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BUILDING. INSPECTOR RECORD
<br />SITE.WORK ID/SIG.COMMENTS ottNi-R Bt,ILDFI l)El,(rtXrlnON
<br />I n rht s,Inm uh&r Ftuxy i,f FrJUry rhar I d.kml'r fmm rhc ConrrEkB l-k.hr tiw lnr rh. nnb*h3 r.ren (S.{70.!l5
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<br />i{t rlr provnt'N or rrr Conh.ror'r Li(nci bw ((hrfl.r 9. ConwB-'in8 siih serb. ,(xxr of l)irnhn I ot rlE atiim$ ind
<br />PrDf.*hN ( id.) or rh.r lE drlE ii crc.ir't rhsllnm rd ri.l*rh f rh. alh8.n crctr{iion Anylioltrk,norSdi,nr0:ll :!hyony
<br />.ptlicitrr for. p.rmir (bFk rlE rl)lllkrdt,rorilFMlryoln{ mE ll'a lirc hondtn &nbri (lq)o,
<br />-1.
<br />ri n*ffi ol rlE FrFnt. rr my.rr?bF.r $nh wrSc\ t rhcn rrb trr{Etrslion. *illdo rh. edl it th $niluE ir rcr
<br />inr. krl or oficral fir {k rS& r(}t l. 6uriB( lnd Fnr.si.N (id. TIE (Irdrdrr'r t.arn- l r* d(K nrrnlvh!norErol
<br />rh. rr{dy *lr' hilrr or i,lln,s rlEc)n.. 1rtr, dB s_h Mik hnnsclf o. hcr(lf or rhrou8h hk or h.r own .mnLr}c.t
<br />EoviLd rh.r ch irrroHEn< G Er i .n Ld irdk fti qL ll lnr6s. rlE t{iuins d inlrNnd n $ld Bilhn oE Fu
<br />ol(1'r$Lri,n. rtr ow*r BuiLhr will h,E rhnkrof Foring lhll lr or {r did Er hriB.r i,lrot! tlE FqEiy fd llE po4e or
<br />-1,
<br />rr D*trr orrlE l,np.ny, .m crclusiv.ly contrrrin* wnh len<d conrrhn lo anrlMl llt FD,..| (sct.701,1. Bs&as
<br />ud E!*sir Co& l,i Coddd . Lk.nr trw d(B d .rtl, to !n o*ftr ofttuFdy rho huildr or inr,mwr rhddrn,
<br />dnd *ho onrEi.for N.h Flj.rrt *nh. Co Eronn lirrEd pu.ud rorlEconldd. Lirn- lir)
<br />I d.kd ui&r Sdrm .B ltPC forrhnE.s'.
<br />D.r. Ord
<br />IIIIf,EIII:(IUIrAIIAIIQ!
<br />IECIaSAUg!
<br />I lErcby rlitrm urdcr rEEhy or n rir,y ot or rl! tolt sin! d..Lribn.:
<br />-l
<br />bE .rn rill mintrh . Cdlifr.tc ol Consl !o Sclf.INE fM sr*6 sriftn{r,i. !r F,vit d for by Sdxrn l7rr) or rlE
<br />bhd Cd.. tu llE Frf(mN of lh k t ld *hih rlE F.n! i! h*td
<br />_l h.r.'d *ill tuinri, r.*6 drtrtEKrnn iNuEm. $ nauiEd n, Sdi,.]'7m of E trhor Co{h, for rh. Frfo@N or
<br />rhc *o ac *hkh rhi Fmir i! irsEn. My uorks' onvtnillion inr(e. dria .,n lr,hy .u,IlEr &:
<br />I tn'lt rhI rn rh. |irllnnlRrol ric I lir *hi.h rhk pcnn n '$urd.I \hollnot.npl,]ylnt p.ison inrnytr!trnrr
<br />w' .(ii' tE oE shFt ro rh $rrld\ .r,qrnardr l.r( of(-rlinrmia. r,ij is^y rhi 'rl \InuH tRa,fr ruhF, n) rh
<br />wo*rn ()nlF-n! x,n ,Rrvirui\ uf S.( i(nr 17( [) .1 rh. l itu (irL. l rh1lL. fonhrnh ..n{ y r irh rtrt nnn ti,n\
<br />IIAINN(; I'rilur. t' €urc trnrlcr nnnp.f,sii)r cortn8c i\ unlauful. lnd (hill uhl.cl sn c Pl,'yc' ro nnnitul lEmlri.l r.d
<br />).fiI)|. in .dd ir. ro lhc cor of oriinglk'tr &m8.t .r EotiH f lh.cilil nne{ un l. oB hundrcd itroerd d{,llm (!
<br />S$ru, 1076ol rh. I Jhtr(ixl..nncnrtrn{ln o'
<br />:1"7'tt
<br />IESIXAI!]N
<br />I h.Ehr ollirn lndn p.utryolpcrju,y rhor I m lic.n.d uft]tr F,ri(irn ol( h!flcr e rcommxihs virh sdi'n TlxlrofDirnh:1
<br />or rrx Bucihs rd PnrLsri,NCod., ! my ltcn\c Nn lullnnr!dclTer
<br />Drrr q
<br />I--1 ?'."-.-,',*, -lO q \l t4a
<br />S ,\vr-< L>"<rl \t(..r
<br />qNSIAISIII,INIEdDAG.EGII1;I
<br />I hcrcby !,lirm und.' Ftuhyorp.rury rh.r theB s, u.nsMrnn L,iinr !Bcr! ntr th. Jr,tumR! orrtu srl tn qhih rhr Fd 6
<br />t$.dlss llrirT. ( iv ( )
<br />aP?l lcaN1 hEct
<br />^Rd'rl()NIiodD' imunlcrFiaIyorFrr!ryon.urrhcri,ll,rqinSd(ldnnons:
<br />D.mhh. Pcrmir.ArtE(os N.iiltarr)n flr.nl RqrLionr atirk.{,. Pan6r
<br />-lt.qurcd
<br />I drc, o, tirritpri,n
<br />l.drryrhrr rhc lc'ldrl .ctulati,,n\ EguJn,B,\tI{o{'.flr*rltrr. nor {lt'lalhLr' rht |TorNr
<br />l..dilyrhJr I tu\( (r,l rhn Jpp lkaiin rd n.r. rhsr rh. rhlr. i.f'nnErhn r dr(r l rgE b oit y vnh . Cny t.d Counly
<br />odinie.'! l Shrc l,ws rclrriry r. huiui ondflcrnn, d hctuhy durh{i?. ,cfcsnl ivc\ofrhi\(irtr l Counry h .trrcr uFlr rlr
<br />rhor m.ri)ftn ln,Fny fr{
<br />,r" 9^Q- ("iADDllorl or AEdl SkDlu B"*.^^
<br />Set Backs
<br />Formsi Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Roof Sheathing
<br />Shear Wall
<br />Framinq
<br />lnsulalion/Eneroy
<br />Drywall
<br />Ext.i lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />)\Yt 1J"/r-- IVla,-!**l' 7'13r ? ftlc=-2)
<br />(--.- -z-\
<br />9-Z?-/?/LQr 5,,'een{2D )
<br />Certificate ol Occupancy :
<br />Notes, Remarks, Etc
<br />DATE
<br />Subf loor/VenVlnsu lation
<br />Flood Zone Certif.
<br />FINAL
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