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BUILDING. INSPECTOR RECORD
<br />SITE.WOBK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsulation
<br />Rool Sheathing
<br />Shear Wall
<br />Framinq
<br />lnsulationi Eneroy z/rsle r:/O_
<br />Drywall
<br />Ext./lnt. Lath >/rr/n /l\-
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Depuly Final Report
<br />Engineer Final Report
<br />I /t4T;',FINAL Flt752,r',Z bq
<br />Cerlif icate oI Occupancy
<br />Notes, Remarks, Etc
<br />OWNER BUILDER DEI-CAX TION
<br />I lEEh, rllth und.r Fuly i)l Frrury rh.l I u cr.rpr lren rh. Codmrin l-:.n* L* l rh. fdlt)wiry E w'n (S.t 7011 5
<br />Bulms ul Pnn.srr Gi.r Any Crrv Dr Cddy *tili Equft! r Fmu h !$nnru.', .nd. rqmw. &DlEh or rqti uy
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<br />k' rlE FrvNi,nr ol rlE c(' r-lm'r Lirnsl L.B (Cnrfl( 9, cl,nftnn8 *rh Sarrr 7mr ol D,vtrnn -r ol rlt Au\d. .n l
<br />PrDf.s$d Cirl.) { rh,r lt i, n (.r.mp lmfron rn dr h(ri lortl' dllcJ.kngu Ary v$LrEno,SdDn70!I5b,d,
<br />rt?lrin' ft, r Jrmn ruhF.lt rrE +nlsnl to r uv FMlry ol ml B)rc ihxn nvc huLlEJ !o'l,ri (t5(l)).
<br />_1. t o*r,oarlr lt Fny. d ny.n9r,Frr * h*+.!arlr, $L LlmFNrr. {!rbrlrstt!n'lt raM 6 d
<br />d.nkrldofi.Fdror.l.(Sa704a.autE(.,rlPrDr.shBccLTlECodr*rir\LineLt*rltr,{plyro owHor
<br />rh. noFny *b l'{ I!.r ntn,K.lrRr In ell Jrx tuI u,t hmklf or lrrull or rtmruSfi h,1or tr ovn c.i?loy..\-
<br />pn'vd.'l rh.t rkh lrl''n'Em r c nr ,r.&d inoll.Gl tu!E ll,h)kE.rlrh lu!trlqntEEd!r$!vrtomF
<br />of orrtLrbtr rlE ()vmr Aulr.r wJl h.E lh.t{r&norFrwtth,lrorrlEdil nhd or rproE dE Fl,dly ft* r FrFotol
<br />I r(.wNrolrlh Dotrtry. rnr\(1,'{v.ly.otrh.r13 }[h lr!.na.J (. tr(nnr' !rn!n'.i ih. pn't.i rSc( ?(l+1. Bunm!\
<br />rxi lhrr.srtr'(inl. Ih. LnMJ.ntr'r l.(0\c l-rwdoc. ndr rptly r, i,r.wtr.tot nrrl{rry*l[ htr'1J\o mf(,vcs rhci(\)n.
<br />!nn whn (onrrr(r\ntrsu(hnn,r.rkwrrhr(tnh.bnn1'r.ns.Jptr,\urtrrt,rl'c(i,turrtr'rl-(.,r\rlr$)
<br />l.nr.\ctrrl, uBltr sc(x.n .l]. & PC
<br />L' 7.'24 '2. t,
<br />DECIJIAIIO!
<br />I h.r$y afirhuBj.r rcMly ol F.nrry or ol rM ft,lbwm8 &r-bnrir.l
<br />_l hrE .,n *rll Ndrh . C.nrr..r. ol Con*nr ro S.lalNW ftr srts! (r'nqF,Brb^, B Fovrld ror by Sdlsn 1700 of rh
<br />trlx* Cit!, ri* rlE p..f(m of rll $f,t ld rhi,l th. Fmr a KrErl.
<br />I h.w .d *r ll d,t.r *ortcF' .oi{f,ntir nn itrtfu.,_-... I Equ!.rl hy S-r r. l7m nr rh. trbor Gic, tq rli F.r(,lm or
<br />rlE hrt n, $n.h rh8 Ffrr L\ lci My *rr.6' on{Endrn 6$rnr c&s ,n Fn.y numlEr d
<br />I(cnrlythrrIrtu|{rntrnur..lrh.r.'knnwh'.hrh(o.rm,\^nhl.I\h!]lnor.nrNoyrnyF'h.trmrnyhun.r
<br />(, J\n,lurnr.{'hi(rrt'rh.w rk.r\ (nnlttrr onl!r(otCrlrl'm.!.J(!n(rhrr'rIalul,lh(!trtusohrc.(tulh.
<br />wr*c'i unFh\I![tn)v^tr, s.1sc(n.,r!7 rol thc tilu (ix,c.l \hrll.lrtrrhrihc,trnlly wihrh,( t'n'vn$n!.
<br />NARNIN(: l.r,lu. i) $trn worl.r\ .omncnrdkrn $vcrr!. tr tr lr$tu|. in,l hjll {hrur .n cnlrl,'y.r b dnind ff,nrhr\ ind
<br />.trrl l$' trp t) dnr hnrklr.J rhotr\rtr(lJrlL^ (!llXl.(XDr rrJJirht,r '2,...T*,- .*". - povit.d ro h.
<br />Sr-.rnn.10?6or rh.lihtrGi]1. tri.rcn r' 3rbmy's r(Tr
<br />-Zo')ot,ull]5!rlg\l!!Lt1!
<br />DECIdEAITON
<br />I h.Eby Jfnr !ri.r IE lry ol FJU[, rtd I d l,Litr<rl ulr.r lnrrarM of clut d 9 (r'lrmEuu rih Ss'ti'n 70m) ot D8(nn 1
<br />.l lh. 8u{Et. .il Pn,r.!r.nr (irl.. .,n my lIcns Lt D full nEr lrl .lldr
<br />CONSTRUCTION I llNDlN(i A(il:r_(-\
<br />ru!lsc. lx)'r.(iv ( )
<br />t.nd..s N!nr:
<br />lArlci! AdJrs:
<br />-
<br />ATILICANfDEUJAAI,III!
<br />I hdrt', .fiim un j.r Fnrk y Dr I'crrury or ol rh. nnh*r3 &. LhrDn\:
<br />D.DII.n PcmI.Arh.{o. t*{'lE.lxrn F.tkr.l R.3uLlons (T{h l(l. P.n6,
<br />_R.!!trcd tdtd trrnidrr
<br />I (qlrry rh, ilr r.J(.l rsulli nnr ErrrJ'ns xslEno .fr)trl dc ftn .rdi rnh h rh! ,FrFrl
<br />-Ir.n'lyrhr
<br />I Mr rcrl ihtr +flritn rl {.r. rh! rh( th)yc nnrmltrn n(r.!r I ?3rr (, ('nlllv snh 1ll C(y &l Counry
<br />orJnRr\:D.l SrI.lr*t (hru! t' hu J'np (tut.n. zrn hcr.r,y .ur hru. rqr.rdi 'v.r oI rfix C , drl Cou.ly lo enl.r uF)n rtr
<br />.bY. trhri,m I.IEny in trtn 0n (
<br />Appli.{tr| nr ,lsml SirNluN e.1,, < 2-.b 2'ot f
<br />b 1.,4J 1k
<br />,I
<br />'I
<br />Conlmro.-
<br />Erection Pads
<br />Flood Zone Certil.
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