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BUILOING- INSPECTOR RECORD
<br />DATE ID/SIG.COMMENTS OWNET BUILDER DEI]CATArION
<br />I h.rchy rfltm uBi.r FMIty oI fErruly lh{ I m cr.mJ lrom lh. c()nlr*hu' trcM Iru n, th louo}in8 Er$tr (Se.?0.11 5
<br />Buflnc$ Un Pn'r.snn Cdc): Ant C y or CNnr, whrh rcquffi r Fmn t' .oneruLl, rll(. rhl'oE. dcm,lifi o, rFir dy
<br />inkre, tnr ro trt !rU4., rLo rqur rlE .I, E.d nr:uh Fmr b r,b r r+rJ s{.tra! thr lE oBlE i lhmkJ Frrd
<br />ld rh. F)vsk,ns ol lb Conrr.ktr's l.i.cncd lrw lchrprcr e, Conmh-.inr *irh S(rn'n ?(x$ of Div!!,n I ol rlf, BNir$ ud
<br />Pnr.si,n! C,,ll ir rt r ,r or sh. ! .r.mfl rh.rcfnh in i rhc bl!! tu r,E .lLs.J .t nrnln Ahy v! jrnotS&'i.1rll t by rny
<br />emlx. fin . Fml suhFk lh .r,lE..r lo . civn ,l.Elty .r nn mr rh.n nv. hu,nEJ ddlm (!1rl))
<br />_1. .s owE or
<br />'rE F)Fnr. d n! .npbyei wnh ra8.r .r lrE Fl. Ntrp.MrDn, *'I d, tlE wl ,n [E ddrE ! mt
<br />d.nlal r oftEr, lor rl. (Sa ?(x,r. Burrs uJ PnniriN Cu.l: TL CoM*tr'r L]r.M llu 'LB Nl {fly t' u owEr .f
<br />rh. FrFny vhr hrilts or BImxs tlrrn,.ti wh. &B tud klt iimFllo. h.ell or rhhulh hB d lE own.qfiyet.
<br />pmlrLJ rhd .kh lqthEtrn$ c bt !.nldl d otual fq rL ll hrffi. ir h.lll!ts r, qKNnEtr s r l srhh m ,.r
<br />ol or{Lt$n. tlE Owmr Bui!.r wil h.E tE bun,ln ol pmvuU firl lE or rlE Jn d ll!i! or ltIImE lh. ImtEly ior t& !{rl,e or
<br />l. rs ownd dl rh. F'tdt, dtr .rclunv.,y .o.r.crh3 w h llrnE j codn.t'F r' con{ru.t rll. rorar ts& 7tl{4, Eurms
<br />.hl thlkrur Ci{.r Ttr Conrsln r LNnr lle UE Bn .mly n, u orFr ol |toF,r,,h bu .li o, mrmrfi rh.r$..
<br />rnd who cont(h,,, such lfi,J.(k w h r G,.ts(d O lNn*d Nnunl fu rh. Cdntr&tr's t-..n* L.w)
<br />_l rmrr.ntr u'rl.r Sdri,n_. B &PC ntrrhsnir)i
<br />lr.t. O*mr
<br />woRl(Fns coMrliNs^TloN
<br />IIi(].A&!IIAT
<br />I hrr(h!rllrfl utr(lcr Jrtulrvdl|r rrury.R'!'l rhc I'n!)*1trt dc(Lfur(xN
<br />_l hik.d wrll Erhin r Ccdr.n.orcon*nt t, Sallln rc,itr utrlgr'oi{ENix'n. ti llovi}d nn6ySerbn.!700ofrll
<br />Iitxtr GrL. titr rh. pqromkr or $c srt ror wh.h lhc ll.mn s ssrcd.
<br />_l hrlc ul *iU tuinrrm eorkc (qf,nldi,. in\uraft.. rr rcqur.rl byS&fu'n:l7tx) ol rlE tihtr CdL,l,tr rh. JEr,nmtu. I
<br />rh. q ld phrh rtus Fmn 6 rsxal Mt wdl6' or{En$krn ,nsuhtuc raH .r, Frl.y nu rr r.:
<br />11,li(y Numh.t
<br />_l (drlyrh.r o rlx Frf$rmk..t rh. wo* n! whrhrhit Fm! s $ud I .hrll an .rl,'Ily .ny FBr in Nt 'iurr$ r b tEem sutFr ro rhc so*qi .r,np.ro.llrn l,sr oa Crldoma, rftl r8E rhd rr I shruu heom ruhF lo
<br />'hchlt6 .ur{ENr.n FlvshN ol s.11hn ]?'JI or 'lE L.l CuL, I th.[ nfiherh d,q,l, w'rh rh,- pn,r!i!B
<br />WAnN|NG: Iiilurc r,r su. urt6 .rmFtrsri', .r'rrt3. ir !nL*tu|, rd slEll rxl'Fr ( d$)Fr r, €inhd lEnrlrax .,rI
<br />qv nRr uD n, oft huBlrcd rh,us.Bl drnls ($llx),(rxr]. h .lllln&n t, rn .on o, onlinrron, Jrm8.r .s Fovri.J rnr rh.
<br />Se.'r,. 1016 .l rlE liu GrL. ilrq.i .rn .rlonEr't te!
<br />Arollol:-
<br />lJcEllEllgarBdclaf,IrfC-IIIATION
<br />t rEEhy .rl,m unld p.Blry ol F,Fry ihr , m lencr utrl.r Foviftn ol Ch.prq 9 ((n,twru8 *[n Scli'n 70(l)) ol Div'tbn I
<br />of lh.Itusm$d Pn'rcsy,nrCul., !n my lEctrs i! intull lbRc! cffdl.
<br />L'cctr$ CL$:-Liucos. Nxmh.t
<br />cqlE[8lir:IrarlliNlrlililcE8{:I
<br />I trrh, i0tm natr Fndry ol0.rjnry $i EE Lr r .oNrucrir. Lfth8 rScB y for th. Fnnrrl[._--.. .l llE rort lor qhi.h rhn Fhn i!
<br />usuGlrse l0c?. crt. c ).
<br />l.ndcr's Addr.s:
<br />-
<br />^Illlr^xfl2l:(L
<br />8^llox
<br />l,m.tytrllimtr*]t' Fnilry.lFr|fy om trr rh. krk,wml J&lnrrrk,nr
<br />I)rn,lntr Pcrnnh-Altrn.\ Nor'rkarr)" l-dhrll RcpuLri,n. rl nlc lt).l'dl')
<br />-Rcnuncrl
<br />l-(rr ot Mrfr{ri
<br />I Nnnyrhd rlrlc(lcralrc8ulnrk)n\ rcN dntnsh^io\rcnr'vrlr,cnraml(ahlcl,)rhapr't.r
<br />,\rpli(rnl 0. Agenl Siptulnrc
<br />-
<br />lhl.
<br />P.fr rrmrrrlnr):
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsulalion
<br />Roof Sheathing )-t7-"t ,?-c-2 ,,
<br />Shear Wall
<br />Framino
<br />lnsu lation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif .
<br />FINAL ?-6-U /zA6 Pe/16- 24
<br />Certilicate of Occupancy
<br />Notes, Remarks, Etc
<br />SITE-WORK
<br />t).t.
<br />-
<br />Cotrlnlor:-
<br />-l
<br />(ni, rhlr I h.v. reJ rhi{ rptlisr!,n on xrrr. rl'r th. rt$vc innrmrion ( coRr I rlE to.trn{ y ulrh.ll Cny rn! Coutrr,
<br />.rdhrr.r rDJ Sr.tc llwr ELrn8 b ti{ rld'n8 r.,*u.1Dn. .tn h.rcby rurh,rir. FF.d.bhr or rln. Cny ..d counry lo .nrd utnn lrE
<br />.rbE rnrr)Etl I'n,Fny Lr e+cdon p!F,s
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