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BUILDING. INSPECTOR RECORD
<br />SITE.WOBK DATE tD/srt.'-_r, CoMnltEnrs r,r\\fI lrt ll l,l k lrl.r ( \R\llo\
<br />I hcrcby lmrm un.l.r prrtrlry ol F.jury lhar I m crcn{r rn)m rhc Conrtrntra Lic.nt ti* r(, rh. nnb*ins tNrn (Se ?l)ll 5
<br />8urirc$ rBl PrcIc\\i,h Cd.I Ant Ciry ot cddy Bhich rquiEr i Fnn to s'n{@r' drd inll'mt. &mnnh or EIEn lnv
<br />nnErnrc. pflr ra ir. h$.m. !l$ k{tiE! rrr l0r iant tu rNh Famr tr nk r riSrn id.nmr rh.l ri or rlE i! lirn<d ,'u{rd
<br />tr rlF F$vrii,ns .a rtE (i,nrBktri t.ic.nEn L* lchlprd 9. Commtina eirh Saton 7(nO or Divi'ion I of rrE Burirl\ md
<br />Pnrfcsion{ Codc) or rh hto.sh. k.rcnPr rh.rcfftmard lht h!\n lo rh.trlksencrcmlrion Anrvnrhlionotsd'i'n?0ll5hvonv
<br />.nl,tiQnr .Itr !Fmn ruhrNG lh. tptlkrnr rordvilp.nllryol ,r n,rcrh!. firc hondr.d doll{\ (a50or
<br />-1.
<br />rt o*'E ot rtE FiFny. ( my dr?r,Fr rirh r !s.s &. lltt 1k tun\rnr.lhn. *ill do trE utt nd ilE rixlE ir d
<br />irrcrikil or olfd.d for slc ( S( 7{r4{. au.ifts lnd Pmlc\si'nr CGl. Thc (i,nrncroa( I -iane L!} de! mt {tPly lo .n 'wmr o{
<br />th. FoIEny vho hrildior in!reEr lrE@n. srn whi dErsh q' hnnklr or hoclf ot rhmush hir or h.. o*n cmlk'rsl
<br />FoviLtl rh.r rEh itqmftdr e n{ n nd.d r or.'d r., {k lt tn\tE. rE toihini d ittmEcd ir illd *ith oE Jtz
<br />of.srlllrm rlE OlEr SuiBs *ill h.E lll hrd.. ot FDrit rtd tI rlr dil mr ta'll d mtmE 0E Fl6, ld rlE F In(ol
<br />l. .r ow. oI rlE tiDFi y, !m.r.lulivcly &ntd in! wnh liin€d .o d{6ro on{Mr rh.,roj.{t (sd Tott l}unmas
<br />urt FtrtainCd. Ih. (n rrn rLk.elredesLrtontryro6orrctolFoFrtrlrbuildrori'{r'r'rlhdNn
<br />.nd *h sdEk n, uh FtF1. *ilh . Conidoni) l$n€d |I!^unr k' lh. C. ralm3Li!reL*)
<br />I rnc(rpl un,lc' Srrnnr It &l'('lnrrhA,.n\rr
<br />It1l8f,E8s:.ljQutf isArlllN
<br />DECI.AX.AfM!
<br />I hcEhy d0n m u ndcr n ulry of tElury om of rh. l,nlowin! d.(hr.ri,nc
<br />I h.E.rn *illdinrrin rc.nifE.tc ofcorenr ro s.lf lhtrcn wt(a $rqrrdi.. r Fot;Ld for bv s<rir 17lnorrE
<br />tihor (irl., ror llE ltrfolr1,ft. of llE *o ror whth rlr Fnrn . nsucd
<br />-l
<br />hrE .'n *ill minr.i. Kit.d onrF.rri.n i.iunB.. tr rcqliEn hl S€lbn l7{t)or E trtrn Cod..lor llE Frr{ffiN or
<br />rlt qrt a.n whi.h rhir Fmn ir irtd My rnr6 snFnsri,n insEN si, !n F,ltv mmlE a
<br />Poliy Nu mtEr
<br />-ErPiEr
<br />_-
<br />l..drry rMr in rlt lrnomft..trlE rotl tn shkh rhu p..nn t i{.u.n. I rhrll mr.mlk'vsny Fmn in.nv Mh'
<br />ssx'tr.utsubttri.rhc*odsr'cotrqxn.lrionhwsofallil'.,rn.Btd8mrhlrirIir$lldh.{.mlubirr!'lh'
<br />*orl(r, q'n{tnsr i,. Ilniriihns .t sdion lrm tr rlE LIh, ('(xli- I rlEll. lln h*nh .nmrly enh rhoE pmlhbnr
<br />wAtlllN(; iliturc k' sm wl.n N,rrE.lrhn o.ha. ^ unb$rul. md ih.ll shFd rn 6rihF r. fln@l ImtB.nd
<br />ciril fift\ ut' ro oE hu,rdEd rlhu{d doll.r (3l(I).0c()r,.'n ull n\i, rh. n( or (,tFnsrnn. .Lfl8.t t! Fnvnat ntr rh'
<br />sKitr.. ro1fi frh.lih{Cd.. 'nr.rc{.nd atr m}'rfrri I \D.,.: ^r,-* (l h," n'^x(MElIrNra raua
<br />DEGUBAIIE
<br />I hcahy rnirm unrt r rEn0lllolFuury rhal I !m li.lnql ondc, F,vhion ol( hapls 9($nrmminS wirh S(rbn Tlxx') olDirisiiln l
<br />of l,x Bu.iml\ ,nd Pn,r.snnr Cod.. !d my li..n{ i< in lull tue In .fiRl
<br />.-*{IHtr
<br />CON\TTII('TI(IN I FNDTNC AI:FIICY
<br />I tEEby.lltr undcr Fu[r or Flrlry lh lhcE ir r o.{M hn LndirB ss.*y for rh. lEfotrN ot rrr vNk tt }hkh
<br />'hn Fmi n
<br />it\r.d lsd. 1097, civ c r
<br />L.rld r Nrtr
<br />-
<br />AITIII]AILDECI.{8AIIT'!
<br />I H,y.fii undcr rE.{ly ofF.jury om olllt t,lL'*in! &tLErions:
<br />txfrnnion P.rnils ArlE(oi Norifi..ridl rrd.rul Rcslhrnr.t (l irl. 40. 0.n6)
<br />R.qurti Ldicr of t{difEri{
<br />I (.'r'lt rhI nr k1n1!l r.!trlxrr,tr\ ru!nrltrr! rnt{o\ '.ni^rlr( nor tL|ilr.rhl. r) !h \ l(!!er
<br />-l
<br />diry rh.l I h.E tc'd rhi. qrll.lion ud nnc rhd th
<br />,dtrm ]i Sr!r. I r*r EI !E ro tuld'nrfodM $+ .,n h.ar,
<br />trhnw mnrn..d nmFny rd m,r*.",. n,lJ"!. I
<br />::::.:;i.T-'ifuss?6h{
<br />fordion k(m.cl l.tr 16&m
<br />, .nrlirir. r.F.<drla6 of thh (
<br />Iht.
<br />'ly
<br />rifi .I Cny .,n Courly
<br />iy .d C(My ro ols olm r,!I ro.La
<br />Set Backs ra U
<br />Forms/Steel/Holdowns
<br />Ereclion Pads
<br />UFER Ground
<br />Subf loor/VenVl nsulation
<br />Rool Sheathinq
<br />Shear Wall
<br />Framino
<br />lnsulation/Eneroy
<br />Drywall
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif
<br />l, ,/FTNAL ci/ tt/ /7 /,tq 'trL^I/L /c,P
<br />Certiticate of Occuparrcy
<br />Notes, Remarks, Etc.
<br />SLAB Floor
<br />Ext./lnt. Lath
<br />Brown Coat
<br />hndcfr A{tdE$
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