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BUILDING. INSPECTOR RECORD
<br />SITE-WOBK DATE IDiSIG.COMMENTS OWNEX BUILDET DELCARATION
<br />I h.r.by r,Itrm und.r F.dlry ,'l F4ury lhrl I M crctrll, iiDm !h. Conrrrt'F Lrcns bs ntr rtE n,lhqiry E(rtr (Sa.?0ll.l
<br />Businc$ . &otcsihn Cin.): Any Cir, or Coxnr, ehi(h r.qui$ , Fmir b onrtut. .lls. hp.rt., & rli\h n, EIun rny
<br />nBru.. F* kr ils Bsud., lsr rcqucr llE lptli.nl fot rst Fmir ro liL t nrftrl {.'.mnr rhd lr or !h. ! IEn*l PW.nl
<br />!' rlE FrvBilnr .l rlE C.nrr*rui LEnrn L.r (Clq*s 9. ConmR*in! *rh Sdrsn 7(II) rn Drv'sFn I of llx Burirs .tn
<br />P^rfc$mr Gxi.) q rh.r lr d ar ! ckq, rt(lfrom rlt rrr h.$ rd llE .llt.rl.Ehtii& Any rN'Lrx'nofsarM 7o.l l 5 br.,,
<br />!ff,lMnl ror. Fmr suhj.ts ttE !n llrnrro.civ p.Mhyof mErhd,iv.n! r.d dollri ( t5txr )
<br />_I. .s oerr or rh. FbFny, d ry.npr,F.r w h w.8.!.! lllr sl L!trp.NlDn. ei[ &,lb v(i lrl 'r. lnBrE u d
<br />dalal d d[.r.J rd nl. (Se.ro4a, Bu.ifts.,rl PrclBi]N Cirl: f& Coirn!(i t!:d trw &r. d {rly h u orE or
<br />rM Fqd, *r$l! I3d otn6 rlE4 lrl ah &E s.n urr hlef .r h.Elf or ihreultttr.r tE om.r!rl"ya.
<br />FovrLl rld lsh u'tFlm r d d irrdhl d oihEl t rL. ll t$w. th. hdlB (nqmEnEtr it {'tl Inhu m JE
<br />or lorqlLram, ltE O*rr Auils wJl h.€ tlE hr.lcn oI FDtrt rh.r h. or !. ,l|l mr ltuill d u!lh( tlr tmFt, ritr lrE FiFs or
<br />_L 8 owd ot rtr Fqdy. rm.rchriEly $nrdh3 vnh lk.n*J $IIk-rB b.otrntulr,E tt)Fr (se 7044, EBtrs
<br />lrl PrbkmC L:Th.co.r !r'r Lt6* lie dE! ml q,tll, ro u ov6 of rorEny *hn ho,lds o, iml,nE, rh.rM
<br />..tl *ho d,r,L1! f{r ruh FFls wirh r CodEro{n ll.rsJ r BM httr Oflft1n'r tr.M Lrw).
<br />_l ucicmfl utulcr S(rion_, B. & P c.l(tr lhis rc.nr
<br />EAAf,EaS:l:oltrEMArrAB
<br />DECIdSAIION
<br />I hcEby rlltm unJ.r I'cBl'y dl IE jury or olllE lnlnjwinr rL.l[xu'nr
<br />_l h2tc 6l wrll minrs r ('.nrtualc .i C,,nrnl to Sclf-lBur. lix wk6r LrE{ENdon. a F,vrlal f6t by Sernn ]700 ot rh.
<br />t bor Grr.. l rh. Frl,frL. of tlE *rt f,, ln.h llE Ftul ! aiuJ.
<br />Vl hrk ril *'lt mmrrm *ort.R con{rngrk'n rnruEL. c, $ rcquEd hy Se(r,n .rr(l) oI thc L.htr Codc, ror rrE F.tmt ol
<br />rlB srk f *hkh rhls lEm[ ir nnal M, wodqr' cohFns.r (r Eurm. t5s drl IbLy.ufrt*r i.:
<br />rI- l'20}.l
<br />VI cn'fy rhrr r. (h. rerauEk ol rb. *ork ld vhkh rhr3 tFrn( r rsu.{, I rh.lr d .6r'by !.r lrer ,n iny mrnmt
<br />v, rs to tE $m rubjel lo lhc wod6 coryEtrrron laws olCrllnmu. uJ.!e rhi lfI sbuLl tErom sb]cct kr th.
<br />k,rl6i omFhrrDn F,Mrx,tu ot S(r-n rTuJ or ih. Ltbr C,rL, I slEll, ftrlt* h .omrly * h rh,* ,,Dv(nn'
<br />WARNING Fa,uE to sN srk4'.urENron s@3c ii unL*tu! &l ttdl ohjtr D .tllohF ro @l FaltE .,n
<br />.rn nF. un k' oE hu Ed llnue tloll,t 11100.0l)0). u rll[i,n ro rtE (r ol cofi{'.Mlxr. drE8.!.. F.vrral for llE
<br />Sdliln 1076 ol rlE L{bor On , hicrc(.nJ (omy r
<br />n*r", l--7 - f-o )-l
<br />DECI.IEAIION
<br />I &Erry.rt n lBl.r Fox, of Fqury rh.r I d u.rtrGl urr6lmBsn of Ch.Fs 9 (rol|IlrE:'n8 w'ti Sdb. TtXr) orDirEbn I
<br />ul rlr Bolira rn t PDfdriE Cdr..,,rl my |r.ne n r tull tuN ,n.6dt.
<br />r-,..*" cr"* _G:19-,.r.tra.Nun$.,: qs645
<br />o,r. t-z-1ol I ,-u*n* I Qirtzq
<br />,.,,*,**T;J*i*
<br />I lEEby .tfrB unLr rEmlr, ol rBrJly {ur (hd! ir . dnfulnn L.r,!B +cBy for lll Ff()l Ec or llE wt tur wnih rhit p6ot i
<br />Blr8l (Se. 109?. Crv. C.)
<br />-l
<br />cnlfy ln.i rlE L!.rl rcllLrrN Esdos rslrior lm,vrl m d +J'|I.bL !, lha F)Fl
<br />-\l!r rdnirh.r I hr$ r..J rhs rpllrlrIn !n sr.r.rh,r ilE.h'v. rn,,'mr!,n s (m.d.l rEe o Lon{ yw hlllCnyr*lCounry
<br />orJinan.q 'nd Srrrc llws 6br'n! k, bu,ld,n! con{rucron. dnl hcrch} rulh.rnc rclrcsdrrits olrhn C y itul clrunry t, ctrrd uF)n llE
<br />rh,v. mnrokJl)n,Fnytnr
<br />Appli.inr or A*mr s*mruE
<br />I orI'L
<br />l- 7-;oll
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsulalion
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<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 Certil
<br />FINAL ///4 /7"J/lkt ,\
<br />Certilicate ol Ocdupancy
<br />Notes, Remarks, Etc
<br />Ext./lnt. Lath
<br />D.t.'-
<br />, ** -!k*l-r{s.FnErt!b l5s
<br />",,,,..n,.,', 19999!'} 19
<br />AIILICANLDESdAAII9tr
<br />I tE6, rtrm ud.r Fn.hy of Fr!r, or or rh. roltrwhS d..L,.r{.r:
<br />D.mlilxrn P.rmnlAsbclo. N irE.lbn .ti.r.l Rquhlxn (T'rlc a0, P!n6)
<br />-Rcquucd
<br />L.rr.r of NnilEolion
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