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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNER BUILDER DEI,CAR-4f ION
<br />I h.Eby rrrlm uto].r trrly .'l Frllry rhr I m .rcry, ftum rh codr&r6 tr.rc hw tu rh. Lll'*ry rcrsn (S-,0-rl i
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<br />(' rfi. F$r'rD.! ol rtr Codr*r*i L..n<J trw (Chr .r 9. CimmtuD8 *nh Selsn TIXXJ of lrvFon ] oI rh. Bunx* ud
<br />Pn,L$ion\ CDd.) or rh.l lEo.rh. $.rcmrr lh.rdhf, (rl rlE hI6 ntr rlEllLS.d.w$rr Ar, h!.rpn o, SdiDn'tol I li by..,
<br />.B,ltr. rtr r Fmn ruhrc* rh. rmlirnllo!.'!'lFElryolft mrc In{ f'v. hufrlrri Jo!{r (15(x)).
<br />_1,I owr of rl! FDFny,,, ry.nlptrFr v r w+6 ri rrro erk drttnqtsn. *il d' tll *d !n rlE ntrE. ftn
<br />ddlal d ott.nd fttr ql {S&.?(r4,1. Blrft( $d Pn}rc$onr ( dl.r 'fnc Conrocrff r l-rccoE lrw &k\ k {,ply .o .n owEr ol
<br />rhc ln)F.!y wh'ltu 1t,{qnErlINn.! rh Jrr qt sllt hm<li or lrelf or rlm{lh hrr h.r oq.rfbyccr.
<br />Fnvd.l th.l ruh hFrEmds e ml d.rlol oroll.rcJ tv eL Il. lxlw.i rh. tu dhS or n{mEEd Lt $U *iltr o* Fr
<br />otcompbrrrtr rh. Ovmr Budlr w,lt h.E llr trunt . ol ln*!E rfii h.d tl* Jd r{ hull n EF,E dr F{rny tr rtr lrrF,r ol
<br />L * o!*r or rh. Futrdt, .fr .r( lun\.1! $dnd oe u h lkncd Lonrrs&)r r,, (ondod rh. Iil,f.r (S.. 704,r, iurtr(
<br />anl h csDn C,xlc: fh. G)nrr8.ttr r t-f,.ns. I i* {,xs (n rmly n' T o*kr of I'olEn y $lF 6!,ll! d mln'vcr rhaor.
<br />..d *h o tutfin ruhFoj.(r.*nh.(i,ntrkr.nn l.rn{d nur.unr brhcConrBrtr { l,x.n{ Law)
<br />-lh.r.mF
<br />uDi.r Salbn-. B. & P.C. tu rhi! c.$n
<br />DrL' OrI.
<br />tvoaKEEs:(rllfEltarlo!
<br />uEgaSauqrIh.r.by!llnn,unJ.rl.'ulrr(lt rluryoncolrh.nn[,wmE J.rlnrr.rns:
<br />_Ih,c d *illNir .u r Ctniliur. ol G,nk n, Scll'lnror. tur worlcr eun{En{k,n, r. tmvrl.J I'r hy S.\r[n ]7(Doarh.
<br />tjhr C,nc. r lh< Fri,lrfrr or tlE k{t lor rt.h ilr F.Er F !ru!l
<br />_l hjN J *rll mlrnr{i *orlcr' .ohFnrrrk,n 'nur!r.. tr rqudJ hrS(rrr r7m.irh. DrxtrGi.. nnrh.p.nohuR.of
<br />rh. *)rr lr *hihrhBFmrt ri trskL Mvwort. d,n{xn\rir)n 'n\oBnr. cs.r dl Fr(ynxhh.r 4
<br />_l (n'rt rhr' nrrr FrrormL! or E *ork ld*h.h'h,rFrnnr r $u.n.I itull ft, .mpl,t ,ny lltrv'n m lny mdrcr
<br />$ $ kr b.()m ruhFlr nr lh. wo .n' comt n\.lion h*! oI Crl,fomr .rj {N rtd ir I rL,uB lE{om ohFl lo 'lr*o 6 .r'rryEnsion ,'ovn.m ol sdlr,n r?m ol rh. llhn cdL. I rlull. fdhr.h ompl] erh rh'e l,n)vi!!'ns.
<br />WARNING: F.durc b eurc eort.u dlmFngr$n rormt. ,s unLqrul. .Bl {h!ll \lhiir u ntloF t, am,El Jml ,n
<br />rtr'l rrmr nt ro or hlnirctt tlr,lqn dolh^ ttlfi).fl[), m ,.!lr.n b lrx co< of conrFnqrion, Jrrq!.t rs F)vrl.'l lor th.
<br />S.diln 10?6ofrh. bhrOrc, irr.rc(rnl {lomy i lc..
<br />Apt,lnrnl:
<br />UCEdIE!.CONIBACIAA
<br />DEgA8dIlA!
<br />I t*Eh, .Irrn x&Lr Fuxy or Friury r hd I n lN.<i unLr F!v'rs. ol atrt ld 0 (.r,mBu8 *ih Sei jn '7000) or Drvnr,. I
<br />ol rlr BurEs u, PofciDni Cuk, rn ny lt.n{ ! b tull ftrN lrl clt d
<br />fr.k
<br />-
<br />t-onlEclnr-
<br />colilalcuqNLENDldcrilucr
<br />t h.Ehy alrtm utrdcr rEn.lr.f rirprt rh,r rh.d I r Lln{turirn L,rlm! +.L, tu rlr Frfollle. olilr kxt tor tirfi rh! Fn, 6
<br />skrt ts{ {l97,crr c.)
<br />t nLr't ArLlr.$: _
<br />APPLICANT DECI {RATION
<br />I hdrl'y rnim u i.r Fn.ll y of ll.rjury on. or thc lnltrq rn8 ddla.l$nt:
<br />l).fr!l[on P.rfrn+Arh.(os tl{lrE.t,n t(kr.l R.3uLrnni (Trlc]l(r. Pd6)
<br />_Rcquft d L.(crrl M{lrr{!n
<br />Ir.n'ryrh.irh.lL.J.'rld!tr[rtr,n\rfrJ,trrhnosn_mrrl(rirt't'kJhlcr'rhst)t,F-l
<br />_l rcn'lyrhar I hnr. ra,lrhr ioplf,.r ,r. rh.r rh. .bvc hfMmrir s ..tr(r I .!N b ('mpl, *ah rI Cry rn Counly
<br />on][.N.r lrJ srrr. ur rlroa k!onqrudDn. lrl h.Ehylultnru. rqrcsnrdrv.! of rhn Ciy.rrr Counrrlo.nr(lporrlE
<br />r[,Y. rrnir.!] f'oB r ntr
<br />'n\
<br />Appli(Bnl .r A!$t Si[nllue
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />Sublloor/VenVl nsulation
<br />Rool Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnl. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />Handica p Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif .
<br />FINAL .tlT ltq-,,aA',ffi )
<br />Certiticate of Occu pancy f I
<br />Notes, Remarks, Etc
<br />SLAB Floor
<br />T-Bar
<br />'ltf't
<br />=
<br />I
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