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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNET BUILDE1R DEI,('ARATION
<br />I lE.lr, .lrrn uLL. txulty of Fri!,r rh.r I .m .\cn{r ftm rhc Ci'd.rrns' l-(.t bw Ittr l& loll'*r!!t.$n lS& ?O!l 5
<br />Aun..( .rn Pn,fcr$n GrL,: Ah, C y or ( , nr! whrh Equ@r . Frni n' !on{Mr. .lrd, mFnt, tkm,lFh or EIEtr y
<br />(B-rxE-Frtrb t soxrr..er kaflrH rtr. .Ild.ur ttr iEhtm t' rik. $3m,1(rcd.r lh.r,Eor ar ! lf,.nr.l riNd
<br />b rlE In'rnrn ol ilE Conrtb'r l-r.n*rl lr* (ch,t .. 9. O,nwEh! * h *(rrrn 70(l) nr O'vrnn I ol rlF Eo{m( r,*l
<br />Pnnc(r)N C,rt.) or ihdr lrdrh. B crcq'l rlrr.h.m.rrl lhc hdls ttrrlr rlk!.d.kn$i). Any vnlarrrol SdrrnT0.ll li hydy
<br />'ptlrunr r,tr, n mn bjcr rrE rlpn .nr r,'.(vrlFnlllyolfl frtr rho i!. hxndEd dollts (J5dr)
<br />l.i\oun! l r hc lnlltrty, o! n,y .nlllhy..\ w[h *r!.! .< rhclr $k dlnlxtr\i (,r. e l Jo rL work nl rh. (nrruc F Bn
<br />mrrnl.d or ollcrJ l,r qL r 5(.7(}44. BuwE( md Pn,lc$hrns C,rL: I h. (i,nrar M r l-f,cnrc hw itEr nTpl!b!iowkrol
<br />rh. p(,F.dy *lr) hdll]r o' u'{'n'r\ rEftr, lrl eh, d(K\ {f,h krl h'nt.li o. h.Nll o' ihn,urh hr or h.r .r'n .opk)yc.i.
<br />ni!|rd.d r h.r rk h n{nNftd! I nn d.nLi r ollcnn l(r ek Il. n)(tr. rlr houula or uqrrtnrd ( e,ll *tho ,E }rz
<br />dl (ln9krnn, rlr (Nkr Audlr *tll hlK rlr ttunl! dl Fnu3 rh, lr,* Jr Jr, n{ h{rrJ or nFN rrr F,Bn, ft{ rlt F!iI$r.!
<br />l. i\ .wrr .l rh. In{Eny, a .r.bnt.lr (drxr m! r ih l(.n<J .od,a n'. n, onrB. rlr lf,rFr (5c ?lx{. ButBt
<br />xii h ll(\rrn Cqt : Th. Contao. i l,r.cnr. tz* dEs nn imly n, u own( "l F"Fa y wh) hurltir or Flnrvct rh.rdtn.
<br />..d wh' !. krslqrNhF'r.(w h r (i,hrr-('(r) lt.ied I'{Funr t'Ih. (i'nre triL.iMtr*)
<br />I rnrcrr'mpr un,l(rScd()n-
<br />llllStrE8Egr[lfIls Ia!
<br />DEO.A&IIII,N
<br />I lxr.hv.lltrn, unrld Fndy.l JrrF.v.N ol rh. tnl!*ug &rLrrr(,n\
<br />-l
<br />h.h ,.1 *tU Duirr . Ccnfr{. .l (ircd r, S.ll!n$E li,r kxt(i d,i!tndi,.. r. fmvJal i{ hy Scri'n IXX) ol rh.
<br />l2hx (!rk. tf, I lE Isfolrr4. of rh. urt f!f, *hrh rlE Ff,tr 6 r\u.1i
<br />I hrv. rnl w 'll h!'nr!rn wrrl.rr loDli ni.ri'n mruruh-'.. r\ rcquril hv s& r xr t7fl) .l I h. ljtltr (iik, ntr rh. Fd.rroEe oI
<br />thc *'trtl,trwhf,hlhrncm i\ Nru.J lliy *orkcF .omFnrrrH,n rnnrrfta rrnri llrll.ynuhtxrd.:
<br />w llntrc\:
<br />-
<br />.l thlll rmfk,t.nlFtv'n D,nf murr
<br />Rrh, I th)uli t:Ld tuhFl !! rh.
<br />nhu h (r'rply $ifi rh!( 0n'vrr n
<br />\n, om fixnlR, rlk{rinl llol[rr llllx,.flXr). r &llrrr
<br />w-!\
<br />Il'.r.hr rlltrnunl.r |inrlr!_ol tt,r1trvrh. l. n l'((tr\'(luD(i- Fr r, C'hrflc, 9 r L unrnrnnr! wnhSdnn TlxX)) ol Drvrnon.l
<br />.r rlr lhtrtrr$ Inn.sk,ni(,rl(, ul trrrlrcn! A'ntulllotri
<br />V x""uqLqq \
<br />s-:r-,q x,,"*.
<br />lh.n.l)v.'lltrnltrtul.rtrrrltyoltrrrLtryrl'trhL'(N.'(,trxrnrrnrLn'tn!rr.r
<br />tr\o.J (S.. loi)7. C'v C )
<br />l.rr,(i\ dJr(
<br />-
<br />ATPLICANT DF('LARArI(IN
<br />Ik'v]Ii,mu Lr Fmhy.flErrrtry or ol ih.li,ll'*rf (ELbr i,n\
<br />l\nn [n Pqnltr Astrno( Ndn!(aron liicril R.3!lrlr,ns ar k,fir, I'd6r
<br />_k.qtrFd lrrr.rol Nd'ij(!tr'n
<br />{rx
<br />L.n'rt rlL ilr,.dcrrLrstrhinnr Nr tr,1tr'r r\lr{o\ r.nrtrxlr. nor r11tltr
<br />'1,1.
<br />i,1htr pn)!(r
<br />,ll! rh, I lut! ftd ihr rJll r.r.n el \l{r. rhrr tlE .Erve nn, I .8r h .rmoly *trh rll ( i, rnl G'ud!
<br />:.r ml Si.r. LB rhrin! t, h'Uns onr*r$n. r,rl lEE6! rdh,,. r.|,d Btrrh'rCryrn(i,! yurcnrcruPnrlr
<br />nrnt'md roFny hr m1
<br />(,,,,cxnl or ,\r.nl SirNrur
<br />(**,**"*,,n,,
<br />S.5L
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />SubllooriVenVlnsulalion
<br />Roof Sheathino
<br />Shear Wall
<br />Framing
<br />lnsulalion/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence 1\to\1 )il.4@
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Enoineer Final Report
<br />Flood Zone Certif .
<br />FINAL 9\ro\rq t)4il\)
<br />Certificate ot Occupancy
<br />Notes, Remarks, Etc
<br />L: €3
<br />v I'n rh. Brntrnrn.. olrltr q(k htr sh'.hrhtr lirn,ir tr
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