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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG,COIt'IMENTS OWNER AUT,DF:R DELCAR TION
<br />I lrr.h, .lttn u l.r Fhrlr, ot rrjrry rhrr I .m cr.n{'t ,iom rlE (ndr&nn tItr L* rir iL h l'*&r r..,!n (S.r lu.ll 5
<br />Bust6s .nl ftdL$kn C,i.) Ary C , or Coutrly whrh r.tru6 r FrEn h lrdtut. .x6. 8{r'e. &frrsh .r rp.r sy
<br />no(rk. t x, ro s L*urBt, rlvr r.r{uEr rh. rpplHd ntr sl(h Frmr t. nE. sl3md rrd@nr rh, ,E o. tr 5 la.nsJ ,r{lld
<br />r. rh. nnrvkk N or ilE Ci'nfukr'r t-.rnsl L.w (Ch.dcr 9, Cottfteua erh S(rion 70fi) or D,vBnn I or
<br />'lE
<br />SNrNs .rd
<br />Pnncalonr Co,lc) or rh.r lt (tr stc ! 4cm0 lhdcri(h {rt rL lEri ror rh. .La.J .tcn{llnn Any vn'UrNn or S.clon TllJ I 5 b, .ny
<br />qllllf,t,l ld . Fmn suhr.ls lhc $!l(.nl lo . .Nn pcn.lry .r ml fr)E rMr nv. hunlr.rl tlou,s (!too)
<br />_I, r olr. ol rh. protrdy, or m, .mrlores u h u4ca .s rh.r dc comFn!.r nn. *rll Jo r,E w{rt dl rlE {rre . frn
<br />d.nidl ddrt.6]n sb(sd.7tll4, Burm$ rnd PnniNonr C,nc ft Conrsntr.r l.r.n( Lr*dBn {ti,nrMnqEol
<br />lhc F,Fny wh' t!rl&.r nlmB dI6n srl sh' ttB sh Hr.l hrBrclf or h.rklf or rhhuSh hr N lFr os .r?loFr,
<br />Frcvd.J rhir luh hF E,ril' a rn .ifrlol,xotlsln nx sb ll ls*.E. rlr rd0loB nr 6{iftmn! n 3rU qdhr,m F!ofoq,L'rnrrEO*rcrB!,lcr9lh.Ei!.hr.lcnolF,vtr3'n.llr,trrhclrldbur,orur{n'rcrbcrmrErynrrlErilFEor
<br />l. $ orEr ol rlE I'rotEny, nr.rctunvcly conrrsros *'rh ltc.sJ $d,ars k! r\Blut rtr F)jer (Scc. 7044. 8!1tr$
<br />.rn h,{s!fl Co.l:'rh. Contr&roir l,NnE l..w Jff! dn rml, ro &o*E otlln,Fny qht budlr.r mpnrv.r lhcr.on.
<br />d wlll ortrdr nf, tEh lx)Frk qnh a O)nr&ro( O l.s.d runud turlEOrrr&rq ! U..nE l)r)
<br />l.n.rmF ud.r s<'i)n_, B &Pc ntrrhlsrcr n
<br />wolKlRs' coMPENs TloN
<br />DECIII8^IIAii
<br />by alfrmrn,lc, Ftulry ol lErjory dE ol llr l,,ll,*ry d..lurl0n\/4.,
<br />_l h.td sDl w l @'ntrr r C.d 'li . ol Ci,nchi k, S.lf-lnrurc ld rorlcri L.r{Etr$t$a. .r Imykl.J nn 6y Sari,n l7([ ol rlr
<br />trbd Cix]., tur th. ,E,rmtu( or rlx H'rt ii, unah tlE Fmr ! Brud
<br />C'
<br />Z(h.r .Jri *,ll mDr dn *"rlni u'n\rni.r i,n rnrurrB., rr ,.,tudi I'y Slrrr .l?tlo ol rh. Lrhor qic, nn rh. lErnnftne ol
<br />,c rlt-
<br />_l ..n rly rh.r rn rh. Ixrf.rmmc o, rh. *ork nr *hih rhr Frmr N Nru.J,I rh.ll n.! .Brl)y ,ny ltr$. m ry turrt
<br />e' r. kr h.1om rut F_r r, rh. kldql NqEnql $n Lu\ ol Crlili'rni!. rBl r!rcc rhlr J I rh)ou tnom .uhFr t! rlt
<br />xrk.^' .orpcn\rr trr oov^r,nr of Sdlr,i .! 7(l) ol rlr Lhtr C,ri.. I \tull, nr hvnh .onl,)ly *irh th,s nr',vFtr)n.
<br />WARNIN(i: lrnurc n, Bu. q,rk 6'on|Ensrrln mEnr. ,5 u.Ll,ill. . l rhrll subr(t sn .n!'loytr b smrnal FuhB .ni
<br />.orl l-rcs up n) om hudrcJ rhourrnl 'lolh( r5|1x),flx)r, h rii[i,n tu lh. ('{ ofon{rnslr,tr, &ro8c\ 3s lr)vl].d n, rlE-'"{i'rl., nr.'.n mtl r orftyi les
<br />"lr,
<br />Ot6
<br />DECIJEAI&N
<br />I lEEby r,rnn unj.r IEDlty., F4uy lhri I rm liend L r., I,uv6on orCha,lk 9 (Lrrmtrtur.3 wrhSel,n 1D0)ofDivsir.l
<br />bn! Ccb !n ny Lm n in tuU f{rc rr.Itdr
<br />Li.rn.. Nlrlf,.r:
<br />y'ofzogt
<br />?tt ?o c.",*,* 1') D A /,, , )Jts-v
<br />cotisrBut:IlotrLrxlzMilcrNcr
<br />I h.r.hr_ llt'nurnrJiDrlryorIi'trtryrl rh.r.a,(,n{nnrinLnlDIrrcNy1,trrlElrjlornltrrcolrtu*orkl,trwhkhrhtrF-rnnr$
<br />iso.J lse .loe?, Clv C)
<br />drtucar.Ll2Ecl]tEauoJ
<br />llnt limurhr Fnalry olFrp'y om olrl* l(nL'sx,r Jcrlrfur('n\
<br />I).mn{n l,.rfr vA$((o\ Nor'lnirrr |..-ld.l RcSrLrirF r1flc.!r,l'fi6)
<br />Rcqtrmd GrI.rol Nr i.rlrr
<br />d:.nilylh.r lh.lcdcr.lr.Elbrnn\ rcEdmt a rnorrcm)!,lm ftr am'lf,rhk t,rhlrta,Fl
<br />rh/r I hr\c R.,l rhNrmlk r r drl {arc rhjr rh. Jh'vc ii'nr.ore! l.!rNbLrnrylrr hrlC yr Counry
<br />orlnLc\ r srrrclr$ Ehrrg t, ht'11'$ rr .ulhtrr rcFcsnllrEr orrhi! C'ry..rj Counryb.nrq l,rr rt!
<br />trhrv. nrnrtrtnal pnFnr,in m1IE!rr$ pr
<br />/z k,/zoa),\IIln{ni or,(!.nl SiEnrlu
<br />lc
<br />- t 411
<br />Forms/Steel/Holdowns /Q.v
<br />Erection Pads
<br />UFER Ground z4z-a 2-czt 7
<br />SLAB Floor
<br />@6br/Verf{lnsulatio/2-22-A
<br />Rool Sheathing 3-z-z-t &-7 ,
<br />Shear Wall .f 3.4-zt rC.z-.I
<br />Framino 3 -t<- ?-,1 teLL 7
<br />lnsulation/Eneroy S.l6'?l lLui .7
<br />Drywall ? .le -z(,--)
<br />-exltnt. Latn t-lL-?L lo<- "-ry
<br />Browrt-CeA-t 3.ro-ot 2<--z-D ' 9-zz1,L 9) *- (c
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Depuly Final Report
<br />Enqineer Final Report
<br />FINAL (U,lul-?,(;Ntulo9 -/,t7
<br />Certif icate ol Occupancy I
<br />Notes arks,e C
<br />L.tulcis A,l.l,cs:
<br />-
<br />Set Backs
<br />Flood Zone Certif .
<br />LQI:
<br />f^,EJl q /.-..-- O
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