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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNER AUIDER DELCAR TION
<br />I tFrcty.llirf, uBLr lE ht {,r Fr|lr,lhd I m cr.nfi h)nrlx C, rhnn Lruk trw lor rlE ft,ll(vat rc.s ts.i -rl5
<br />BurNss ,n Pr.lc$&n CLL): An, Cn, or Co&ry *hxh Enor! r Ftu kr .onrtul. d'd. 'r{hrE, &B An tr ErE! uy
<br />dn'dur., r(rrI s Nurtuc..ko r.quff rh. +nlt.n','tr su.h Fmir ro fib. ri8Etl sr.r.mnr rh.rlror rtr ! l'.!.$d Fsu4r
<br />r, th. Iruvnrn of rlr oflki r l-itn$.| L.* (Ch4rs s. Colmrus eirh Sarr'n lID or Diviiin l .l rh. Bu$rs .rn
<br />tt'r.rrDn! Cnt ) G rh:' lt or rlE ! .r.qr (tfron&l rlE b{i!r (tr llE r,k!.n.rcr{lrh Ary r,Llhn .f Ser,n 701I Jty.ny
<br />rpdM rrr.Fmr suhFlrtlE {i[!E.ntlo.uv Fnrlryofd,r frn rh'n nv. tualr.J doll6 (i5ml
<br />_1.6 owE ol rtr FUFny, o. my.nlpbFr w h wr8.! a rh.r b|. o,pcn*Dn. e lrl. llE *ui dl ir. (&rE E r,
<br />irrcnldl t,oflcr.J fd qk ISe.nXa, Burmr'.nJ PludrnB G*: TrE Gdr&ir.t lraE t *dBn {t !h oqffiot
<br />rll. Inrrrd, vh't ilr d mrF,kr rrtrrn, lrl ehl .lls rLh mrt hrnklf or trElf or llmurh htr u lt, own cilllk,ya,
<br />lr,rrlcd rhtr ru.h ihpm\trnll G Dr i.icDbJ or dtli,s, ritr ek lt h,w, rlE l[ in8 or itr{n'Em n s 'l withi, oB Fr
<br />or$rlplr-a 0E orrr Bulrld *'I h.E tlE h,J.n ofrmvi,a $r lrdtEJi'l d'l l{ i r ltrhE UE Frdry nr !F,rEot
<br />l. rs o*rcr ol rhc pfl,ncn y. am crrlusvcly .ont.rrn3 sd h I(.n{J ( dnkldr\ n, c.n(ru( I I lE IB'F.I (SR.' 1ri,4. tltrsm$
<br />a lrrr6\rn (lit : Th. Contettr'r t-f,.n\. l.rs J(r! ftr .l'!ly r, { "*N "! FoIEny r lx, burldr mhnn*.\ rh..coh-
<br />rnd *h. runtreB,,tr \uhFol(hr h.(itr rrt)nn lr.n\.J pnnu n,rh.Cdnkrn*'rtrtntl:*r
<br />-l
<br />mcx.npl ulLr Saro.-.I & P.C tur$B t re'n.
<br />lvoRxFLs' ( olrlPl:Ns Tl(rN
<br />DI:IIA&IIIIJ!
<br />I lr,(h) rrltrm ukhr Fnrlr! olF:[],! !,R ,n rlr l!'il,wtr'r (l{LrdrNrr
<br />_l hrvcs w,llrun 'n, Cen 'lf,sr. ol ct,n*nr t, S.l,-Itr\u.. turk)*.n omFn$lon. $ rovitlcJ lirr b,S..roh l7(Xlol rlE
<br />tzh, Gxk.l'{ rlr FnrroRr otrh. u' tuuhahrh.,rmn s Flkd
<br />I h.v..tul vrllBrnr.rn *ork.r'.$nqrnr.r!'n rNurrBc, r. rcqu!.J tltS\-1[n]?morrtt bhtr C,il., tu rlr rEdLmBc ol
<br />rlr w ttrwhihrhsFrmir is n\En. My woitcri .r'dncNrrion in'urocc cnar s,rl F)Ity nunb.r sc:
<br />h'l'.yNumh.r
<br />-li!!tcl
<br />_l enfy rh.r n itE FrktrDtu. or rrE rorl( nr *hrh lh! tErm' tr !{u.{.1 rlull ru!.ntit', rny Fa'n r rny nwr
<br />i, r ro tEr-m lul,Fr nr
<br />'h.
<br />s)*s!' .on{Enrr $n h*! or Cdrfoor !tul.8m rtur rrI shuld iE oE $hFr lo rlE
<br />k{k.rs cohlEnqtrn ltnrv$.)ni ol Selsn r7u,orlh.lrhtr Col..l lh8ll n,nhwirh corll'ly wirh rhE tbvtbns.
<br />WARNING l-r,hE b a\@ srtcn'omFMlnn oEns. !r u.Lertl .rl .h:I shF' m .rr?,.Fr
<br />'o
<br />drur FEri! .!n
<br />ovn rEr uI, r,r .E hu'nGj rhlNol i,olL! rtl&.ul)), o rx N$ ro 'tr $4 or (ar{EHrkrn. J.m8ct .r rotlc{ r., rlE
<br />S.crfn 1076 ol th. Lrhn Cine, ur.rs ul rhomy.s,R:
<br />ItcEli.rElcolraaqraa
<br />DEUAAIIIQN
<br />I h.rhy .trtrm und.r lEnrlly ol tErtury lhat I rn lkln$n unt r F y$in of Chrprs 9 (.l,hmkuB w h S&rbn ?ujo) ol D,vBi(,n J
<br />dr rh. Burft3r .rn PhG$oN CuL. ul ny l..rc r h tuU l'orc .rl .tfe-l
<br />Li(cB. CLr!:-Lt.M NunlE
<br />Cooltrlor-
<br />TOXSIBIIJIOIiIJBDINS.AIiE!{:I
<br />I h.E6y rrr/s u lcr Ftulry ol Frury rh.r rh.E ! t mnlBlr'tr Lrrlug.EC, lq th. tiri*lle! or rlE wt ld whrh rhr Fd !
<br />nrr.J (Scc..l(!)7, Civ C )
<br />Af.TLICANI,.PECIIXAITA!
<br />I Hry rrm lrrh FEhy of Frury orc ol ih. ,dbrut tL.LrrFn!:
<br />D.nrnirion PcrmB-AslEdos Noriliclrtr)n Fcdcrrl R.sxhrtrBr (Tirlc 41,. P.n6)
<br />_Rqur.rl lrn.r or *.f..rrrn
<br />I (cnrly thdt th. fq.lcrrl rc8u&tn)trr rc3dJnr8 !$cno\ r.fr,rll dr. Nr a0Ilkrbh h rhn nn'Fcr
<br />_l(drylhxr I hlk Erl rhn.pl r.tr nrl nd. rh.t rtE.hrE mf!,tunn K.!mr I.!ra b.-rq y qnh .U Cn, rti A,!nr,
<br />ord,tunlr rnJ Str. b*. Eld r! b h.r!r8 lonirudo[ rn lrrcby .urh'e rcrrErnniEi ot lhn Crry r.d Counr] h .nrd uFrn ttE
<br />rbv. mnrnr.d pmJEny,nr hsFti'n purFxct
<br />ApDlkdl or Aa.nt Slad{n:- D.l.r-
<br />P.m'llE mftiDrinlrl
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenYlnsulation
<br />Roof Sheathinq /-/r-4)/>c?,
<br />Shear Wall
<br />Framinq
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Ivlasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Reporl
<br />Engineer Final Report
<br />/-t7-2t lZc/s.,,/r-zus YV
<br />Certiticate ot Occupancy
<br />Notes, Remarks, Etc.
<br />Flood Zone Certif .
<br />FINAL
<br />lrnLrs A.UEss
<br />t-
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