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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNER BUIT-DFI DEI,CARATION
<br />I lrrcby rflnm urLr FMlry t,r Fe]ltry rtur I m cr.q, fio6 rlE Codrar,E lr.B ll{ n, rtf fullowul8 Frvin (S& ml l t
<br />B!s6! ,n PnrcsFn Col,: A,t Ciry or G,unry *trh rnu6 | tmd N .odtur, rlrd, 'r{roE, &mlnh or EFr t
<br />srrur1w. Fu lo ns nrurEc, rlv, Equn ! ttE rmli.d nlr skh Fmil l,r iiL. rirn d nlkEnr rh, tr or J. ii li(.n*r tuM.,
<br />n) {E F,vBen. ol tlE Contrrq\ Lr.n6l L., (Ch4iq 9. Comtui.8 *nh Scrr{ ?m) dr D,VBD. I or rh. BunFs ml
<br />PR cssrn! CoJc, o. rhrl lE or sh. N .rcnlor th.rcfron.nl tlE ltr$ tu ilr rlLr.n ctcryr!'n Any vi,hri,,n of S(r,n 70l l J[yny
<br />rt rttrr (, . IEmr $hFu rlE .t{'lr.n' ri, . crv tEBlry ol mr frn rh.n fiE hu,i8l J.lh,. las(I)).
<br />_1. .! o*E ot rlr tn)Fny, (, ny.nploFi et'h w.8cr.! rlrr $k.r,r4EMb,. r1]] dr rlE kd !n llE trrrE 6 I
<br />i .LLl or oif.eJ fo, kL (S(.?04a, Bus@$ dtul PDr.s:k,ns C,l]c: Th. G,nrrnrk ti.nc tjw d€s ml .!ply x' .n o*ftr ol
<br />rrE Frd! whr tur.! !r iiFrBrh.Nr., uli.16 *t krt h!Nl,or lEftlror rl[r8[nn rlErohcir'ltrr(\.
<br />FoviLJ rhrr s*h mF)rl:1id! 4 hn rr.n dl doll.nrl ftn sl. tf.trffi.ttr[! D3 ( ntn,kmnr s s!*nhr{* Fa
<br />olorrf .lir\ rh. ()vrr Bui{.r *iI h.{ tr bonLo oI !Nvu{ rhd tr,r ax dil br hoi! or rthE 0. F{Elr l,tr rlr F,FE trI
<br />l. { o*E ol rlE F)Fn}, d ex!tustcly $' .r tr8 *!h lNns.l .odraroE k, .onstur llE In)Fr tS( 7ur4, Blrms
<br />aBl Prrstrr C Jc: Tnc Conlracnn r Liccn{c L!* der nol lprly r,).n o*n.r ofporEnr elu horldi or mpn'ks !hcr..n,
<br />rftt eh) c,hr{6 n, suh FFk w h I co.rh-ro(r l(dsl t{^d h rlE (i)nrr&lor's Lr.nc Lu)
<br />I imcrlnpruhl.r S.rrk,. .ll &l'(-Lrr[$rcr\nr.
<br />woRKrffi
<br />IECIdSAUA!
<br />I lErb, rtirm ontlcr Fulr, ol Fjury om ol E n)lbwirr Lk(hrrirnr
<br />_l Uv. !n viu tuinrdr s C.flirrtr. or Con*nr k' S.lr'lns{rc ,nr wortcB u,mFnsrhn, 8 F'vild lir b} S(ti,n l7m .r lh.
<br />tilr, Cd!, rd rh pdfimc of rlE uft n, *,lrh rlE Fmd 6 6utl
<br />C9, t.",, *r,**,
<br />rh. vtrk l!tr whrh ihtr
<br />.m eo.tm .o,i{Enrr$n nrur.Bc. a Equlr.j ty SelDn .lr(I) oa tlE Lrhtr CnL. fttr rh Fn)mhr of
<br />Fmr ! DrFl. M, wo,tsi .onlEer[n E(1tu. (rmr rnl Fnry nunh.. r.:
<br />v1 cq. v1 Tvucv I'lto*qVo\bS
<br />-EtI'rc\:
<br />lo
<br />srVI_l!d r rhrr m ilf Frfo'fun. of rh.*!d fd *hrh rhr Frmir r 8rEJ.I rh.ll Dr .flCby ..y lEror h.ry'ur
<br />s d lo tEsr NbFr lt rlr m*6r lonFnltrion Lwr ot C.hroru. rnrl {c rhi rr I sh{l(! tEom ruhFt h it
<br />urtsi con{f,Nrbn In'vfir$ of Stu n !7glofllE tir, GrL.I rllrn, finhwrrh Nrltlly vnh lhs FoviriN
<br />WARIIING: FntuE k' ee hrt R omFtrnrr,h 68n8. n unLqtuL .,rl sl l subFl .rr'Chy.r ro t:miDl FEls &l
<br />('v,l rinc\ ut k, rd huhJrcJ rlxJuvtul
<br />lzo\o/ I
<br />I h.r.i'y lntn urkr Fuhy dl tErlrty 'h.r
<br />I m !€trcl uBrs Ffiq,n of Cn I*s 9llTltlllErr wirh Scrni 7U)) or DoNDn .l
<br />ol llE Blrix$ ntj Pmf6n'ns Cui., .,n ny li.ctr* n in fuU rue rdj .fa .
<br />clo q-l213b
<br />tottlLo V2ty'l r--1 + S O\ctt-
<br />(o$ratrllQlt [Nurc]roti]cr
<br />I lrr.hy rrr tr r trn,l.r Fhilry .l F_lurr rhrr thr.c N n tun{nr.rru tn lrnt r8cr y br !lx ro nrNrtr. of rhc sorl I'n whKh rhr tEni r
<br />AT?III;ANUIEqIAAIq!
<br />I lnl'y allim trntl.r p.trrlry ol !.rjUry orc olrhc l,ll'*in! F(hflri,ns:
<br />Dcnr,hi,n P.rmrGAstr$os Noufrlrr f.Jcr.l Lc3uuri,ns l'1 rllc r!r. l'rn6)
<br />_Rcqu!.t! trtr.r of l*{,fr.trr
<br />_I (d t $rr rM r.!kr.l r.!!hr.B rs-Jo8 rt sro\ rfr,vrl e ft, +dr.br. rd dB FUFI
<br />_l (..iny rtlr I Uk 6, On {,''lrrrnnml !2r.rlur rlr xttrc 'nl,trDrnn ^(rtr.(r I rEr ro..mpl, * h.,lCiryrBl Cou.ty
<br />,x{utucs .tujStarc lj*r rcLr03 rlrlri?. rcr.€dair.i or thN Cir, ml Couhry h .
<br />LO.hrv. mnrinlal p!)pcny i{,.,/t
<br />,\ppli.{nl.rArcnlSiEtr{tu
<br />t V
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />Rool Sheathino
<br />Shear Wall
<br />Framing
<br />ln su lation/ En erg y
<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 /><;oLtz- ,l.fr-l'..l) A t.'t lz./a? Y4n
<br />FINAL / -/t-o/6 V/z /vr"H/) ?<,/
<br />Certilicate of Occupancy
<br />Notes, Remarks, Etc.
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />N&{ (iE- :10!7. C,v C )
<br />trBlcrs Nrm
<br />I
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