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BUILDING. INSPECTOR BECOBD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNEi BUILDEN DELCARATION
<br />I h.rct'y rffrn urkr FElry ol Frjury ih.r I m .r.nlfn tDn rlE cl)nrEclon' l,rctrr L* f(tr rlE lollowin8 E.q,n (S.. ?011.5
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<br />!tuvll.J rhtr ch nlFrEGdt e mr hr.d.l u olTcr.tl litr eL tr. hrM. rrE lI D! .r u,tn*ftd n su wlhn oE F{
<br />ol $i{rLrnn. tb. Ow..r Eudlr e hav. tlE hurJ.n ofFivtrB rh, h. or rh. dil d ln joruq'NE *ln,lElytulltPuqDt.1
<br />_,1, trs .wftr ot rh. lln,tfd!, .m . rrllrvc ly .onr.!ro3 w( h lccn(d rdnrr!(io^ n, .ondtud rll F,l.( r ( s$ 7({,{. lluw(
<br />id Pnr.\r)nC,rL lh.Conrr&rtr s l-i!cn\.l,*d{f,r norrppl,t, own.r.ltn)Fc y wh) burldsor rmnovcr ihcrd,n,
<br />rh,.o tult l,r \uh F)trB wfh. (irrr*rln{ l(.nrd luru.r t)!h. Conrrertr t l-R.nt l:*|
<br />l.m.t.md un&r SRlk,n . F & PC nn rhn Er(..
<br />llOBf,[8S:(OIlfEN.lAII0r]
<br />DECI.ASAIIT,N
<br />I h..chy rlltrm un'l.r p.nrhyor tcrlury on. olrh.lnlk'w'nE Jcrlu trtrN:
<br />-l
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<br />Iibq Cfti., tu tlE Frfolrr&t or 'lt hlt{ (r wh.h rh. p.rmr 6 !.u.J
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<br />. My *irts' ruqEn{rr,n m\urnt (a$ lil F)l., nunb.r e
<br />1q()I
<br />,..n'1y rhrr
<br />'n
<br />rh. FrlrrnB (. Dlrhc qort I'n qh'.h iln\ Brnri L\ A{'.d. I ltrnl nrr .n'pl!'y
<br />r, 8 (, tEu'm .ubrtr lo tlE Mrt6! .rhrE{lftr b*r
<br />k"t6' cdn{E.{t'n |n)yni,N or SaIi,n l7tIJ ol rlr I
<br />rh{ rfl rh'uld tBonr $tj.rr rortr
<br />.n!*'Fl ro dh$l IIBIB .rn
<br />$n, d1m8.s .r F,vrtcd n, rhc
<br />krtcr' conFnr.rirn u
<br />rhr)uldd doll.r (S100,fi
<br />I h.rbr.llinodd Futryol FrJury rh, l.m Lcntl ud.r F)v$r,n of Ch|Fq 9 ka'1ERBS wrh Sarbn ?(x)) of D'vr[n ]
<br />Pn{.$x,n. Cok, rrn.ry l..M tr 6 lull ftn(. eil .lier
<br />t 0
<br />I h.Fhy n,lirm Dtui.r Fialryof !.rjrry lhnl rh( s. c$drud$n L.dnS lSch.'y nn rh. Il.lorn1*..l rh. work rr, $'i'ch rh,! Fn Lt
<br />trsoeJlsc. .1097,Crv C.)
<br />A@ICANLD&SJAAIIA!
<br />I H!, it6 und., Fn.hyor Frrury oE.l rh.folhrln8 &cldi'n!:
<br />Dcm,ln!'n PcrhniAlh.dor Noxluron F.d.nl RcSubrn)nr (Tul. r&), P.n6)
<br />_R.qu!.d l!r.r ol Urr'fsrnn
<br />I(.tr'lrrh dk.l.'leril'.!tri, rtr\r.!rklrsr\h({!\n'
<br />I.d r ihd I hak F,trrtm.r I laN io ($rry } *ih.ll
<br />!trJn Nc\,trkl sr3n l_r*\ r.Lr tutyr{.nrrrc\ ol rhA Ci!.
<br />rlx)vc h-ntxnal |m p(ny I'tr
<br />F
<br />:It{ r)N r
<br />t o\4 ((/
<br />w
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFEB Ground
<br />SLAB Floor
<br />Sublloor/VenVlnsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framinq
<br />lnsu latio n/En erq y
<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 />17 9&"-- ,J77--/*--*?.17,rQ Ec zjz
<br />FINAL *-//,/q ,Zcza
<br />Certilicate ol Occupancy
<br />Notes, Remarks, Etc.
<br />*,.rn"*,,1Ar[
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