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BUILDING- INSPECTOR RECOBD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNET BUILDET DELCANATloN
<br />I hcFby rttnn ort].r Icdlry (n Frjury rhar I m ci.m ln)m rlr Grrrstt)6' l-&nE Lr* nn rl. llnl,wue r.$.JS...70.11 5
<br />Bu\mri lJn PttL\ri$ Cdj.): An, C y or Cdd, wh.h Equftr r FBr b .nn{tur. ir(. 'n?ok. Ltcfr,lrh or EFr {y
<br />nn'.rurc, rn r, (s $urnc.. ilso E1utr . rh. .Ilr)lrrnr in luch IEmr o lih . n8n.n rr.rcmnr rhll tE or rlE ! h(ns,i ,@rnr
<br />io lrr Inrnn.r t rlE C.nlra!r'! l-..ncJ trw (Ctefld 9, Co.1mdo8 *!h Ser.n 7O0O of Otrrhn I ol rlr EstEs t!
<br />Pn,t *i,n! Cd. ) or rhi tr or rh. tr .r.npr rh.rcrmo uJ rlE ha!! tu rhc rllS.J .i.m o. Anyr$hrtunofS&rr)n?0115hr..,
<br />.prltr.nt li,r.Fm subj.urrrE.t'ClE.nrt'.civill'.dlryor r mR rh:n hvc hullr.! dollrr (35m).
<br />_l, .( owE ol rh. lrr Fny, ,tr my rmplrr!.r *irh w.B.t r! rhcir oL Ln4rnd 6.. *'I & tlr *ut rnl th. nrtr i5 ml
<br />i,r6lj { ofi.Ed rn qE (Sa 7(,44, 8uiift( .il Pnlf6q'nr cul.: Th cn drt{i 116- bw ttEs ri q'Ply r. 6 ohr oa
<br />thc pNFdy wlr) trilll! ur in!)BE. ih.Nn. lrt whr d(Es tuh k)* hms.ltor h.rulf or rtmu3h ha or h.rown.ry,l,,yc.r,
<br />rovitd rhn suh xqrErdr E n'r trcd.l qorcJ nr {1.lr, tn*.s- rlE raiBq! q dt,okftd n Bu,.hnd Fr
<br />of.,nrp,.[rn, rlr Oeft. au kr wil hrE rtE t nLn of Fovu8 rhr, lr or rk Ltri fi hnll or ir{ftE th. FoF{y for ilE FrF)r ot
<br />L ,( owkr ol rh. l,l,|xny. 1fr cxcluriv.ly r.nk{
<br />'n8
<br />yih h(n(d $ntrctn n) .on{d.r rlr pDl.d (Scc ?O44. Bu\irc(
<br />rd thlc\a{ Cd.:Ih. Conrr.rois l,E.nr L* lIEs r .rply I o owB ol roFny $b buillr or !q'mk! rh.rd,.,
<br />.nJ qhr .\,nrhLrr n, ruch an)Fuc s h r cilnrEfn,(n lf,.ns.d l[.uDr ro rh. co.rrcroir I-r.^( b*).
<br />I d .rcmF unl.r S.ar.n_, a l P.C rt rhtr Ee.
<br />Drl.: OrlI.
<br />]laBa!f,strQllPEltallaNlEgdaarlo!
<br />I h.(ht arrtrh un,l.r F-nrh, or l!.r!ry om or ih. tul(!*mg Je..lf,nri,ns
<br />_l h,!. !,rl rrU Elru rCtn|,ri. ofo'nr n' S.llln uE nn knldr' $rp.nd $L :t Ftrvrkd foi hy S.1.rr l7m of rh.
<br />n {]lri.. ntrrh. p.n ra h-..orrh.w *n,whrhrh.|irnrrr\^nr(l
<br />rv. .B! 8,ll mhrfln uo*.n romFnr.rDn rn.ur.fr c, .r Fluftd t'y S&ri)n l?m ol lh. lrl'or CftL. lir rn Fdolrrrru of
<br />wodcrs d,mp.ner{n rrur(f,...rrcr d pliLy numh.r u.
<br />/aorrZrre S\6so )io
<br />_1..n'ryrharmrh.FnnrErttorrh.worlturehihrhtrFmitrxnkJ.lrhrllrn.n\ikry yF.q$n.nym ffi
<br />n) !\lo b.(,nE ruhj.d n,lh€ w. cF ..mp.ns!r nn hws ol crld'mu. rnd ifrccrhri rr I slmulJ hconE shr( k, rlr
<br />*$dqi ..n{r.erir FrvFir.l olSerbn !7I[ ol rh. L.htr C-d1..I 1h.ll nnhrrrh.or{ y *rh rt'{ pn,vr[ns
<br />l{AlNlN(;: Fa or. b euto k)rtcr d,hF-nrrrk'n .okrrg. r\ dnb*,u|, d 5h,U \u6l.rr rn .nnt'ytr b.mml Fdtr! .d
<br />civ'l liftt ut t, otu huBhJ rh,r\.,ri doux (SllX).lXD) r aJJnnn n, rh. .or of (or{rnrrn,n, daNB.. 1r F)vil.d i, rlE
<br />,,*,"n'\n n n ;rS--+1
<br />lrt rrTrirl-nffir(sdl:/' ir\ ',
<br />Dt('t ARtTto:{ \J
<br />I h.Ehy a,rrhxntl.r p.ulryoi p.rjr'y rha I !h ll!.n<rl ud.r F,)!rR,n o, Chzfld 9 (r)llmtu'n8 *ih Sa 'n 7(IIr.! Drvrnn !
<br />of rh. Busm*.nal Pn,rcsonrcod.. rni myl.cnr tr ur lull lin. Dlc,l.d
<br />E {+.?>lo
<br />-t,r.n{
<br />Nunls70
<br />t:ortralJgt0NtElDMi-a{iE!!}
<br />I h.E$y.lrrmuftLr IEM!yol F jurr rhrl lh.E s. onslulDn Ldry t!.Dy ntr rlE FrfomRr ol rh. qrrt ror rnd rh. Irrnn .
<br />n.uaj (sft. J097, civ. c.)
<br />trhLr! Nrm: _
<br />APPLICAI{T DECI,AT TION
<br />I hdrtydi'm u .r Fn.!y ot p.rpr, oft or rh. adt,*in! &cb.h,nr:
<br />D.tunrirn P.mreAitE(or Nd a.lr'n FcLr.l R.pLr.nr (Trk40, P.n6)
<br />-R.quiEd
<br />L.ll.rof Mrif.ci'n
<br />, . n,i ,1!r'.xhl\. t, rl"\ t'x,r(r
<br />loturKr r$ftc(.I rlrc t,or'l)ly enh. Cny.nd C-{,unly
<br />yrorh, .El'.rnt ws of rhrr Cry .rj C-ouniy t' . .r uF,n rlr
<br />issa ,," S 30
<br />Set Backs
<br />Forms/Steeli Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Sublloor/VenVl nsu lation
<br />Roof Sheathino
<br />Shear Wall
<br />Framing
<br />lns u lation/ Energ y
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif .
<br />buo*9orre n ftr r, ltolrt Ddif lo'!
<br />FINAL l, lro lrq Vis{€ lo'5
<br />Certiricate ot Occu pancy
<br />Notes Remarks Etc.
<br />Pool Fence
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