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BUILDING. INSPECTOR RECORD
<br />SITE-WORK ID/SIG.COMMENTS OWNEI IUII,Df, N DELCAIATION
<br />I h.rh, rlnrm unnd Fulry t,l Frjory rhrr I {m crcmF tn'm
<br />'lE
<br />O)nrrri(F Lrc.s trw tu rh. nnb*'n3 ,.rv,h lsd mll t
<br />Bun*\\ nl Pror.$rr C,rlcrr Any C(y .r CNnry wh.h rqurci . Fnir t, co.(o.r. drd. i"llthk. rhsukh oi Rlen .ny
<br />iturrurc. I'xrk' [i risuakc, dl*, r.q!f.* rh..,'|lkrnr fd rkhFmn lo tlk. qrn rr.r.rnr th,! lror ir. ! h.hkl Fnlld
<br />!' rh. l' vsi)N .r r Conlrf,k{ ! l.r.nhl L.* (Chrflc, e. Cl)nftm,n3 qnh S(r$. 7(100 ol Drvisi('n I ol lh. Bunmrr &J
<br />Prnt$i,o\ CirL) ., rhlr lr { dF n .rcryr rhdcliDm t l rhc h!$s ntr rh. .llc8.'l .rcmFnn Ary !d!rn n of Sdrr'n 701 I 5 t', t
<br />llrlMd t)r. p.rh,l ruhl(k rh. .mlMnr n).r'!rlr'.Mhyorft{ frrrcrhrn fiY. hu roldoll{r(S5ml
<br />l. ls owkr or rhc prop.ny, or 6y cnployar v t er8.! .! rh.( $L la.IEnsrr k,n. t d,'lrkrl.!nlE xurw 6r'r
<br />d.nldl q oficBl ro qL ( Sc 7ll,lrl, Busr!! ...1 P^,LsNr Crk: Thr Conr&tm\ tx.nc t v d,E! tril .rDly to rn o*ns ol
<br />ih. ln)Fny whl ho dl or m\m,E rtrE)n..,i vh, d(* uh ufi hmrcllor lEelf or lhnrlh hr i, tB oM.tq't Fr,
<br />FDvrl6l rh.r .u.h rntnwnr! e B{ dcnLd { oflGl nr sL l( hrw, rh hil]lrS d nr{hEmit i. $ll wihm om F{
<br />oL oigktitr rh. O*kr Budrrr rdl har rtE burd.n ol ttuvr8 rh.r lE d lhc drl Bn tr l ifiqmE tE Fldly nr rrr In FEol
<br />l. N\ owmr of rhc lrt'I'.ny. am cr.hB'rly .odrkr uf * h h.n{.j contr&lon t, ondtu1 rlr FoF_l (Sc ?l}lj. Iltr\uEs
<br />r lh),1\srGrlc: lh. Contkttr t l-f,.r\.lrwd(r\ tro(.ttlyt'.n.vn.r IJ'n'n y*h,6urlJ{ornnr)lcsrh.r.on,
<br />and who o ra.nntr\u.hIn1,Frru h r Conrrerl(r) lr.n*J purord h rlr Gdkror's Lrq€ t e)
<br />l ,cr.mp( un'l.r SNrtr
<br />EAEtrg&t.cOlTlENSAIA![EAldaarlaliIh.rhrllltrnu .r JEMlryof Flllry.mof rlEnrll'ehidaLrtrirn!
<br />_I hrk ,rl *'ll r[t!n . Ccnf..r. or Consl b S.llln$rc lor *116 llrtr{f,.erbn. a F)vi.l.rl fi, by Serirn 17U} of rh.
<br />Lhf, cdL, Ior rh. IlrtormN. of tlE vGk lbr *h i.t lh. rEmir s ilsocd
<br />I h.E rd *nl Bhrrin *orkc,r $hFnsrri,n o\xru,k., .s r.qutrcJ by s.rri,n lruj o, lh. ljl'rtr Cd.. tu llE Fn,fuN ol
<br />rhc *orl ntr whrh ln( Frn '' Eshl My worr6' $no.^erir nrur.tuc (d.r.al Fnr, nu,i['d etr);U a Cot4P,+N!
<br />VA AE3Ui Kj ,.,,,",o\1z
<br />-l
<br />(nrly lh{ r lh( ncrlorruncc ol thc lork tn *hrh rhr Frm c Nrudl, I rhrll kn .nPLy .ny Fe,n r .ny lMF
<br />q, * nr hanr \rtF! ro rlI *(,In LrmFnsrion L$ o( C.lrloN, .,n $R lhlr if I rh Ll lE(oft subj.rr n, rlt
<br />u,lci .{mJf,nsrl rm n$v$$nr ot Sc on 37(rJ ol thc khtr GxL, Lhrll tunhwdh $n ly *nh 'h,. Pnrvar,.s.
<br />WARNING f.,tur. lo reu. BxrcB' uDlE.eri'n .r'vcrr8c s unLrrtl. .il rh,ll suhFr .n .ri{,!tF nr dihiEl JEMIlat.nl(N,l llocr uf l. oE hu.Jr.J lhousnJ dsll{\ ($llt).i)(x)). r rJJ x,n !, rhc coi r comn hslLon, JamB4 6 pn'vri.d tu lrE
<br />htr (ii.L, ur.rd n! atom,
<br />,)7"r Zr
<br />DFC] AT TION
<br />I lEEl,l ram oLLr Ffllryol FUory th.r I tm lxcn<rl uhL. Irnvi.liJn orCt fld 9lrolllmBina wirh Sen'n 7Ux)) ol O,v i,n l
<br />of rhc Bulir$ rnd P$rcssi,trs C,ilc. url hy n.c.$ n tr tull ,h(c sd .ffcrr
<br />.ltr.n\.Numr{ ?alO:9 b
<br />/,..+- -:"lA
<br />,,r*.'*ffir*r n,,on.'. ()
<br />I h.rby dlrm ud4 Frulry ot FJrry rh!! rtft u . L$.nM',,. !'nry .!ft y ror ilE Frf{mr of rlr utrl ftr r;*h (ha Fd 6
<br />rru.n rsd.lt97. C'Y. C )
<br />APPLIC,{NT DECLAI{{T(}N
<br />IlrNby!,Imu' dl,.nulryolFr] ry otu ol rh. f,,ll,er8 Je).trr r)nr
<br />txfrrldr,. P$tuG-Arh.nor Norltr.ri,n LLal lt$uLri,n\ rT kttl. trd6)
<br />R\uucd L.(.r nl f]r frdin
<br />_I ccnrry rhi trr r.rt r.l r.8!Lr.N 6e.r{iry $lEslx lmrJ e B, {'tlr!bh ro rtB I'n,jdl
<br />Enjcnrf, ih,r I h,vc r. rhr .m,t.rt,on r nrr. rh.r rlE rhoE ntumri'n ! (rfr1. I {re ro otrlPl, rilh .ll c(y .'i Coutrl,
<br />onituB.r .,rl Sr.r. L:w{ ELrul3 n, ti lhg rnn(nr.rk,n. nl hcrchy rurlr rrrv.\ or dn\ C yrtul Counryhc r.r uF)nrh.
<br />nhrr nrtrLoncJ ln,p.ny l'tr
<br />L)
<br />Zct ZI
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Rool Sheathing
<br />Shear Wall I /l
<br />Framino -C'(te*rN(*-3 /l ILL tDty4-x7
<br />lnsulation/Enerqy
<br />Drywall uLq 2\u+{ 8/
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />I I
<br />FINAL 't/\-414',,"/
<br />Certiticate oI Occupancy I
<br />Notes, Remarks, Etc.
<br />-)
<br />DATE
<br />Pool Fence
<br />Flood Zone Certil.
<br />O/
<br />II
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