I-CARATION
<br />t terehy llftrm undd FMIry (,f FtJory rhlr I m crcmnr iom rhc (il!lrr1(r' l,i.na br for rlE (nh*int rrv'o ($c 70.11 5
<br />Burircr! xrl P('f.sir (irL) Ant Ciry or Condy rhrh rnur.\ r Frnr t, t,n{Mr, ahs- r{lniL &n,lirh ur q:n rry
<br />rlMuc. Fi, x, irlr.m.. rlq, rquiFi rlr r{,plrd for suh Frnnr r,, n! . nrmn drrftnr rh, h. or dE n lttn*l l[rqt.r
<br />krttErmvnir\r,tlt(..nnEroi\Lirnrnlj$(CLqq9.(',,nrm,nBrdnS(rbn?0)0ofDirni'..ltrrrlrB!qm(rnd
<br />Pmlcsnn\ CorL) or rhd lr {, rlr t.r.q'r rlEEfn'm !41 r& rE\( fr, rh. llktd.t .r.q'r ion Any vilhrbn of sdnn 71,11J b, rnt
<br />iplltrnlntr.Frmiriubr.{rtrh..m,ltr.rha.ivilp.Elry.rn{nIEihnn[vchudrndollur(J5mr
<br />l.r\,'sncrolrlE|x)Fny.'r rvcnrtl rrsrtrhsr8c\rtth.trr)k.,trnt{n\rrtrli q'lld)rhc*,trkolrhnertr^ t
<br />dcnl(t or.llcal l', qL r\N 7r!,.1. llusim* rnd l\orisi{h Linlc Ih.(nitr.r,,(Iic.n\c|iwd'.\iorrl,lly[|ino*,rr!,
<br />rhc pnrFny $h, h"l,l\or nnr,trc\ th(R!tr.0ft1s'k' d({{{'.h *'tr!hirn..llor h.rdlor rhn'lrhhNor lxr snctrllr],']r.\.
<br />I. N osrr of rh. Imfcn y. un cr.lu\nfly c.ntNrin8 *irh lrcnrd rnnt!.t,6 h Nndru.r rlE ,]mj.\_l lStr 7illJ, 8t{k\\
<br />ari Etf.'sir(iic'lh.(i)nrdua\Lftn\ck*dft\norinnlyr'. o*mr oa n(,If,n! *lrr 6uild r nr nnnnEr rhd.on-
<br />.nd rthr drdBd \ ld (kh prcFk *irh r C.nt'dt l t li(nsd tu^od n, rh. (-ontrtq r l-t.n{ lle r
<br />-l.m.rcmfl
<br />ud.r s<1i,i
<br />naf,[I;l5:g)ulldlntllu!
<br />Uig./UA-I&ri
<br />I hcrcnr riirm trntl.' n( rrl "r Frrur) uk ol rh. follor irE dNllrrrinn
<br />l h.\c drl *ill udrnr(cnilicrlcofG,n{nrn,Srllltr.urcloreorkt^'.unrFn\uri,nr.r\tfl,vnl.dl,nhtStcr( l7(Xlolrh.
<br />lrhtr C{xlc. nn rhc rrlnnnrn.c ol rhc w.rk for trhich lhc p.nnir i\ r$u(l
<br />rhc qor! ntr rhil, rhr tun '\^\katI{r_\orkcrf.on!to\rrt,rtrtrtr'tr.l(rr.,x'rlF)li(ynun$(.rrc.-", ilJ+"-l -)..*.- 1 ]-\-.pnr*y r,n*",
<br />-h,!es)l
<br />a "\n I
<br />-l
<br />Nn,f:- rhlr
<br />'n
<br />rtt FrnrmN. (f rhc$oillq*hEhthtrp.rmn r rslcd.I rlElln c.irlhr_ a.t Frv,. '. ymnftr
<br />$ .r t. k$m \uhF1 t' I h( N i,lsa d,f,{f,n{rin l r tr Crliftrnu. !ftI J8N rh nI \,I)oll hc.om suhF! t' rb
<br />m*r\, $mlEner x,n ptr,tnx)nr or S(r nn 17fi) of rhc ljh{ (nr. I n!ll. l,ih$irh .onl,ll, wnh rh,c Fnrr iri,nr
<br />WAnNINC Frillrc (r q!r. !d.kc.( cor{Eneri'n.ov.og. r\ unltrstul rl \h!ll rut'i\l dn.n{)l,Fr t, tnntrtul FEhs Md
<br />.Nil li..\ ut k' oE h!frlEd rtn,uqnd dollar (SloO.IlX)r. in rdd i,n nr rh. (o3r ol con{rnsriun. dr'tu8c\.! P.!vrlc! f{tr rlE
<br />'"fEB"r5'7U1"dff:,"- Y -b
<br />"*ri?t{ffi
<br />I hcEhy sfitnhdcr l( t o l Frjury r har I trm lienql undq 18* ivoi ol cirli$ I (.onnirncinS wirh Se-'ri'n ltr)o ) ul D'vi\i(t I
<br />of rhc ausR\\uNl l'loa.\rnN C,'dr. ard my lrd* r
<br />'n
<br />fxllnre ul.lT(r
<br />TrE#\ os"r1't/.1
<br />t]IU \-2 f-
<br />COXIIBI.LqIION.LEIIITXIICIBII
<br />I lEicby lmrn rtoj.r FnrlryorFrjury thrr !hc.. is. onslMl!n Lndiir rr.tuy rr rrE FdformNc ofr,r *orl ftr rh.h rhN Fmt t
<br />tsled (s&_ .l(I)?, civ c,
<br />AP?LICANT Dr(J AT{TI(IlI
<br />I hsdryaJImu cr Fuliy ol Fr)ury o* ofltl rolhrin8 d.cllnlinr
<br />o.mliti,n Pcrnrir!ArlE(o( Ndiicari.n Ralcrd R.gxlrrr,n\ tI irL 4r, P!n6J
<br />R.1!rcn l, crorMrifr.rion
<br />^ I rfirr: rhd rh.lnL'rl,.Fd,rrrr{ Nfrrd'ne.rbc{o\ r.m^rlrrc {+nlrrhkft,rhafmFr
<br />l[,l.mily rhar I h!r. ruJ rhn [I' rrrln !ns.r.rhd rlE rhx hiitrBrln n.rd(r l ngr.. ro mr{'ly unh sll C y. l(irunry'onlifEkcs! l Sr.r.Ir*t ELrinx ro h!rldins cnn<Mnn. drl,Ercny lurntrnc Errcc,uJiEr orrhii Cnyad Counry x' cnrs uF,tr rlt
<br />fi,lc nk.'irftd rn)Fny l,tr nr.Fu'i'n pu,F,€\
<br />\Dpln nr,tr.rlonl \ixn lnn D.:rl.\
<br />ir-L.l,t i
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf looriVenVl nsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framinq Ut o/ts 5.\d ** 69
<br />lnsu lalion/Enerqy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />ltrlaso n ry
<br />T-Bar
<br />Handicap Beq.
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif
<br />3/o,'k S-t-.+ r r-*+Kt
<br />Certificate ot Occupancv 1
<br />Notes, Remarks, Etc
<br />Set Backs
<br />Pool Fence
<br />FINAL
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