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BUILDING. INSPECTOR RECORD
<br />COMi'il SSITE.WORK DATE ID/SIG.OWNER BUIT-DEN DTI,CARATIoN
<br />I hcrchy ltltm unJcr pciolry ol lrrrrry rhdr ! rn .r.nl['r lhm rh. (iintrrlon l,ilcn\c ljw ntr lhc tulk,win3 r.r{'n (Sd r0.\l lt
<br />ao'n.$ ! i Proltsir Gdc) Any Cily or Coudy rhth rcqurcr ! Fy.,[ n' co {ru.t. !lr.r, itlllnrvc. dcn&lilh or EIau lny
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<br />b !h( F\nx,.\ or rll (in r&k i l.{rnrd t^ (Ch!fln 9. (imnxNin! f,irh Sdi,n TUlr ol lrrnr. I ol rh Bulim* ..rl
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<br />appliu'n itr a ll.ln,ir \rhr.rr\ rhc sttlirsnr nr a civ rl ,rntrlt y ol .d nxft lhatr 6vc huBl!.d dollffi ( $(r))
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<br />inre .i ornll.En nr strsr 7ol.l. Bu\im\\ and AnL$iri Grt nr'(ndrer.i1 l.arnE l!* &r\ R, +!ly()anortrol
<br />rh. pnllr y $tr hhl \ or 'ntm\B th.6'n. {kl *h' llB suh x' h'n]rll o, hrr{lf or rhtuulh hn or hd o*tr cnr!')!cs.
<br />provid.n rhir sNh olpownrnhmdn ini.'dcd or oncnrl frn a..ll. ho\cwr. Ih. rirkh.A or iq)runEor is v'tl *irhn,om Fr
<br />olcnqruiu rlE O*.Er lluiUs *ill havc lhc hrd.n nl pn'vi.g rh, lr r \nI did r{ h{ill or iqxoE rlr Pnlll y hn rlt turFm ol
<br />1. .\ utr Br ol rh. ll('tr r.rm.r.lurBl)conkel trihlk. {.l.ohr nhr,.,,n{rud rlE ImN lSLt 7(}U. Bunms
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<br />ld\ or mnhr.\ lhercon.
<br />rnd rh,' .onrrl(l\ |nr luch In+y(sirhrcunrn,.ni\rrtu6\c pur{u.r tolrF(in r!.t, \ l-irtr{ u*)
<br />I !n cr.nr uftb, S.{ri'n-
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<br />I turrh\ !rln u.d.. FrJh\ ',lFlJurr_.'E.lrh. n,l[,trtr,s Jalr. xnn
<br />lh\.filf,illnudlndCcnilicltot(i)ornli,srlll,r\uRlor*ur[.^ronr(i\ritr,n.o!r.rilc{liirbyS(rk,n]ToOofrhc
<br />l- }xtr (ixfu- tu rhr pcrromtrn.c oflhe so,k njr whi.h rhc Fmri n isu
<br />I hd. rnl ulll ma nrr rnrkcr. .onq^.- n\.ln,n nrurre-c, as r.qutr.d l,y S&rirn l 7(xr rf Ih. I rtx, (irle. f(tr rlt Ff,'mRi ol
<br />!hqr n{ rhah rhnFrnir i\ ilsrn [t I *trIr! lrnryxnd n. 'nnnrtu c crE. al F'lty nunh( r r.
<br />,_,,_Esudll,\,,., \,,,,., i 224W) LK'L-
<br />_l.d'ryrhsr inrh. p.rt)rmm. ur rhr *ork fr, \hf,hrh6 tEm{ N n'u.d- I {trll mn chpk'tlnrFN)n in.ny.unmr
<br />v, nr nr h.lrrnr sut'1..r rr lh. work${' (nqEnsii'n lnw \ tcrlinmir,rftl 8kd rhlr rl l {h.ul,l l(.nf, cu$J.i n, rli
<br />sork.r{ ( omFns{l irin nn,vi\ions oI S..rior .l?tD ol rlx I rhtr Colc, I rhrll. lnn hwilh (omdy wil h rhM Pmli\i)ni
<br />TVARNIN(; hilurc n, sorc lork.^ (nqtnqrxf r'(.aec ir ul,srul. d \h.ll ruhF-r ,I .nlol)ytr ro (inrul Fnhi\ &l
<br />cNl fim( urr lo .m hurnEn rbusnd Jollar (1llt,.iXlrr. in .d.lirk,n t' rh. con ol c.trqrntri,n,. Jrmecr 11 Pi!trild n, !h.
<br />S.dn 1016nfthc I rh{(ixlc. rnr.r{ rftl rrr
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<br />Dl:clttarl0d
<br />Ilmhr.mrmookr Ftuh, orFrilrr rhlr l.m lk!.(l ! kr rDrirryl(trarrs o lumrNm8 f,trh Sdlhn Tlr(I)ror l)'visir I
<br />of rh. Burinc( und Pnf({on\ Ci'd.. B mt lk..k ir in full nrN ml cfial.
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<br />calf[BuilraNMllldli-acllc\
<br />I txNy llltrn un].r Frxt ol Frjury rhd rhd. t r $nrlrucri'n knins ,rdy ror rlE Frromht ol rlE \'trk ntr *h.h rhii Fni ir
<br />h\Ed rs(, .}(r97_ cir ( r
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<br />APPLICAIYT I}tsLI {IIATION
<br />Ilrnl'y0 nrundcrp.nllrynf tqrnryotr.orrh.nnk,win!ddlnru'i( $
<br />Dcnr,lirk,n P.rmir! Arh{ro{ Noriictrii,'n FcdcB I R(BUhr hns r Tirl. {). Pd6)
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<br />Lcqurcd L.ric, ol l*'.iri.rnn
<br />Ir.d,l,vrhd rhs r(lrril rc8uhr tr,n\ EBinling r\t(nr\rum,rrl . nor 3ptl'.rhlu k,rhr( Pml..r
<br />I ccdilyrhd I h!\t r'*l rhi(lpn lirrx'nui nrrcrturrh. rhnr iinn !ri)n$cndc(r la3@k,dn.nlt*irhrll(iry.ndCounrt
<br />)n],ldinr onitu1i,tr rJ hnn:_ rhtrtr. rcr.(nrd nc\ .r rh,l ( ir v !flr Cuu.rt i(, cnrd uF n rrE
<br />rtn. trr Intrf,J pn)Fn\ rtr
<br />,\U i0nrl rr,t$nl Sixnn c'\znln
<br />Set Backs
<br />Fo rms/Stee l/ Ho ldown s
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/Vent/l nsulation
<br />Roof Sheathinq
<br />Shear Wall \
<br />Framinq !.1 r,lr{ hB \y/"/.41
<br />ln su lalion/E nerqy
<br />Drywall r^
<br />Ext.ltfr.. l'atb)t+?4\\r (}.(/-u+
<br />BroWoat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Beq
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif .
<br />FINAL 1 !$,LJlt*\ril
<br />Certif icate of Occupancy
<br />Notes, Flemarks, Etc I
<br />Y ($7.,:'7-
<br />v_-/
<br />odiMLc\ lnd Sr,c litrr Ebl
<br />Njo I {.(K\
<br />Ntc.'-.,- /o)
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