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BUILDING. INSPECTOR RECOBD
<br />SITE-WORK DATE tD/stG.COMMENTS OWNER AUILDET DALCARATION
<br />I lmb, rrun unl6 FEhy ol F rur, lhd I m .r.q{ ln'm rlE (odrdr6' L.w L:s lor rhc folt qhS rcnsn rs.r L:ll 5
<br />Bxsincs 0 Pmr.$ior Codc): An, Ciry sr Counly whth t qxiEr i lErnil r. .onnd.r' 1116 iq,mE. d.nnrh n. EFn !trv
<br />{tu1w. rfi ro irt ntuftc. irs kquiEr ll! aml.rfl n, (uh Fmi lo n! r riSEd i.l.mnl rhd h. or rtE 6 li!.€n purtum!
<br />h rrE Fltirit.r oa !E 6nrrroai Litn*n t q (clq'rd 9. comEmin! wnh s..rion 7fir) of oirnhn I ofutE Bx'r( Dl
<br />t,nif.sioo\ Gdcr or rhri rEorsh. t crcnpr lhcrcfflnn tid rh. ha.t r(,lh.olbscd cxcnDtion An, viohri.n.rsdion 70.115 hvrnv
<br />!fiikur r(r ! Frmn $t'r.li rlE rpplt.nr h . .!v rl FMx y oa ml mr rhIn rir. tudlEd doll{\ I !5{x))
<br />l. a\ osErolrh. pmFny. or nry.nlploF.\ sirh *rs.s rt rh.ir e,lt .ompcnraiion, willdo ltl w(t u{l rhd irdurc i\ dn
<br />idcrldj n, oll.rrl fn eL rsc ?lltl. BuriF\ ,,xl Pft,r.ri,n< (-Grc I lr Crdrdd'. I-tcn- | rs ddt n, apply h r o*m of
<br />rhc F,Fny slr' txildr or inFrE r|.F.. ri f,nr &B nrh srt hm(lf nr trclf or rhmuSh hil r lci o*n.,!tloF6.
<br />F,vid. rhrr s!(h imtn'ErEnh d frn intdd.n.r oncEd fitr qlc ll ho*cwr- rlt t iuin! or iriil'wrnr k $U *irhin orc }fT
<br />;lrxlntri^ llr ()pEr Buius *ill lEk rlt hniLn oa tmrtB rhr h. {t {r dil n{ ttrild or iqtoF 0E FIEIy fq ilE F,li,t ol
<br />l. a' os'mr .l irE prqEiy. am .r.turiKly c di&lrn! * ili lt.nsrt ..nrd.r t, rmrfr I lr FoFd I S< 7(!1 AunB't
<br />!tr1 Fiii:.,\ir Oxk Th. (nnrxnn r l-t.n\c br J.6 nn amly l. !n os tur D( tlnrFn, *h. buildi or mFrcrc. rhdd{.
<br />lnd sho..trrelsthtrtchlmF.r.wilhrconrmd.ns)li.cdr.dNiiuotrlr ihcconh'roirl-iccnslie)
<br />_Lmcr.mpr uorLr Ssri0n
<br />NOSf,E8S:SEUEISAIII,N
<br />I}ECI.ASAII!]N
<br />I lErby .rn.m u Lr FMhr or Fjury o* of rhc rnlr,einS d.{htlrirr
<br />thrrctrnlrillnkinkianCcdrli(ricol(i,.scnrl,)S.lllNrIcntrsotkc^.otr,Pcisrktrr.r\ |r vid.d lrtr b:_S.crion:l7l]ootlh'
<br />lltDr(irL. r(trrh.Fn{nrEeolrhc*.*nrsh(hrtrFrntrr i\n\urd
<br />-l
<br />htrvc rid will nDinr.itr *.rtc6 comF.nrilion iNu,oncc. u\ rcqtrn.n b,SNtion.17l nrrh.Iahor Ordc- for rh. p'rforflm' oI
<br />rh. *ork for shih!hi.n rmii is t{Et My$o.l(i d,tt{Ensri,n i.{r!rE drtt udf.laynumhc.e
<br />-l..dily
<br />rh.r in th. FnitrEN or rlE sork f(
<br />$ .. tu tEsr obF! ft' llr nrtd{ mqEnd
<br />r BhihrhirFrnir i. isEd.l Uxll fln .nprry .ny pcrso inrny.MEr
<br />bn Lf,r orcllifomi. .4, .!E rh{ il I rleld rdom.!hFd lo rlt
<br />trork.^ .o'nprtr\rron|trl{i,),r\olS.tri{n, r7(X,.fih. Lnhtr(
<br />WARNIN(; I'dlurc lo arur. sorlcB .nnD.n$ri)n.or.rrg..n orl,Fr ro nn'ml FtuLr rL
<br />.Nil liki up t' oE hurrlrcd rh,uqnd &nbr (llln.(Il)r ior duE3.r $ Frvn.n tot ilr
<br />:::'qlwv id.r.{ rnli, .rmv s fe\
<br />!Kl^l&\rr]r
<br />I lEEt'y .tfrn uD:k. D.Exy of Firy lh.l I d tirn.d !'nd FD\ irinn of (-h{rd 9 lffrring wih Sd hn nm) of DiviriE l
<br />ol rlt lntrir.$i l'r',r.s(n,\ (-'rlc. r!nu liccn!. is in lnlllnt(t i
<br />s)litl8liqu,lru.llDMi.AliEdrr
<br />I h.Et, lrmxn d FBlryof Fr,llr,rhd rlEE it. oB*nrinn Edi4B r!!Fv tult Frrmm of lhc krt ror rnthlt Frnt k
<br />R.ud rs( lm7. civ c.).
<br />lr.d.r'\ N.m
<br />AfflllAlr.[E(I.aEalla!
<br />lhqd'y !,[mr unLr JE.ahy olF+ry oe orrh (nb]in3 &.hnri,nr
<br />l)cmt xr Pcrmit Ash.rior Nolil'f,rrion lid.ral R.8tkrin (lirlc {,. Pd6r
<br />_Rcqun.d Irtr{ of M{if&tim
<br />I(orilyrhilrhrla'1.'xlr.!rl t'tr{ tutslint x\1".!o\ n],x)vnlirr ror,'|)Inrrllr r, rlr\ Pr'1..r
<br />lccnilyrhar I hn\. Fld thi(apnlrdhn hrtuirn ir .rE.d I :sB tr 6n{iy $irh .[ Cnt rnd Coudy
<br />or(loItr..\ rftlSr)r. l. s\ rr
<br />,'hrc f,nrNftrl try{n\ l(l
<br />ADDliLrnl ar AEul Slpn{lu ,lilfr:"
<br />Set Backs
<br />Forms/Steeli Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsulation i't\
<br />Roof Sheathinq r0-7- )7 Y'W )Fin U-r-\
<br />Shear Wall U\J
<br />Framinq
<br />lnsulation/Eneroy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />It/asonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif
<br />FINAL /d- 10-t9 *"t/'lrtl
<br />Certiticate of Occupancy
<br />Notes, Remarks, Etc.
<br />ooL (4 /v0
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