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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILDER DTiLCARATION
<br />I lrrchy rffum onLr FMlly(n F rur] 'hr I sn crcmnl ln)m r,r OrrrNlon lr."e lj* ntr rlr n'l!'*inr r.re,tr (S.!.ru.11.5
<br />Burms ,,rl lt,t sKm CnL). An, C y o. Ci{nry *h.h atur6 ! F,nr r, oNtur. rXd. m$or, rLmlGh or ryrr .ny
<br />sr&rw., Fu n' nr rsutB.. $ BtuRl rlr cmi..n' l.r such Fmr h rilc r qmd rr.r.Bnl rM tE or rlE i h.tr-d ,)ll!inr
<br />n) rh. F)vhi,n\ or rhc Conr,.chn r Lrcnq{ Lrw (Chrnrcr 9. CommBllu *rh SccrionTUrl nf t]it(nh .l of rh. 8u(Ns and
<br />Pnn.$k,ns C\1.) or rhj tr or rh. Lr cr.nfr rh.rcfrdm ril rh. bds,i ktr rhr .[.8cJ .r.r$Dh Ah, vkrbrkD of Serhn )0J I 5 by..t
<br />.lll (ir kr i Fmr \ohFk rlE "r'tlMnr b r ivrl r!.Elry oI [n frE rh,. nv. huolr.J Jolls (!50ll
<br />l,0row*rorthcproFny,ormycmploFrpiln*d8csitllErs,lccom!..s.lon.villJollr*(rI.,r.1rlrrlBlEn,l
<br />i, cBlol oro,ltrcd ntr ek(S( 1r&, Burim$.nd PDrirrrns CnL: Thc Cont,rn*'. Litns t vdesmrq'plylouo*Eroi
<br />tlr F,Fny vh! tn & d qn,h rrr6,n. lil vln &B ulr srt h,Nll or lrell or rhturlh itr d h.r orn .nll)lryer,
<br />Frvrld $rr uh rqn\rfui E d ddlolqoficFl (r eL lth'w,rlllx[lrAduqlrr@nr!$Ltwlh{rEFs
<br />otlln t lcrie [r O*rcr ButtLr ]iU h.E UE hnLn of F)u8 lnal lIunEd! mr hl l or lrF rc ft pirEry lor 0E t{qr'. of
<br />L s owr orrlE F)Fny, rn.rrlunwly.otualoS w hlrinFlco xr6i0d,'furrl*thF (sd 7oaa. Busms
<br />.nj lt,kseCqL: Th. Conrrroas Lr.n$ L.p d(B n rprly ro rnovNr orptuFny qlri 6!dJs or imooEs rh.r.on,
<br />.nd wlil conrhcrr ror surh tlnr).rk w l ! Con'E.bn n ltcn*l rxGuar to rlr (i,nb,cror' Lrco* t *)
<br />I im.r.hnr ufrri SNri,n ,ll & P C fir rhtr,cav,n
<br />tlaf,KxtsSttguDits ra!lrl:cl,Af,rrQt
<br />I lrnfiJ_ rlltrm trn'lr, I{ulrlnl BrrtrlorEolrlr ldk,u urt .h kr.r trrtr
<br />l hdv. .ri vnl nurnrm a Ccn,lk .o,Cons lo S.ll- lnsr. tu. wtrkcs' c.mlEnsdlon. 6 tnrvddl l,r hy S.cuon JT00ofrh.
<br />Llh, Cirlc. ir rh( rEnnmrc ol lhc uo rnr whih rlr rmnr s i$ud
<br />I hry. .d p
<br />'ll Mnrrm sorl.r! .omFneii,n ftonr.. !\ rlrquu.J b, S{r[n 17u) ot r& lrlrtr Cd.. ntr rh. Fr,trruRc ot
<br />rtr*orkktr*hf,hrhrFm,ritudiMy$orkdi.onlin\rr'on'nsur!m.(rmr.nlFr(ynuht6{.:&o [EPreu.-| 2-l?K'll:Ba
<br />I.cn ith.r !n lh.IErfortrBc o,lh. rdrk litrehihthFFrn(
<br />e, ri 6 lRr,tu snhF.! n, rn u'lt6i Lrn{rrqr$n Lwr.lcr
<br />srt6' $m{EMrrnFrv6$nrof Ser.n lTmotOr LIh*
<br />WAI.NINC: ldnurc t, Burc strr.R .nm!.nr.iIn ov.fl8c
<br />lnll li'r\ un h' .n. hurilnJ
<br />s^,,- wi-,rL r.r,.h,r..
<br />D,.: .alz"17
<br />rhor\.trLl J,,l. \ 1\llx,lrN)). $
<br />,**;J;[Dl r, \k\ i,\
<br />or Frrury rtur I rh l'!r.a{ unLr Fr trrr or chrBd I ( mfr-Rmr wnhs(rrrh 7000) o,Ir!!trrn l
<br />ot rh. austr$ xll Profcasrnr Clit , .rn my lt.ns n r tull fdN .rn cfid
<br />,-"-*.0* ' 9 Lrcne Numh..4I oqru
<br />>.zr.L\
<br />c0lisIIrqIo!.EtDI!!0lGEcr
<br />I h.nl'y.rd lrlcr Fdr, o( Frrr, th.r rhd! G . otr(tu1,n hllu [n, ,or rlt Ffdllu. of rL Hri nr dun rh! Fn t
<br />ksrJ lse. .vr?, ci!. c )
<br />ATEUSANI.DEq.ASAUq!
<br />I hddry.fmu kr lEndlyolF,uryoE nl llr tullo*mr d.rlfli,nr:
<br />D.mlnpn P.rtursAlh.r.r l{r'f.-!rion tuL,i R.lul'rpN (T!'L r{J. Pm6)
<br />Rcqurcd lJtlcr of NotifB{hm
<br />I d,fy rh.r rh. t Jcr.l rc3uLr :nEilD. EBrvrl & nx qtixahl. lo lha Frxar
<br />(&*n,o,*,,r*.*** "r,, uErr lrl Strlc bws ELruu !)
<br />rh)x B.nri,Lal F,Fny ftr iNFd
<br />crhur thcrh'v. rnnnurhn tc,'trccr I.E ebNn{'lyuiih3llCiryr (,rnry
<br />r hcrcby rufitrE rcrx.cnlrt,rcr or rhs C(y rn! C.u
<br />/lppli(s dAA.ntSi*n.lu
<br />BrJ (-8 -i 2h
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />Subf loor/VenVlnsulation
<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 Certif .
<br />7u
<br />FINAL +''1'dl upr,{h 5fry
<br />Certif icate of Occupancy
<br />Notes, Remarks, Etc.
<br />I rh.ll ton cmpkiy rnylf,B'n m rny D Er
<br />rhrr,l I \bolal l.uoft$hFr rrrlr
<br />.onply wI h rhrc !n)vtrini
<br />SLAB Floor
<br />Ext./lnt. Lath
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