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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS (rwNEn BU -DtaR DEI-( AtaATrON
<br />I lxr.hy illon xnd.r D.nulry ol F4ury lh.l I m .rcnrfl lnnn rh. Cotrka(trr Li(cne lrw tur rh. l,,u,rqot rc.q,n (Sc.1r.ll 5
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<br />n' rh. F,vNr)n( or rlr (,)nrrrl{ \ l-k.cd lrw l(h.Prcr 9, (i)mcm ,[ u h Sertn TOII ol l],rvron t I rh' Ftr!*n rnd
<br />Prul.sron!(, e)orrhar lrorrh. r .nrlr (Er.kofl ann rh. htr{( t, rh.rlk!.J.rcm on Anyvtr,lJri0nofs.d n?Oll5hvanv'
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<br />-l.
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<br />or.Erdl roltiEd titr sL lsd.7o44. ausms $d Prlfcrsrnt (,rrc: TIE (,Inksror's L{.nE !j* ddr nor.mlvr' rnosr' nr
<br />ih. !n,Fn, sL tu'll! or l,i{mB rtrE ( sl eh Js rhh s'.t hm!.lt or h.rclf or rhn,ulh hn,t h.r o*n.r'Ol.v..s.
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<br />{l drr?Llr,tr rtE Ovffi Budls wdl hrE th. huJcn olF vrE rh, lI trdt Jtl n tu!,t rFrE rh. F{dv fir rrr lr,rrF ol
<br />l- .! o*rr ol rlE In,Fny, m crcluqEly .onkd r! enh l,c.nrJ c.nlr*tn 6 ll)ndtur rlt ,'nlrd lse 7044. axrR$
<br />rn Pildq. CdJc: Th. Con.Bntr'r l-f,.n( l:* dis R{ rmlr r, u o*n.r of FlFny *b hrltr ot tqrotl rhssn.
<br />.nd *h ..nih--'( lrtr luh F,F1r * h . C.ontrf,r,rl t lf,orJ tNFUdr lo rn Codrrnr \ Lr.n€ lr* l
<br />I rcr. ,fl unJ.r S(r(,r-
<br />1V(lRKERS', ( ()l\IPENSATIOli
<br />IECLASAIIO!
<br />I hcrchy rlrtr u ntl.r Fnrlry nl Frrrtry oN or rh( r,,lk,whg J.rl rrNlns:
<br />I hlE .ni w,ll Eorro . Ccn rltrr. nl Con{d h S.ll lnuE l,tr s m' L1,hI.n\dIn. .. Imvrhl ld by Snhr liTm ol rh.
<br />lrtior C' c. f,tr thc pcrlntu^t of rh. w{ for tr'hrh rh. p<fltr B NrkJ
<br />Y/tt*., *r, *-o* *,{kc$ .on{rNjrm ,Nr.tu.. .r r.quFr I'y sdri)n .r7m or rrF L.htr (i].. ro, rll Frt.llle..r
<br />rlr wl lrr wluh rh. Fmr E KnFl My w,rl.i lonqEtrstr. hiutu. r:m ail Fnry numhcr a:
<br />,,,"*-AwtL4LAn r-w\ct+
<br />,,,"'-,-*. W votj t)t I zozP
<br />Ilcdrlyrh.rinrh.Fr,ortukcorrh.work1,trwhf,hrhnFrnr,\6nFd.lsh:Unor.n,nl,',tny0.ron'nrnvmnEr
<br />a, a!tu lE(,m suhtrlr(|lh.y cn dnp.n\ i'n Lss.rCr nnri!. ml lsNlh.t ril noullj h.('N $'biclk,llE
<br />H,rl6' ('qttrqri'n nn,vRpn\ ol sNrs. 11J0 or rh. t htr (irl. ! {Ell. i(fhwnh r.ndy w n rh,* nnrvrirl
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<br />.rv liRt up t' onc hrtutrctl thrq tloll4 tsl{ .0ol]). 6 dat[r'n rr llE .or ol (drm8.r r\ ,'nrvd.d nn rh.
<br /><..'htr (irlc. triere(.'nJ rktrtr.r \.z.DLD
<br />!l_!-l \l!!1^
<br />InctuI)xll trtrd.r Fnrlryollf,,,uvn lrnlr.cn{JunlcrIl','vr(r!!r('hrl,sI(!!nntn0n|qihSc.rntr
<br />ol rh.llu\N(rnJ rnncshnr(,rL, ul ny l(.i{ r u lullhr(. ul.ll.(i q?a-+st2
<br />CONSTRI]CTION LFNDIN(i AGENCI
<br />I h.Eby.llmru rr Fnnry oi tErrrry rhar th.r tr r lr,ndn.rln Lnlra rfcEy tn rL F.l.rllrec olrlE *t,k f(t *hah lh! Fmi (
<br />r.!.J rSd V})7,Crv Cl
<br />APFLICANT DtsCLAITATION
<br />I Imt y lllimr u ndcr n tralryofp.rrury "n. ollhc t,,ll,'*,n! J(hr,rrn\:
<br />l).n,litr,n I'.rm rArh((os Noblrar$i Fcd.ral Rc3uLtklr ( 1 L 40. Prrr,)
<br />-R.qu
<br />tr&l ld lcr ol l{r,!idr)n
<br />I((rr1trh. rltr,.nc'rlrcgtrl, tr,nR!rnt'tr!r\lt{o\r.trt^rLrk'hr,Lflnkrhtr,nhfn,ic(r
<br />!41..,r,rr d'a r r,,r" *".r rttr .l!'rq,i,n 6r ',r..,h, ,h..hnr DroB,i,n ^
<br />(r I .Br k' ('qry enh.ll ( ry ui Cou.ty
<br />ordtrmc! rii Srrr.Ilu.ElaluE b1[ir.!ol rhtr(''rvr,ri cuunrvn!cnrn uF rtr
<br />!htrr nrrrtr)n.,t pn)p.dy ktr rnsB(
<br />ApplicRnt o. '\s.nt Sirmh'
<br />,{d(ri'n ,rl h.r.t'v rurlx
<br />tU z,tL"
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Sublloor/VenVl nsulation
<br />Rool Sheathinq
<br />Shear Wall
<br />Framinq
<br />lns u latio n/ Energ y
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />Handicap Req
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certil
<br />I
<br />FINAL //zr/z?4M1"7)-Ea v
<br />7Notes, Remarks, Etc
<br />T-Bar
<br />Certilicate of Occupancv ',
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