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BUILDING. INSPECTOB RECORD
<br />SITE-WORK DATE tD/stG.COMMENTS OWNER BUILDEN DEI-CAXATION
<br />I htFby rrtrn unt r FMlry., Fqury rhlr I rm cx.q, hrm rtE Cnnrrdm l&nr L3w ltr llE n,llr*trr EK'n rsc.ru.llj
<br />ItBft$ rd Pror6lrr Coj.): A.y Ciry or CN' y whrt rquir! . Fd t, $trrnH. .xd. 'mCoE. d.orliih or qrr I
<br />{n(ru., Ftr k, trr s'!rd.. rkr E1]uiEr rh. q!'I.,i lrtr rsh Fmr k' tu . er3Ed n.l.E rhr ll or tr ! li€nsJ Puleltd
<br />k) 'h. Fn'vrk,ns ot llE C,,nr.crq r L..nsJ L.u (Chrnrcr 9. ComtrBrnr eith S.crir" 71x$ nr Divdnn 1 or th. aur,fts dtu]
<br />Pha.stns Cdc) or rMr h. or.rE r .r.n{i hd.tio6 r rn h.s! tur rh. nk8.J .r.r;r tur. 4", vtulrlion ol Sdhn n).! I I hy.n}
<br />.Iiflia n,.ImrshFtrlE.fl'lrrnrr,.(trrlFEhyolD mr rhrn liE hullhl J.lhrt 'tl(Dr
<br />Sft-*..,,n".,*,). or n,r.mproFc! s h $r8cs !. rh.r $b lonpensrrh. v rLr, rh. *,rr !d rrr nere i! nn
<br />d.nldl .r oficrcd ntr eb (Sd.roat, BusiFs Md Pirtisi'n. Cci.: T,x Oflnl1{{\ lrrtrr L* 1,.*r n rr$ly ro oeEr or
<br />rtrFId, rt!)t! h,r u!h6 rtEir rn *h' Lt B rt qxt hrMll or trrlf or rtmuSh hs .r lEr osn.flpl,ys.
<br />FovrLtl rh.r tBh lr{nrwrr! E r* !{6}!l q oF.6l ii, el ll lr,kE. tlI h h! r nqre'fi s $ll pithn (* F,
<br />or $rFLrrn, tr O*Er Buir,tr * l hrE tlI hurd.n o{ Ii,v[3 lhal h. or nx Jn ml hq! or u{trE tlE F$F, [, tlI PltFe ul
<br />_1. as owF of th. F!dr, rh.r.brkly (1)dr-..b8 w h hca&J odE 6 tr (nNtur rh. F AI lsa 7l)4a, BurE(
<br />,rl Pn 6irr Codc: Th. Co.krc!tr s I-ccns. Uw Jcs ft{ .p!ly b .n .*ftr of FoFny wh burls or mpnrv.s it r.on.
<br />lnd *io (n r&k ,n, !(h lf,F-.rs *nn r Cinr,kt,(sl l!cnr..l Nhktrr b rh. Contudor s t-Nn* trq )
<br />;(".$fi;w{,',.lal>t
<br />r\ ( )Rkr t!:1 l\ul\t!Ll!]\
<br />DECIdEAIIa!
<br />I lxftby rrlah unLr lEuxy or F!r, oE or rtr loll,wrS J.{lrdirN
<br />_l h.vc rnl vill ml,ntu r C.dir krrc or G,n*nr t' ScltlnruE ror ufl.ra comFnr.l kr. rs F,v,,l! n,r hy Salion .!7(x) ol lh.
<br />llhx Gxk, ld rtE Ff.mc of rtr *xt fd \txh rh. Fft i! s.ud
<br />I hrv. rtrd *rll nrN irn workcri tumr.n\.r rr rnxura,E. rr Equ Rl hy S&r (D .l?lx) oih. Llxtr C,rL. i,n I h. FnrtuR. ol
<br />rlr vo.k r(tr whf,h rhs Flmir i! s{rJ M y wortai .a'nl,rnnnon in\ufln.. rr'.' url F,lry nuht'.i m:
<br />l*fft\
<br />.#;t;1 rh.r r rrE IElorDm. o, rhc *o tn *han rhtr Fmr r r$u<rl, I ihell n .nnkr, tny Fen r .ny lmmr
<br />r,ft s6j(r r' rlx k,t6' $qxnr.i iD hrs or Crl,romn. ,ri r8r rhtr lf I rtFutl lx.oE shr(r k' rlE
<br />'nFns.r i,n pmvti)ns .l Serion l?U0 of rh. lltry Cqlc. I th.ll. nnh* h .omnly wirn (h)s tmvistrrhs,
<br />;: Falurc k' surc s cR d,rlll$rlrr .ov.n8c tr unk,tul. .Bl shlll {br{r ,n sfloy.r k' di,n l, ,rMhK r,rl
<br />un ro dr hun&al lh'uBnl
<br />Drcl-ax TroN
<br />I hcrbyrfun u kr F.rlry o, txrFry rh{ I rh I'Ri!.J u,rL. F vsk'n orclElrls 9 (d'nmEh8 vnh Sarln nl)O) o, Dtrion l
<br />of th. Iturr.s Md Pnnisbns C(!., lrl ny l,rcnr 8 m Iull nr.. .ri .flicr
<br />$$.IA!JSIIANT!!DId!iCESIr
<br />I lIdhy sllth und.r Firhy ol B4ury rhlt rhd. h r on!rurrDn Ln!,nt.3.tuy tlr r& I'c LrruL. olrtu worl |ilr whrh rhB ltd *
<br />^!kJ rj\( rlrrT C,v C r
<br />APPLICANT DECLAI( TION
<br />I h.niry,nim unlcr lrMli, o, Frl(y om olli. n,lbw'nl JNhrdion!
<br />O.ml,rk l,.rtutsArh.{oj NDrilr.ion Falcful R.Su lrr (,nr (Tnl. 40, P.n6)
<br />Rcquucd LcI.r ol Ndf.llrr
<br />_l cd,lyrher rh. r.d.hl roeoLrn,hs rc8$dnt $h.n.sr.mrvrlsc rlr rs'lf,.bh n' rhis pr+.r
<br />,fl("ra,,t,, "*.",* {?lgrrn,n nrk rh:r rlE rtnw rro,mrDn r.,IG._'r.I rsa b(!r9ly s h.rr c r r,rr c:olnry
<br />odi ft.! .nJ Srarc livr Elcrtrs h hrljins .on{tuinq Bl Lnh, lhtrE rcF.rnr.tvcr ol rhr C } &d clrnty lo .nls utxr rh.
<br />lc'
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground Y
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Rool Sheathing
<br />Shear Wall
<br />Framinq
<br />lnsulationi Eneroy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />Handicap Fleq
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif .
<br />L1/// ?avr ('rU'/,./64N
<br />Certiticate ot Occupancy
<br />Notes, Remarks, Elc.
<br />T-Bar
<br />FINAL
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