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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNET BTIII-Dl]T DDI,(' RAl'I('N
<br />I hcrett orrrrn ud., tEMIy,,f Frjury rhlr I m cr.n{'r nnn rhe On rdo l f,.n{ I^ ntr rlt l,,ll)sir8 trqr {!. mll 5
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<br />n,!.ruc, nri,trr. ir\ lsurtr.c. (lq, qurc\ rh. rt iQ tu, ru.h tEflniltr' filcr\i8rf,d (d.nr rhur tEor \tu a\ li(n{d ltr{rnr
<br />ft) rhc lf,^ak,n\ nl rlx Conrra(ttr s Lkrtr{d Lrs r( hafl.r e. cinntrr nrF rnhSc.ri{TllLof l)trrr..lo,rlE ltu{E{ 0
<br />Ihn61K,n\ (ixlc)ur rhir h or \h( Nctr ln h.rcaroo ind rh. t{!\ nn rh rlt8dl.t.tr$ir Anyvxrlrl$noaSftrnn70.1l5h!a.t
<br />amli(!nrlnr rJlcm {rbrcdr rh. atpliunr l{, !ci!ilpcnallyr,l n.r mn.lhrn filc hunddddollun (55(x)l
<br />1.,. o$!rr or rrr lfi)tmy. o, ny.qrrrrss *nh rxser ljhr sk drlEndi'n. trilldr
<br />'lE
<br />tr(t dn dE d.urE s n
<br />n'dr,.t oror.rd ntrqtlS( I!-r. Busm.\an'i t,rolisinn ( de:-rlE Ornta.tn r I-t..{ tr}d{*ft aPtlyt'dorF,or
<br />thc pn)trd! stk)t ilnor i'rlnrEsthfrnr, ml rh)d,aru.hBllthnn\.lorh.rqll nrrhmutthh tr tur o*n .mnlo!cc..
<br />,'rot dcd ihir lmfi in{m\{ftds r Bn inr.nLd ororlird fitr eL Il h,k\E. rlr. t ltr4,tr ntmEftn n su rihmoF lta
<br />,l otrnLti'n. rlr ()tr F. Buitld ! l h.r! rlE tuicn ol |n'rrl* rrE hc.r rlE Llii rn txiBor rrmn rF ti,ridt ft,rh IrrF,{ or
<br />_1.a{orNrofrlrI',{.ny.sr.(b\n.lyro.rld'ntNhl'.cn{d.onr.nnn,..nntu1rh.f'U,.\r(S(7(!-r.8unm\
<br />int Pnri\\rr Cod. 'Ihr Con, r!.rr'( l.r.nrc ti* il(r\ nor l0plt r, !n {sn$ o I ,r,up.ny sr, huildr or rmF,v.r rhcrcon.
<br />r qho.onrru.r\1,,\uchpri*d\*irhaG'ntrr{nr\rlicctrscdlu^uxtrriirhrli,nta.r,\l.i..n\.1.!tr)
<br />It
<br />II {-1,/ rL{ rhn'..^!,7,Y (/,.-'- {"L.-'
<br />iorahtR\ (0\tl't\\r I ftr\
<br />')/tt t
<br />Dfrlll.Bruax
<br />I h.rrhl rlrtrnutrJ.r rrfrlrtol trrjoryorol rh. k,ll,,{nrg,l..hr11trtrtr
<br />_l h,rt !d $ill tuinrain a C.d iar'rc of CnMnr h Sclf ln\u,r ntr wu\c' dnqr.$rirn. !i ForiLr, l ht S&1rr l7ll n, rh.
<br />untr Cii,c, lnr r h. Frromrr of rh. {,,k rq thih rhc Frrn! B n\ucn
<br />_l htr$, l f, ill nv'nrri. *ortrai conFnuri,n in\u6tur. {\ rcqxircd h,! SNt r,n 17(D of rlr tltxn (ir]., lor rhc p.rfonNE-'c nf
<br />rlt {.rI ntr *hth rhu Fmi 't s\rd [!y f,m*rr' r,qxndi'n inrorrN.cdf,r dn Fr.] numts {c
<br />l.cdrfrthlr mth. trrloinuBtolrh. soA in shi(hthn Irrmtl n FU.d.l \hallm, cqrk,tantFrvr in.ntnunmr
<br />q' ,s ro l\\nm shFl ro rlE rvl(i.oqxnsri'n l,*sofCrnli)mB, 'nd agft rhd rrl firuu tE{oft ruhFr r. tlI
<br />$orlc6.ompcB|ri(,nnori\i,,n.fSerion]Tmolrh(llhtr(ixlc.lJbll,fdhstrh(i,nllllyBirhrh,cpn)rri'n\
<br />W RNIN(; F0iluR n, su.t "rrk r( ftmrcn$ri,rn ..vcr!er ir unlitqlul. 0fr1 \hull \u$r..r an cnrll,'Jq ro $i rin'l lrtrrhrs ind
<br />o,l fik\ ull tu or hrnlr.d thrueni {dllrr( rJlllr.{lDr. in !(mn trerFn. d!,ugc\ i\ t'nnild ntr th.
<br />;::.'i1T
<br />'l rh{ C'r|.. tr .r.{ r'r, rrktr'r\
<br />t/lt a,p,idn,
<br />IIIII.AIAIION
<br />Iturc6ynlllrfl u cr|{ulryolp<rjurrrhrrIs'nlrnaiuftlcrpr(lirn,no,(hrtr.r9(m$rn.rnFwirhSNrinnTlxxDofl)iri\i{n,l
<br />'n rh 6u\i,r(.nl lhfc$ii'n\ Co!.. arrl n'r ltcne n in iull lhre ul r,lNr
<br />caN.If,uJlr.LuEtiulliltitilitr
<br />I h.rcby urttm urln FnullyorIxrruryrh"r rhse t ! Nn(ddnn bdinS 'srfty r(" rhc Frfomuc ofrh( mrk ntr *hin rhtr lllnn i\
<br />rnrcd rse( 1097. (\v (- )
<br />l.nllr'\ Nrnk
<br />APPLICANT DFCLAI ATON
<br />I lra*ry ultim r nd.r ]f,nsXy of !.rJury oft olrtr nnl'wrne d..brrlbns
<br />I)tmniii.nr P.rmik.Aihdor N,{iri.irirn lcdfal R.gubri,n\ rf irk iro. Prn6r
<br />Rcq!r.rl tr(.r ol tdrif(d$.
<br />_l ..n ify rld rlR f.dcrd k$l,r i,n\ E8ddi.8 .rh.nor En,r.l d ft{ qiFli..hk r' lhir In,F1
<br />l.cn'ryrhlr I h.v. Edrhit ut'tltariondnd ndc rhd rhcah,v. inlormrt,n n c.mcr I asre k, $mply *nh i[ Crly lnd Counly
<br />.nliNm.\ .trni srrro I [\ r.Lr,trJ: h t ,1 tr,!.otr{
<br />Jhr. rn,!r\"1ntr1\,r\ L'tr'F.ri,nnUr
<br />,,url(.nt r !€nt slruru* \t
<br />.rmi,n Mfr,prin,,: Colr \o1
<br />,')
<br />>'^{
<br />)2d?n..cp'.( JrA.,r rhr.tr) JBl clu \ !.c d uF ,rr\/-.-(-/ ,,," lfraitt
<br />Set Backs
<br />Fo rm s/Stee l/Holdown s
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />SublloorVenVl nsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/Eneroy
<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 bDa/te _-IEA mln)\
<br />u\t \_r-/Certif icate of Occupancy
<br />Notes, Bemarks, Etc
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