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BUILDING- INSPECTOR RECORD
<br />SITE.WORK ID/SIG.COMMENTS OWNER AUILDER DEL(ARATION
<br />I hcrcbt .llrn unLr p.Mky or Friury 'hd
<br />I e .r.q, h)n ih. CbirEdo6 Lr..r. t:e r.. rh. 1010*68 E.on 1S..70]l t
<br />Burims rrn Prnnrsn CqL) Any C y or Counly *hrh Equmr ! ,sn b cor{Mr. .lrci 6rmk. &frn(h or r.rE {,
<br />nMrm, I'rt' r Rw., i3r fttu6 rrE {dNnr ftr slrh p.md b liLa \qmJ !l.l.m.l lh, lr or tlr ir liqEd Fao]i
<br />t' tlr Frvsrr. nl rh. G)nr.cntr'r t..rnr.d tjw ich:pr.r 9, Collffi rg Bnh S{ri'. 7(ID ol Dryn-n I ol rh. Aurir$ ad
<br />Ptr,fcs|r. C,xi.) u lhal tr or sh. F crcmp hs.h.m.fil lh. h.r6 tlr tlE .llr.1j .r.,rr D. An,q)LrnnotS!!Dn7oll5brrn,
<br />lt)lJhclnr forrp.mr llbjeh rhc itlll{rnrro.qvrlFMhyolnrr m)Frnsnv. hootEJ&ll&($m)
<br />-1.
<br />i! o*rcrol ilE ImIE.rr.,{ ny cnl(,bF! *(h *136.t rhcu y,L LrmFnrai'n, *'n Jo rli *,**.d rh. {Br8 is d,
<br />dctrlol or fl.rct1 lix qL r Sa.7(Xt. Eulmil !.J ftin6$'nr Grlc 1lE C.dr!rtr'\ t.tr!.!. liw lll{r nd .I,Ply ll' u .wrcr ol
<br />rlr th{Eny ehr brd! d nqnr6 11164 .Il *ho dB .kh s)lt hm..ll or h.ncll or rlF,ugh hn or h.r owo .q*ry..r.
<br />pn'rd.J rhrr ruh uqm@nt E or ir.ou ron EJ ntr s! lt h)Ew. ri. t! .tuA or uqtutrd Lr glu *rhin m F{ol('qlhtr[ rtF O*mr Bu lr*ithrEih.hmknofFrh8ridi.oi\n drl nn t{Jrl or rpn'h th. Fn'Fny r.f,0E ,rrlnE{l
<br />_1. :1 dwEr ol ilr [r{rn y, !m .irluny.ly uo.lr.d u3 * h [(tnEn .om(n,n n, Lrn{tud rlE In*.r (Se 70r.r, aurft$
<br />.d Pn csrrc,rL Th. Co r&tr'sLrc.nr.lleto.stunllrlybdorftr fnnrFdy who burldr ofuntroE! rh.ro'..
<br />t.J wno Li.rarr fitr iu(h pn'Fh,xh ! G)ntB(onr lEuEd DU mrr'ilrConrr qil-i.tr<l,*,.
<br />_I.n.r.nfl u.d.r S&rn._, B &PC ltrrhnE.on
<br />Drl. O*n.
<br />lvoBf,li8sl.louf};tsa rrlE(ldaarlll!
<br />I hrrcby rllnh unJ.r li.Mnyot F'ruiy !'k ol rh. n,lltlr'u8 JrhrlrIn\
<br />I tuvc ru, w l mmtru . C.nn.rr. .t Cotr€d b S.lf-ln<uR f(* *dt.6 IrtrrFBnrh. .s Fsvrr.d ntr by Sexon 1700 ol rhr
<br />Llhr C(rL. lo..lr Frfillijw olrlr kit fr *ixh rh. Fmrr s lrudl
<br />- I hrE 0n l *rll m'nr.i, wort.6' (q'e o{.rrr n.urrE.. .{ EqurcJ t'y Ser &n .l7lD or rhc Uhtr (od.. ft, rh. F.iolrle. ol
<br />rb. wo ntr *nrh rh! Fm'! i! nud. My krt$' er{rns.l.n
<br />'nsur:N.
<br />le, &ri Enf,y nuoh.r 4.
<br />bnl--7-/'/lP2{,
<br />I(cnd,th.r rnrh.txd,rmRcolrh.w *nnwhrhrh6Fmrn 6 (\ed. I rhrurn.ngLy.nyFF,n h.ny'ME
<br />er s n' lB-m shr.r h, rh. Rrrt6 Ll'mltrqlu lawrnlC.tlnmu. $n r3N rh.ll I th.nll lE{otu hj.rr t! rlr
<br />*,r*si lrrmpen\.r i,n !flryFonr ol S.d rln l7l)(l ol rlE L{hn (lil., I rlEll. rodhw.h s,r{'ly *rh rll'r F)vtrx,nr
<br />WARNIN(;: l_a ur t, ruc aodcfi cor{xh!{rr (,kn8. ir onl,*lul .il th:ll ruhFl M mtk'F t,.mo.l Fuirr &d
<br />rr,l lih.s ut ri, ok hu.drcd rh,uqil dolLi rill$,Un). in eLl!.n (, rlE (.r nf oqEnidFn, ,lrm8.i $ Inrd.J tr rh.
<br />f.n. ) -/'/- /'/
<br />^n,Z-'2'ziV,,*
<br />I r( r\\rr,1i,\rR\( r()l{
<br />IECIdSAIqB
<br />I hrrcl'y 2llum uftkr FuIy ol Friury rhi I d ll(tn*l u'Lr F,vrK'n ol chrF6 9(Lohftncm8 wrh Seli'.,($O) ol Drtrrm.t
<br />ol ih.lloicri r l\uL(x[! Grk, r[i i!ltrcnr r h lrU n,N.3rr] clii(r.
<br />,'''. 43-n-tr
<br />(
<br />galllauqlqN.LE8ula!; {iENsI
<br />I lxEhJ_ rllrm unLr Fnrh) ol lxrru.yihai rhq. n ! L-nnrudDn Lnln3 r8.h-'y nn !h. Fdndh. ol rlf Btrt htr *tNh lh! Fmn !
<br />nru.J rS(. {})7, Crv. C.)Irn]t,'\N.fr'_
<br />ATIIISANLDECI,TEAIIA!
<br />In,rlfmuBr.r Fn.ltyol FrruryoE orrhe lolllleuAdd&.ri'trll
<br />l)cmnxu Pcrflnts-ArlE(os N,ri,i..iDn k!.r.1 Rc3uLrDnr (Trk i{,. F.n6)
<br />-R.qum'l
<br />l.llcr ol NdlI*{Dn
<br />I (cnrly rhr rlr leJ.nl rc3ubrirnr Efdtn! rtrrnor rcnrrv.l m ft, mI E ,L k, rntr pmFrr
<br />I (d'ryrhzr I turt rrJrhtrrl'fh.rKolii nri. rh{ ih.ah)!. 'nllmurli rrDrc(r.l r8rccor.ryiyu hlllCiy3ii (i)uhry
<br />qJtuEr\rnlSrrr.u*sRLrsErrhu'U'hg.on{n.rxm.',rlh.rchylurhtru.rcF.{ctrrrnv.r.lrhrC(yu.l(i,unitbc.rlFnrli
<br />firF ml i,EJ lrnFny n, hlFlr "Wr'-
<br />Appllont or Ardl SiEmluF
<br />Set Backs
<br />Forms/Steeli Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf looriVenVl nsulation
<br />Roof Sheathing
<br />Shear Wall A
<br />Framinq ,r -s-l-l v.w0
<br />lnsulation/Ener gv I .xDrywall f)eruI-LJl0E.1\L -r-11 krx.ta)
<br />Ext./tnr. Larh 1-t-r7 uffi,'/ \.-/
<br />Brown Coat T \:7
<br />Masonry
<br />Pool Fence A\
<br />L '-9-t1 v.\aa)
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certil.
<br />/o -zt-t?tl.J.>/a(qY)
<br />Certiticate ol Occupancy
<br />Notes Remarks Er^
<br />DATE
<br />T-Bar
<br />FINAL
<br />^" ?/?'4
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