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DATE COMMENTSSITE.WORK ID/SIG.
<br />Set Backs
<br />Erection Pads
<br />Forms/Steel/Holdowns
<br />4lrattLUFER Ground z/Llla lr-y-
<br />SLAB Floor
<br />Sublloor/VenVl nsu lation
<br />f-a/nNt7LRool Sheathino i,luhq /t -,
<br />Shear Wall it)'ilra fvlhrzlN 'l6-L
<br />Framino )ll'i'lt b tr/tiRld fh.-
<br />lnsulation/Energy c{//-t'/i4 O1/^4st
<br />Drywall ut14'//q nluvu-''162),
<br />Ext./lnt. Lalh lJtnIlt l.ttvlu*/D/
<br />42 rABrown Coat #tihb ,/t'\--
<br />lVlasonry
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certil
<br />/4a7] \t1.41t4/ffi' z t/.* lrc l vrlr>^trJ
<br />hr4?4uFINAL6llplL41 '&9)
<br />Certificate ot Occupancy r U0I
<br />Notgs, Remarks, Elc
<br />'t t-- v (
<br />BUILDING- INSPECTOR RECORD
<br />i)t\ Nl:R Bl It.l*:R trt:L(',\R,1 I l()N
<br />I h.rhy .llim uftLr FrIt of F.!ry rhr I m.tcq{ tum rh. C,'dr&rs' Li.h( Irw ftn rh. lnlbwrS E.Fn (Sd 70ll 5
<br />Bunrcs drl Pn,rc$bn Coi.): Anr C y or Coo y eh(h Fqxci . Fnn n' (nnNcr, rlrd, lhptow. &ftrBh .r rF! uy
<br />nrurrurc. Ir n, \ !oe..1l\o R+ftr rlr {'f'lrsi l r*h Fd n' nL r lErJ ni.mnr rhrr lEor rhc n lEnEn luo,n
<br />h rh. F)vF.nr .l rlr Conlr&ttr \ Lrcn$.1 lf* rchrprcr 9. Conmmh8 w h Salion ?tx)o of Dr$x'n I ol rh. Busms ud
<br />PNl.son! Cotic) or rhrl tx or sL tr .r.n9r rhdtfton r,rl ttt h{rk li, lrr .ll!G, .r.rqrrt Ary v* .r.. ol Sar{n 701 I 5 hy uy
<br />.ml(. lnr.Fmrr$lrFh!t .Iplkr.r br(v,lFMltyol n n,E rh{n livc hun lr.,l JoUt! 13!00).
<br />_l !mc\.m rtu]cr ScLr
<br />IIECIdEAIIII!
<br />I lrtd,y.ffr6 !.dcr Fdly or Friury oE or r,E lnlhwi.B J(![di,N:
<br />-l
<br />h.K !n s l tud.h . C.nrlirrc of Consnr b S.lllnlrrc t, *odr.r' .trml'.nr.ti,n. a. pn,vrLJ fix lry S.don ]?00 ot th.
<br />Lahtr Colc. ld th. IErfolm. of rh. snl tr wi.h rrE Frm i! NINJ
<br />Ih!v(snd*rllmlrnirreo.6'rofiF.\r ,.tnrur.h..r\rcquudI'yS-iDn.l'r(x)olrh.lrhtrG{c,forrlxlxno'u-col
<br />rh. H)rI t{ *hxfirtrlxrd n{il My url.r' ..n[rni{$n mrurBc .di.r {r] Ir)lry nrmb.r .:
<br />Polry Numl'.r
<br />-
<br />-Eitc!:
<br />-_ldn'lyrh:r nth. p.rturmM dl rh. *ork li)r *hihrhitFrnnr is nrkJ.lihlll
<br />i' s b tx{r sul'Fr t' ih. q'rt 6 Lor{Ehqli,n llwr oi Cdfomn. .d .!N rhi
<br />*ort.n' ..syrnsrxm lln)vt6.! ol S(tIn rTurnrthc bhtr C,rL. I {ull. tudhw h
<br />WAnNINGT F lur to c.E srt.F .a,mlEnr.!n. oro3. n unh*lol .nl rh.l
<br />.!,1 6ft\ uI ru or hu.Jrci lhu.nJ Joll$ lllu).(xl)). in ad.lriln h rhc cos ,
<br />nor.mphy inyn ron rn inynsRt
<br />n I +null h.rom $bFr n' rlI
<br />cond! wrhrbrl'n'vsnn!
<br />I subFl u 6q'hF t, ml FMIB rtl
<br />iatuI.r r! pn,vrtcd lnr rh.
<br />n , mrc(n.d .my'!ic.1
<br />/n2 -n IGtl
<br />D€C] {TIATXTN
<br />IlxEhyt,lirdu .r FMlt y ol Frrury rh! I am hrn$d uBlc. F]vi!i{'n ol Chiprcr I (.nmmnLre } hSc.r$n?0O0)orD,v(d.1
<br />ol rh. Buws &d Prr.N.nr C(r!.. .rl ny l..n( F h tull itrLr ml .fr-r
<br />n{ CL(
<br />-
<br />cqlrlllllloll.ENJNl;lli.Edcl
<br />nmunlcr IEBlryo, Frjurtrhsr ihcrc Nrc.ndrurrxrn knJrS r8cmy f,tr rlE pcnnlfr^-'. olrh. *olk fttr *lNh rh!Fm tr
<br />APPI I':ANT DF(:I ARATION
<br />I lrr.ty dilm un'lcr n nllly ol n r$ry ok ol rh. (,ll'*f8 delrnr $.r:
<br />O.mlri,n P.rm&Arttros Nor,lr.r$n F.dc..l R.3uLr,n! r'IIk,(l. Pd6,
<br />R.q!ftd trtr.r.l Mrd.I.rr.
<br />I rd'ryrhi rll fcd.rrl EluLrkrnt ms.rUns.itrnoi rcd)lrle n +tlr.hk to rhF pnlr11
<br />I.cnrlyrh.r I h.E Erl ihl\ rprlxrrrn,rl nd.rh{ D.lhoE ulolmlnn 6 (rnBi I+ei(,.,rflyw h.ICnr.ndCoury
<br />unlm!kc\.nd Sr r trw(rururS k'buildrif con{rudnn, m, h.rchy.urh rc0r.scnrrr'!.\or rhtrC{yrndC trnr) r' cnr.r
<br />.bk mnrlkri ln,Fny for orFrkD
<br />o
<br />Drrrr*
<br />Pool Fence
<br />-1.
<br />1r omr dl trF F,Fny. q my.r{'b!rt * i *4.r 8 rhcu t,L. n{tnqron. will.l, r,E *dI !n rh. {BrE,s B,
<br />urrcBld or.lttrcJ f{tr \'k rs(.?fi.4. Alrftr.d PNf.($.s Cdic TIF (irr r&ror'r I-N.( Lv.lxr d tatly t' u 06r ol
<br />rh. Frrny plD ho!U( n utrcBr ilffi'n. .rl vh' .kx h qnt hms.li or h.rcl, r ifB'uat hr or h.r own .nlh,yc4.
<br />provkkJ rlur iurh in{mwmdr d ft d.n al or.fichl fitr qL lL h}wE rlE trll]uE n trrtttrEftd n r urhin or r{
<br />ol!r',illl{rh. ilr O*Br Bu'lkr sJl hrE rh. hmLi ofF vn4 rh.l h. or dr drl ft hdl or u{'Drc rh. F,Ixny,ir.rh. puq$$.1
<br />-1.
<br />rr nrkr of rh. ln,JEn y. .n c i.htrrvcly cdrrrr.r os wnh lr.nkJ codtxrta r. ..nrur tlr F,Fr I S.c 7044. Bu.er.
<br />rd hnhrsn CnL l h. C'odr&k,'r l-f,..c b! d*\ nn .mly l,' u ovrcr ol F)Icny ek) h! ild\ or imPoE! rh.io,tr.
<br />rn.l who s,nrmclr ritr luch pnrFk wrrhr Conr*r,nn ll.n{,1Nrurnr ro itr Ci'.lBror s 1.r..-L*)
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