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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNET AUILDEN Df, tI'ANATlON
<br />I h6dr lmm unds lElr) .a Frjury rhd I m .rofl 6nm th. aodr.clon l,'cdi.lrw for rh. aollowing l.en (S.t 7()11.5
<br />BB'ner !n Prnfdhn Cd.) An, C'ry or ('ou.ry $hich r.qur6 ! F.n nr .oftrrud. .116, mp.ore ddmlBll or rqlt dy
<br />$tuduq Fh! ro ik isuuc., slso ..qrnd fi. r9placdt for o.h Fmil h nL r 3*n d i.dE rh, lE or st. n lra<d Fe.fl
<br />ro rhc ForB{B of dE C.nlr{tu r l.kmct b" (Ctslid 9. Conmocln! snh Sdt'! 7000 of Dililion .t oaih. l}u.iK dd
<br />PmrNoc Co&) rhlt lE d Jr ir .rml! rh6.iiom dd rnc hsis for rh. alLs.i .rd'Fir. 4., riohlinn .isdhn 701 I 5 t', !.t
<br />ltflr. for r Fnnn !!bjdl!lhc lprlictnl lo iovil,.@hvofmr mr.th6li\. ho tal6lhB(15({r)
<br />l. s .m6 ofrlE FoFry. tr 6y .riploy€ $ nh *rs6 s !h.n Fh Nmp<LrnNn, si[ &] lll trdt ,Id rlE lrEic ! 6r
<br />d.dal M ofi6.d ld xL (S< 7o,l.l. BG,B lnd Pr.ldsB coi. Ii. ( odfudDar l-i.* tr* dB nol +pl] ro o o*G of
<br />rh. rroFr! who ttril(h * nrrerG tlEo., &ij $'ho do€ n h *!A finE.lror hcxllor llhush hi. d ha ost mph!6.
<br />|rovil.d rh.r BUch imForoG$ c nor ord{.d or ofiddt irr sL l[ ho$6s, llE tlildtB !q*:6c, t $ld *ihii dc ]e
<br />otcoiiplrriltr E Otrn6 tuilild wil lBk t,r hsl. ot Fo\nB lhi lE s slE dil ml llill o. nrtolt fi. FoFry tu lh. purF.. or
<br />L s o$E of rt F?.rry. d .rcruliv.ly..drxr ing *irh li.akd codr&1oE r(,.otrrrud IIE FrFl tS{ 7(!r. tl6t.6
<br />lrl Phtsir c.& I h. (-o rdoir LicaE l,!u do6 mr .rply ro m o$ F of p.Fny $h. buildr or impro\ 6 rh66n,
<br />lnd *ho odod, f!tr ruch |'Dl.(1s wilh. ('o'rrdo(r) lkd*rj prtut l. th. ('oln.icloat Ltde l!e)
<br />l re\cnrp( unds s.rrkn,
<br />*" 7 a /27///
<br />I hscbr lmrm !nd.r a'.tr6ly .l Flor, ok of rh. aolh$in! d.tl,.'hB
<br />I h!v. rd *rllmidli. ! cdifkd.olc.lBar ro s.lilEur. for $rk6'codpnso.. a ptulita.! fot by lialion 17m orlh.
<br />llhn dia fm rh. Fa(mdc. of rhc *rtrt f.r *hrh rh. p6ni, i i!.o.J
<br />I har. .nd sill minr.ir wort6 crrp.s.lirn iurm., d i.qund b sRii.n 1?0(r of lhc l,lloi Codc. aor lh. pdfnmM.. oI
<br />rh. s.r! a.r
<br />"hich
<br />rhis D.6il i isxd M) *etd onp.rliio. idrr@. ffi( el F,licy rurbo e.l
<br />I .dilr llui in rlt FfnlM. of !h. $ort tm whih thi3 pqmn i n3u.n. I shnll n.t dnploy &t lEern In dy tac
<br />$ sto tEom $tirr lo rh. w,t6 onlrcsa(d td$. ofcrlifomE, ed !88 thrl it| lrnuld b6.ft sbt{' b rli
<br />\od6' mmFB!|hn FlynnN of sdio. lT0o of rh. Llt r Cod.. l tlEll, f{thtr ih @mplr rhh rh.r I'ovithB
<br />WARNING: rlilnrc ro surc Mrld conFB.thn .ova!c. ! ol^tu|. utl Jdl nbjcl o drhF ro dihii.l FEni! r't
<br />cnrl nn6 up !o onc tundr.d llNNid {hlls {tlm.(fi). i. rlnhn lo !h. lor of codFerion. ddMgd 6 Fovid.n ro, rh.
<br />I holby allur undn Fiht of Fju,} rhr I m li<t*d und.t For itn n or(]l.prd 9 (arm'mrins *'nh Sdi,.70(D) olDili.hn I
<br />of rlE ltulIl6 !.d ftrrdrd G&. dd mv l(ds ir i, fuu forcc od.flatr
<br />coNsrn!cl'lol{ Lf\olNc aGf N('Y
<br />I hddD afiim unds rEnilly olFl6rhd rhd. i codtudh. kxjios nBdr tu rlE Fftffi. olrh.\ort fot $hidrhF Frmt !
<br />tsu.irs( 109r.Crv ( ).
<br />APPLI('ANI D}'CLARATI('N
<br />I lEd .flim und6 Dolh ! of p.rjurt dn. ol r& rolh\ inB &.Lr.lhB:
<br />Do nn6. Pmile^llErd NoltnclrDn f-d6rl R.gular hnr I Tir l. 40, Pd{,)
<br />R.qui,-l tdr6 of ld'rifEinh
<br />I Grilvrhd rlE a.n6d r.s!hli)6..ssd!u 6tE o! lmor.l s. fr{ .Pt,tr.bh lo rhsPfut cr
<br />I .o1i6 rhar I ha\. ,6d rhi. irrlic.r nn dd nar. rhd rh. .tr'\ c olornd (Il I aNe h co!{il trirh ill (''r).nd (inmr}
<br />ddiMnc6 i.d Srrlc l,NEld'.sn, bundi4.oBrtu(rn, {rl teb) 8ur
<br />.tr'\. mdrnn.n rropcny lor
<br />1t't'lic{trr o, \(d'r \i!tr;r '(Z.""'' / z/;t/t2
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subfloor/VenVl nsulation
<br />Roof Sheathinq nlzrlrl TIYAP I lfla.rrro
<br />Shear Wall
<br />Framinq
<br />Drpvall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />t .>,
<br />FINAL ///b//1 )brrb(Pl v
<br />Certificate of Occupancy / /
<br />Notes, Remarks, Etc
<br />.ll li Pa li,rrl'tr,e,Lnrlnsulation/Enerqv
<br />Handicap Req.
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