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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE IDiSIG.COMMENTS OWNAR BUIDEN DEI,CAR TION
<br />I h.rcby ifilrn undd pcnllty or pcrjury rhli I m d.n{'l tDm rlE Codrdtm hr$€ l,* fn rlE rolhlll3 rc.$n (s.cr0.ll5
<br />B$rrcs !d Pror.si,,n Ccl.) Any cly or Cou.ry whkh Rrlutrcr r F.mn lo co4.ttul. rhd. itrt o\t, iLmli(h or rcFir ..y
<br />iddr.. trrtr b a
<br />'$ucn.c.
<br />ol!, rcquues rh. rplltut tu ruh Frmir ro frL . \igmd {d.m.' rh.l lE or lE ir liut{ Illuti
<br />r(' rhc Fllrirnt ol rL Co.Ld.tr\ l.krnsl lrp l(lEpt..9. (r'nrffmi.s rilh 56ri'n ,Oxr or Dark$n l orrlE Burimrs .nd
<br />Pn,r.$ionr CDd.rur rhlr rr.r.h. ir.xcmpr lh.rcfmm onl llE tf,si! tu rh. altr.n.r.n{ri,. AnytbbihnofkhnT0-1l5by.ny
<br />rDplra rr 0 pcmn ru$rccls Ihc .ppliunr t r civil FBh y. t hi mrt !h!n nv. huLlEd .rollci ( S!00)
<br />L ar os8.rrh. pn,lEny. ur ny.hpl()y.cs lilh rrs.s ii lhcn 5k oo{rndio( rill& !h. rnl.,n dE rda k d,
<br />idcdn or otLEd for slc (Sa.'7O1.{. Butifts sd Pmf.lrhtri ( d,.: nr O' runn\ LirnE tiB dE. d {rl, io u orm nf
<br />rlE Fqdy *h.l ldr m 'rIFE rlrtrn, &ri wlll d{Er {ch s* hinMlfo. ,Irslf or rhn,qh hn n hr o*..q'byc1
<br />I,roviLi rhsr lkh inqtu\mdi e nn indid.d or olf.rd for st ll ln*cwL rlE Liuhs oi i.rthtlrEd n $b Pilnh,E ,Er
<br />ofdrrt'tlia rlr ()16 Buildd *ill hlE E ttrd.n orrmvin! rhnr lr..shcdn mr hilt or i'rrftt th. pmFny rm th. puqn. ol
<br />-1.
<br />.1o*B oa rlr I'orEny. m.i.hliEly o di.isnhlieGd.D mo^ lo sintud llt F6jdr (Sd 7fi4. BusEs
<br />lil Enr.<in C.<L: TIE Codr-r6f! l-t..E trr &* mi rpf'ly lo u oww ofrmFny Bho bualdr or imlmEt lh.tmn.
<br />Md qlri $nrftk lin rEh Fit1! wnh. Colrlr:ionr litn-d purun rortr Co ftrd rl-irN t *)
<br />_l urcrchnr undc. Slrrtrrr
<br />trrl. ()str..
<br />tltrR|(rR\; c()nlr! \sATl(rN!!(l.txAlM!
<br />I h(rdr) rin n,Ir t(ult\oltiapr)oNolrlkt)lkN n!dr.l dnn\
<br />( zZaDr ..1 *,tt **r,i" . ('d 'rric or C"n{nr !n s.lr l n{r ltr "irt6 onlEnr.lhn. !r Fotdcd to, by sk! ion l?m or I lE
<br />TUt.,*," -*R.,rlt r.rr td shth,h rmi ir n'xd
<br />- _l hurc-r.d *,ll tuinrrin *o'k.n' con{f,ndFn 'nmm., r. rqutEd 6y Salhn .r7(n nt I lE llfi.r (-od.. for rhc F fl]lmrE ol
<br />I krEJ. My sdk ^ Nqxns.liln inrurBr wii dd Fliy mnftr d.
<br />rlr al@owIo
<br />I cdilrrh,r inih. n$rormm. ot thc sork lo, *hi.h thisrrun ir is!u.d.Iihrll ,.n{Ly8nylErvnt ntlnrtun*r
<br />q' r ri' r$'m ru$F1ro
<br />'hc
<br />*1,t6. on!i.\eri.n hwi orCtrl'rornd. .nd d8E rhnr rl I !h,uu lfcom quhi.r nJ rrr
<br />*orisi laqxnerir nmrtk n\ of Sdi'n .r?(x) o( rlt llhtr Cdlt. I shal. fonhu ir h cmDly sirh rbs lnlvi\ions
<br />Wr\INNG Fdllr. t' <u. rdlc^'mnyEnsrhn (trcm8c ir u.h{ful. trnd \hall .!hF.r m .mPk"tr k' airinal InElti\ rqi
<br />tr.r{rT-
<br />dolle (tlfir.(Il,,. in &ldiri'n io !h. .or or.omn nsdion. drnD8.\ oi dlid.d rd rh.
<br />:::"'ze{
<br />t)tr(l \R \ I I()\
<br />I hcmby aflirm uftkr Fnohy ol p.qury ltur I .fr lnrrrn u.&r F,virnn of Chrprd 9 (d,nmMh8 wirh S.dhn 7@) or Dirki,t l
<br />of rh. Blriml! and Pot si.nr C.d., [n my lk.nc ir in rulr foto: !i .lTar
<br />'::q[,fftf"u*-{ltru
<br />5VnfUZr.._
<br />(!)!lil8rlg&lll8D[ iaa[l(I
<br />Ihcrby afin riJcr Fn,lrynftkrlryrtu rhcR r r c.nqelin t.iinS lScft) rnrlr FdnrtuN..(rlE uotk f{,rhihrhrFhi r
<br />iikrlrsd.m9?.(ie.c)
<br />lrfticr. Nrm:
<br />affrll:aNftlEllJxallo!
<br />I lEthy trrnnunlcr llcnrlryor Jrrjlryoft.rrtE lhllo*in3 &<L, i,n\
<br />Dcmniti,n Pcnnih Arh.nor Noria(.ri,n ld.rlRclubr[ns (Tirk {). P.n6)
<br />-R.ntrn.n
<br />l. ct aNdrff,lrir
<br />Kd-
<br />i\hLnosr.arrJlrrc 'x rmli.rhk rr rhn pn+.1
<br />hc rhtrc nonrfhtr r\(,trnar l]tGkr(n pl
<br />,id h.r.hy lurlb,iu ,.tr.cnrd ivc\ of rhn Cil
<br />.1rtsE ft.rsftn,roFny lor
<br />r\pDli.' t or ,llml Sittul!ft
<br />*-r*"*.",rnr,,(am {o etu
<br />hrnhilCil.d Counrv
<br />{.nd caunry ,o .nrq urrh rlE
<br />/t,lrl
<br />Set Backs ,
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />Subf loor/VenVlnsulation
<br />Roof Sheathinq
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<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 />F\N^L /t///b//q F/Jt)09
<br />Certilicate ol Occuirancy
<br />Notes, Remarks, Etc.
<br />,,"*,AJY
<br />L.ndcir AddEs:
<br />-
<br />SLAB Floor
<br />Shear Wall
<br />Ext./lnt. Lath
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