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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNER BUIt,DET DET,CARATION
<br />I hcrt'y llltn unncr n(mlry ol n rory rhar I ah .t.'npr ln,m rhc (.r td(trr' LEcnsc tjw l,r rhc k,lk'wdt rcN,n (56.. 7011.5
<br />Btrnn.$ r l'nt *n,n cdlc)r Any cry or C,)unry whrh G_qurcs r r-mn b oh{dcr, alrd, hDruvc. ,lcnvnnh or Nprn lny
<br />(ru r.nfttrrlns rlurtu.. rl$ rcqur.s rh. ,mllrr ntr lurh ritur h lilc ! s*md rtetcBnr lhlr h. or shc i li.tn{d llrudr
<br />r, rh. pn'vtrk'nr ol rtt Contr((r'r I-(cn<cJ tjw (Chrptcr 9. (i)mmnrins wrrh S$ron 7u)tl of Orv6on I o, lhc Burrcs J
<br />Pn,l.s\k)nr Cui.) or rhrt lr Dr (h. s.rcmpr rhftllmlnd lh. hlrn lqrh. rlhS.d.kr{rrtn Ahyvrl.tDnolSccr.n7l).115htrny
<br />Ntfl'.inrntr.p.hntruhJcctrrh..ptlr{nrloruivrlpcMlryolnorm,Erhdliv.hundrcdJolle\(5500).
<br />l, r{ o*rr ol rh. Irt Fny- o, ny .npl,ryN. *r h w.8.s .i
<br />'h.tr
<br />c'k {mpcns.r[n. will Jo rr. wdt ail rh. nutr tr n,
<br />mr.nld orolt rcd tr {k (Sc.?(,+|. Bunm( $d PDics!'.{ C{rie Th. Conkturois L..ns tiw dx! r{ lpply b u owmrol
<br />r h. pn,Fiy *h, ttu rlt or n+k'sr rllN)n, rn whi d(E( (u:i s'* hm\.ll or h.elf or rhn,uEh tN d h.r o*n cr0L'y..!.
<br />p!,vrtJ rhdr ru(h inrlmErdr R [n d.fli.ti or.lii$l tM qL ll. h]*.w. tlE h{itril3 o. rpr$kmd rs $U wirhin m Fr
<br />ol oq*rr[ rlE Owmr Burllt wrll hlE tlF t{nLn ot I't,yrS rhd E or slf,,iri mr h.iX or itImE tlE FtrFry nn r puryr,{ lt
<br />l. r! nlE. ol rh. Fop.ny. D c r.lnrk ly conkad 6! r h lk.ned $dr*|.^ lo .!r{Br rh FrFr (So 7O$. au.ms
<br />n Pbk .r, C,rL Ih. Ci, r&roi s Lrene L.s dEr mr .pply lo .n orncr of Fottdy wlit blrldi or hrnrE{ rhcrd'..
<br />rnl wh, (o.rftr! nr sNhpror(k * h rConrndo(r) l(n{d purMr rorh. G).trxtr'< lr.n.Irwl.
<br />_l,h.i.hfl 0fr1t, s.cri
<br />lf otl(ERs' coilPa\sarIoN
<br />DES.AAAIqN
<br />I h.(hy rlnrnutuL. F..lry or tErry oft ol lh nnt,uoS &{h.lnn\:
<br />-l
<br />h.E .rn wnl muiu r C.nfrrt. or Con.nr ro S.ll-lnruE ru wtsr !-qEN.Dn. 1r F,vrj.rl ror b, S.<tnn l7l)o or rlx
<br />l,htr Oi.. id llr Frfo'rlle. of rlt krr ftr *tan rh. Fni n a$dl
<br />_l hrh .rl wrll mrfrrm pnd.u .a,mp.nsrrn urur.B.. a! EquftJ h, Sdrbn l7m d 0E ljbor CqL. ror tlr Frflm. ol
<br />tlE sfi ftr phrh rtur F..rIi s lsEI My torl6 onFBrDn iNllm. ..mr .d !ob.y numbq e:
<br />. 5}c+< Co./r tns'r r. 6n I
<br />no3 l15n , 1-olb <o llo lc-o s
<br />_l .rdrly rlll tr rh. Frli'rmB{ ol rh. wo* for wh.h ih6 IEmr rt unFl. I il!.ll Er cq o, d, Fm. r Dy lMF
<br />$ I io rRrm stiF.r to rrE q,t6 .lqsr.lxh Lvr ofc.laomir rrl .sfr rhi I {DUU h.or suhixr ro rL
<br />krt6' lrw{rnqhn [,!VK{B ol S<l.n 1700 ol rrr Lkr CaL, I {ErL fMhw.h $trplY rlh rlDE FDvirbni
<br />wAtNlNG: Fdun io (E s,tc!s' .of,vrnqr.n oE6!. n unL*tut Il rh:x $bFr o .r!t|LFr ro slud lfrt-.,nlfll rftl up k, oE hu^tr.J lhuqrn d.ll$ (alul.o(Dl. h rltdrtr ro rlE 4r of 6rFnr.lpn. ,j.d!ls 8 Fvrl.d for ln.
<br />srli,n :()76 ol rlr bhn (irl.. d.r{ .nl tmy s ls
<br />LlcEMT,EqOlqIAlJAf,
<br />DECUAAIIO!
<br />Ih.Ehtrltmt.rFMryorFr,lry.h,Imh.nEludk.Foqslnolclulrs9r.MEh'.8rihS.{rnn7OD)olD'v'rDn.r
<br />or rlE Aurft$ un Pml6.xh! clxL. i,l my li(.E r D tull lod {n cr..r.
<br />Ltq ,tr 3 t{t{o Ll
<br />o3lotllrcrq C"t1
<br />T
<br />COISTRUCTION LENDIIIC AGE1{(1'
<br />r h.rcby lilnn oftLr FMI! ol rrr,lry rh, llE{ r. $nrtulr,n lcnJur .Sc, for tlt FflJlmc ol rlE HrI for *nrh rhf Fd 6
<br />N.kJrse. !097, Cre. C )
<br />APPLICANT DECI-ATATION
<br />I H,y rrlim unLr n n.!y oi p.ritr, or o! th. nnllJ*mg J.{ lrnrtns:
<br />txnrlfon P.rmreA.tr(os Nollrr.rir F.r,.r R.Buhronr (Tirk 40, Pd6r
<br />_R.qur.d t t.r of Nt,fr.lrr
<br />| (srrly rh.r rtu l.J.r:lrc!!hri'n\ r8ril'n!.\h.{or r.m'v.ld. norapp[al . ro rhls Fb]rr
<br />)al (d t r h,i I hr\r r.al rhF lpf l*ll on irn slllc rhll rlr ah'rc inn,rurx,n n (ar.d I a3N !' d'mply *nh rll C y .nJ cou.'y
<br />odmh--.1,fti sr!t.Irf,\ mht,{ n, hu lhs .otrnruu Dn. {n h.r.hy lurhdrd. ,ct .c.t.rits of lhis Cil y ,rn Counry h .nin ulr). ilr
<br />!li)v. trrnrx)n.J Dmp.ny |,tr u\tcd('.flr,t,{r
<br />ADIli.{nr or Arcnr Sistretur a3 f-r ( rar.r
<br />Set Backs
<br />Forms/Steeli Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/Vent/l nsulation
<br />Roof Sheathinq 3h\11 t ,t4$dD t-lnf r..r a,ourrr e/' .tv* c.lalr
<br />Shear Wall
<br />Framinq
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coal
<br />Masonry
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certil
<br />I
<br />FINAL j l2a ln .?Mt 4
<br />Certificate ot Occupancy t-v
<br />Notes, Remarks, Etc
<br />,,,,", . o? lor lrorq
<br />Pool Fence
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