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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNER AUILDER DEI,CARAAION
<br />I h.rcb, .fltm undcr F..lly,n Frjury $d I d.r.nfl ltum rh. c.nk*r.'r' L..nE l,* r rh. nnhwms rct$n rs.r 7l)11 5
<br />BNm.$ . Pnn $rm Co.i.): Any cry or counry vh.h r.qumr . IEmi h, .on'rtur. rha, 'nPn't., Lk4n(h or ErhE rnv
<br />nd.turc, Jrx, tu iri i*u*., ilm rcquiEr rlr ipFlie.nr fttr sh Fmir () iL r qn ! {r.Bnr rhi tr or rh. . lf,cnE! PunM
<br />t, rh. Frvr!,nr ol ilE Conrekv't L.c.<d ll* (Ch.fl.r 9. CommNFI wrrh Sdt$n Ttttl ol Drviron ! ofrh. BunE( .nd
<br />Pn'Lsonr CoL, d rhd lrorih. K c!.mpr ttmfhn&! rlE t[u tu rlt ,L!.d .t.q'l$n A"y !r,hri'n of Selnn ?lr.l l 5 hy r.y
<br />.I'I'lkrnr ld. Fm suhFls rh. rmhar ro e.iril FMxy or n, frft rhr t rv. htr.rlnal Jollar (35m)
<br />&t.* "**,",,t r, ,r.ny. or hy.,Ilcbyer w h v.s- .! rrEr gi. (,f,rEnqt'n. r r (,l rrE ktr an rlE {uim ! trr
<br />d.nLat or Dlt.r.d tm qL r Se.7orl. B8drr 'nl PNf.rq)nr cuL: Th. Ct.rrrh, ! llot lrv dt. rr {itl! h d orMr of
<br />rh. pn'Fn, *h' tn'tl! tr fiF,6th.Gn.d $b dsuh *rI h'mal, oi h.rclr.. tlDulh hn or lt orh.m0hltcl.
<br />t'ovrLJ rh:r tNh mFownr e d ddlai q ofcr.rl for d. rr. lI)kE. rn hltl!}t r lrF)rrd | !,U wrho tE F{
<br />.l rrt'llra tlr Owr Bd.tr *tI h.E rlr hhkt of F,v!B th, lr q {rE J! d lllll ,{ !rF)E UE F)Fr, r,, tll FrFx.f
<br />i,\A $.*mr.lrh. In{rnt- s.rrh'v.l!$drarula $nh l*cn€ti ddrrn,F t, .o.r
<br />I\lr6wrC,r]1 l'fi.Connrlttr.1.!cne lr*.l f,. nn.mlvn, !n"*n.r o
<br />* rD odr&rr n, \kh Inijdr wnh . conrRron s r r..nctl I'xnunr
<br />l0!At,. "."-r,,*r". s-',,n
<br />,,,,.-3- q-zo \q
<br />I h.r.ny.rltrnrunJcr p.nrlr!ol Frun re Irh( l.ll,snr! '](l.r,rr
<br />-l
<br />hah r l erll tuorrd r C.d ni.tc oi ConEnr lo Scl!|.$E n, *orI.F' (or{tnurfl. ,( rr)vtktl k, hy S{r r,. lr(x, ol ih.
<br />liin C,ri.. ttr rh. pcrlr,lrl1fr. ot rhc wrk lor [,ll.h lh. nan BskJ
<br />Ilx,!.rtrdw,llnrrfl1rnworkcr'.o.rFn\artr'n'n{rakc.$rcqutrtdhySc.rkr171X,o,rkInh,(i.,ntrr&F-rlornbtucdf
<br />rh. k ntr shr h r hr ltm[ rr nruor My *ortc^ .onlllcnsr tr'n nunr c rnrcr l rr ltry nunh., m:
<br />P,,l,cvNumh.r
<br />-lilEr
<br />-
<br />-l.(lr'ly
<br />rh]r $rh.prrl.nMi(. Irh$orkl{wh(hrhr\prnr tr N\rJ. I nrrll hr cnlpl('y rtry ^.n rtryDJntur
<br />v, ,6t,GLlo r {r!.(r h' rhc $or(c^'.omr.nsi (r lxh ol ( rl'lon . rn.l i3N rh.[,l I \k,oLl lt( r {'l'].(I n, rlf,
<br />*ork.n (dnln.trlrronpn 'vN0n\olS(i.tr r7(Xrolrh.lrhtrC'rlf, I rhrll.
<br />trk.c .ommn$ri,,n ro\.rjs. r r trn .ndoy t) dDnrl Fruh.s,nJ
<br />!'!l ltr'.\ uI r,.k hundrcJ rhou\anl 'lolh (Sl(X).(tX)).
<br />'nsr!r!' rr'4,'h. I rh{ ( irl .'nra..r Jxi J'Ltr'r)'. |,a.
<br />mf^oi(,., ddmfg r\ lrovrl.d tur rlE
<br />I ltrhy.llirmun].r FmlyofFrprr rh{ I am lsncrl lnLr rirtr 9r('mmBm! *!h S(r.n 7(f,x,) ol DrYtrr,n.l
<br />ol rh. Itu{E1i .al Pnn s$r CdL, .nl my k.nr t 6 lull I
<br />Ilrk
<br />-
<br />('onttu
<br />COTISTRUCTION L'XDINC AGF'I(1'
<br />I h.Ehy.tlmud.r FMI,olFr!ryrh. rh.E s t Lunelrr ! n!.!.8/ ldih. Fn..llu. ol rh. ert fi, rtNhrh{ FD, !
<br />n.ud lsa. nr9?,crv c )
<br />l.n,..r N.m
<br />-
<br />APPLTCANT DFCT-ARATION
<br />I hf,!6r dlim unJ.r Fn.lry oI Frrury orc ol I h. lolb*n8 LL.lII:r rnr
<br />l).m)litrr f.m s^rh.rtx Ndfr.'nn FdLEl R.BULlnn\ fl'i1..&1, Pd6l
<br />Rcquu.!l l.(.r of Mr'1f, arn.
<br />l..n,lv rhd rh. nal.rdl rc,rulalnnr rcpJ'In!
<br />[s,:'r y rh.r llL,vc rrrdrh^ rmL'.rr)n Md nric rhr r (nn.(r Irrrrrr)(.tr,t,]vqi[xLl('rvr (ntr rr
<br />.tril Srit l-r$ r.1, tr,! L) htr'l.l rp (ntr{^'(r r.trca.nrlivci .l rhr ( , Md (inrnry (' cnrc, !Ir,n rlr
<br />,Lt(( 11 nitr.(ltir"ti!1y l(tr tr'\|r..rtrtr, fi.t^.\
<br />,\t,t,ln{ l or '\rrnrSirnilun,*-Zol
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Ereclion Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framinq
<br />lnsulation/Enerqy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif .
<br />FINAL t-l\-- /4 .EZEP/?'
<br />Certiticate of Occupancy
<br />Notes, Remarks, Etc
<br />H
<br />,,,,",'3-\-?olq
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