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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OW ER AtJILOER DEI-('ARATION
<br />I herchy rrtmr uturc, p.narry,'r Frrn.y rhr I m.H{'i ;";;' i-r.-i,.i'.,i.i:i.",* r.* ror rh. rou,Dss N.Q'n (sd 7i)rr:t
<br />Bunnc* rM Pnncs!,n (G1.) Any C y or (,)unty whtrh r.qurs r IIm n, .onnrurr. rlr.. m!ruv.. d.mnirh .t El'rtr lnv
<br />{rudurc. rrtr lo rls rnrn., zl.u rcquNr ih. .Jlplf,{r l,r iu.h Fm k, lllc r nsE:l n rr.mnr lhlr h. o, rlr ! l.fnsd lu$rrr
<br />b rtf, F'!nxn\ of rh. Cirrrrrntr'r l-rcnal lrw (Ch.ttt I (r,mtrrE'n8 [ h SerDn ?ilx, .l U,'tcir I ol rh. Bunn'\ :nJ
<br />Pn,fc$i,n! C(iL),trlh.rlI (i ah. s crcqi rtncfrum.tl rlr hr\s (tr tlE kt.t.\cn{ru' AnrvohkDolScrniT0ll lhyrnv
<br />rlplE! ft. Fm'r rohjfrB rh. rFdic.nrro rcrv r.nllryor n mE rhs ne. hodJEd doll{t (S5(r)).
<br />-I.
<br />.i o*8, o, rhc poFny, 'r my .qtuy({ wtrh *'3.r .! rh.r {rk .r'qssrrJr. wJl do rtF qri an rlE {erE t mr
<br />,roridl ,, ofl.Eal rd qL (Sa.7044. 8!16!.,r1 Ptur.$$nr C!iL: T,E Cdturr'r L.N L.* ds N rr?lv to u oqFr d,
<br />rh. FrIEiy rb tu'U\ d mFr6 tlEcn 4l rtn &< uh s)* hmalf d h.rlf or !t(*!h hlr n h.r oh.rq ov6.
<br />I,ovrlol rh.r tkh ihln'wnk m n ddrlAl offci lu rt IL hoffi, rh. t{iltiw or ulrn,@d n r *ihu iE Fa
<br />o{$r{rbr!n, rtE Owmr Bu'!.r eil hrt rh. tuJd or F'vh3 th.l hcor.lr drl nn txrltl G utFrE ln. lnldy nn llE FrIr* oi
<br />!
<br />-l-
<br />[ o*F of rlx Fl|xny, .ncr.hrkly.. rkrn8 *nh lt.n(n..tr.ri,n h Nnrrur th. F)Ft lsd nt44. Bucs
<br />.,n PDb(r. coL: Th. Conr--rd'r LE.nc uw dG rr.mlt b {owN.tF)Fny rlr, hnrur or Frn'k. rhdqr'
<br />.nJ ,h' LlnrtuB tu N.h F)j(k * h r Coirturo(r l(ed l|ud.nr tu rh. (l'dr&ioir hcne bw)
<br />_l anrckhtii uNlcrSc.rtr r-
<br />-,8
<br />& Pc lbrlhnrtlv'n
<br />!!8S"ffi
<br />IIESAEAII9!
<br />I h.rcby.lnrnunJern nrlry.lrrrjuryon.dilh.t)llownr J..lamll'ns
<br />-l
<br />h.w., wrll flBr.i, r C.n,tx.r. or conHr ln S.lllnrur. ld qtt6' $.r{Ens.r D,. I lehlal rff h} SNri', lmo.t rtr
<br />lrbd (irL, ftr llE tELmr ot rlr h* fu *'trih tlE Ftu ! !.u.J
<br />I hlvc .d wrll minrr rn *ork.6 (rnln.hr x 'n ,rurrtuc. r( .cqdFrl hl .mLr k,n :l7d) ol rh. Ilho. (ndc, lfi rh. Iirlonuk. .l
<br />lhc work t w[(h riF r.th ir hflol My $tkcr' .oDpeairrln 'nruritu.
<br />({rN {d B,liy numh.rd.:
<br />ceir
<br />-
<br />I c.nirr rhrr in rh. |l.rl.rmncc oIrh. uo* ln, *hich rhn l).rnn is nsucd,I thrll ft cnlk,y{nvn n.flurnvmmrcr
<br />i, !. kr tErm sutrlr r' r lE u'rl6i .on{rnqrk,n hwr ol C.l omir. nl $R rh{ ,f I rtxrll h.{oE ruhFr t, rlE
<br />u'rkdL $n{rnqrri. nn'v!$N of San Nr !m) ot th. ljhn (iic- I ddl nf henh .ni{'ly *trh rll,{ f'nrvs$n3
<br />WARIIIN(; llluF b s.. e sqtsi otrr{Eosrrn .nE:r. tr unL*tu|. .oJ nDrl hFr .n .ttI'l'F n).ilMl FulF !n
<br />(Nil tin.\ p !, om hlrlkJ rli,u{nl Jollr! (!l(Il,ou)
<br />S\-'ri'n.1076 ol rh.lrtrtrCdl., mlcr.n.nJ r (my'ster ). rn &U kr b rh. dxr of.or{Erer!,r
<br />Ih€rhyrl,rnuBLrlrorlrrnltErjuryrhd1.fllN.a{unkFl'vtrrn.rC}i.rS(ondftm3wnhS r)n 7lxx, orn'rr(i t
<br />ol ihc llu{ncs intl Prn.(tr)ntC(xlc, url my lr.nsc is ir tull lnr.c..,l.llRj
<br />gaElIBucuqNJ.EuuNlillil8q.
<br />I lEEb, .llnn udc. Fn:lr, ol F,try rhd ri6( Lt t .-n{turrr Lllde .8.8y tu llE Fi,lmM of dt qtt ttrt *n{h rhn rm. b
<br />AIEIICANLDECIJEAIIq!
<br />I tErcty dllim unticr p.tr'hy ol Fr,try.rE ol rh. idllowrn! Jelar2innr:
<br />D.nr,l(tr{ l,crn $Ash.dor Nor'lr ('n I'cLl.fll Rc!ul{['n! I flllc.l0, P{nh)
<br />Rr.t0(rd lrncror tdi'lkrrrf
<br />l.d yih.r rh.rcJ.r.lNsuLrrln\ rcr&ins ash.{r\kmrrle ft {tltrhlc t, ihtr rt'Fl
<br />_l c.nrlyrhtrr I h.vc Ne! rhr q,pll.rrr drl (!lc lhalrh.rh'v. rnli)mrir ne,r Ir!r(.L,to pyq l'r l(''rvitr(l( 'trtr v
<br />d{Dtur. x}l Srrt. Ll*\ Ehrbs k,blrtlr8 dd.{Btnn..rl i.r.by N.r olrhn Cny,rl Cdunlyloc quF)nrlE
<br />ttlrt nEn(irh.l nNIEny 1,,
<br />Appli.ml or AE nlSiamlum ,,,, 4l'? Sltl
<br />Set Backs
<br />Formsi Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsulalion
<br />Roof Sheathing
<br />Shear Wall
<br />Framinq
<br />lnsulation/Eneroy
<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 />Enqineer Final Report
<br />Flood Zone Certif .
<br />>aay fr*futlttula+t.24.PN \bnb,o'iv6
<br />.tl
<br />FINAL ' l7 roto $e4 UqYtr
<br />Certilicate of Occupancy
<br />Notes, Remarks, Etc
<br />,,, Ollz= l\"1
<br />(!urltsc .ro9l,crv. c.)
<br />L.n rcr'r Nrm:
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