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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE COMMENTS OWNER BUII-DER DEI,CARAAION
<br />I h.rhy rlllrB untl.. p.nrLy ,n F!o.y rhrr I m.(n rn,n rh. C.nkrt'r' L..nE D* ntr rh. l,'llotrS r.nv,n rS.17rrll 5
<br />aurn.\s rel l'tul.sDn C,rL) Any ( [y or (tunly wh.h r.rlutre! r IEm{ n' .t'ndtu.r. rlr(. nt'n'v., &m,lnh or rePn! iy
<br />{ru.rur., Ffin, i (iu.rr.,lq, rcquf.\ rlr rutl*.d l {ueh IEmi n' iLr rSktl {rt.mnr rhrt h.d. th. ! l(..<J nusur
<br />t, rh. pn'vlr,nr ot rli Crnr*rr'1 l-r.6r.J Lw r(]uF.r 9, CommBh! wrrh Ser$n Tlxll ol D,vBx,n r nr rh. B!nr$ ind
<br />Ptul.\\i)nr C,rk,or rh.r h.drrE r clrtr{, r[(hon r.n rh. r'n!r li, rh. rlk8.d.rcnri$n Any vr)htin .l Serir r(l.l I lhyrry
<br />.ml.anr ttr.n m suhFrtrlr rml'.'nr (' !.,!,1pcmlryol L'rfr,rrhr Irv. hundr.J lollr\ i S:luD
<br />-1,
<br />.. olf. ol lh. F,Fny. ,tr nry .nlPl'r{r v h *ra6 ar rlEu a . on+.nerr,., *'ll Ji, rtE krt .,n llE nturG ! n,
<br />ur.nldi rf, on.r.d nr rl (Sd 7O14, Buln( lrd Pn disr cdL: Th co.'Bu'r lr.nc t,a dxr n, rt!.|, i' r.w or
<br />rtt F'tdy *h, t ll d otn,B rh.F4 ,n stu dEi rh srt hhrll or h.Elr or rhnrlh hn d lE. oq .rpbyt!.
<br />rovrLd rhi iuh mF,mdr 4 ri d.nldl d.ftr.tl fttr {L lt h,w. rtr I'd Eaq lrFrEftd n. *rhhmF{
<br />of lrnq,krh rlt ()*6 !l![&r * l h.r rlE heJd of thrvnp rhd tr n nr Jrl nn hldl itr uqF* rlI F,tEr, ft, rtE FrFr ol
<br />I. r\ o*ftr ! n r h. nn'Fn v. .n cr( nr.!.lv .od r&i6s w! h lLrtra'l .odrrnE k' (rrorr rlr F'frr I So )lrrl. Bu!r\
<br />{ri h)r6qn(irL I fi. (i,draror'\ l-Nn( Lau d{a n rmlyn,.nu*mr.l lhlncny *h, hu,l.io hllntrrr rhdd'n,
<br />rnd wh) !d.&lr l'tr ru h In'J.d r urh r Ci,nrndod, L.n*J llrltrr r) rh. Cont. r'.l-rcn$Ir*l.
<br />I rn'c(nfl und.r S.dk{r
<br />!II8!E8r-Lq!|!M-l1U!oE!! -8l.I]A!
<br />I l'.'(h\ rrrtr',n,l.' trntrh!!rturLry,rr'! rl, ini*n,rtl.(!.trrriN
<br />l.xhtr(irl..1,tr rh. It'l(traLtrr.olrl'c trork l,rIhnhrltr tr nri\'*tr.d
<br />Ih!v.r snl.utrrrrn w.rkrrs ()arp.nrrr()n ntrrrh-...a\rrqr.JhyS.rrDtrlr(xr.lrlt'lrh'tr(iik,nrililidrn'r'n..or
<br />rh! *nkntrwhihih$lrn '\ a\nl Nly work.^'$nqtnuitrln 'nrurrtu.
<br />(mRd Fnlyntrnfir{./.-", stprE
<br />\,,,,^,^,.*, I z 39
<br />FU^JD
<br />L3L _Ig
<br />_l (dnvrhlr !nrlr lErf.ruBcolih. *ql l,r rh.h rhtr Fn( N trso-|,I rhzll nn.qrlry..yFrn'n tnrn!'fuft,
<br />!r .r nr tRrft {!hFr h rlE *.lldr $n{rn-rr,n lr*! nr('illom!. .rn .3N ih.r rl I lhDli lE[d tu6Ft ro rh.
<br />*orr.^ drlltnqr rr F'!$i!nr .r selr{ !7m ol rrr t h{Gi..I \h.ll ,t,lhs'rhontly f,ih'h'< F,vn.nilVALtlti(; I.r'lur. h ((trk knkr\. q'ry{n\iri,n urc.
<br />,tr'l I'R\ trt Lt,{r hnrlrrl rh'r.$l ,l.,llr'. ,(lt.r.r r'.
<br />tu!. .rn \hrll iohFr - crr{ 'y.. h ml FEl.r rfil
<br />' rh. ro< ol (B{Ener!!n. dlet.i .r provr|J lttr rh.
<br />Scdrh lr)76 ol thc lrhf(d.ri .rn rnm! 1le
<br />K,,,.lo
<br />L.M$!!2r12\r&!!fo8llEct B .1!!.t)
<br />c- 31 loq530L
<br />CJ RN VELL., A6rt-a HAT,1 MoLlA.,r\
<br />I'(INSTRTI(:TION I ENDING A(;ENCI'
<br />I h.rhyxlrrm nd.r Fnrliyol Fllury lhlll rh.rc s n con(ru.r$n lendin8 aacnc, tur rh. Fnnmrk. nl rh. aork Lr *hf,[ rhn Fmn 6
<br />rucJrscr !H7.( 'v ( )
<br />APPLICANI DECT,ATATIOII
<br />I h.rl'y dlimofrLr t{Mltt ar Frllry or I lhr fl,l['*h3 J.. llrirs:
<br />O.mnrIn F.m r'A{rnor t{r,lf,rrx$ Rd..rlR.tukifi (Tirk40. Pd6)
<br />_R.nuuri lriid ol Nr{'frd.n
<br />I(d yihd rlr l.J.t.l(ruLr[nr EF.rJrt.\l.nx r.Er,l:tu rn qll ..hk t, th6 th'Ft
<br />I c.nrlyrlur I h!y. rcd rhBrlrtlurnrrn n!r.rhd I nrndi)n r('r(r lifrr n,rnnllr f,nh lll ('fi lnl ( ('utrrY
<br />| ,,niDE-'.! rnJ shr. LEr r.brur r, hu'!nnF Lrn{r rtrrhtruc ,cI'.rnhrtr.r ol rhn (iiy ml (i,unrvi!,.nr.r uF,n rh.
<br />l/-c
<br />nxnr-e,r r'.rir ,," m\F!r0h N,t',(\
<br />AppliDr or A!.trt Sixnhrtrr.
<br />F *rr tltu Arluar{A^1 p{6r- r A.r D
<br />Set Backs
<br />Form s/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsulation
<br />Rool Sheathinq
<br />Shear Wall
<br />Framinq
<br />ln s u 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 />Enqineer Final Report
<br />tF|NAL y/'i177 dJ.Y11 -)
<br />Certif icate of OcCuparlcy l-/
<br />Notes, Remarks, Etc.
<br />ID/SIG.
<br />Flood Zone Certif .
<br />I h.Ehy.l!rmunlcr lf,uliyoi trrJury rhi I rm I'!.n*l unLr Frrr$n ot ChrF.r 9 (.olmhm3 * h Sdrn ?U ).1l)r\ni'n I
<br />ot rhc Bu(k(lni Pnn($i,nt (ixl...rl n'y l.cnc tr oltlln8uJncltrr
<br />,.,, o-+ f osf t1
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