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BUILDING- INSPECTOR RECORD
<br />DATE ID/SIG.COMMENTS OWNgX BUILDER DEt,qtATION
<br />! Ercr,y dn6 udLr FExy or p.rjury rh{ I m .xcmg hh llr Contr.dm lrctr- Lrw r(, rh. trfi,rh! r.sD (S...7U.11 5
<br />Bunksr .Bl lh,r.srm CGIG): Any C y dr Coudy snrn Eqlic! . Fmr !o (hrel, .xd. 'nli|r.rc. &mlnh or EFr u,
<br />(tu1@, I,rr ro rrs !rud.. .ro ..quB rlr .ml. r for luuh Fmr n) nL . ltrtl .r.r.rnr rh, h. d dr 6 l..nsd l'wml
<br />b rh. Fsvti,.r or lh. C.nlr&rois Lf,ln*d L!* (Ch.C.r 9. G,,lltm'.! q h Sehn ?(xx, nf O'Yr[n I ol rlE AusEs .rn
<br />Pnr.$i,nr Grj.) or rlur lt q rtx s cr.nw
<br />'h.ftftum
<br />rd rh. h.$ nn tlE .lk8.n .r.rryrih. An, vi .!n,o or Serln ml I 5 bt d,
<br />.t lE tu.Fm rul,Fls rh. .ppli(&r ro r dlil rtMlr,6l m eErhrn r,v. hudrcd.Ioll-t (5501)).
<br />-1,
<br />.r .wof th. FUFny. ur ny.nploy..! *nh riS.! r! rh.u $L!r'mp.nr.tbn, *,ll do rtE *d erl rlE rerm E n{
<br />dcn}.l or rflclrd fitr sL (Sa.?0,1,{. ltuliBs mJ Pllfcssdns Cqlc Th. Coeatx ! li.n( lrw lllr. *i .tFly lo.n owF ol
<br />lh. Fllny vlh tlrl,Lr d ,q'hB rtEd,n. ud wtr'.iB fi k)* him.lfor lE Ellor rrE{ah hN or h.r own.hlb}t.t,
<br />Dn'yacn 'hd rf,h ionmwftds E d orhldl dolturl rd sb It bM. rh tx duu s !qnNB', i sll,thu.m Fa
<br />or(or{rkriiln. t E o*mr Buir]d ult h.E dr luJa I Flvilu th, lr,r{E,iii [i t!rl, d 6!rE ttt tmdy fttr rh. lurp's or
<br />-1.
<br />s! owEr or rrr F,tdl, !m crclurv.ly lontr&rins uirh lirrMd roddrlB b .rfiod rlE In er (S.c. ,044. tru.rtt
<br />(n hn6is C,xkr Tn conr&ktr'r Lr.nF lr* &Er d rpfly lo s ov'rr or l|lltny vh! hldds or ih,'n'wrlhda'n,
<br />.nd vho co,i.*l! fG rNh Frjd. *nh I O' tu1odn ltocr lnBunr roilrc(dEdm r Ltcnq Lrs)
<br />I d.r.mB usLr S(rir-. B. & P.C.lorrhit E.$tr
<br />IAEEEE$.CqUIENIAIIA!
<br />TECIJEAIIA!
<br />I h.rcty illum und.r tEMh, ol ropry oE of rh. follow[3 d.rltlrlxff:
<br />y|-l hrE.rl erll frur.D. C.niftr. olcnnhr x, S.lf ltr tn,u .6t con{ENliotr a Frtildt fs b, SerDn lmo DlrlE
<br />Lhx c.'k, M tlr FrfmN( ol ,lr md nr whFh dr Fmr s (.rhr
<br />_l h{vc r *,ll mmrrm *o'lc6' Lorq,.ns,non 'nsur!m., $ rc,tumJ by Slrlir .! 7(r, ol
<br />'hc
<br />trtin Grl.. r,tr rh. Irrli{mft. ol
<br />s 6rEr.,. My *dl6' .{n!EMDn hrui.Er.{rr.ll F,liry numh.r el
<br />,.,,.*. aa3 qb
<br />-Er{l@.
<br />L/zl
<br />dl.cnrry,hr' r rr* ncrl--r.nrrh. r rt l',ehf,hrh^lErnut s Rsu..l.l rh,U rtn .mfr,y riy FR,n rnrnymnEr
<br />!, .rr, tRotu 'uhrar
<br />rn rh. u'rlsa $'trvengri.r !* of C.!r,mD, rnJ r8k rhlr rr I qlr,u!l h.rom *uhFr hrlr
<br />w,rtsi coqEnsron pn,yis,B of S<r bn l]$ o, rh. Lhr C({.. I sh!I. lonhr(h ord} rnh thrE F),!i,ni.
<br />WARNINC: F.ilurc lr' *-!r so,lqa $n{roertrr. rovcn!. s unbvtul, .in thrll $hFl u ctrltln)rr b (miMr If,ExB.Ll
<br />.ftil nrci u, nr or hunlrcJ rh,oe,rl &)lldl (lloo,UD), In dJ Dn b th. .osr of.oqxnqrii'n. Jrtu8.s rr FovrlcJ ntr th.
<br />trCiil.. .rcn, rl,nr)my'\
<br />Lttf,lsulL0rr&!3)aIE(]JAAT9I
<br />I ttrcby nounr..FnlryorFriryth{Idldtrqlu.rImvnbnofch4tl6I1Lnmftrer!wtrhSdru?(x)0)olDitiei,tr1
<br />o, rlr Busn* dl Ptur.si,N Grb, .il ny lr.f,e K h hrll fo^! .,n cfidl
<br />b lq3llolzlQ.r',o a @\rl r,} R,r.,lLr-
<br />CONSTII]C'TION I T'IDING A(IENd
<br />I hcFhy .linn !ft].. Fn:]ry or Fjury rh.r rrE Lra.a'nnru(l&n kdinr ls.rt ab,rltFnm.of rh. $rI tu}tuhrtu Fmr n
<br />nrBl (s- .tut7, c'Y c.)
<br />APPLICAi.T DFCLAR TION
<br />I ho!i,, r6im ud.r Fn.lr, of Fi,ry oft of rh. folk,*68 deL,.(!'ni:
<br />D.fr,hnrn P.rm eAih.rto! rqrifk.tin Fd.r.l R.3th$nt (T lc 40. Prn6)
<br />_Rqruircd L.ri( ol fdxruri,
<br />-I.cn'lyrhrr
<br />lt t.l.,rl rcsrurotr\ to8ddme $l*(.r rcm,v.l ac ft{ {'r ..t b t, rlb pn,F.-'r
<br />I c.n riy rh.r t h.w Elll rtu lppl'.aton dJ nrr. rhrr Ih. .hrv. ,nlom'rr K .'mr t .fB t, d'tr{iy * h rll C y rdt C{onry
<br />onlh.ft.s anJ Srdrc uu Ehruu br lms.otrdtur$n, anl lErby,urlltrac rqtc*nrtr'v.1or rhrs Cny.hl Counlr r'.ni( tlrln rlr
<br />{t,,vc mnr|,kn llnlFny t)r h
<br />ADDli.hnl or Al.nt SigNloF tlrc >)
<br />Set Backs
<br />Formsi Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Sublloor/VenVlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framinq
<br />lnsulation/Eneroy
<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 />Enqineer Final Report
<br />Flood Zone Certil
<br />I
<br />FINAL /zr/ zoz /o\
<br />Certiticate o, Occupancy Ir' 't
<br />Notes, Remarks, Etc
<br />SITE.WORK
<br />'"t o.p A\.rkir{ \.^
<br />L. i.rr Addr.s
<br />dh:r
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