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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE --CoL,ttueltts
<br />Set Backs ,,. -'.1
<br />Forms/Steel/Holdowns ;, a-Ur, /nYi-1
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulalion
<br />Rool Sheathino
<br />Shear Wall
<br />Framino oxhs ,-,L //-8-r"r /t z4
<br />lnsulation/Enerqy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar r'zf-l 1 tta.J l./,
<br />Handicap Req
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif.
<br />FINAL tvll,-11 ETrJ lol
<br />Certilicate ot Occupancy
<br />Notes, Remarks, Etc.
<br />( r\\ \t k trt .t)uR trtL( tR\Ilo\
<br />I hcr.by rlfm unLr p.uhy ,,1Frjlry rhd I 6.k,pr tiom lh. Codr&tF li.n- tr* Io. rk nnbwins a&{ (S.t 70.11 t
<br />lrlrn r! ,rl Pda\bn Col.): Any Cry or CNtry *h.h EquiB r Fd b .inrer. .116. F{lo!c, &ml!h nr Rrf,n my
<br />!hd@, Fr h 'rt i.su.Rr. !t$ rc{u4! rrt {?lrrnr ft" .kh Fmr n' iL r rtsE l ii.mii rhn lE or {E n U(hGl rrirnr
<br />(, rtE F)vlr)trt or E ConrrrM's Lsrrtj Lr, (Chtflq 9, conmrirS * h Sdfi 70@ or Drvsnn I of rlt Bun** xd
<br />Pnn.sb.r CcL) or th.r lE or !h. tr cr.4, rhiis.^l rlE b.$ ntr rh. :lL8tJ .r.qt hn Any YDLron of strM 701I5 tt.n,
<br />.pdud nr.Fo flbrc.r rh. .Il?lEol lo . uvil F..ltr or a e,E rh.. hY. huniit n ,joUu! (!5m r
<br />-1,
<br />s o*Er of rlE ,,bFny, or my .iPbF.! *!rh *t!.i ar rh.r oL .!.r{.ndu. wil d! rtl qtt .d tlE rtBlE ir n*
<br />d.rldi ofi.En lfr * ISc 7lx,r, Burtrri &J PEf6rn.t Cdr.: Ih. C:o,rB1q r L{n( (rq dB ml +Pry b d offit of
<br />tl! pn+aiy wh hlll& a lqFE ttEmtr .d wl$ dE uh Hnt hnr.lt or lmll or lhreulh nn q lEi om.rFt y..r'
<br />lmvrl.J rhli rut u4owtu e n inr.tldl ron6j ttr sL ll lEE€, r,F hojrlha d urFec n r'U * ir.E F{
<br />of.nriLtr^ tlEOwMr Bu!.r w h.E llE hrL,.rofFltuu thd l.Et 3t*Jn d IDi! or Erftt UE FtlEl, fn llr lirFeof
<br />-1.
<br />$ derr ol rtr FDIsry. d .rrlolv.ly odh.rmf vnh lEn{,i $nr-rm k' on*^t rh. F,Fr (S< 704,r' a6trs
<br />{rl Pn,li:rrn c.i.. Ihc conk ltn r Lr.nr l,* ,iE1 fr rpnly io { osRr of ,rolEn, *h, tr'Lll or mlniEl lh.t.on,
<br />.nJ wrr' !!'nlIxir litr ruch pn'Ft wdh r Co kl(4t hms.d puuur t, rlr Codttt, r LNtrc lj*)
<br />_l e.r.mlr u lc Saron-, B & P.C.li,rrhE daro.
<br />D.l.r-
<br />Cffi:
<br />ItlESEES:sqltfEdsAro!
<br />DECLIIEAIIA!
<br />I turcr,t afirn u*kr FMhyo, Flury oF olrh. lollo*r8 &{ldri,nrl
<br />I h.v. en *rll tu'nrM . Cd iti.l. {t Co,rnr roS.,r-ln E ru ktr*6 drqEn{i0n. rs rftvrlol lix by Selpn l7l,O ol rr.
<br />trhr Or]..l.r rlE Frflllrr4. ol rrE ur* nn wh.h lh. tEm'i tr i\rBr
<br />-lh:h.
<br />*ill nlnrrh w..k.F .omFn rt$n 'nru,'n... ai r.qu!.d by Sdr u .l1rD of rh. l:tu. (irL, i{tr ih. F.fo,m. Dr
<br />rh. nrk n, *h.h rhr Fmt B nted My *rL6' urnlFtudr.n nrurGc tud ,rl tbhy numh.r s.:
<br />-lc.dfrrh.rinrh.tErIdrE.oilh.*rlinr*hrhrhnFrndnBrucrl,Irh.llfrr.ol't,yrnyFMn!n.nvmuFe s h b{om .uhrtr b th. mrl.! .onlrnr itn li$ of CdrLtr.!, lti t3c rhi n I shrult tEtor .ol,iir ri' rlE
<br />*rt6 omlEhtri'n ItrDvEx,N or Sd i 1700ol rh. tjhtrQrL,I rldl n'lhrdh.r!trlJlly w h rhr- Pmvtr'nr
<br />WARNINC I nE b **uE qrr.n L-trFnsrrn ! k83. tr lilrwtuL .irl rh.ll !uhi.\r $.irloFr ro qmiMlFnhir r,*i
<br />( a@r !p k' om hudrcd rh,usfrl d1nl[l (tlfi].fil)), ih rld i,n h |tr con ot !oqto{rkr.. J@4.\ .s P.ovrt d tur rh.
<br />PulicyNumbcr:-
<br />smrR,r 1076ol rh. titrtr CirL. urcEd:drnomy'! litr
<br />/9
<br />_ trpRt
<br />DECI'8AIAN
<br />I h.Ehy .liim un'jcr Fndr, ol Frrury rh.l I m liBEl udq Forsx,n or Chrl'ld 9 (.nltmEhs wdh &rr$n ?omi of Drvrso l
<br />or rh. aurEls uJ Pmf.sDto! CuL, itn ny lf,6s r r r![ n'N .n cfier,
<br />B 7ttrdJ
<br />/o
<br />I rEEty rtt rh uLt r JEMlly ol Frjol, rh{ ttft s r onqtur$n Edo8 t!w, for rb. Frrulrr4t ol tlE wt tu lh.h rtui Fnr i.
<br />AITIII]AILDEII.ABAI'O!
<br />I diy ltrm unkr Fnrhy.l nsrury or ol rh. folbes8 d-hr.thn.:
<br />D.mlri,n P.ft iArh.nos Nohr*.lion lit al R{r!,rrnr (TnI.40. Prn6l
<br />_Rqurd l.n.rnf Mrfuru
<br />ADrlidnl or Ag.nl Sitmt
<br />-l
<br />.!nfy rhrr rlr l6k[l EluLlsns E8r,lu8 rstrror (m,rl e frn .t?lr.ht b rht\ pnrFr
<br />rhr( ,mri,mrl |nrr(ny 1,tr ntF.!im luirr*r-I
<br />rd,fy rh.r I hrE E ri rh! rp,rli.rrin lrl n.l. rhrr rlF.h,v. hforturio.. ro@r. l.sr ro of,xtl, wfi dlctlvurl coury
<br />trJnEd rnd Sr.lc L.*! rl:lr! ro hd!!!u c.nrtuL1nn. .rl h.E-t'y .urh,,. EF.sr .lIEs or rhr! Cir y lrl cNt , lD 616 uF n rll
<br />ID/SIG.
<br />i(u.rl ls.c lo9r, C.v. C ).
<br />L.nLrrN.m
<br />-
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