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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNER BUII-DER DEI,CAiAAtoN
<br />I rrrcby .tlrn lBt r Fn r, or Firy rhd I s cr.nti nrm rlE Gdrd6' Ir..* L:* fi, rlE nnk!*tr8 E.qr (S.( 7O.!l 5
<br />Burn.sr rl Ptur.t$on CoL) Any (ir, or Con.ry whah ,.quftr r Frir trr .onrtur. .lrd. iqnw. &frnirh r FFn sy
<br />(tuM. Inn r. r !!uur, &' E1u6 rlE .Jll .ot for (uch Fflitn b ,ih I n8ftn n.l.mnr lhar lE d. rh. ! lt.n(d l'urser
<br />b rlE F)vsk,B ol rlE Ci,nrh-td ! LkneJ bq (Ch$.t '). C,llrmBir3 w h S&rh. ,(Ix) ol Drvtrrr .l ot rh. nui'flr rnr
<br />Pnn$rrrn\ Cclc) or rhlr lE or rlE n.r.mpl rh.idrcn&l rL ba$ r rh..lk8cd.rctrYiii'o AryviohronofS.Llnn?0115hy&y
<br />r,{'If,.nl ror . FrmI ruhFtr r,E {plErnr ro r ctvrr FMlry or mr mE rh:. I iE n!'r],61 doll,tr (tJu})
<br />-1,
<br />r! trwF of rh. FUFny, d my.q'l'Ft ,irh *rB( '\ Itw qrk .on{r!s.lr'., *dl Jo ln. *t* ,n r rltLrE.r
<br />d.toral or oU.Ed lnr sb (Se 7IX4, BuriE( rn{ PmL(i)nr CqL: TIE Conre,{ r LEtrc L* &xr d {t v b u osF of
<br />rh. FrP.n, wbt llL d urtnF i]ERn ril wtx) JF teh *)d( hm€ll or liftllor rlmulh hr q lEr own.mll)v..s.
<br />r)vrrcn rh.r rtr(h uryrovffn6 4 mt d.nial n oliiGl for eL lt h,kw. rtr hiliry o nF End . $! rrto ,x F,
<br />o(q,nphrr!tr rlE o',E Bu'Er *'I hIE rlr llnLn orlh,tus rhx tr d rh( lrl ,lhl ! or uqh'rc tE In'lEly lurlt F,qr,tof
<br />l. .s osE or rlE Fqrny, .6.1! lu.tr.ly (.nrBlD3 *nhlk.n<J $.tktn!h...il^-.t ih. ln,rd rs& 7tx't. Bu! ir
<br />fi] l'n ..itr C(xl. l h. Conrructn's t-(..t l-.* ,1,f,\ Fn .Ifly n, 6 own.r ot l}n)F y *lrr huiLlr o mP(,v.1 rh......
<br />rnJ $lir $dndr fd ruch F)Ft * h.(i) rrro( s I h.n<J triud t, rh. (i'nrrxror'i Lx.h* lrr )
<br />_l:n.r.hfl h].r S(r.n-. B &PC l'rrhtrrc.e'.
<br />woRI(tt.s' colrPFnsarloN
<br />DESJAAITA!
<br />I h.fthy ,t1trm unJ.r Fulry ol pcrrury or of rh. ft,lbwu8 dftLr.r.rl
<br />-l
<br />h.k lrt *rU mrlriI r C.dif.rr. of Conqnr ro S.ll.lmE for kxt6 .-n{rndt ( Fovrrai ftn bySNlr n]71tr ofttr
<br />l:htr CuL.Id llr ltdollrjfu orth. xllt lor *hrt rlt Fm n Fiu.d
<br />-l
<br />hrrc rnd * rll n.hr.h *orrrn $nl.ns{!,n inruah_., $ Eliur.d hy Seron l?m .l ltr l:trtr Cnk tllr rh. Frl .ltln. oi
<br />rl* k*li.tr whrh lhlt lEmir ! srhl. My h*6' sqEngri)n o.uE. ff.r { Fnry numlE. e
<br />l'*l*.e,p*. ' lO
<br />l.cnnyrhnr mrlE pcnormec nl rh. *ort ttrvhEh rhr p.rn tr srucd.l shall nor .q,k,, l.y P.,kr tnlnvlMftr
<br />$ at b lilom rubj.ll t!' llE ud6 or{h\rrDn brr ol CrldomB. 3ll +R rh,r lf I llr{U h..or {hFr k! rh.
<br />wor*n $6pcn\.rn,n pn,vtron\ of SRton l7U, ol rh. tjlln (i'lc. I \hxll n,nhwfh ..r{'ly wrrh lh,t ln,vtx,ns
<br />WARNIN(;: frhrc t, RuE unt.rr .rr{nqrir ro\'.rrlc 'r uhhslul. .nl lnil ruhFr D dr{ltrycr t' ffud FuhF.F
<br />(Ml rln$ ut r) oic hufrtrc,l rhdus,d nol{i rsl(r),ol]()), ,n rJJ t)n n, rh. .od ot $n{tiqlo.. J&u8ct !r lovrlal rd rlI
<br />lE tih, cirL. nrcErr.d dn,By r lr\
<br />t\
<br />DEclAAAEq!
<br />I lEEhy rltth uh.Lr Ftulry or Friury rhn I u [6Gl un ( ItDEi'i o, chrcrd 9 (oImls wrh Sdm ?0(I)) of Divlrr ]
<br />ol rr. Burtr.r lrl PDr.sxrrt G .. .,ii my lE.ns s 6 tull ttr !n .lcct
<br />t-unr Ct,-:-L ts . qti rrl
<br />coNsrLucrloli I FNpINc a(:EN( !
<br />I h.rcty altunuDlr ti,ulry.f Frrurr th2r rh6. F.lrtnntu1r,n LnJmS.S.By nn rh.Frlnmhc ot th. u{t lnrhf,hrhr Jrrm h
<br />APFLIC ITT DECI-,/IR TION
<br />I hora, rtrm uLLr Fn.[ y of pdrt, oE ol rh. rolh,wu8 &.l,nrnnt:
<br />DcmhFn P.mreA .(oi M"fst$n la!.i R.3uLrrN (-Ink4, Pd6)
<br />R.quEd tr[.r.t t{or'f..tM
<br />| .dlry rh.r rlr ralml r.ruLrioN E!&lor stHror rmv.l c n {d!hk b rhr ImFl.
<br />d I .d'fy rh.r I hrE Er,l rh* rrrl..r Dn .,n trrrc ln.r rlE rtr'w tromxon sure1. I .sd ro qE0ly w h.I Cnv$J Counr,
<br />ixnMBc. .rn Sr.r. h*r cLt!{ to b{ li.S dnlr{br .,n lrc$y rurb@ qEqrd'B of rhr Cry lrl Counlv lo orq uII{ r,r
<br />n. mtrrx'ncJ lln,tEny f(tr hsl.1r$n
<br />ApDli.{nl or A!.nl Sirmlurc
<br />D(.T,6.( i
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Sublloor/VenVl nsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framinq
<br />lnsulationi Energy
<br />Drywall
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Enoineer Final Report
<br />Flood Zone Certif .
<br />FINAL
<br />Certif icate ol Occupancy
<br />Notes, Remarks, Etc.
<br />Ext./lnt. Lath
<br />lhl.
<br />-.*, ' \.dS-[
<br />",*y *,"*..,-11aSEE9E!!!L
<br />itlucd (S.u. 1097, Civ C ).t DLr.. N.m:-
<br />t.nd.rrAJdE$:
<br />-
<br />,",. ' t/r rl,e
<br />f-------T------
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