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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE tD/stG.OWNER EUILDET DELC R TION
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<br />DECIdBAIq!
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<br />',n,\Ntrtrn'' I ?62 o7./+ zl
<br />DECllAAIOd
<br />t lxrSt dnm un.l. FMIy ol Jf,rrwy rh.t I n llnsl un.lr Fotsir of c)lrr6 I (lr'rltlft $8 enh Sdin lql), of DNR{n l
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<br />APPLICANT DFCLARAT(tN
<br />I hdltry rllm un jcr Ftrrlry ol n rary or ol r,I ,,,lk,erg J.( l,dir\:
<br />D.nrlix,. Pdmr*Arh.ior Norh(din Inlcnl Rc3uldrrr (Trrh.l0. Prn6l
<br />R.qurcd Lr ., o! t{idutr,t
<br />_l Nrrfy rti rlE ldt .rl EluLrhhr E8rrJft ab6ro. lmv.l e d .fi ..1 . |o thtr FoFi
<br />2l .6'Iy rh.r I h.w ful 'h! ll?lr.rpi rn i,k rhd 0E rbE i.fomrbn ! rdRr. I {r to .!,ryt, *iln .U cn, rlj Com,-d ,*.r.rnSrdct *! ELrn! b h{dJrr NnrRlbtr.,rl h.E6, ddsie crrsd.r'h ofrtti Cn, !n Comr, 16 dld uFh th.
<br />xh,v. mtrrkn{J lnlF-ny l(n n\F\
<br />rpnli.rnt.r 'r!rnr sixnntum
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />S u bf loor/VenV ln s u lat ion
<br />Roof Sheathing
<br />Shear Wall
<br />Framinq
<br />ln su lation/En ero y
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Depuly Final Report
<br />Enqineer Final Report
<br />Flood Zone Certil
<br />tlr /
<br />FINAL Ttt/2/,Jr'/>fr'e/
<br />Certif icate oI Occupancv / /
<br />Notes, Remarks, Etc
<br />COMMENTS
<br />!) tr\r' hc.n! {'hr(r n)rh. w!r[.r\ (otrIraNrn law\olCrh,rn'r.,irtr(rhdrlInni'Llhc(on*{,h}-(hihc
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<br />u,,. P),4,^ t
<br />rsn.d rs& :1097. crv. c.)
<br />Lc cis Na&:
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