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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNER BUILDFI DELCATATIoN
<br />I h.rchy ailtrm undcr lrnllry ill lxrj r, rhsr I m .r.npt lnrn rh. Cdnk {n l-rctrt Lrw i,tr rh. tuU,rwn8 rcrs,n (S.( nrll S
<br />Burft( .d PolcsND Cnr.): An, Cry or Counry lhth r.iuFr r I'cm n, (un{ur, llrcr, hlrovc. &m ilh.r Rl1lr iy
<br />nru.rur. Frn k, r (tre.. r,q, rcquFr rh. rmlrsr Inr tu.h Fmn ro lil. r lsrJ nd.m.l rh.r lE or {r s lktRd I'{ruxl
<br />t, rlE Frvtrr,n\ ol rlr Conhrr'i l.(.r.tl t * tch.|ld 9. Co.lmEDt * h sarrn T(lxl of Drvn$n 1 ol rlr Bu.E$ ,n,
<br />Psnar\ru! Cu].) or rh{ k or stE n .t.ng rlE .lron .d rlE t nnr ntr r& .rk8..l .tcn{rl!'n. Ary vFlar[n ol Set.. 70] LJ hy .ny
<br />applicMrtur1Frn suhr.ckth. stPlKlnr r, r(v,ln nax,oln m,mihln Irvc hu rcJdoUr(5500)
<br />-1.
<br />:1 owN ol rh. F'Fdy. d my .noloyai * h w.Scs N rlEr qtk .o'{Enqrhn. r dr l,' r|r w,rt url rlr {dm 6 *{
<br />d.nl<rl .r on.rrl ftr rk rsa 7ort. BurFs !r.l Pn 6{Ens C{il.: TlE Gdra!r'! LEn< L* tl6 d.{'ily n, & oyrr ol
<br />rhr pn'Fny wh, tnr[t or rmFo6 rl..n, rr ulr) *Et (kh H,* hrnt.lf or h.ft 1, nr rhn'u3h hr ,x h.t o*. cn loy..r.
<br />I)ovkl.d rh{ urh Dnmv.mnh rc nroddl or.lkEJ for \rk lr, lr,Evc. rrr h Jn! nr mlnrcdnr ,i $u w(h6 on. re
<br />of onIlLL,n, llE ()wEr Burllcr $ l hrk rtu hrd.n ol ln,m8 rhd h. "r stF d! n h lorq'DFrh.FI6ynrrhlltli,(ol
<br />l. I .wmr ol rti F ocny. ah .r.lurkly conta th3 w[h l(nrd ()n(rh^ tr) (,n{tut (lr Pnrr(l (St. 7(!,1, Bnrms
<br />ad F\lnrsrr C$dc lhccl,ntr..l 's l.Ecnse l,al (nrs nor rpply tr, a.ownctol [oBnywh. hurl']\or rmfnrv.r rhcr.on.
<br />rnJ uh' r.ntr.(rr ttr such pn+r( * haCi fu.k'(\ | lr.n\d Pu(u!fl n, rh. (i,ntr.ttr'\ l-f,.n€ L.* )
<br />I m.r.md trdd SarDn A &PC l,trrhsEBr
<br />Oeftr'-
<br />]yI]atrEESSAUSENSArI0BIESAAAIIA!
<br />I h.rchy.llm trd.r lrElty of F|orl oF ot rlE i, h*[3 de.'lrri[n!
<br />I hrvc rnl *,ll mn am a C.n'rrrrc nl Conenl t) S(ll-l nrur. |,tr workr^ (m'lxn\rr (rn. r\ I'ovrlGl li,r ht S.rrK,n l7m .l rh(
<br />L.htr (irL, lrr rh. 0.nolrw. dt rl( wolk forwhkh rh. Pcrmrl ( r(uctl
<br />lr'.."Irl rillmotro Port6 $dlEnsrrr r!
<br />l0 rhihrhn IEmt B uqrJ My mrl6'
<br />S[,"\.P.roa
<br />iur.N.. 8 rnoftJ h, S&rrr !7(D of irE ljlt, CuL, ld rlE Firur oa
<br />.r,nirndrr o\lrdr (d.. .ii pl.y ruhl'.. dl
<br />*,,,.t,ur,,*. 12\I0t[',*n*.,-?IAIZA
<br />I(ddyrh.trtrrhrrrl.rroB..lrh.*orknt*hf,hrhrFrm[nR\EJ.l\tull .nPli'y rny FFon tn .ny n ftr
<br />n' r\n'bccomiuhFcr b rh. wdrk.r ()npcns.ti,n llwrofca[!i,mE, J a8rc.rh I sh]u[l Eqom slbF(rt,rh.
<br />*o*qi $trrFoerrnr tn,vso$ nl S( r$n l?0O ol rh. lihq (irlc. I rll, tunhafhul|lywrrh lhrsltuvt()nr
<br />wAlNlNc Falorc k! eurc H{l(r $fl{xnerln Lo{r!. '. unLqlul. rBl rll luhFt rn dl'loF b (rul Fuls rnl
<br />r'.x huftircd rh,uqnl ,U{r rslm.fin), r r.lLllr)n l{ rlx ..n ol (
<br />s.cr( r(176.r rhc ltrhr Cdtc. mr.r.( rhl.no .y \ r.r\ft\l7t Lo
<br />DSCIAIAIIQX
<br />Ih.Ftytrtrnud.rFmhyo{Frnryrh.rIdl&.n<Jo.rF,v*Molcnrl 6 9($nmtum! wrh Sai,n 7tm) orDrvnrr..l
<br />ol rnc lrurim* rtui Pnn.sioN Cul.. rnl my ltrcnc F in lull li,(... el ctl(r.
<br />,-,-*.aO*,9 \(r1o\)\
<br />"",.\lLlL.{.t
<br />a,
<br />COUSTRIJCTION LF{DING AGEN(1
<br />I h.Ehy rllim uui.r FMlryof Fr,lry rhl tlEr. r. dwur$. Ldms.S.n, tu rtE Frl()t'mt ol rh. Ytt nn *'lth rhn Fmr 6
<br />isru.J (s(. l{l97, crv. c )
<br />AITLICANUS:g.AAAII9!
<br />I lBrtry dlimu.dd t].nllry ol Frjury rcol rh.lbll)em8 'l(llr{(,nr
<br />Dc.r'ldrn, P.rn +ArhnorNn r.t k'n lnbr.l lt{uLr k'n! I I nk .(). Pd6 r
<br />-R.quftrl
<br />lr(.ror f*{ i.t'n
<br />l..rrrlvrhri rh.i\rlrxltoguLrrn,n\ k!ddr! r(r{'rrcnxnrlr,. n r {,lni.rhlc k, rln! 0^)f(r
<br />-l
<br />rddy rh.r I h.w r.d rh6 rl'I|l.lru ul drk rhi lhc rh,k mn,mr$n r i|lBr l .rN tu ..qtly w{h .ll C y .d C0unry
<br />duEL.! nl sr.r. trrr Fhrua ro l'{ u3 coNndi'tr ul lErchy .uihnE. rcF.qirirk' ol rht cny .il cou.ly io .nrd oFm rl!
<br />rtr)!. nrnhoftJ pnllrdy nr miFlr[n
<br />Appli.strt or ,\senl SiiNluE
<br />.\.Arl.rA L ,a-/r.l^c
<br />Set Backs
<br />Forms/Steeli Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Roof Sheathinq
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />lvlasonry
<br />Pool Fence
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />FINAL t '1s\1a 12ftN)(wY"7
<br />Certif icate ot Occupancy
<br />Notes, Remarks, Etc
<br />,,,,IlLlLo
<br />Sublloor/VenVlnsulation
<br />T-Bar
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