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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE lo/slG.COMMENTS OWNER EtIII.DET DELCAR.ATION
<br />I hcrdry .nm uni.r IE lry ol FrFry rhn I s crcqr tnh ri. Codrrts- trt* Ir* lbr lrE fouovns Etqr (9i 7O.r l 5
<br />Borm.r! {nl P(,LsnJ. C(rl.): Any Ctry or Counly ehrh rcquiE. I Fmr! rr cl'ndtucr, .1r.r, nr9rov., &ml$h or EP.u sy
<br />nMtw. IEr l,' (. isrue. .&l (qur rlE rlplxmr lor rhh Fmr rr, fil.. rCel nd.mnl fid lr or !r 6 lEntt F@2t{
<br />r' !h. F,rtrs.r .l rlr conr.&loir L.cnEj Lrw lchrlrn I, Commh-.ms wirh Stton 7mO or DvBkr .l ofllr BuriEs &d
<br />th,L$bn!Cql.)or rh.l ntxrh. n.tqi rhs.lionc,lt rtE 6r! ftn rh. rlLtscd.rnFbn Ary trtlttbn ISdrn.70.1i thyr.y
<br />rprlrrrrft{rFdruhFr(rh..itk.nrio.(NrlFMny"lr fr( !h.n l'v. hunlhl Jnllr \ r lll)Ot
<br />_1. .\ o,E ol rlE FtrFny, d n, .nploF. lnh *.Fr ai rlEr grl lrlqE.qlirh, *i[ Lh llE *d rn {. q&rF . d
<br />darld d on r.ti ftr sL (Sc.7Xa, Burc$ .r,l Prof6lr8 CoL: TIE Codrd.n r lj,t L! ds d 4rl, to u ow .l
<br />rh. BrFnr rbt r or mlFrwr rh.Gr. rrn ulr' !,8 !u.n m* hmrll or t!.rslr or thtullh ht nr h.r own.mpbya!,
<br />Frrrlal rh.r sh uqrtrEdirt c bl n ddl dolterl i* sl llhow,rh.ho lutr,r urFoEd ir:,!wtnhcF!
<br />ol (,rpht.L rlE owE au'rld *rll h.r tlE hritr ol FUv!{ lhr lrn dE lrl rx lDrl, { rliok Ui FDFIy rr tlE F F.- of
<br />l. a\owxrol rlrpoliiy. rm.rr lunhly .onrd og * hlErtr<J(ntr ort)('.nru(rrh. In'Fr(Sa 7X!, au\m*
<br />aftl Pn't6\r,.ctrLr Thc (i,nhcktr s L,cctrie Lr* J,Es Bn.mly l!' !n owrcr o, n'on ny *ho hu,Ur.r mn('vcs rh.r.n.
<br />..d *h' urrek nr ikh Ii'FB * h r Connrb( 9 lr.flkl I'o^unr r' rh. cddrf,(*i l-unc l rwr
<br />_I amcrcn:Fr un,.r S.cn,
<br />. ]IA$EIN:SI]AIIEIIAIIA!
<br />DECIAAAIIO!
<br />I h.Eby rlltrmun&rFMlryor Fpry.E rl,h.lolk,*D8 JRl{.rirt
<br />rllmor.o r C.nf..r. orci,nmr t' S.lrlnrN n sxt6'$drrhdDn. .r FouJalforbySa!,nJ7@olrM
<br />ror rh. Arfomc rl rhc kft ldr whrh rhc n(nnl B !1u.J
<br />., 8 E+rrJ hy s&ron lnlo ol rlr bbq cnL. ld rlE F.ttm..f
<br />I\I irn 6 re. (air !n InlryNnls e:
<br />t/"zz'
<br />c'dt . rr.Er rrn dr(l y'r f(
<br />ol o8 >o
<br />T'I'CLAiATTON
<br />I h.Ebt rlltrn r.Jd tFBlry of potlry thir I .m lr.n<n ud.r !i'v!i'n of ( hrflq 9 l unmrr! * h Sd rrn ?{IU) il Drvtrr,n .l
<br />ol rh. Fusmr! . Pnn slr,nr (i ., ani hr lr.ht . a h,l k,(t lrl .ild.
<br />c-to €Ln"r* N,-l*, OU^
<br />0 20Lo 9Qzt14-
<br />calsla!]!;uourElpllli-&GEdta
<br />I h.Ehy rlfm utoLr Jlrl!, ot FIry rhrr tlft 6 . !.nnur$n bdms rS.By nn th. Ff(m. dl rh. ktrt ltr *nrh rhE FEr !
<br />nro.il (s4 109?, crv. c.)
<br />AIfISANI.!EC!I8AIIq!
<br />I M, dm uhL, Fulty or F ily oa or llE tulhrD8 &{L..rmt:
<br />D.tulru P.mr9^r6.no! tloxr..rbn FaLd R.SuhrDn! (T htlo, Pd6)
<br />R.quGdlr.rotMrlri.lin
<br />)ll ccnily rher rlE forr.l EsuLrbn! E!..di'8 8rE.b. Em)v.l d nn .rnli.rbb ro rh! roFr.
<br />_! ..n lfy th.r I hrE Ed rh! qplx.rion !n sl.tc thr tk .h:vc infondi'n n .ncr I rlr !o 6n{'l! wilh tll Cily rtn Colnr,
<br />oilrMi &l Sll|. trw! EhEt ro builld! coNtrurior .,rl lrEty .uhdrn! qrE(nrr,v.! of rhn City .nd Couty lo 6rd lPn d.
<br />.rhr Enixr'j FnFn, fd dFrb. F Irer
<br />Applicatr( {r Asenl Sisulufr
<br />erfq
<br />,^* a,1/oEflozt
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf looriVenVl nsulalion
<br />Roof Sheathing
<br />Shear Wall
<br />Framinq
<br />lnsulationi Enerqy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif.
<br />FINAL 5:zbzd P- Crs,).rt?A5 Za
<br />Certiticate ot Occupancy
<br />Notes, Remarks, Etc.
<br />h'd6' . qEnqr,n F vF$n! ot SRr pn .l7tt) or rh. L:trr CftL. t dEll. rtnhwnh u)i{i, s'lh rhl! rov6rB.
<br />WARNIN(; Fa urc k, sm wofr.r'conp.n.ar(ln ov.d8. ,r ut wtul, lnd stull rutrrd rn mplorcr k' (lrJmrlF.dr.\ rtoi
<br />urvil lir! ut (' oE huuldl rh,ur:il Jnlla (S100,frUr. o rtlnrn h llr .!( o{ (oq'..srion. Jitulcr 8 Jr.viLd fttr tlE
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