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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE COMMENTS OWNEN'UILDET DEI,CARATION
<br />I lErcty.fm ulkr trEty (,1 Fpry lhd I o.r.ry{ fNm rh. Gmratn l$n( Ir* (f, rhc f.llo}r8 E&r (Se n).ll 5
<br />Busft\i .nl PmL(nn Cql.I Any C y d ((Edy wh.h Equftr I Frd b on{tut. .lr(. lqnrk. &m Nh d aF! uv
<br />n.u.x.. nqr EquiE3lh. .t't'l.rr lor rki limr rd tiL . r{Bl n.i.lmr rhx tE m .IE 6 lto<n F6ur,t
<br />b rlE 8)v$tunr or E C..lr&lni Lictrsd tre (Ctutid 9 ConrNFB * h Sdtxr ?0(x) of Dirnnn .1 tl r nu(flr 'nJ
<br />Pr,r.\rdnr cul.) or rh.l lE or rh. ! cr.nfl !h.t ri.m d lh. h.nr tu rh. slhs.rl cr.nrl{nr Anyviobrinnrserrhnrll.5hvuv
<br />rrtlicanr ror ! Fmn \uhj(rr rh. 'tllllunr kt r rrvr I l.M I y {l not mot 'hd
<br />liv. hundrcd !oll8 (5500)
<br />-1,
<br />!s owftr ol rh. F{rny. ({ hy chnkty.4 wnh w!3.r ,\ lh.u q'k $nFn!r( (tn. urll,l. rtr *d ri rrEl@trn,
<br />,rfrLl o, olrcnJ ld eL (S( 704a, Bu!fts uJ fn'fdri'nt C,rL: Th. Cod.icnr'! l.r.n€ l:w Jrs mr q'!ly 6 u orFr rl
<br />th. rh,Fn, *h' tn[tr.r uqr)E rtEEr. .rn wh) &s uh xnl htnr.lt nr h.itlt or rthiu8h h!. n lE oqn ..ryllrr6,
<br />FofrL:l rh:r reh !r{n,hm.k n iddLldofl.rdft,qL ll.lr'N,rlEh lol(toFrmt!etl*.hootuFa
<br />ol wq dh rlr Ov6 Bu Lt $[ h.E rlE hntL" oi tt,u{ rhd lr * dE dd n{ }. 1 t* rrF'E lrE F{Eny iq tlr t{$E ol
<br />-1.
<br />rt owrr ol rh. lln{Edy. .m .rclunv.ly .ont!( rmE * h lk.nq.l onri.hn nr .on(tu\ I rh. F,F.j (Sa Tl)'l.| Borm(
<br />dhl P$L\srn Ci'J.: 1 h. Conihrttr-. Lt.nsc L!* 'i,f,\ nor {Ily t, rn ouncr , nl p.n, *lr, hu d! rr tmPnrvcr thcrcon.
<br />rnd wkl $htrrt. l!tr .url l]n)jc(r\ ,irh a c'onh!.k,(r) lk.nkd Punlad n, rht conkr(* r l-Nn{ liw)
<br />I rn c\cm! !ndr. S.(r(nr
<br />.Blaf,llr.cqlllENs IIllX
<br />DICIASAIIAN
<br />I h.rcby .n',s unJcr lrDlry ot Fiur, 6r .r rh n hu nr &aLr.' nn!:
<br />I h.r[]w,ll tu,hr!'n . Ccnnrrlc ol Coneni n' Scll lNtr.n, *s.ksa r.mFnr$H'n. r\ F,vil.J ttr hy Sdri$ l7U]rl rh.
<br />lrhrCiil..l,trrh. p.rlrnum.ol rh. q)rt l *hrn rh. Fnr tr r\u&1.
<br />-l hnv. NnJ wrllmflnrrfi w.rl. '.ohFn\.r$n n\ur!tu., {( r.q( ncJ hy Sd i,n ]?lX, ',l lh. l-rhot (]{'dc, ni lk lErturnrn( ol
<br />rl{ h* fttr whrhlhs p.rrnr 'r r\u.J Myworldr nlnfl\.rtrrn rnsurd.urd elrll(ynunif,r d:,-",.@d-.-^
<br />p{,,!yNunh..' 123 9oo'o ,'.,.. . o6/2.T/%lo
<br />-l.cn,fy
<br />rhl
<br />'n
<br />rh. trrhrfrN. of rh€ wort l,r rhrh rhr Frmd F s(wJ. | \hrll on.nllry.ny FKrr r yrunrr
<br />ar .rt, tEom $hFr t, rh. k'ddi cohltnQrir l,$r or (.ii.tu- rJ +ft rh, n I lhnil6-om {hi\r i
<br />'
<br />rh.
<br />* *ci\ uomp.n\rri,n tflrvrn,n! nt S.cr kD ]?(xr .l rh. l.ih, Cii]f. I {ull, nxlhwnh ! trlPly wrrn rh't rt.rrstrs
<br />WARNING: Fadur. h (ut wolk.r' .onp.n$ri,nr u,krnsc ,. nnliwtul. .nl .hrll \uhho !n ol[ll'Drr n' so,ml |rMlr.r rtot
<br />qvrl lincs urr (, om hntulrcrl thduslnd Joll,E lSllX).UXll. h tuld,tnn l,r rhc.o( ol umFnirrn)n, Jrm8cs as tlnrv cJ ntr rh.
<br />s((rk ro?fro||l( 1.'lrr (!il. tr.'.nr ritr'f!\1!\a
<br />*
<br />t.t(-t:t\st:D (t)tl R,\cToi
<br />lll:!*IAE,i.LIlD
<br />I lEEt'y a,lim ud.r Fulty ol F,'lr,v rh.t I m lrqEJ uuLt Filu.n or (tuPld 9 (.on-u! r h SdD. 7tm) ollh'rDn.l
<br />nl rlE Aurmsdi Pml.sln Cd.,,it my lE.n< ! r lull f!'N ! cflitr
<br />[-c-a
<br />Y".,.,".., B
<br />r,,. ' ll Itqr r.l
<br />{331? I
<br />3e ,L
<br />colsrBlJclro!..LqDBc-f,cE!!.f t
<br />I lrRhy .trrn unr.r Fn lry ol Fjtry rrd rlrt s . Nn{Blrr ttlu! rrey I tlr F.l'!|]i.E. ol rh. qrt r!, rtth rh. Fr, I
<br />r(61 (se 1047, crv c )
<br />t fti.i\ Nrtr:
<br />AITIfIANLI'E(IA8AII9!
<br />I lEEtviiinnu .r n nlltv or t rury ok ot rhc tni'wor n(.hr trtrr\:
<br />I)tm,IIx'n Pdmh-A\tr{os f(nrlrrrx,n FoLral Rqrul!no\ rl dl.4(,. Pd6r
<br />R.qum{ l} .r.1 Mrnirrtr
<br />I ldrfy rhrr rlr fcrkrrlrfuLrrrn\ re h8 rilx{o\ rcnrrrl r Bn .fl . rk t, rh! FnFr
<br />-l.cnnyrh
<br />l ME r..Ll ihl rnnlxlron.^l nrr. rlrrr rlErh! I rlatn,Lon,Ply * hrll(irv,'rl(irnr\
<br />.rdorBc\lnJSrnclrwstoLndst'hu,klln3.onnn(t!nr.dh.Rhyrurlk r. rcpr.\'nrir (\,,rrhtr(rrvel(r'univrt.dcrtrPnrrlt
<br />ik,e. r*Drrntral ox)trrv ntr r\
<br />ADDlimnr or,\qcnr Slsn trn
<br />,.*u-**,,n*,,-;_L--JJ.i
<br />,rn tll I I
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />SLAB Floor
<br />Roof Sheathinq
<br />Shear Wall
<br />Framino
<br />lns u lation/ Enerqy
<br />Drywall
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certil
<br />^a
<br />FINAL 7.1'2tb ub/to zalr[
<br />Certif icate ol Occupancy
<br />Noles,l Remarks, Etc.
<br />tl I
<br />I I lt
<br />ID/SIG.
<br />LJFER Ground
<br />Subf loor/VenVlnsulation
<br />Ext./lnt. Lath
<br />)-d-c?cDA,/ -frh,-MYt$
<br />t,",",'ll //91 l1
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