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BUILDING. INSPECTOR RECORD
<br />SITE-WOBK DATE ID/SIG.OWNER BUILI'XR DELCATATION
<br />I h.r.hy rtrrn und.r F.ally 0r pcrjury rhar I d cr.nrr rn,m lh. Conrh-bu' Lienic I.P for tlE nnk,wo8 rc!$n (S.t,oll5
<br />Bunn.'r {rl Pn}lc$rn CaL} Ary Cny ur G'unry shi.h r.qu!.! , Fim, b $nrlrucl, rlrr. ir+^,E &mlih or ErEo sy
<br />(frrF, Fu t rr1 !su!N, .l- Equrd lh. {d!ar for \kh r.rnd n' tL . nsEn nd.,mr lh{ lr or tE . lr-n.rl Fm{
<br />b rlE FDrsIn. .l ill C.nr.r(r'r LftnsJ trw (Ch{iq 9. O)llfffttr3 snh S<rDn TCLO of Drvrrr I o, ilt ButEn .,rl
<br />Prn(r$n! Cok ) o' rhlr lt r th. ! .icmpr rh.rlmm mJ rh. h.n! fn rh. dLr.d crmqrk,n. Arv Yi.hri'n ol Sahn ?0J I J hv .!i)
<br />rnnbrsir lor !Fm !uhF1\ rh. rml'.ur t, a.,v,1nchrlryor B,rerrhd Irv. hunirc.ltl,,lldrIt500r
<br />./Zl. r! nrEr ol rll |h,Fd),,, m, criplulirt wnh {,86 r! rlg sk onYxndnn. } lJt trr krt ]rl rll {urR. d,
<br />ii.ni.J ir on.Eil l!{ qk(S( 7rl{4. Furdr!rnJ Pr,,c( nr ( ftL. Tlr (i'nrat" t Lr.n( Lr*d.rri mlvlorattFol
<br />rh. pnrFny *tr, huilfi or mtm,6 rlEEE dri *h' drs \*-.'h k) h,miclf.r h.tsllot rhn,{h hr or lEr o,n.nfby..!
<br />tn,vllcd lhar ru(h mp$rcm r e mr hrcnLd.r.fcrcJ (t lrL ll howw. rh. hoiuEg o, l'llrotft ir {tll wnhi, onc Fs
<br />ot oi?t{r.. tlE O*mr BuiLh s[ hls rtr lu].n of FtrvuU rlur rE ur nr,lrl n{ txi}l or DtnrE rtr FrtElv iin rll FqIr)* of
<br />&h
<br />l. .i o*ftr ol rh. ln,tEdy, .n c \. Nr ivcly undrr.rrS wnh lGncd ..,rrf,6. k, .l,niruLr rh. FtrFi (s.r 7(x4 aurtr(
<br />I'hrrcsrn G{!c fn Cortrmnr't L(..e l -iw J.cs n lmlyio an.wncrol P$lEdy wlD hoildsor rmtovcr rhck'n
<br />*tx, .o mk id suh F'r.h * h r CiDkrd(xlr l(nsd nrrMl t) r,E G'nrrcttr'r trcnE bw)
<br />Ut!l.\8:!M
<br />I trEby rfim u*l.r p.Mly ol F,,tr, om ol ! h. li
<br />I hik ,rl *rll m,nrau r Ccnil*d. .f (i!ntn! rt' Scl,:l,NuE litr worrda $mFni.tiD, rr nnrvrlc.l Lr bv S.crrn 17(D ol rh.
<br />Ulr, Cixl.,I,trrh. Frtolllr4. olrh. *ort tur*hf,h rh. tmxr s ittftJ
<br />I hrr .d *'ll tudto krr.r' .0rl'.6rrtr n !I^__., .r r.9u!tJ 6t Ssrln l7m or rtr l:hor CoL. lr, rM Fno.'lac ol
<br />rll h* fswhrhthtr Fd ! !cn. My *ixL.*' $n{r.d rr m.urm.cd*rznPl.y nlntE e:
<br />al.cnrryrhrr 'n
<br />rh. ItrrormL. ofthc *or[ t(tr *hkh rhtr Frmf 6
<br />"suc,i.
<br />I \hrll ndr .sfk'y .ny FFon ri rny manmt
<br />r, !r l() h.om nrhjc.r b rh. w'rt.r 1 .r)mF.nrdrrr uws o, (:rlllomi..,ft] r8r rh.t ill 3lxn,U l*dm suni..r h rll
<br />wu*.h (r)nlrn!.r[n I'n lF[n\ ol Stur$n.17(lr.l rh. uhtr (irlr.l (hrll n'nhwlrh tomd, ,, h rb* Pt)vnln!
<br />IIARNING: FlhE h €u. $"t.^ (r,nqtnelnn oanS. r. uL*ful. &i rnil uhr.t e cn{ll'r.r h Lrmrd Fnl.i.nr
<br />I rimr ut b oM hu rd rh,uul &,lla r3lm,frx)rr t, rh. ${ of .di{En..ron
<br />rkn, lr)76o1rln l.rlr{(irl. dcrt\r rnd tnNy
<br />t
<br />!.ErlJtrl.1!L:)
<br />I h.Et y rflm unj.r Fnrly ol p.rrury rh, I d trtnxrl !Br.r F,vtionolChF.r 9 (.!mmBr! *nh s..rin 7(Ilo).l lt'v,i'n l
<br />of ltF Busoc{ ed PeLl\Nns Coic. lrl my hcn\. R o tuu loNc lri.ficcr't
<br />fr...^.cr"*l-..n8 NuhlEr
<br />Ir.l.:- (-onlm.lo
<br />qa!$B!Mllx{r.EdD!!Gac[Bl]
<br />t lEEhy.Iftrnudcr Fuly(t lErjlryrhr llft !.connBtln ktul68.S.Ey lortt Fi'lm. of llE Yxt ftr whrh th! Fm ir
<br />,\!u.J (Sc.. !(|)7,Crv. ( )
<br />lrnLr( AddFr.r
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<br />APPLICANT T'FCI {RATTON
<br />I h..d'y tnim und.r tinrly or Frjury or o, I h. knl,*o8 .t llIir ionr:
<br />D.mndDn P.nnrGArlEror Nrrdrdrn tni...l i.arl,r,nr i Trk 41t. Pd6)
<br />_R.rlnfttl trtr.r of Ndr-i.trn
<br />-l
<br />ccnfy lhrl llr lcd.r,l tsllrr ohi E8$JmS.rtEnor rm,!n ft Rn ql'lf,$L b rhB Pfi,F
<br />X,..,u,,*,,h.k Ed rhr .firl..r.n !n (r h.r rlI !h,v. n{olmr,r N coiEr I rlr io .anlPly *rh rll c.y .,! (i'ud}
<br />ap..slrtv.r dt rhtr Cny .nl Ci,!
<br />'tucnr..uFnrh.rl{,r. ninrtrftal 1)r"Nnv
<br />,\ppli.$nl or As.ni SisBl
<br />rP.mnFMmre.rn":
<br />'nnernn. fii h.rhy.ulh
<br />r'/,rlr
<br />Set Backs
<br />Forms/Steeli Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathino
<br />Shear Wall
<br />Framino
<br />lnsulation/Eneroy
<br />Drywall t /,tlt 4 fz4/r-3- latl
<br />Ext./lnt. Lath I r///bt ',q'. )h,n1l /B od
<br />Brown Coat lVl|** tlltllto'///K/C l:,7-raaCl i7r
<br />lvlasonry I t*rdLil6
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />I I ,\ht"-
<br />FINAL illPllts t)/tt/Z
<br />Certif icate ol Occu a
<br />Notes, Rernarxs, Etc
<br />tvLN-k_
<br />I'noo+l
<br />COMMENTS
<br />Flood Zone Certil.
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