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BUILDING. INSPECTOR RECOBD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNF-R BUILDF-I DEL('ATATION
<br />I ln.try rllim uLLr FEIry ot F,ury rhrr I n .rmt{ h'o trE (inr&nE L{.n{ L* ntr 'lr nnb*Ds hre'n (Se 111.5
<br />BusB. .,n Pnn sDn Coj.)r Any Crry .. C,N y wn{h rcqrRr ! Fmr ro 6ritu'. .hd. rmr.ok. d.nrlh 'r EF! ey
<br />!tutuE lrrr t, (r sunc. rI$ Equrc!
<br />'h.
<br />.npl.el lor ru$ Fmn lo ark . s8rcd 3l8r.mnl rh.r lE or tx ! li(nEJ riBcnt
<br />rr rhc l)n,vnn'N ol ttr Contra.kr's l-icnc! ljw (Ct.nrcr 9, Commncir8 $irh SK.'rnm ,UD nf DrvBn,n .r of rh. 8u*ira\ sd
<br />Polcsx,ns C,!lc ) .r rhdr lr or sh. ir .icnfl rhcElron ud rh. bsrir ntr r& rlhrdl crcqinrn. An, vrhl'on of Sel krtr ?ol I 5 by rny
<br />{,rl'..nr rd . IFm rubr.rk th. .I'I'lk.nl lo ! (vil Fndly rr .or nm lho fivc hu,rlr.{ dollsr (15(t)).
<br />l. .s o*E o, rh. FoFny. ( sy .inlrys! * h w.s.! .! rhd rL (!nF.n{i@ *rll do rlE Mrt !n lh. rEre ! Dx
<br />!r.*{ q ofl.rn ln rt 1Sd.704,1. Blri6r ol ProfdMN CaL: TIE CdrRrd'. ll.r llp &B nd .!Cl} lo o o*F .t
<br />llE Frdy *h, tu'tl n ,rmB lrsla .d rho dB $h $tt hrN.lr or lE*lf o, tlB'ulh hN r hd os.rriloF6.
<br />,rcviJal rh,r ist fiIhvtlrdr G d nrfit.rt u olkrl iM .t If. hffi. th h{UirB d lrFftr.d i! s! r$n m Fr
<br />016r{l Llnn, rlE ()*Er Builld wil hsE tlE hnL. ol FDWB rh.l lE ,n rlE dn ni hi! 01 qht ln. rot6, lor llE IirF* or
<br />_1. ft owkr or llr F)Fnt. m cklunv.l, conu&lh8 *irh li..ocd $ntnrB ro ondur rlE FrF.'r (S(. ?044, BGirs
<br />.rn ED6$rn CuL: TIE Contn.ttr't Lr.nr. L* Jc nn .mly ro s ovE of FolEn y sh, 6uiLl3 it lrpNw. 'hdar'.rd rn linln-k lir tuh FUFr3 *nh ! connxlo(t lr6<al F,Mr ro 6. cotudd ! Lr.M b*).
<br />_l D.r.nti uaL. SdrDn_- B &PC ldtha E sr..
<br />laaa!&i:lltallErsarlo!
<br />DIiCIABAIION
<br />I h.r.hy rlltrnutulrr Fnrkyot FItry.!r dl rh. trlowin8 dc.hrrli,ni
<br />_l Mw lil w'll mdm r Cdifr.r. of clr$d ro s.lf-INUE Lr s{t6 Nn{.n!drn..t F)vrjql for b, Sari,D l70o ol rlE
<br />tllu Cd., ftr tlE Fflxrrlnr of llE *rt rtr wh.h rn FEI u B.u.i.
<br />d!,.duu.J hvSdri'n r7U,nIrl.lrh C,ilc
<br />wrrd! !imr{hdhn n{Dr.,,".,?n,r.y,,-*, *
<br />D
<br />_l r.dfr rhrr u !,l rEri]llra. of rlr ro ri, *hrh rhtr p.rmr s .rl, I .U nn .ir9hy .ny Fen in.ny lMrr
<br />.rn.rE lh.r 'I I d!'ull haom rubirr ro rlE$ a b b.<rm iobFl b ih. hltda onllMhn hes of C.l,
<br />sri6' lrhFnqrM I'ovsDni.lSaru !7O0orrlE Lilr{ Ci lllll n,nn*ih co,i!d, * h rh,r Fo%rrnr
<br />hwlll. ml shrll .lhjar !n cn{'k,}.r rD lml FMlr.! .nlhtrc l,' s...urc $rtc^ .omn ns{im corq,r.
<br />rh.u\ J llollr^ r1l(x)UDr n,
<br />I tEEby .lttB utrlcr Fnrlry ot F4rr, rh.i I m
<br />ol llE Blxtr( .,n PDlcsoN OrL. !n ny,
<br />69($nftE*nl8 * h S&t.d
<br />1.,9'ts
<br />I h.nty.llnm unkr FMlry of p.rtu.y (tur rts. s.ror rlE ncritnrln. of llE wl ntr *h.h rhN Fnr u
<br />l.fir,yrhur rlr r.dftil rctulrl rt drbcsl.srcm)vJ r. rn dflhuhlc r, ihi\ nr)Fer
<br />H'nly,h., r h,k\"d,hn
<br />rh'E rtrt$rtl pn'Fny nt
<br />,\pplicinl or Arcnl SIrmt
<br />Set Backs
<br />Forms/Steeli Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Sublloor/VenVlnsulation
<br />Rool Sheathing
<br />Shear Wall
<br />Framinq
<br />lnsulation/Enerqy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />I
<br />FINAL 4 Ylu DWrT
<br />Certiticate ot Occupancy t,
<br />Notes, Remarks, Elc.
<br />4
<br />irred (Sr( l(,)?. C'v C.)kd.is Nrm
<br />APILICANI-DECUAAUON
<br />I hdttry rrim unLr FnrX, of Frrn, om of rh. f(rtrrirl &tlrr.r rrr
<br />Demlfun Pcmns^ltEnos l*,rf(di$, Fdcr.l R.rubl$n! (Tnk ,r0, P.n6)
<br />_R.quucJ L.rrcr oi Mriff, ,rDn
<br />I
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