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BUILDING- INSPECTOR RECORD
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<br />SITE-WORK DATE ID/SIG.COMMENTS OWNER BUILDF:R DET,CARATION
<br />I hcehy .lhrn undcr r(n.lry ot Frjury rh|l I {m c(mfl rn,m rhc C,,nrrL!.F' I kn* lf,w ntr rh. t,ll,win8 rcr$h iS..7011.1
<br />Bunnc$ "d Pnnts!'n Gi.): Any C y or Coxnry whrh i.qufts I F nnr lo con(ru.i. rlr.r, dt(,vc, &fr'l(h nr EI\rr .ny
<br />nturbr.. tntr rJ fi r$uec, .ls rcquucs rh. applElnr n, such Fm b llL r nstu,l n,rcn*nr rhlr rr or rh. ! lL(n{,i fl^nr
<br />t' rh. Fovnn,n! ol rh. G,nkrkr r Lkn\.d trw (Chaflcr 9. C mftn(D-! * h S..nu TIIXI ol lrvskrn I ol rh. liunms .n!
<br />Pr,L<n)nr (irlc) nr rh.r h.orlh. r c\ctrrpr r&rcfr.nr aBl th. t'.r\ nrrh. rlL!.d d..rlitr,n Any vkll.ron.l Sc.rrn 7llll5 hylcy
<br />lpplEanr ix apem \uhJ&k rh. rpll'canrb.r'v'll.mlryol nor m,ro rhrn hvc hunJr! Joll r(t5( )
<br />-1.
<br />r( dwkr of (h. F)Fny, s hy .hpbles wirh w.Sc! $ lh.r $h codtinerrn. *Jl d, tlE qxr rrn rlr ctuim tr dn
<br />in.nlol or oRarc! for s! (Sc.70{.{, Bu\iEs uJ Pr,a.srnr C*1.: Th. cu r..ix < L.6r L.* Urr ft, .pdy nr d owE .r
<br />rlr Fliny *hd ho ird mtnEs rlEF)n. sn who d<.. uh xrtt hlnrllo, h.mlf or rln'ulh hr or lrr.wn cq,luF.t.
<br />provlhtl rhi rmh ntmkftd! d n, d.trkrt d ofldd fi, qL. ll, h'EE. rlE t!r!03 N lirreEftd n *,U !rh6 dr rr
<br />or($iplrbtr dE osEr Builcr vil haE rlE tuLn oI Enms $r h. tr {E Jrj tr* h{dl or mt'oE tlr F{Eny nt llr F4r'. sf
<br />-!-.towErof
<br />rllc F)Irny. zo.rrlonwlycodrrttr! *[h lf,.nrd odr&hF lo.uiei rlt Inr)Fr lS.r. ?044. Bulm.1
<br />,n Pluft3lmCori.: Th.Conk&lois LE.nE tre 1116 n .pply b D orffi of phFny qh hurljt d mpNtr rh.'on.
<br />r l eho dnEi! aor \rh Fbir( wirh. Contturo(! r lr...d IBm' torlECi'nir_.tr'r l.rrt trw)
<br />l.n.\.mt utrl.r SalDn
<br />TASf,Ef,S-.CqUETNIAIA!DE(1-Ai nON
<br />I hr.l'y.llmrnd.r FMky oI FO[] oE orrh. ftnbrmt Jrlr.rrr(:
<br />-l
<br />t v. rn *i[ Doru r C.n'f.nc of Conrd ro S.lf-lNuE frr krt6i .rqEni.ron. .r FDvrrar ln by Salr'n ]7dl .l ilE
<br />L.!r GrL, tq llE Frftut of rlr ktt td wtd r,r Ftu' n su.J.
<br />_l h:h rftl *ill mdu srt.R' lrryEn{r$n n rE...r EqultJ 6y Ser-n.l7mol rlitu(ltL.[qlh.Fdotu.ol
<br />rlr ki* fd whrh rht p.d s 6ssl. My wnts onFBirn ffu.st ffr rd F liy nutth.r e
<br />qzsloc) 3 - ao lR
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<br />(tnili rh, i. rlr F.fotut ordE wort r,a *h.n ln'r Fmr !r !rBl. I tlull br c'iib, rn, !.Rrn n.n, lmEr
<br />$ r. ro tEom sul*ll ro tll wt6'orv.n dnn n*! oac.Ifiru rll rlr rhi I tlDu! t s'r $t!Fr brlE
<br />ult6 $rrEnqrnn FovNir6 ol SdDn 1700 ot rl* lirr Grl., I rlulr ronhw h o,llcly *it r,D. proarni
<br />WARNINC: Frlur ro r1e *dI6 onp.Mbn s,rm!. r. unLvfr,L .,n ndl obi(r { dr?loF t' rhfll F rB !n
<br />.r liftr up ro oE nudEJ dbrgrn dour tilm.ml. 6 rrl.Dn lo lh. $r of @trl'.n-rt,h, dmt.t .r Fovi.n !o, rlr
<br />Sst$n .\076 ol fi. L:hr GxL, d.d rrn ,bmy-r le.
<br />DECI.6EAIIO!
<br />, lEEhy .rarm uni.r Fn lly or Frnr, rhi I d U.tnGr unk. F)q!$n or (luF( g (d'nmrds wdh SRib. ?u[) ol DFrlnn ]
<br />or rM ausft3s .r, Prur.rs-ns CoJ.. .,n ny L..nc s h tull lorE ,n .fidr
<br />9<,-tqL
<br />,/l hcrchv rlftrh uBllr lrn.lr) "lp.lury rh! rhcrc F. \ondrucrnn bBjuS r!.r'y n rh. Fdn.mtuc o! rhc*od 16r *hrh rhtrFfrf s
<br />AfILICANLIIECIdSAIIIJ!
<br />I lEtr{lyalimuni.r rnalry orFrjury on ol rh. nnnrwhr de ldartun\:
<br />D.n)liion P.rnik-Asb.dd Noriticrion Fcdcrtrl Rc8ulrton. lTnlc .10, I'in6)
<br />_Rcqudd t n.rof Ndifiarbn
<br />l(.nrlirhdr !he l.dcrulrc3trl i,,n\ r.gd'ng r\h*no\ nrrx,rrlm ior rt'!l*rh['n,rhn nx!.
<br />1,,"r\rr{l d ' rl''.".T,.1.. 1.,.,L.r{ ,. 1.tr1,trtrliktr, A!onr!r I rrr(t'connly w h.llCiryetul (',)unry
<br />hr Crrylnn (i'rnry (,.hr.r uF,n rh.
<br />n"i_a)4-)3_
<br />orJmrn..r aftl Srrr. Ir*\ rchi o3 to hurldr!.on(
<br />.'htr. nf,trrk,n.!1 pn,F-nv l,n m\Ic(rr)n
<br /> pttli(nnl or Ascnl Sisnn
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf looriVenVlnsulatron
<br />Rool Sheathinq
<br />Framinq
<br />ln su lation/E nergy
<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 />,g t,* //4! I .e.ol/4u,4 -A/z Mtt ftilftu "
<br />(//.f//7 f/4M?t lcl
<br />FINAL //-20-19 oan? -tt -
<br />Certiricate ot Occupancy
<br />,Notes, Remarks, Etc.
<br />,t r7l
<br />t !,\,LW o
<br />l,
<br />Shear Wall
<br />. s-3-19
<br />,,.", '€'t-l\
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