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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.OWNEN BU[I'ER DELC RAT!ON
<br />I h.r.b, .nm uni.t Fnd!, ,,1 Firry rh.r I u .rtrtll iioh ilr C6d.rtB Li..M L,w tu rtr ao*rror r.9 (5(.7011 I
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<br />_1.ri owmr or r& tDFdy, or Dy cmpk,Fci t hPrB.sIrlwa,kcoqxhero..p ldd!h.wdt.r!llErtBrEsB,
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<br />DECI.ASATqN
<br />I E(r.t'y rfiirmunJ.r F.rhyolFjurrotr. ol lhe n'ltl*or ll(Lr'tr)n\:
<br />Ih.ro D,rlmDru r Ctd,rr.tc orcDnc b S.lr-INur. litr luk6. on{En€r$n, .s F,vrlcd for by SatDr l7m o,llE
<br />Llhtr (irlc, ,nr rh. Frfolmftc o, thc uorl fir wh,(h rhc pdmn B iisucd
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<br />rh. k nnwhrhrhaFmr,r trsun M y *ortdr' $n{ro\!r('. 'htu3tu.utrrr nl t,lxy nunh( a.r
<br />A,net tan ?*r,ch
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<br />yort$ omFnr.i ifl I'ovrix,ni of S(ri,n 17Ul or rh. Uho. CrrL. I drll n'dh*nh (omfly w,th rlDE lhrvlr0N.
<br />WARNINCT F{lur. k! hcuE workcB'.nmn BAlbn evch8c a unh*lnl. {rr shrll suhjccl rn chnlo}rr 1,, shiMl Fnlls dlr
<br />lr om hlllr.d rh'ueJrl doll&s lslm,(xU), ,n dn i,n !, rh. cn{ I (,'nqENrd., d.NB$ .! r.vricd f', rh.
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<br />-1tq/Ll
<br />DECIIEAIIO!
<br />, h.Eby {rm urLr Fnrlryol p.irury 'hd I m lic.nkJ uuLr rrvirp.or Cluprd 9 (r,mEn'n8 wrh Sh_rln nr,(}) or lrvNirn 1
<br />ol rhc Blrim$lol Prrlsn,trr Co.lc, u,i mylicns n D full ntr( sndlc(l
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<br />ca!fl8l(Ilol.LllDac-6crN(r
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<br />tr.d.ar AUr6s: _
<br />affuc^Nl![rt^S rla!
<br />I lE&'y !,limu lfi t{nlhy DlB,pryok ol rh. nrn,w'n!Jc(ldrrn)nsi
<br />l).mnirr l!.rmns iEno\ Ndrlk,rIn lnLrrl R.!uLri'n\ ('r k.fi). Prd6,
<br />-R.qutrcJ
<br />L cr nfNotlinrnn
<br />Kx*t LJ.r.l ,.a! L r irn. ft3rJDg .sh(t^ Rfr,rrldc d .t'llrrbk h rhl\ Jln,Fr
<br />rrd rl'a rlfl'.rbotr rlirrcrhir rh( fir. tr,|(trnwnnr h(onc(r lr8(rt,.onll'ly* hill('rrydll(L y
<br />vs rcLrht r. buillln8 (.nnrud i)n. !,n h.r.hy .urntru.s o, rlu Cn y rlrl Cdonry r. .hr( uBrn rL
<br />rt'ov. r.lr,EJ F,Fdy fq hrFrnn IIlFrci
<br />Applic{trt or Agrtrl SirmluN
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/Vent/l nsulalion
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<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 />Engineer Final Report
<br />geod Zone Certif .,/-l lt ^'aAlwlt/w at ryd'l v/q&walt/-.n
<br />FINAL 1t7/X L+&&M
<br />Certif icate ot Occupancy
<br />Notes, Remarks, Etc
<br />COMMENTS
<br />t? /3lt7t
<br />^,,, L/L1lLl
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