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BUILDING- INSPECTOR HECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNF,T BtIII,DER DF,I,('ARAAll'N
<br />I h...hy rltun unler lEdlry (n Ilr,'ln rhji I rm ctcmr, lnln In (i)drrLnr l.ica{ llt nn rh. ,!)ll)sh3 EN,n rs(\ roll ll
<br />Bunn.s ,rl Ptul.sn,n (iri.) Ahy (
<br />'ry or Cotrhry whih rcquftr ! Fmi t,('n{nE..lrr. nr{,r'vc. &fln6h { qn'( rhy
<br />(ru(ru,.,Fkrr' r tlurkr, lto Fqtrrcs *c rml( !trr . tr \!(h Fnn( r, lil( r \13 rEd darcmnr rh.l h. or slx' n I'(.n(l PUru r
<br />t' ihc pft,r!k).! ol rhc(lnrrrrtr'\Lrcns.Jlrw((hspirro.ConrmrR,r*hS.clon?UXl I l)rvnon I ol rhc HN'nc$ rtrJ
<br />Pnnc$tr,h\(ixl.)orthirlrorih. F .\.mFr rtFclion .nl rh. hrlr ntrrlr rlhscd.\.sfl!,n Any vi,Lr[iolSr\rx{7(rll!hyny
<br />rl'plkaorl,irFrnnuhFr{rh..mlutrrt,.urrlr'.n!lrvolft)rftrcitunrn.hunJrrlJollrlrlll)O)
<br />_l.r\i'q'rr.trh.In'Fd!.,trmy.n{'k!!.r\r h{,'t.\r\rlrtre,k.o llrn\rrr6 r'll.l'rh.r'{l$lrh.(urm^ri
<br />d. { !tr.rrLkJ l(tr sh iSd 7(}r{ Bu\ms rhJ nor.\rnn (iil. TIF (irnrrnr'r I -k.ne L.'* ,l,x\ tur rpi yn,rnn*frr!n
<br />rhcI'n'Fnv lrr' t'urldsor nrn,wt r,rn$n.,,r1r,r, *.\ !'(h knk hlm!.ll o,lwilor rhn Nhhr!trlrrnwn(mPl"y..\.
<br />.lurr$krD[ rlr l)wncr Aurlk urllhr\c rlr hulcn dl |n vn! rlur h.u\hc,lrr fti hu'lJormqn'!. rlr pfllFit lat rli J)m){or
<br />1..i.*Br ol rlE FIEny. m.r(lulrrlycddrarDt *nh lxcnrn conrrr.. n, dmitur rlr F,r( rs( 7(!,{- EusN(
<br />In Pn,t:rr$ CcL: Tl* Ci'drakr'r l.{..{ hw lJlrr nn rprty ii,1.o*Er or I'oFny 'hr hurhlr.r mpnrts lhtRr,
<br />rftl uh' !id*r! ntr rkh InrFr\ *nt. O, r&r.n9l.cnEJ I,6u r r, rh. (i,nk&kx'( l-f,.nc lru )
<br />-l
<br />rmgcmpl !&lcr S..rnu
<br />]rc8f,8f,5:cOUIIlIAIIO!
<br />DEILISAI,Iq!
<br />I lxkh! rrltrm unLlcr lf,n$yol lrru( or oarh. (,ll'*og ,lLaLzr k!ni:
<br />_l h$. {i *rll mnirD x ( rn'lirt (lCon{d n' S.ll ln!rc lr wolkrr\'.rhF tr\rr')n. $ F,vlhd ntr i'ySc.rnn r,'rb,n rh.
<br />ljtrn (t't. ntr rhc pcrtornrn.. ol ! hc worl li, whrh rlr lir nnr N r{'cJ
<br />_I hrv. rftl *rll n'| rn etrl..' ('hFn!dx,n
<br />'h.urrRc. ri r.quGJ h! S&1r,n l71I, .l rlr I jtitr (i c. in rht Frlnrtutu. ol
<br />rlx srt ft* whrh rhrr Fm r nnhl My $rrt.^' $n{indrln n{ritur (drr .rn Fll(y nunhq gc
<br />I (.nrlyrhd rn rh.Fnhrror!olrhc *ork lnr *h(h'hN I'(rmir it,\\kJ.I \h!ll nor .npkr! .n, p.iion 'n.ny m."rcr
<br />$ ri r' l(18 rhirr tr rh. e*t(r ron{Enerrr Lwa nl Crl,n,mn. iR, r3N rh.r I itrrld lt($B shFr h rh.
<br />h,*.u' m,qind Dr I'uv'r$nr ol SdrrD 17fi) or thr llll* CirL, I ihrll- ltfihrdh r-r! y *Ih rh't rmvtri,ns
<br />WAR]litc Frturc r. cu. rdt.6' !.nFner.n d)v.ns. r. unL*tul. .,n ndl rutFr ol|rr,F, h tml FrrB rnl
<br />.rv,l ilkr !n i!, oft huBlEd rh,uqnl drllet (Jllx).lxrrl. In .JddDn b rlx.o( ol $np.nsrr6. drtu8.r 8 Fovi..l fttr llr
<br />S(trr llll')6.1rh. blrtr C,rL. d.rc{ rnrl.rbmy'! li.r
<br />LlrElrlLcaN[8asr9E
<br />DECIIAAIIO!
<br />I h.n'hy I'm ufrltr lEmny dl lr.fltf rhd I rm l{.n(l unkr JFrvri'n ol ( n.rrd rr(mrNuf *ih S(rnn Tltl,rur l)rrnrr !
<br />ol ilr Bltnrs ml Pn,r.$ifr ( rl...rn my lr.na tr n rlll f!trlt lll cl l(r
<br />t.,r.n\.( 1,1.
<br />qOEIIA!&IO,IBDBIiJCEN!.A
<br />I lERby .llilm unkr lEnllry ol F.Jr.y rh, rlErc !r . n'n{to.rrn Lnlu! {.at L{ rlr Ff,m. or rlr e.ll fttr f,drn rh! Fma .
<br />rrud (S.r 1(})?, Crv. C J.
<br />AI'PLTCANT DECLAAATTON
<br />I h.tr$ rllim uni.r Fn.hv ol lrrlurv oE ol rh. nnL'wrr (lfrr&nr
<br />D.nrn(i'n P.rnd$i.b..tx f{r{rttrirkrn r.d.r.l R.Bukrirs r f[k,{r. Prn6)
<br />R..tntr(.llr((' ol M rln rtr
<br />I!.nntrh. rh.lil.rrl'.ttrl, i'n\ '.!,trJ'ng J\h!.\ '.nrtrrl,,r. n,i.'IrnKrU. k, rhrr rrr)f(r
<br />_l .d n! rhd I hlv( Erd rhn ifflr.r,n .rn n.r€ rh.r rh. rl.'t lnnl]mrDn n (lRr I .ad nr ori0lt r{h rll cir, .rl Ci'ud!
<br />diuatu( .nl Sr.r. lrw. Fgt ul! lo lDrtllnS .onrur r,.. nl h.E+! r.rlt'd. r.lr.r rtwi f thrr ( ny .d Ci]unly b.nro uFr ill
<br />rh,v. rrridJ tn{rny ru 6!F!..rr,n Nqb{s
<br />'\lrln.nnr itr \!(nr si!n l n.
<br />P.mirE mmrprinl'l
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />SLAB Floor
<br />Subf loor/Venti I nsulation
<br />Rool Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulalion/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 />Engineer Final Repo(
<br />Flood Zone Certif
<br />FINAL 0//f/7 7l 4ftll-J/z /or
<br />Certiticate of Occupancy
<br />Notes, Remarks, Etc
<br />trnlcr'! AnJr.s:
<br />Set Backs
<br />UFEB Ground
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