BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE tD/stG.COMMENTS OWNEN BUILDET DELCTRATION
<br />I h.r.h, ff n unrLr FExy or Fqury rhd I m .rcf,$ fiim tlE Codr-nB Lis. lr, rot rlE tol,own3 rDn (Ss 70l l.t
<br />Busirc$ .Dl PNrc.r$n Cc!): Any C'ly or Ci{d, th(h r.{rE\ r Fd tt oNer, .,'6. !ryr.w. .Lmlah .r EFr my
<br />itudu., Ftr rr 5 "sunq Nl$ Rquftr rtE rltlror for 3Eh Fmt r,' art r si8rcd rltrcftr! rhrr l! { str ! llcneJ FBdr
<br />ro rtE nnrvsn,nr ol lh. Contncttr.s LicnEd u* (Ch. cr9, Collft(rg *irh S&hdn 70fi) of Drvrbn I of th. ausk3..nd
<br />P$t$ionrCoJ.)orturn or dr i.\.i.rl,r rh.(n n rrd rh. brrB r,tr lh. clk8.{.r.hlitur Anyvn,blirnotsalim?0lr1.5by.ny
<br />.pli..nr ntr . Frmit tubJccts tlE .ppla.nt ro t (iril p.Mlry of fr,r m'rc rhrn riv. huftlr.d doU& {lJu))
<br />_1. B o{ff oI rlr. FFny. d 6y cnlphJen w(h s.g6 a rlEa nl. .atrp.Mlirn, *i[ dr llE q.l lll 0E rtulc ! x
<br />lr.dol q oncGl ld .]. 156.704,1. B!!6r lrl Prordssd Cd,l.: Tlr Codrain'3 ba* L.* dE nol .rpl, lo u 0'E ot
<br />rtE FrEty vh' lu!! tr lqmE drn lrl wlx J'E d$ k*t hiMlf or lEr$lf d rlDugh h! q lE oh.rphrs.
<br />I'n lrral rhrr rBh lrpoEnE . e d ind$d.{otuqj nr e].. lf.lE*G. tlE loiuin8 d DFffi it srl wrhjt (E F,
<br />oI$r?Lro! th. OwM Builld *iI h.6 UE lEnLn orFDviry Lh.l lr d rlE Jil Dl b{ l n lqnE UE FDIETy rG tlE |tqn* ot
<br />l. B owr dr rh. I'r)rEny. .h cx.lurEly (.nrradins *irh li..nrJ onkkbR ro .$dtur rtr F)Fr (Sa '1044, Burma!
<br />.d Eir€nim Cnl. TIE Corrrrro. t l.i..nr 1,, ,ira rcr rprl, b d orn.r or,,oFn y rho burldr or innoEs rEr..n.
<br />rrl wrr, $nrh-^c ld *hFsr.\t wnh. Ci'dr-in1t l.dGi r,^unr hrll G'd.arq'! Lra. tiw).
<br />_l u.i.n!, !nLr Serbn- a. & P.C. f'trrhBr..gr
<br />t!aBf,!85:ru!lt!!ta.rlaN
<br />DECIAXAIqN
<br />I h.r.hy.llrn utrl.r n(Mlry oI ncrlury om olrh. h'll,'*ng Jcrlarrrflnl
<br />I h.E rn vill dirr.in. C.nifEr. ofco!6r t, Sdqae n* k{rd' Lr,nFMsn. x Ftrvij.l fG I'y Salhn.lT(D oriE
<br />t Er Ccj.. f( rlr Fltu! or rlr uri tor Dhih tlE Fn, ! 6rual.
<br />k";d w'll Ddrrn *0116 $n{F Egurai ty Sarrn lrm ol 0E Lnr GxL. for rlt It t(rut or
<br />a a al My vo*dr Lup.Nrbn hrur.R! ([ar t n lDliy tunh.1 ft:
<br />G
<br />_l cd'f, rh.r
<br />'n
<br />rlE FrlormEc.l llr m nx vhi.h lnn Fmr i! !!kn. I .h.ll n .illr',.ny F$n 'n
<br />rnt trnEr
<br />$ sro tB,r obFr ror& s't6 luqEnd6 L*r orcrlllDm..rl +G rh,
<br />'f
<br />I nmu! tEft dbrcr ro rlE
<br />hrt6 o.!En i,n F)Ebtu ors<ftr Jrmof rlE L.hxGll.I tdl f('lhwnt orily vnh b. FovtbN
<br />WARNING: F. ue lo surc $rkc6'u,rfEndih clydsc i! unL*tu|. .d drl:objd c,r{'hF
<br />'o
<br />sihind FrlH,rl
<br />r'!n tuN tr|] t) !trr hun'lrcJ lhou\aal Jollr\ (!llxr.lXx,). a(l,l ntr'rh. roi or conFn*lx'n. lrm8cs $ F)v,jcJ nn rh.'rd'/N*'(L/
<br />DECITTAIPS
<br />IlEr.t'y.trrnud.rF.,orFrrlr,rh.rIdlrsnlu.,F,v6r or ChFd 9 (ollftBm3 *dh SerDn 7tI)O) of t tlm .l
<br />ol rh.Itu\ft$ r Pnn.sDnscuL lrl h.nerotu[ntre.rn.llrr
<br />C e c 41fi9z
<br />o a
<br />colgalc[qNJidDlNlilclEq
<br />I h.Ehy .Irm udlcr FMlty of Frry lh.l ln* n . on{u1Dn lslur .sc, ru 0E Ff(,rrlht of llE $rr for rhlh lha Fd il
<br />r.br (Sd. 1o9?, CrY C.).
<br />APPLICAI{T I])FCI UATION
<br />I hE*,altmrnLrFnrlyorF,ltryoEof rtEfolbpi.8&rl{.ri :
<br />t).mlrbn P.rmrl^$.no! Norifr.rpn lqL.rl R.!rkstrs(T k 40. Pd6l
<br />_R.qu!.d t l'.rof Nrilslion
<br />l..rr1lyrh,( rh.l(al.'xlrclnhin'n\ r.!.trn 8r\h(no\r x,vrl,tr. or,(),n(rhlc r,rl!: t)r)r(r
<br />'ff:::1.:iltI hrE rc.d rh6.l,pli.rlkD.rJ rl.r.ltul 'E mntrtur$n !.orei. I .tc t,on1|lly wdh.I Cny.nl Counly
<br />r.r dl ihtr Cr y .nl Counry b cnr( uFln rlrrr.lrwr rllnE b t{ J,n3ron{rud
<br />rtr,vc rnr$hl p(Iiny n,
<br />vw
<br />0-/t[/to
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framino
<br />lnsulation/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 />A
<br />FINAL z.o/2a"/ 4.1
<br />Certilicate of Occu n
<br />Notes, Remarks, Etc.
<br />D.x'_ Owr _
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