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BUILDING- INSPECTOR RECORD
<br />SITE-WOBK DATE ID/SIG.COMMENTS OWNER BUILDEI DELCAiATTON
<br />I hcr.by .lfrn u.,.ls ,Enalry ,,1 p.rjrry rh.r I o cr.d{, fiom rrE ci'nlr.cnh Licn. Lr* fttr 'l* roUoPDt @an (Fq 70] I :.
<br />BulFr ern l\of..sx,n Cdc) Any C , Dr CNdy vh.h Ertuc . Fn ro coniel, .[d. rlrow. d.m Bh M EFr {y
<br />nddu., ru ir ir! iliuiLt, rla, rcquncl rhc dl)flr.nr n)r surh F nil lo nk . skm,l ir.r.Nnr rhd h. or sh. s liltn*d lusml
<br />b rh. liovroh of ttr cdrkrir'r Lr.nFl L.r (cn Fcr 9, comtuo8 q h sekr r(ID d Divii,n ] of rlE Bug:.$ !n
<br />P^n.sn,nr CnL) n lh.l lE or .hc n cicq't lhq.,n'm !trJ rh. b.{s ror rrx alL8.J cr.mdnn. Any vn'hlion of S.ri'n 70.r I 5 b, .ny
<br />.rilE. n, r Fnrir bFk rh rr ...l !r..'rnFEIyofu Btr. th.r liv. hudGl.ldlLrs (t'{I)).
<br />-1.
<br />s owEr orllE FlFny, or hy.nployr.t $ilh e.sd r rlE" $L ($mFNlion, si! dr llE $dl !n ili rore i! d
<br />dd al or ofr.r.rl fs -L (Se.70{4. Bu:ir* inJ Pn6.tbB clrLr TIE Crturq ! ltl* Lr &E: d .t'OI, b u ow nt
<br />rh. F)Fny vb lul!or lqmEs (@q rd ell) J(B hsr* hinElfo. h.elfor tlF,!8h hix ot tE own.r9hy..t.
<br />Fsvddl r,lrt tuh lrimEldre d iroridlsotuql ti rL U.hffi.tlEhi,l,Bttr'tlr)w ! slt rthr rE rs
<br />oi uorq,Lli,n, ttE o\rrcr Auiltr yill hlr Ur linLn dr Fovtr8 thll lE or rrE dij fl, buill or uqmE ln. po,Ery [, rlE lx{I$s or
<br />-L
<br />asorkrol lrE InIEny, .h.r.lu{iEly.onrr4iin8 , h l(.nkJ $ntr..nrr ro (rn$lMr rlE FrFr (S( 7(}44 Bu$trs
<br />rn h\lhsh Ciri.: Th. G,nrrrroi! Lit.n( Lw JNr ft .PIly io u duB ol ImFdy *ho lr'Lls or mrroEi rh.td'n,
<br />snJ who onk!(ts iitr su(h nnrF.ls uirh r Contro.runs) lictrscn ru(urd t, rh.C(,tu..ir r Liccn€ L.*).
<br />_I rm.r.nfl uftld Seto
<br />]II}Bf,E8II-GqMIENIAIIO!
<br />DECIISAIIq!
<br />I h.rby sttum undcr J'.Mlty.! p.rJury orc.l $E lnlhwinS JRlsari'ni
<br />PolicrNuob.i:-
<br />-l
<br />ccnrry thsr
<br />'n
<br />lh. FiforMEc or rh. vork rd whi(h rhu JErn r N$.n. 1 sndl noi .nnlt,y rny Fno. 'n
<br />.ny h.nftr
<br />er r 6 tr1rft !!bF..! h rtr sftm'L$nlEnr.lir L*r olc.lihmir- mi +d rh.! I shrll b.{or suhFr roi,t
<br />u,rrd.' !$hFngrhn I'mviirnr ol ssrFn 170l) of th. uh* cuL. I drll, ftnh*ilh lrmrly *!th !h'. rn,vr3rhs
<br />lVAIlNlN(;: l'{lurc n' s_urc ktrlcr $nlp(nsri,n Lovcfug. N uli)l. .d sh.ll rubr(r u oiplt)rr k, rmjel Imll.s r i
<br />rN,l nm. ut r' om hun .! rr$usll Jdl{r (!ltl).oxl). m
<br />Sc(ri,n 10?6 .l rh. L.lir Colc. inrcr.r anJ rtromy r la.s
<br />of .oqENrn^ tLtu8.s .i Fsvi.n r rlE
<br />L \z
<br />DECIISAIIIIN
<br />Ilrabyrlru6o.iFnnlryolFrJuryth{Irmli(nBlu cr Fovsion orChatrd 9 (onfttutrr8 w[h S(r$n ru$) olDivat'n ]
<br />ot rh.llurft$ rnl lh'f.$i!.rC!tL, !n syl*.nc,s h tull ftn.c jrl.ff\-.l
<br />r_,.""*(r.,.? lo.lrLY *t C.Y'\\zr \ r-.-4r.-
<br />(:oNsrtucrmN LF\tol G acEN('l'
<br />I h.rb, zltum undcr rEMllyol I'. tury lh.l rh( ir r.udrudi,n kfr]i.8.8.tuy tir th. PcrLtrmn.. of rhc work (tr whKh rhr Frmrl s
<br />(rktl (Sd. ll(ti7 Cit C)
<br />L..,icar Addr.$:
<br />-
<br />A.EE.ISANLDECITM N
<br />I hotr, nrim uEl.r Fn.ll y ol F iury om ol rlE Lll'*int J.il2r.r i,ns
<br />Dcmnik,n PcrmrrrA xnos Notfiurx,n Fi!.r.IR.3ulrti)ns (T lc40, PM6)
<br />_R.qru.d l.tr.. of Udirr:rih
<br />-l
<br />rn [y !h'r rtl tdld.l E8!Ll$nr E8.d'n8 r.tEro! ,.m)y.] & r, q'dr.br. k' fir Frjct
<br />-l
<br />.qi , rh.r I h& E fin rt li.rir .d i.l. lhd tlE .h,y. inlomrDn ir rMet I rEt lo Nmaly rllh .U Cir, .d Counry
<br />onlmmd ..d Sr.r. L,wr ELrhs ro b{ lins.arisrs[ lrl h.r.t'y.ulhtrE EFsnrrrt! ofthr Cn!.,rl Counlylo cnrq uF)nllr
<br />.h)vc mnitr'NJ pn,pcny,ir u\p(rk'n '**\.-\l.--
<br />ApDlionr or As.trr siEtrtr(uE A \\2,\ zr
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Rool Sheathinq
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />N4asonry
<br />Pool Fence
<br />Handicap Req
<br />Deputy Final Report
<br />Enoineer Final Reporl
<br />Flood Zone Cedif .
<br />I l
<br />FINAL 7,'2L ?,t 7
<br />Certilicate of Occupancy
<br />Notes, RemaIks, Etc
<br />RI'}'UNU I'KUUI,SSI'I,'
<br />I
<br />c
<br />B
<br />Erection Pads
<br />T-Bar
<br />5pl*Zr
<br />-I
<br />har rnl w,l, Nmth. Ccnf.ll. orCotrcnl ri' S.lrlNe fd s,t6 .r'mlEnstrm, a Flvdd tu bt Sdrpn .lru of rlE
<br />Lrhr Cdc. rd E pdlorl*.-. of rh. *qk nn *hah in lcdir i.i sx.d
<br />-l
<br />hrvc 0trd urll mritrr.in uorkc^ .ohncn!'rion iniunk.. is ,.quftd by Sel i,n l?m ol rh. L!ho. CoJ., fr th. P..fomE.'. rf
<br />OE wk n{ vhrt rlN Fmir ! s*J M, wrL6 con{rMrir nurac tfn rn Fniy NttEr {.:
<br />=
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