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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNER Bt'TI-DER DEI.('ARATION
<br />I hcrty allim un,lcr Fnlhy ()r Ftjury thd I m cknll)r rmn rlr (tntrad'n l-etn{ Irw k, rhc n,lhru3 Eaw,r lslt 70ll 5
<br />Ilouc\\ .J Pnn.isb. C,rl.) Any Cry or Cou.ry *h.h r.nuu.r r Fmi n, onrrucr. .lld, trr9Nk. &mhih o. rFtr d, '
<br />{B.-rm, Frr t' r sue., d{ rclluEr rlE 49l.ur nr \Rh Fmr ro iL. n3ftrl <d.cnr rh.r tr o. rlr a l...Gl PuN.rt
<br />t' rtE pn,!!i,nr of rrr Ci,nrrtr'r L...r.rl bw ((hfl.r 0. CommBr3 * i Sdrirn 7(tn or Drvnhn I of rh. Buras .fi|
<br />Pn,f.rso.rCnJc)orrh.r lror rhc ncx.mpr lhcEiiotu{nJlhch!$ turrht illctcd.\.nPr!'n AnyviolrxonolSertun?01,Ihy$y
<br />q,p[u. ntr r |I(mr srhFrr rL {pl'..nr k' r civd p.hrly of Nn Brc rh.n ark hr.Jn l ,loll{. (l5m)
<br />-1.
<br />I ow$ ol rlx txnFny, (, fry .mpl']r.r v h *r!cr .r irxr a)k d,n{f,n{L,. win !r, rh. kxt r.l rL d&rE 6 n{
<br />d.nlol or olr.ral nx sk (S(.rO{4. Buw$ ud Ptra(r'ns Cok: Thc ConrLl.i. LacnE L"* LtE! nor {rly b u owmr of
<br />rh( F)If,ny rb ttuiu( * uiln'Es th.Br. drl wh (,E( rhh urt hhelior h.kltot thnrlh hh or lEr own.hploy..!,
<br />rrrvri.J rh, rq-h !rymErdl e di d.hidl d olldnl fd eL ll hrwE. rh. hruin! M urrstftd ! !,ll *rnt 'r Fr
<br />.l rupkiD. llE Ortr. tuLt r *dl hlE rlr hhLi oi Frwe lhr lE !r rrr dn B, hr! d lrFw dr Frdy tr th. FIFE i{
<br />J [,. ^"**,.r,* a*nr. m.rclunrly.od.Nlrhs *(h l(cn<r .r,,irrk,^ h $n{rud E |n)j..l(sq 7(x4. BuiiFs
<br />lrl h!6sn Oxlc: TIE CodBroi! Lr.nE (iv .,... mr q?ly n' m owE or |nlFny *h) tu .l! d @tbtr llE6n
<br />.nj wli) ddBt fq qh FbFt *nh r Codrirno lEnGl I'{m!,r tu rlE Cro .dd.r rrM kr)
<br />I rn,cr.ntr un']trS&rtrtr,- +l tzl
<br />R & Pertrrrhxrcan,n t f7:.,/l^^,h-4wt L| .,..,lcl ,,"**
<br />I
<br />I h.ftby .iIrm undcr FMlry ol pcru'f om ol I
<br />ffi
<br />DEft ara r(rN I
<br />-l
<br />h:r lrt *rU mdrn r Ctn,rur. dr (.M n, S.l,.lnqE ld q'rt6'urtF.troion. .r FtrYn.1l 6r b! Sdbn !?m ot rlE
<br />lrln. Cc&, tu ilx Frfllllle! of rh. srt for wh.h rh. ,Emn E !ru.I
<br />-l
<br />h vc rnd *n I roinrih uork.s romF nerion iNUruN.. sr toqur.J by Scrrr)n l1()0 ol ih. Lhtr Cdl., lnr rh. Fdn'111*. ol
<br />th. qrt tr* *h.h rhr Dcrrr, E s$rl My *qt6- Lln{rndKfl 'n.!re. (e.r.rn Firy nuDh.r e:
<br />_l ccn trh:. 'n
<br />rh. tErllrmL! ol th. udrt n{ *hrhrhrFrmli r tr\kJ.l \hrll
<br />$ $ to h.orE iubF..r ro rh. rorlsi $qEnldon hwr otcrl,tom!, dd !8N rhd
<br />utrk.s' .omn nrsrbn porirbnr of S.rr ion :1700 df rh. I:h, Gxl., I rMlL n,nh*nh
<br />waR ING: fr'tuR h rlr ux*.r', lrrr{Ensr$r d,rcm3. n o.lr*rut u! (hrl
<br />. 'l fftr op b or hunlFd lhoue.J dnhF rllu].llxr). h rLlron io ih. lnr ,
<br />ft, crlu ry.nylEB,n u riylMrr
<br />rl I \hrxB t.uom ruhrct b th.
<br />drhply w h rhJ$ pnrvr()nr.
<br />Ll tubjcr r dr{,by.r r, usmd FErF .nl
<br />colll.Enr.ron. &Nr.! rr F vrLd litr lh.
<br />sdrln 10160r rh. bhr(IL, hrcr.r al f)tl lZ.-r->9-s',1
<br />I lrEby rllnnurkr Fmlryol Frrlr, ih,i I ro ldns! oftLi lio latu.r,rrLommnm3f, hS&ri)n 7UD) ol t),r(pn.t
<br />,n rlrInr!k$, lloh-!!N(inll . nlrryl(.n\.I ih'llitr(.rn,t.,l.(r
<br />CONSTRU(-NON LFITDNC ACENC'Y
<br />I lEEby alltm ur!.r FMlr, ot Frjury rhj rh.E is . co.tltutDn l.nlu! !S4, t, tlx Frfol]]4c of rlE m.t for erhrh rht Fh, n
<br />nru.J(Scu. !0a)?,Cir. C )
<br />AITIICANLIEIIJSAIIO!
<br />I id.r, rtrd oBkr FEn y nl Frlry oN dl rlr folbwh! &.l,.r ons:
<br />D.r,lnrn P.rnnr^.b.nor Ndirkd.n Fo.lrl R.!ubri,n! (Trk40. Pd6)
<br />_R.quir.d ldlcr ol NolitiulDn
<br />I ..n y rh, il* t 'L,.1 rSlhi.nr Rgr^lt.8 .rrErttr Emv.l d r, ,rphrbk io th6 PFFI
<br />lvl
<br />nh,tutucs rnd Srdc trws B[rue ro hu .]r -irh,k nnr-Edln Fny nr hrtErnn
<br />nAppli({nl.rAlml SiEnslu (./t.Itt
<br />E#rrk,,'r
<br />I l/+1 4(Q [2o
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lns u lation/ Energ 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 />FINAL blqlq .lY'-nr+r<,Ldp,,
<br />Certiticate ol Occupancy r v(
<br />Notes, Remarks, Etc.
<br />T
<br />Erection Pads
<br />Flood Zone Certif .
<br />l.nLas ArrlE*:
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