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BUILDING. INSPECTOR RECORD <br />D{ <br />f-s <br />s <br />SITE.WORK DATE IDiSIG.COMMENTS <br />Set Backs <br />Erection Pads <br />UFER Ground <br />SLAB Floor <br />Subf loor/VenVl nsulation <br />Roof Sheathinq 1lC lg ,,</4 r09 <br />Shear Wall <br />Framinq <br />ln s u lation/E ne roy Vlrl lt(.ThEv)'flt6ltl,1twDrywall''a<LziErUlnt. La[h '/,1r. i6 <' <br />Grown co4) *t4/. I ^?-/8 G 'c{ zaT <br />lvlasonry <br />Pool Fence <br />T-Bar <br />Handicap Req <br />Depuly Final Report vEngineer Final Report <br />Flood Zone Certif <br />c/ <br />a <br />tlL5q <br />FINAL <br />Certiticate of Occu <br />/r-</ <br />oWNER BUILDTN DELCARATION <br />I lrrt'y lrrn unr( Ftulry of FrJtry rhd I m c!.,q lmm rh. Co rdtr{ l-a.nc rlv lor tlE nnh*ins rc.a'n (ss7b.l|t <br />8us'rcr\ rnl Profc$i,n C(iL) Any C y .r Coudy *irh rcqutr.\ r F'ni ro $n{nrl. !lrr. iq,n,k- d.n nh or-<Ftr .n} <br />nrucrurc, nritr k' i!\ i\ruoncc- alq' rqriE{ rh. rpllisir nt su.hflrmi n' ilc u siSncd {lrcmhr rher txor {hc is ln.nscd n!;\oanr <br />t, rhc ln)lnx,ni or rh. conrew t Liccnqri l4 (Ct fl.r 9. ('"nrmR,n8 rith Sccli'n ?(r{, if Dnnrr t of rr* l}usiFl.lnd <br />Pn'r.\\i,ns CGklor tlDl lr or shc il.r.q)r itEr.tromlnd !h. h.nr lrtr th. dk8.d cr.m0rrn ntrbhri,n.rS..l!n7{}.ll lt'yl,tv <br />uppli(lnr fir a n(iir rhlc.rsrh. rnnliclnr !' ucivilp.nrllyolnornmrrhm lnt hun rcJdolhn($500) <br />l.11orNr''lrh.Iil'F.rv-qmyrnpk,ttr\*nhrr3$rsrh.rw'Lco.{Endi,n.rr,ldorhrsr.rnrllst1ftir <br />inrcrl.\l or onrrcd fir sk ( sd 7ixr, Burir\. lnd PmLr\inm Ci{. Th. (i,nhtdor'< I -i.cn{ law docr ftn lmly n, trn twE ol <br />rls ,lfi)Fny sh, tuilds r inI'n)E rlrmr. o lulbd(*ruhsr hnnsclf or hcr{lf or rhrueh hn .. tu. .wn cmpk,r&s. <br />ror-Ld rh:! lkh uqhmnk r Bi idmldl tr.tlcr.tl (r sL ll, h,r.rs. rh. h{r!u€ or lqnNrd n !'X *rhm rm Fu <br />ofcrq,Eri,tr rh.(hmrBurldcrr h.E rlx hir&n of I'oiry rhr lE or slr drl ml tull or iryrn! rE F,Fny ftr rh. FIFE of <br />-l- <br />n *Er uf r lE InsIEny. rin .r.lunr.lt en hul!3 tr nh li cn*l .odrelrA n' $nrtu1 lht |h,Fcl ( Sd 7or.r' SBmr <br />ad lh'r6\ih(id. Th.(in rEnn r Liccn{c I !* dff\ 'x rlnlyn''n.tr n.flnpcnysho h dd\or inrrmts rh.rN. <br />und slF.otrtrlchli,{'chlln*.arnhi(rtrr,.r8$lacnElnuNudn"ItG,ntr..tolil.icncltrvr <br />I rnflcflrp, !tr'lcr Sa.-rk'n- <br />lY( lllxERs' c(rl\l Pa\sA'fI{ llJ <br />DEg.ASAurli <br />I hdrhr_ il,irnr unJcr !(uliyol F-rJrryonc nlrhc nrll',tr trr! Jc.l!,rri,tr'\ <br />-l <br />hn!. dri r 'll nEi.rdn . Ccnifr.r. olconrnr lo srlr l.\!ft n * orks\' d'r{Etrst$.. r\ In{id.n r(tr by Ssrrtr .!7lx) ol rh. <br />Llhr (ixlc- lnr rhc FrfonNE_. of rh. work li'r shicn lh. lcrmir n is.x.d <br />I hrh lrd url trEifllln { nrt.rr .o.{f,nsr kr 'n\urrr.. ri]urli lll s.1i,n.r7rl,of !h.l.rh.r c,xb. nnthc Ftumtu.nr <br />rh. q$rk lor shahrhk rEnnir is i\ .ri Mysorl4r Qrnlttrsthun rnsuramc.itrir sdlF,lay numhcr dc <br />I I P.}}Nunh$ - trp,c\ <br />- <br />lf=l *nnr,", .,* r-,,,NN r rrF f,o'\ r,f, lhrh rhis Fnn N nr*n. l $nll rr .,r?ht r.t 1.Nrn ,n !try Mtr <br />s) tr\ r,, tiarnr \ulrF-r t, rh. sorkcr\. eonrn .!.r,n lln \ ol CrlikflH. rnLl !!tu rhd !f I \buil lirotrr n,bJL o rlt <br />{ orl.ri d,nrpctr\rr bn prr!r\i(,n\ or SNr hn l?( r, ol ill l ]hr C,il.. I $nll. n)d hsir[ .otrDly s irh rh,t Ftni(,n\ <br />$Alllilfic l;dl!r. ro surc N,,1.6 n,n{r.di)a.orrr!8c 'r u.Utrful. r,rl lhrll {ihrtr i. cn{'k'vcr n, Fmtrul Ffllr$ ! l <br />.r,l lnB urr ni '{t hnn,inal rhn^rnl dflhl\ {\l(r,rrxrr. I lion n, rh.ron ol. n{Fn$rif. d.tus.r a< nn\ri.n n, rlt <br />Sr.rrn, 1076 olrh.lrh, (ixlr. r,rl(.{ r'!ry' <br />X"'..{-3' t'8 <br />IJKLA&UIUN <br />I lEFrry irarn ldLr Feh y ol FrJU.y thrl I !n li!tr<n ud.i Flna. utch.0rs e rd,nrcft-ih3 sirh s(tion 7ul)) ofDiriri'n l <br />ol rh. Busirc( ud Profcsioh\ c('d., rn my rRn{ r <br />'n <br />tutl nle .d cfi<r <br />V 3-3 -/ZflA3L <br />4 R,t:, <br />I h.a$y rfinn url.r Fnrhrofttlury rld rht(;r con!frri'n l.nl'nC is.Ry n'r !h. n$lonft,rr urrh. wrrk for trni.h rhn Fnnir is <br />n{Rl rslr lrlr7.(iv ( l <br />APPLIC NTD'(II IRAl]tIN <br />I hdrl'-r rltmr unls pcn.lrt nlpcrlUr, ur of rh. t,lh*!rt Jclnn x,n( <br />rxnr,lni'n Pcrnnr( AstE{os Noritu{i('. F.rl.rul R.guktk'nrr'rirt t1). fln6) <br />Rquncn IiI( oI Nori,ioii(,n <br />rnrrhrr rlr r.(l(rl r.ptrlirkr r.!r',|tr,! x\ti{,\'r rnrli,r r,'r ift)r'.rhl. n, rl'N |n,I\r <br />[J.#,y th.t I hrrc rcrd lhir lpnli.tran !n n.k lh.r th. .lrnt innnEri!. t coR! | .Ere ro oiq,ly r ih ,ll Cny rtl Glunty <br />.on{ru.rtro. id tEehr rhon/. rc,rctnrd n c( ol rhis Cil y . (iruhrt n, .nrd uF,' rrr <br />xh)r r t(nrlI','tf,n! lt,t,,. <br />lr2'6't(t+43-lB <br />Formsi Steel/Holdowns <br />'fls t t2t,r'lllVl R 1 1/b <br />t U <br />Notes. Remarks. Elc. <br />\