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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNER EUILDER DALCARATIOI\
<br />I hcr.hy ,llrh nn,cr n n.lry na tiryry rhd I m .tcn r lrum th. G',fixtr' tr.t* tlw ntr rrE fo[trn! rar (S..,0J1 I
<br />Bunn$! ari ProL$i,n aiiL) Any C y dr Cady ehxh r.qrfts : Fld lo !n.(ur. .lrs. itlpiow. &n nh .r rcp.r uy
<br />nG!ft. r$ !o r s.uer. tl$ rqlEs rlE {lllrd n q'. h Ftu r. r'rlc . r'sBri {rl.mnr thd h. or {E ir li*h*d plN!
<br />t, rh. F'vlnnr oi rt ConrtN r l-Nn<n L.* (ChrPrc, 9. clr.mBrns w h Sc.r!!n 70Oo dr Drv6rr. I o, $e Aundl\ mLt
<br />Ptufc(hni Cd].) { lhrllE N rlE i!.r.ntr rh.r.from rfll rh. br(c fitr th. tll.S.d.r.n{ro. Any vkndnn of Sdrtn'10]15 hv tny
<br />.tph(.nr ktr.pcm lnhjarr rh. lnnlrrnr ro . uvrl FMlry ol nor B)hrhr. ln! hunJEn 'jolle!1!5@)
<br />L .r owrcr .l rh. rnrE,iy. or nt cn{bFs w h wrScr t. lh.r r* d,nFtrd r,. wdl & lh. val .nl rlt irurR i.
<br />,'loL1j or ofl.rli n* sl. (S<.nr4!, aurms.d Pr,t-\on\ CuL: Tk (ndt&lrtr ! Li!n{ L:w L,&r n +Ply b M owtur o,
<br />th. FIrny rE,h{ lr r uqnB! rlr6r arl *h, ltxr uh k,rl hmcll or h.r*!tor rhruu8h hn nr tEr oh.mobyer'
<br />nnvi.J rh.r \u.h uryn,vcmd\eB d.dLd or olTcr.{ ttr r.lc lt. h'xE, rlt f
<br />'Um8or
<br />nlnErEn ! nll wrhrrE F{
<br />olcon{'Lt.ln, rhc owEt Bu[t *rUhrErlt h{nt.ollFrv$r rh.r lEit {E dri En l[ l tr uqhE dE F{d,lirrl! I'rrF*oI
<br />-
<br />l. r\ o*'u o, rh. Fot{d y, jm . rclunvc lv tontrrru! s h l'.cn{d ( od r.Ll F r, .on(tu. lr nn'Fr (Sft 7(rr1. Au\m*
<br />d Fl'r(snn (irL Ih.(i'nrra(ntr'\ L(.i..l-rwd(E\ n, {nly n, ino*kr oIlmrlHly rli) hurlil! o. rmPrr.l rh.rd'n
<br />xnd who .odndr ntr.uch Ir r.rl *[h. G'ntr.n{r l..n*J ll{hMr l. (h. G)ntrk, r lx.h( li})
<br />I d.r.md unj.r Sdr.n B ltP('ntrrhFErsn
<br />lto8f,EEr-qqutENi na!
<br />DECIdSA.IIO!
<br />I h.r.by rfl(h undcr pcmlryo, ptrury orc.1lh. nnl'wm3 dahralDn!
<br />-t
<br />h.w r l *rlt mdlu. C.n i!r. ol (('n<nt b S.ll-lnilE lf srt6 .onFtrdr[ r Fovila] lb. hys4lrn l?00 olllE
<br />Iitrr (ixr.. fd rtE Frflmr of 0E krt litr wh.h rlr Ff,n k su.J
<br />I hlk rl wlll nunram wolkcr r .onrD.n{r r}n rtrrunh-... rr ,.qund hy Sert)n \lu, ol rh. lii* C,x.L. t{ rh. Frl(ro. or
<br />lh{ kl* ntr *hrhrhnlEmr r !1kn. My*,trl6 ..nlFn\!r)n 'nsonr.cer..rn Fnr!nomh(r r.l
<br />cuir-
<br />Polrcy Nunrhcr-
<br />ft} (d y rh., tr rrr Frlorlun..r rlE q,'r* r,{ rhrh rhr IErh r iirkJ. I d,ll dtr .nPr,y i.y p.ron n rnv lMrr
<br />s !! Li tni'ft sub.\ r t, rrF sf,tcn (,qudr,n l,er orCrldumE. s,! {B rhar rll rhun h.tom sl'Fi hrl*
<br />* .r dmnc.srxinrhtrtrrom l s.(hn.llrnol,h. titior ctrk,I dEIl hrhr hd,n{ ysihrlF{JfsBlrE
<br />WARNTNG: F.rhr. ro rcuE *irt.r' lr,ntrni.r.n owEs. '. unL*tuL ril inrl subtrr s.rml'y.r ro tml FMlir.,rl
<br />h oft huLl.c! rh qnl dolls ril(t,,(t)0), m ,n k, rlr or of $r{Hr.|nD. lm3.i at pntvrl.d f(r rrt
<br />htr clilc mrcR!:nd dritrrv'rl(\t
<br />l lh.rchl rlrrnuLkrFtulrl lnUurrrhdlrmL,.nQlutoLiln,vshnol(hrfls9(mmmturn3whSa.'rrtimo)o(l)rvnDnl
<br />l ,r ,* r.^**.n.l e-r"$or1(ir,c !,m)rtr.nrctrmlull,i rclrn.lt.
<br />!*"*.n.tr.> 5 \ 2o
<br />x-"[.r I f,
<br />g,BirBlgllrN.Ll!0lNLilcErq
<br />I h.Rhy olltmin,lcr Fnxhyor Frlnry rh, thtr r. onnurln SnluS.S(t, fttr rrx F.l,rllll c ol rlE ktrk li)r *, hthnFtu6
<br />$u.drsd. t(r9?, crv. ( )
<br />lJnlc.r A,l.lr.s
<br />-
<br />APPLI('ANT DECLAiArION
<br />I h.,r.$yltimun,l.r Fnrlty oftrriury.R.l rh. n,lhvrS LL(lar io!
<br />l)cBrlr!)tr l'.rnnk Ash. o\ Nnhl(ltr'. lial.r.l R.3uhrpas lTilc.l0, Prn6)
<br />_R.qumJ lr(cr.tM*rlldr)n
<br />I rcnrrylhd rh. Ld.6ltstldroN E!.rJh3.rhcnol EB)vrlE d {rl.thl n, rhr In)j.ar
<br />f,ll .-r, ,- , t". *r,n6 .!?rr.o,n ui {d. rhi rrr !h,K mh,m,i,n n.rnd I r8k h u
<br />| ,' wL'.. r,rl Srrrc I rw! ELtuu 1,, htrrllh! ! n{tu!ron [r] h.Ehy.ur hrM rF*nrirki u, thl
<br />nntrrv tr [ xll( 'rvi l(i dv
<br />rh)vc nFrr(nul |[,trnv nn
<br />I
<br />l"-**"
<br />,t"
<br />,).1
<br />L1 {.
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulationi Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coal
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certil
<br />FINAL
<br />Certilicate ot Occupancy
<br />Notes, Remarks, Etc.
<br />b )c"*n,*,
<br />Set Backs
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