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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNER AUILDET I'ELCARATION
<br />I h...6y tm uftkr Fulry olFFry lhd Im.r.tr r fronrlECo cnB LEn* L.u n, rh. rolb*E! E.rh iS( ?orlI
<br />Bus^.sr rnl Pnrf.s.r cd.): Ah, C y or Ci{ , *hrh Gtuuc! r Fnn ro $nrtui. 6lr(, ,ftltlrok. LkmLih oi Errr u,
<br />$tuct!rc. rrnn, irs i"$!rncc. rlso E,iuirc! llE rmlit ntr slch Frmil t. lilc r sr3ftd rl.rcmnl lhrl h.or rh. E l&nsd lBurnr
<br />ro rh. F)vasirni dt ttE Co.u&n, r LrtnkJ lrw (Ct{ c, 9- Coljmrr3 r h NLrx'n 7UI) , D,vni'n .l ol rlr 8u'rs .nd
<br />Pn .srrs C.rj. ) or rh.' lr d slE s crc,y rrEr.frDn lrr rlE b.rr Ltr rh. .llr.n .rcn$ $ Any rrrLrFn.lS.dDn ?oll5 br..,
<br />inrrli..nr n, ! lEmir hJ.cts rh. rlrlM nu c,vil Fn.hy of nnr B)( rhln frv. hunJr.d dolldr ( lscll).
<br />-1.
<br />rr osE ol rh. F)Fny. s my .mploFr s h *.BC! !t llEr s,L Llr|tru.lbn. r!! t u llE vrt ni rlE ,turE ! Lx
<br />dcnldl or oliihl for Elc (S( 1X,{, BuriM r*1 Prr irlrrN CaL. Tb. O)nLre(r\ lrcn* t* &.r fti rttly ir u owft' or
<br />rhc lln'rdy rh) blills (r Byr'rs rlEEr. srl wh,,lrr nkh s)rl hihs.lfor h.rcllor rhn,u3h hn.r h.r ov. crqlh)r.r,
<br />Fovrkrl rtur iEh lqmE|mB G d iroiLJ d onnd ir sk ll lblre. rlt fnitrll3 d lqxernr 4.5 g wrhn oh Fr
<br />or(rI'Lln r OrEr 8!1116 w l hlE tlE hr&nolFrvDg { rrrcrd|l n, buiU r ur{mE fi. Frrdy nr$. F,Feof
<br />_1, .. o*mr.r rlE F{Eny, rm.rrtusEly.$ Rrn3 wnh lle.trql codhdrB ro dtr{Mr rlr F,F.r (Se 7(X4, Burtrs
<br />.rn t\{6$h Ciil.: Th. C.tu&M, LE.nk Lw lltEr n{ qrly nr.novffi.rFoFny uho bu'!! n hlnrEs rhs.r,
<br />,nd wh, onk(k lor nkh lfl*.k wirh ! Coturndo liccnsJ l,ur$hnr n' rn G,!r[cr,'s l]&ns. L,*,
<br />_l .r.mpt un.lr S(tx
<br />l)rh Orn$
<br />llaB8[85:gJrlfEttartQ!pligJxduar
<br />I hc'.hy,lrtrmtrnJcr p.nJlryor Fl"ryDrc.rr1r t{'ll,w 8 tL.l{.r!'n\
<br />-lh.w]n*nl
<br />u .in t Ccnifr.l. olc.Mr lo S.r-lB@ td srt6 dDFMD.,.. FrvJal ror by Selbn]?ur orrlE
<br />Lrh,r Cqlc. tu rlE Ffmc ol rlr wi fn *hrh
<br />'lF FDt u Bru.{
<br />-l h,vc &n! vnl fu'n&in workc .ohrrn.illor in$rrN., rs rcquu.J by Se'i,n ]rm ol rlE L.titr CuL, l $. FrlnrmNc I
<br />rlr k nr *hlh rht! p.mi $ u(rn My *olt6 !uF.r.ri)r Nu,u( (rmr .,n Fnxy nur6c. E:
<br />c-,",, W- (slWso\^ Iuswta"r2 ,q7e 13a1 tZ *n*,, o/ r lza
<br />I ccrtili rhlr n lhc p{tu,mk.c ,,r rh. work ntr whrh rhn !.rnnt ir trsu.J. I {h!ll nor cnrplo} r"y p.^.n ,n o,y *n*, t
<br />y, ri t, ha-m \!q.{ b 'lr k,Idi {.llf,nuron hw\ or Crl,fotu. .rl r!@ rh,r f I rrr,rlt lAsom luhFr b rtr .
<br />rr nn,vnbN olSArDn lTGrofrtr l:hr O{.,lrh.tl I
<br />IVARNIN(; l.dhtrc t' (uR. *orlcr\ ! D)Irtr\dnni (,r$i!c ^ [.n cnFr,ycr h dmhrl ,EMlrc an.l
<br />.'v,l lnrs up r'.trc l,u'd..'l rtrn JLl !.llrr\ ($lm(xxr) In gln'n, J.rur.. .s nrtvd.d n)r rh.
<br />S(rnn 10'76.r rh. Lrhtr Clilc. ur.rc( aJrl
<br />Z{z.
<br />Llcr\srp coNTtAclor
<br />DECIz{IIATION
<br />I lEr.Sy.flnm u LrFMll,ol F rury rh.l I m li!.sl unid FDvsnn or Ch.r,t6 9l$nnmr3 *iln Sdlrr nll))olDrvnDn l
<br />of lhc BustE$ rfti Pnn!$hnr CqL, .d my l.cn* I h tull ture ari clncr.
<br />o\cqZA
<br />grEtrSllflaN.LlNlari-a{iENq
<br />I krh, alfrm unLr lEElry of Frpry rh. h.r. 8 . on{rud $h hn!8 .8.ey n{ Ur F,,llmn. of rh. Er'l l'l|r rtr h rh! Fnr a
<br />trsuilts{ 1097, crv c )
<br />L.nLas A t.\r:
<br />-
<br />ATTIICANLDIIIJAAIA!
<br />I hdl*'y nrm uLl.{xn.lr y ol FrJsry oft ol rh. krlovr8 ,ldlrrrr i{{
<br />D.n,lI!,n Pc,h(s ArtEdos N(rr{r!r[n FcJ.t,l R.ellrfi'ni lTnt 40, P,n6r
<br />_RcquN! lr(.rof t*r irriB
<br />.__l..n,ly rMrrhc lcJ.r,lrc!fu1.rtrtrtr r.gml 8u\bc{o\r.',vrlrr.mr" nkenkr,rh'\n(r..r
<br />_l !d'fy rl{l hlh rrl r
<br />,rJr.LG ull slth tr*i r
<br />I l3d b (nrgil, wdh rll Ciryrtul Counr,
<br />iurh,E rcrccnrrrrtsotrhn C,rJrlCoonr,r,.nr- ulnnrlr
<br />Jhln nrrri,,n.J F'I.dy l,r nrF-( I
<br />Appllor or ArotSkrluE af zt/zo
<br />Set Backs
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framino '?/,Dt+8'
<br />lnsulation/EnergyDrywall tz I q lxo blf64,44'L 4luv bW6'"
<br />Ext./lnt. Lath /
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engrneer Final Report
<br />Flood Zone Certif .
<br />FINAL Dffq8',
<br />Certiticate ot Occu pancy I
<br />Notes, Remarks, Etc
<br />Formsi Steel/Holdowns
<br />Erection Pads
<br />l)
<br />a ,L'ILL 4
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