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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS oWNFJR 8t]It,DER DEI,(-ANAIIoN
<br />I hcr.hy allnr odcr p.nrlry or FrJury rhir I m crcnfl tn,flr lhc (i'nka(oF- l-Rcn{ l-!w tu rh. n,lhwm8 rcrq,n lscc'l)!1.5
<br />Buln.s rftl Pn,L*(rn ((xh) Any C y .! Counry $hf,h r.nuK\ r lrrmd t, ()n{ruc!, alrcr. rhlovc, &n,lrh or Ep.r oy
<br />{tu.rur..l'r{r,ns 6rue.. rlb aqum\ rli q'?lr!nr Lnnkhltmr hr lilc . I rSFl {rr.m.r ihzr lror sh. s lE.re,] pu^!r
<br />h rlx Jh,vtrr,n\ ol rh. Co.(&(tr s L..nBl li* r(luti.. 9. Commfrrna v(h S<rir ,Ul) ol l)vFi'n I nl rh. lturixlt :rn
<br />lnr.sonr(i c)orrh3r lto, \h. r .knPr (h.r.toh Nn, rh. hi$ I'tr rh. lllsetrc\cmFx,n Anyvi)hrrrnolSsrlnT0:rl5i'y.ny
<br />rttlRdntr,l).m(ruhlcckrh..rphanrb!.ivilpc.llryolooremrhrtrtivchunlr.tjloudr(Sr\uD
<br />-1.
<br />.r .*rr ol rh. IrFnr. ,, oy .mpbFr *[h *r!.1 I tlE! r'L .wluerNn. *d! do tlx htt .rn [r rurG ! tur
<br />ur.rti q oll.dl rn qk ( S(.r0a,1. Bu.c( .d PitrL(r'n! Cd.: ]1r coNtu'or't I!.c L.* dr! nr :J,ply k, 4 owr ol
<br />rh. !'oFny *h' ho'ltk or lqftE! rltRn, rul wh dif,r uh s).t hmt.lr o. h.rlf trr thDu3h htr { h.r {m.rytt,}e\
<br />pn'vrl.d rh.r nrh n{,$Emdr m rn or.nLJ or.lLftrl lnr ek. Il. hrw.r.( rlr h! luB or ur{hhmd n $l] wiiho om Ft
<br />or$n?Lr1n.itio*r,Bulrrdu]h.v.ilrtuLnolF,vhsrhnh.or{rJrlmrt d urtn,E rlr pn,Fiy lMrrE I'utPsol
<br />I. r\ own.r ol rh. J',,ttn y, i c\.luqv.ly .onrtr.r1n8 *nh l(cnsJ .ontr![n n, ()n{n'd rtE I,nF I (S( ]0{4, Bulm\s
<br />r hnisrD(ixlc'th.(in r!(ttr's l-(.n(c t-!w d((\ n rlPplyn' o*n.r or l)n,Ir.d y eti, burldi or rmr(irr rhcrcon,
<br />riJ sh) (olrru(rridrBhpn,,Li(w hr(i'nrru.n)n\Il..ntdntrrtrrdn,Ih.(i'nntr.ktrtl-r.hs.ljw).
<br />l.m.rcm,i !ftjc. S!r[n _, a. & P.C. lttr rh! rcB)n
<br />l hlvc ik, wrll nEinr,r r(.d'licai.ol(irscnr rrscll-lnnrrc l'tr $ rl. d,hp.n\drn,. ar ln,lkld ntrfiySc.ion lTlx)o,rh.
<br />ljhtrCd.. ntr rht pcrlornl*c ol rh. suli,tr *hih rhc Fmn ( sru.d
<br />-l
<br />hi\ dl w,ll npd.m hfi.6' .on{E.r.r rm lnluEn.- ^ nnu!-l hy Ser bn .lr(xr ol rlE l rrtr (irl., fdr rh. FnoIM_--.. ol
<br />rh. eorl f.r wh.hrhsFm r swn. M,wo s .onlxn\drnururnc ljrr.rnF Eynunt.t {.:
<br />I.cnrlyrhlr m rhc Frlortunec.f rh. wolk Lr whch lhN r.rm F rsrocJ,I !h{ll Rn .frlk}y lny p.^on 'nany mrrrcr
<br />v, a\ t! tri,ft iuba{ lo lh. wodGi .otrrEner ir h*r o, Crl,Iomu. r,rl .!E lh.r lf I rboLj h.rom luhFr to I h.
<br />hrl6 ron'0.netbnpn,rri'N.l S(ri'n lTmolrlE l:hr Axi.,l {BlL 6nh*rh uralt,irn rhx ln!_Lrbn.
<br />WARNINC: I'r!tuE lo e.u kxlcF 1rr.linerDn orv.n8.6 unLriul. ni d:,1 ruhFl .rq'hF t' ffrl FEIS rnd
<br />(rd rnrr !I ru rc hunn.n lhour2nl Jolh\rx[r.
<br />'n Jd i! r) rh. .oq nl Loi,p.tr*(rr! 'irru3.\ r\ I'nnkl(d ntr r[.
<br />s.(rin' rlrl6!n rhr I nu (ril(. n s.!.trn1
<br />I h.rchyallirm u cr |l.nlllyol Frjuryrhrr I !h ldnd nml.r lh)rBrln .r (tutnc! I ((oonrtu68 w[h Sc.rDn '7uxt) or D'vndn t
<br />oa rlE Bu{m$ rtl Pn'r.$irns Ctijc. u, trry licn{ r u rull k,^i In .llccr
<br />,?/ C3
<br />2G-/9 (
<br />*tz7z7 2
<br />,n 2'
<br />I h.,.hy tr,1trtr, trn'lcr FtrIlryol ti Uur) rld .on{ru.rr)n lcfrlm!,8.n!y f(,r rh. rEddrmh. olth. *otl1,,, *hthrhFIf,rmi '\Rru.d (Sc( l($7. Civ C )
<br />knlcis AJ&.*:
<br />-
<br />APPLI{:ANT DECI ATI TION
<br />I k t afm uBi.r Fn.X y ol lErjury om ol rlr rolk *mt .ktlDr Dn.:
<br />lxmnnirtr P.rnnl^slEnu. Ndliluri'n kLrll R.3uLru! (Tnj.40, Pd6)
<br />_R.quird lrrr.rdrMil sn.n
<br />I ldny rhr UE f.icr.l rcluhrrN F!.rJm8 .!tE(n\ Rm)r.l !c B{ .fi .2hk b rtu ,noi\r
<br />(rnr rl(,nc rhrrrltr,fin. tr I itieioi)nlnly*dh dllcnyr*r(in'niy
<br />hurlJrnt rotr{fl'.(nn. rrrl ltrchytrtrrhouc rctftr..rrrn.\ ol rhr\ (
<br />'ry
<br />]trd Couniy k' cnr.r uF,rrh.
<br />2-2 -/?
<br />Set Backs
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framing
<br />lnsu lat ion/E ne rgy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Itilasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enoineer Final Report
<br />Flood Zone Certif .
<br />^l t ,/,/,r'n;-
<br />FINAL {*rf,n =fof-,/u-rLX(/?-/
<br />Certiticate ol Occupancy
<br />NQtes, Remarks, Etc
<br />3 21 I l)o oro,Y
<br />I d
<br />qtd-
<br />lra8f,lEs-{:auSE8sArIoxTE!|JAA N
<br />I hcrc$y iltrm un kr Frhy ol Frtr.t.r lrtr fo['utn8 &.lnr$n.
<br />D.r,,ZL_:LL2!JL
<br />Forms/Steel/Holdowns
<br />E:/7r"
<br />a al,I
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