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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE COMMENTS OWNER BU(DEN DELCARATION
<br />I hcEhy 0ltlrm u !r ncMlry ,,1 p.rjury rhnr I m cr.tnfl lhm rh. O)nr.clon Li..n{ ti* lor lhc fouowine r.u$tr ( Ss ?lrj l.5
<br />Busim(i .,rd Px'L$-,n C.n r any Ciry or (.oulny *hah Entits r Fni ro s,o{Mr- ltr6. irY{'.orc. &mrlnh or r.t n iv
<br />d(i@. ri, t, irr Fsu.e. ll$ Equirs rh. qlplicd L, rkh Jrrnji to liL . r'!td nd.m. rh.l lE or rl.t i! lin<i PU.{d
<br />h rlE F,visionr oI rtr Conk{t* r Lianrn li* Icttnlq 9. G,nmrrnf sirh S.crbn Tlln or Divisbn.l olti. Bunft.r rnd
<br />Potcsi,nsCd.roirhsrlEorshrhcrcmprrhcrcfrfrandrhchx$si(nrhcdts.d.rcmpri('n.An,violllionofsdti,n7031:iivotry
<br />,mlhrd for d Firnn suhj.{k rli +Ili..nr t, . .iv il p.Mh y ol mt trrc rhln fivc hufti cd dollar( ( t5(x) |
<br />-1.
<br />.r o*d of rtE FbFny, n my cebtrcr tirh rtss ri i,En $b $nqrndb.. *ill&, rrE rirt rn dE fi(iE i! d
<br />i.r.rt{ o. ofi.EJ ntr sb ts(.7l),l4. AuILE( ind Pmf.shnr Cd. TIE cidd r l.anc L!* dftt ml {'ply t' M owmr or
<br />lhc rmFny vh'hriB\o,iqmB Edn,! *h dct u---h *otl hifri.lr or h.rclf or rhmush hh or h.. own chPlov.c!.
<br />nhrvitrt rhd rBh iigmm r ft hr idaricd dHftn{b IlhosE,rt llillinl d irqmEr,l n5llwirhiroE Fr
<br />or( I,Lria ft ()wB auid.r *iI h.w rlr hnli' ofF.vi,B rlEqtlrdndbu'B(stmEdErreId,e, E F{D<.l
<br />-t.
<br />rs owrer o, rlE F)pcny, sn .r.lusiv.ly .ontelins *ilh lic.Md .onrrdou l,' conrldcr rlt ln)jer (ss 71x4, llntiE*
<br />rd lt,lt<rb. CGl. Th. Conrrcr.. \ Liccn!. b* &F nn rmly !' M o*mr of ltorEn y Elh buildr or itr'pbkt rhdsn.
<br />.nd sin o'lrsllrd MhFFdr *nh r (i'. rxron\) lE6ed ll u.r tu rhc Codrr.r \Lk.kl,f,)
<br />I rmcrc'nnr uftl.r Scrrkrr
<br />l)cr. ()xRr
<br />lloIrNr k\' (IrIIPL\s Jl(J\
<br />t}}:(JJ3/rUll!
<br />lh.'rny rllrtrrtrflld Ntrilry"l tNluryotr. or rhr rL,ln,*BUr dr.hftrkls
<br />-l
<br />h.w un *ill mi.r.in. Cd'fr.l. oaConrnr ro S.ltlr{E fd PL,l6 @mFErhn G Fnritd for bv sdrbn l7m oI rlE
<br />Iirn Cde nr 0E Fflffir olrlE wI fG Dti.h |tr Fni k ii.En.
<br />rrE hrk rr shih lhn IEni i. tnrd My *0116 om tr,. rtr\ur,'r..rtrh nnl F,li(y nunrti I r.
<br />_l dilr rlsr in rtr FrormL! of llE *ort f(hih rlN Frmjr 6 i3En. l \h,ll n .'q*ty .., FKln in y mn6
<br />!' .\hr h.$m ruhrrt toih. * s.\,nIEner$n ltsr .r (-.liri'mii. mJ:+tc rhd rr I rhould h(rom i!bj.!r iorrE
<br />wud.rr co rll..rlri'npmvi\i{,h\olSc.rionl7lX,ollh.lihtr(ixlc,lshrll,flflh*nh.oorlly*iinrh,tlmlni{'ni
<br />WARNTNG: Irtr,hr. t, wur. rortcn compcn\"ri,n .ov.m8c ,s unlostuL and shrll ruhr(r !n .n{,lo)t. ro Ginnnrl Fmlricl llld
<br />.rv lims up (, .'f, hlndrrl rh,usnd dinls lll{XJ.(t[D. an &ldilbn h' rhc .o{ of.oqEndn,n. d,nBg.r N. |nnal{ rj rlr
<br />nintr mT6 .r rrl I ntsr Ork nrcrna ff
<br />,).k, /c>/t7/ 2a,,,Lt1l.)-urrlJl!rx.|]3.
<br />PEIIJSAIIII!
<br />I trEby ilrn uols Fuly ot F,lr, thd I ! liBrn odlr Frvnit. olo[n{s 9l$nmtin! wirh S.dion 7(lL)orDftRi'' I
<br />or rlE ausiB$ lnd Pmfcsiont Corrc. iid my lkcnF n in full foc on .firr
<br />,*--.'. rZ-
<br />,",. /o/zt/t e
<br />76/Y,/. o
<br />lr)IisrBugruat.LEll)ali-acEdct
<br />I h.,!sy .Irm ud.r Fmhy of Frrury rhd rtft k r onrturi,n hdin! .s.ry for rlE Fll)imN or rh *,t ft, unth lhn Fni ir
<br />'(trcri rsN 1007(ircr
<br />APPI ('{N-T NF(ILAIATION
<br />I tu'y drmr u'*jfl pcn{lry or Floit oft of rlE folh\ ins 6Ll,nr i,n(
<br />D.D)lnlrn P.rnn\ Arh.irn N({Ik.rrn l;.alcr.l R.3uLu'nr r'fitl..{r. PM6,
<br />-R.1!ir.n
<br />Ldlcr of lkifalion
<br />-l
<br />.€liry $d rh f.d.nl E8rLliB sgtrnin3 r.b.cot lmvn @ Fl tfilliiDL ro rhi\ pEl.cl
<br />-t
<br />.dify rhd I ttE E.d rhh +plk.lirn rd nrl. lld rL .lbt inrol hn ii clBr. I ag6 ro strply *ht lll Cn, .,n Cou.tv
<br />onhnnNc\ ind srrr.llw! rulxrrS rr ldint..n(rucli,,n. sxl h.rcbynurhtrirc rclrr*nr{riv.sofrh (iryotrdCoutrryt,cnrduF,nrrE
<br />atrN mnrnrmJ F,lcny fd nyF
<br />,\Doltrnl.r l!or si!mluF ......----_leet2 L/ r/<-,>,-
<br />,r,,r/1./2228
<br />Set Backs
<br />Forms/Steeli Holdowns
<br />UFER Ground
<br />SLAB Floor
<br />SubllooriVenVl nsulation
<br />Roof Sheathinq
<br />Shear Wall -1
<br />Framing ld-z-lg X-W:ilr
<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 Beport
<br />Enqineer Final Beport
<br />Flood Zone Certif
<br />./
<br />FINAL il-x-tY *v4il)
<br />Certificate ol Occupancy
<br />Notes, Remarks, Etc.
<br />ID/SIG.
<br />Erection Pads
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