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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNIlR BUII-DET DEI,CARATION
<br />I rs.t'y.litm uoh lin ry or Frrury th.l I m.rcqr n[n rlE Cidtds lEN l:* fot rlr rol,d*,l! E.rh ls.t.mlr.J
<br />Bunn.r dri thr.s$n CcLr /by C y or Coutrr, rhxh Gq!c. . Frm h .ondrud, .116, rmlr.E. &mlrh or EF, my
<br />ltru.ruE. rritr hr irs ntue., rl1) r.quftr lh. +plrul lor !u.h Frnii n' lih 1riSmd nd.m rh.r llot ft is lidncd lusuur
<br />ro rh. Frvirr,nr ol ilr Corlral,r\ Lx.nkr b* (C.l!9t.r 9, CohmErS *trh StrM TCOI of DrvK,n I ot rlt Ru.m( rnl
<br />Prr.(i.r cqL) or rhr lt o. tt n crcn{x lh.Erhm rnd th. h.qs ,hr rlE rlLr.J tr.4{*r. Ary vd.lion ol Sdin mJ L5 hy .nv
<br />.p?lr.nr lor r pcmir tubr+ts rlE rl'!h..| kr r .iyil Fnalr, ol ml fr'n rhn iiv. hu*lGi .loua. (1500)
<br />l. .r orftr ol rhe F,Fdy, or ny.mPk,F3 *(h w.3cs.r rhcr qrk.oryEn\d{4 *rU d, ilE *d arl rtt {ue 6 d
<br />Ull.ntal orol,.rd for.rL (Se 7(,14. Butft* sd Pnnas{onr Cd.lc lh.Conrr{roas Lr.n€ kw d,rs nol rpply t, Mowxrot
<br />rh. F)Fdy wh)t illitf, ntniBrlra !n *i. Bullnnthm€rottr(llorrturu3hhidtso*..rq ('16.
<br />prnvJ.{ rh.r rkh !qn,wn6 c d dc.lal d dtGl nf qk ll. trlM, rlE hot!ry {r lqFrEmd L! $u wrhr.E FJ
<br />olcompbrnn,rrEo*MrAui.r*lhaErlthnU.norFnrvo8rh{rEordEdil )ltn or o{mE{h. f Fnynntlrruibcol
<br />L ti.wmr .( rh. I'nIEdy. rm.rclu$v.ly $nt[clh3 * h lr.F.J (mktdoF !' Nnrrucr rh. nn,Fr lsn 44 Bulms
<br />all th s{r C.dc: 1 h. Conlr{ttr r I-E.nr t:* ti,Er R{ rn0ly r,' u owr ol foP.n, *ho huili! or mlrev.! rh.r..n.
<br />.nd *ho lrlrh-k rx irfi FDFIS wnh r Co tutno lrrnsJ I[Fd ri'
<br />'lE
<br />(n Bld.! Lrs* L:w)
<br />lrh.r.6d unJ.r s.rrbn -B &PC li..rhtrr,s,n
<br />woRKERS', COI\lat'NSArloN
<br />DES.AEAUIT
<br />I h.rel'y.tlumun,icr Fnlhyol Flrry.r ol rh. irll'*r3 &alfrrrm\
<br />wrll mmrri,r a C.d Lf.4. .l (i'ncnr t, Sclilni!^,ir *olkdr omFnqrk'n. r\ 0i'vd.J tur hy sNt$n l?uo {l ilr
<br />l,r ilE Frftl|rllnc of r& h n f,tr
<br />us., ( EquiFJ ty Seron l7O0 or rlE uhor Cod., lirt rh€ F.tollm. of
<br />n Nu.u.l5E rd Fn.y nunl,c. e
<br />!'n I'n'vlson! rts.cr()n 17m lrlFt htr(irlc,l r ftflhenh.omPly w h rtu{ Povni,.r
<br />WARNING: Fllur. tu Em *,f,kcB lorlpcnslon rl,vcnr. ir unhvtul {rl rh.ll \uhj.!r d.Elllor.r l. ainiMl FMlar.il
<br />r !l nmr up k' oE hhl&l rhugn dnLn (31(D.0oJ. r dlnr b llE .\xl ol.rm0..erx'c d.mrc. .3 FDvil.ri n, 'lESclrtrr.1076$l rh.Lhr(irc,ur.rc(uJ.rromy'\l.cs
<br />otlox/wt-o (r\)-l --, urElrtlsaulf,Aclrl
<br />DEI;Id8AIla!
<br />I tEEhy .lIrm ud.r rEnrlry oi tE4ury rhi I m len€l unld Frvirir ot ch.I{6 0 (otlEmhs e h Sdtr 70O) ol Divirion J
<br />of rh. a$trr! ! Pnfshn! Cn!., d my b.n- $ h tull l.N . clIN!
<br />_LriK Numlrr 44ztf+
<br />0 w e ,A):--?r_/'
<br />CONSTRUCTI(IN LFI{I)ING ACENCI'
<br />I h.Eh, rlfrm u. $ lEMlty ot F Jury rhi h.t Ll. (nslddn. LftltrS t3ay ftr rlx Fri,m ol rlE *olt tut vh.h rh$ Frmii k
<br />trskJ (Sd :l(v)7, Crv. C )
<br />L.dd.r Llt-r
<br />-
<br />AEEIIIAdLDECIJIAIIA!
<br />I hddry rrm un.lr p.n.ly ol Fr,!r, oE of tlE tu[oq68 d..l,ntm.:
<br />Dcmndbn P.rmnlArlrrlor Nolili. bn ll.dcal RcSth n!('till.,lt.Ptn6)
<br />_R..flcd l.trd of f*r,fttrM
<br />[, .*r, ,a ,* ,r., .*,lrrD6 Esutlina $ttlroe ,.fr,vr] @ n{ {'thtnt b rhit Pruilr
<br />-l
<br />!d'fy rhd I h.r Etd rhn +dtlar lrl {rr. rhll lrE .t$w rnloturM 8 (,rd. I .8r lo u,t{lly wi'h rll Ctl, lnd Cou ,
<br />onlrB.r $d Sllr. Lrm Elarinr ro hiix,U Lo.slN.lor rn h.Eh, .!ll!riz. EIx.Enlrl'E! ot lhi! Cny ut Coutv lo .ni6 ulrrn rl!
<br />thN mnrnmt tln,p.dy f(tr uslEuln
<br />Applnstrl or A*cnl Sitn{l{re l^)
<br />Pj"2/-
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Sublloor/VenVlnsulalion
<br />Roof Sheathinq
<br />Shear Wall
<br />Framinq
<br />lnsu lat io n/Ene rgy
<br />Drywall
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif
<br />FINAL ,29-/d f11ts.t/€b ZD
<br />Certiticate of Occupancy
<br />Notes, Remarks, Etc
<br />Ext./lnt. Lath
<br />,^*, olf otf zozo
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