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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNE' BUII,DER DELCARATION
<br />I lrr.t'y rfiim unL, F liyol Frlryrh, Im.r.r{ rnh rrE (b.rtu16 hcnrc Uw for rtc aolloess men (Se?oJl.J -
<br />Bxri.* 'ii P()f.son (lrtc): An, Ciry or O'u.ly vhrh EquE! . IEnr t) sn(tu.r, rlrd, rqr.E. J.mLrn or EF! ry r3rurE. rn,n, r Nse- rls Equf.r (h. {rPhd ns ruh trmr b nt r r8xd (rtcEnr rhd lro th. r.lEne! Brruur
<br />h) rh. Dn'vsk,nr ot ltE co.lsktr r t,rcnrd L.* (Ch.llcr 9. C.mBNDr w h Str,n 7(m .f D'rrFn I ot rlr B!tm{ . l
<br />Pn .$bnr Gxl.) or thrr lE or rhc r .(mpr thmlom snd rhc h.nr n{ rlI alhScd .(cmnlion. A,y !i{}Ur M ot Selr,. 70! 1 .5 hy rny
<br />.pt (.nr lq. Fmr rlnAlk rlE rmlxrn o !.rv'l FMlr y or n mErh,6y.hutnEntl L"\Il5@).
<br />-1.
<br />6 op*r .f tk fn'Fnr. n ny .rnphFr * h *.!6 .r ih., q,k !.qmdi,n. u! tlo rlE *rt rnl rll rdrw ii nn '
<br />u{.Bl.i or oflldl rhr sk (Se.7O4a. Busm$ r&l Pnn.$htr! Clll.: flr Ci'dr&(tr'r t-a..- lr} dEr ri +rly h d o}Er ol
<br />rh. F'IEny *hrtrtllt(EF6tt(.x,!|lph,dB h Hrt hinkll or h.M ll or rhm!8h hn or h.r os .qtl,y..r.
<br />ptuvrlal rhlt sueh mFDwmnls e n irr.Bjed orolf.rJ li, sk Il. hrw. rtI ttrillhf ixufFtEd!rr *.hr.FFr
<br />olonpLfia rlr O*E Bu'rh * h,E dE hnd.n ol Inrli! lhr tru{Edn Di t{ or ittnrE 'n
<br />pn{6y lor llr IrrF'Eol
<br />-1.
<br />I orn r ol rh. ltr,trn y, .h cx.lulv.ly codr&ri.r vrrh lrcn{J r.drarfi (, !.n{ur rh. F,Ftr (St 70,14. autml(
<br />rrd h|&srrC,ile 1h. Ci'nrruro. i l-'...* bw &rr Ln rmly h u o*n.r ol pmtiny tlxl hu'U! or mf,n)Es lh.rq,n,
<br />rnJ wh. codnck lnr $rh Jn'j.rt. pirh ! Conrnetm s) l.rnk! p6d hrh. (i,ntr&roa. Lt.r€ L*).
<br />?
<br />DECI.ATAIION
<br />I rEEhy.rlrmu ler F.JyorF jury oE or rlr ri,lk'w6s iLrlthrdnr:
<br />l hr\c lrl Brll Ernr.D4Ccn (rr.olConicnrbS.lr-li\!rc,ur*ullc6romP.nrantrn.r\fruv'd.dntrhySccri'n.l7lx)o,rh.
<br />ljhtr (itl.. lir rhc FrlomNc ol rh. *olt nr*hrhrtu F'm tr NiN,
<br />Ih.v..dw l drllu *ort.r' co,igcnr{xrn hruhrc. rr rcqu&{ hy SarDn .l7{Ir ol rlE trtrr cl!c, ror lh. Ffolrlle! or
<br />rlE k,rt nn wtf,hrtu Fhn r x$.J My wo.kdr $mFnqron msuriR-. qrEr !n|r'lty numh.r E.
<br />I(.nrfyrhar rnlhcp.llornuRcifrhc *ork k,*hi(hrhrFrm tr r\!ucd.l rh.ll nor .n{,b, lny FFo. o.ny lMBr .
<br />a, rs k' tRotu ruhFrr n) rlx nxt6 lor{rnqtr)n Ls! d Crl .mu. .Ll z:B rhr I I ihru h.!.m ruhrd n, rrr
<br />*orrcr\' d'nFn\sron t bv6().r I sccron :u00 ol rh. ljtry (iri.. I \hrll. fonhw h Nq y D[h lhrr nn,viri'nt
<br />l4ARNtN(; l'.rlui. h Bm *{t ^ \uflyf,nerx'n (fd!. Li unLutul. .il .h.ll suhFr r drtil,y.r b cmul FDhF\ mJ
<br />dvrl liner nt lo om nundrcJ rtxrBand JoUr (!l{x),Ull), n d[Dn td rhc to{ .l .oqEnqrbn. drr3.t ! Fovl]ctl ,or rh.
<br />.{rrr l:}u C,rk. drrr{ uxl
<br />lz lt4 >.-i..t tw
<br />DECI'MIIAA
<br />Ih.Rh,.litfrund.rF.MIlyolp.rjlrytdIrnli.lnrarud.rFUvLlnn.lch.t9(.DnrNulssrhSerDn?(:[D)olD8RE.]
<br />ol rrE Burmr dl Pn,rcsi,nr c-aL..,l my l&.* n x nrll aod rnl.fiel.
<br />D.l.:- Cdtmlo. -
<br />CABIIBIIfTI!.IEBDIIIi.AGINCL
<br />I h.Rhy lt atrn utoLr lf,fllry ot lErllry thrl rrrrc s: Lan{ ii.nh oSr8cttfitrrlrFrk'llM.orrlxwkforYhrhrtuFmr6
<br />rrEd rse..vr9?. (iv. c ).
<br />APILIC^NT DECI-AR TIOi_
<br />I lr^*hy rllim,und.r F_nxlry ortxryuryoN ol rh.ldl[,]ut Jcrhrrrrnt
<br />l)cnx'hll,n Pcr!trr!A\t{noi N, 'l'(rr$n l.cdcnlR.!ul.rrff ( l{lc.l(r. Ffi6)
<br />R.qu'EJ l.I.r.l N.i'li{i,h
<br />I.dfydsr rhc lc,jcnl Es rrtr'nr rSrJ'n! ash.{d rcmrvrl ( fln {DliubL b rhi! ptuj.ir
<br />DSr .cr,ry rru r r,,* rc.1 rr,rs iFpl.oi !,. !n (rrc rhlr rhc ihrvc rr6drion s eorut I .88 ro.t,,q'ry *rh .u cn,.,rl cou y
<br />odirE.! ,i Srd. l,*r Ehti! lo lD'L,Da .on(el DG rn lErc6, .urlid. rF.cn'rowr ol rhr Cny .nt Condy ro .,rtd uF,n 'lr.'hr. nFrrr)n.tl t)r)Nnt 1,tr tr'\F.rntr'
<br />,rnpln.nr.r '\!.nlsi!nxh,m )n ,"r) (rr.'e i lz lFt
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framinq
<br />lns u lation/ En erg y
<br />Drywall
<br />Ext./1nl. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Enqineer Final Report
<br />,
<br />FINAL -t6J'1 'tu\t1.1,(
<br />Certilicate ol Occupancy
<br />Notes, Remarks, Etc
<br />--+
<br />Flood Zone Certif .
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