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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATIoN
<br />I rErctry .flnm u L. p.Mlit rn Frrury rh, I m .!.dvll ln,m rh. C,, tul,n' lr..E l:w ltr rL trk,winS Er$n (S.{.10!l 5
<br />Itr\inc( ,irl Pnrt (on Cdl.l Any C y or Grnl, ehrh r.quEr r Fml h .onndd. .l'd. nlcroE. rlEnrt or Ep.u utr.
<br />iurr, Fr{ h nt !riuB.. rl{, rcquF. llr .fi'l.sr ru ruh Fmr t' lik I r{mJ (.tcBnr rhrl lr ot rr. ! l,..nt J l6umr
<br />h rlE ,r,rlFr,nr ol rtr Conlrsl,tr s l,i..tr\.J L.w (Cluflct 9, Cosmftin3 *'rh Sdrxt. 7(m ol Dri.tr, 1 of rh. BunE( r..r
<br />Pt .niJnr cdL) ,r th.l lr n llr ir .r.n+ rn rcrn,m ,rr rlr tlf16 tu rtr .lks.d cr.qr.. Any t$ltrbnol Strt,.',0!I5 hyznv
<br />i!,rlI,nlrttr r lEmnr subjc.k rlr. apnlttnr tr lrrvrlp..![yol nor E,rcrhih riv. hu,rlrcd.lolLrt (a5OO)
<br />-1,
<br />r{ o*n.rofrh. pn,Fdr, or myc6!kry<r wrrh w4.\ as rh.! r'k Nn{Ensrinn. rJl Jd rlE n t.Dl r qnarftn n
<br />dcnH q oircEd ftr eL ( St 7044. autm$ .nd P,ofcrtFnt Cqlc '11t Ginbttf,.s lr.nE Lw &Er n{Plvhruown.rol
<br />rh.pn)Fny wh l[tur o. nth)B rlrN,o. Dl wk, &B fr'h $rt hmEll n lEell or rhmuSlt hG !x h.r oen crriklter'
<br />p.ovrLtl rrur txi slp(,krdr e n{ dcrldl { ofr...J tu qL ll. hr*.F. rtr t[ lry or nINEm ! v,Ll wnhin .m Fd
<br />.lonl{|l.r).,ttEO*ftrBu&.*lhrErlEtnlnorF*liarhch.diEJ! illltldnqrrE*EF)pqrynxlll.FrFE.f
<br />-l.,roud.olrh.IrlF.ny.rn.rrluqv.ly.odnclirrwhL.cnEJro.ldork,con(ruLrrltI'f,'l.c!(Se.7O14,BBE$lnt h,ka\rn Col.: Th. Co.trrd ! t-rcn\c lr* dEi kn.mlv b xosF ol I'rnFdy Yh, buiLi or intdv.! rh.rd'..
<br />rnd wth (d tursntrsu.hIn)i.rt* h a Cohkc.t,(, hcn{d Pullunr to rh. Codhurs'r l-.rnc lr*J
<br />I rmcrcmbr un'lcrsernn ,B &P('lt{rhrrrun
<br />lvoRxl.tL\' (l(llltPENsaTloN
<br />PETIdEAIIOIi
<br />I h.r.hv xllrn und.r ,rhrhy.l |l.4uyoN olrh.l(rl,'rn3 J.rlnrdtrnr:
<br />I hlv. ei *'ll @uri. r C.nrr.{c or Consnt b S.lrlnroE nn q' 6r conlrn.lnG .t FUvd.J ln by S.ctFn l7(ro or rlE
<br />tillr Cdr., l tlE F.filll'sc of rlr urt for whrh rlI Fml 6 nQ.1j
<br />-l
<br />h,!. rnl prll h.6r.r. wdrt.F ( oDp.nr.rIi m{rn.. a\ rq!!.J hy S(r Dn 17m of rh. btx( Ol]c, nn rh. 0.rfoM. of
<br />rh. Mtrkl(, whf,hrbr Fmrt rs Nod My *orr8' mft{E.{,n mruL. leEr El lbliy numh.r e:
<br />.*,",, S+n& fr,,ul
<br />,r.r*,.*,.-11!115(n.'o*., 5' 2.o 1 {
<br />-l..n
<br />trhar 'n
<br />rlr lrriormr..i rh. *orl t,xvhrhrinFm tr tr.u..j.I G.ll nn.r+L,yrny Fe'.,n.ry IN*r
<br />s r{ t, tr.trm uhjed t rh. worl.n .rmr.nslr tr,n hBr ol C.nn,mE. afr, rgE rh.' I rhnuld t--;or lrhFr !,rh.
<br />R,*s' . mFnurDn |h vs,6 of Sa1.n :l7m of 0r llh, CdL. I rlEll, lonh*Ih .otr{iy *an I htf, ,m'v(rr\
<br />WARNTN(;: F.rlurc n) e.ua h kn comFnrNtrn (8r.8. r unlawrul. dl thrll uti.lt u mrt"!, ro (rrol FfllF Jn
<br />Lorl likr un k, om ,u hJ rhou\:rn do s tlloo.llD), m ddii', n' rh. co{ .l $hFnsrln'n. dn!!.r rs Pd'vtjc,l nx rh.
<br />scdtr)n.1076 drrh.ljhtr (iil.. mr.r.n nll i(orf,!'\ r(\
<br />I <t.iq
<br />DICIAIAIIA
<br />I h.Ehy rttun u,rr., p.h.xt ol F0ury rhrr I .m lFnr,l ond.r lm)v6ro. .l cll! .r 9 (.omtutus! wlh Selin 7O0o) o' Drv(-. I
<br />of rhc BurE.r .rrl Pn,f.skr6 cdL. nl ny lrctrr ! u lull ltnr rn .lk<t
<br />b lO I 14 lla
<br />I l.tt kc(
<br />CONSTRUCTION LENDING ACFN(:Y
<br />IlrEby.rmu.rIEiir,ofp.4ryrhdrlEE!..lnrrudlnLBlE!.3dLytdllrF.iu,lr,n!ofrh.srttirr*l hrhisIEh n
<br />$ud(S.(. l(re7.Crv. C ).
<br />APPI ICAN' DI.CTTTIATION
<br />l lEEby rlliduElrr prnrlly I FrNry on. oi rh. nnlo*rns &r l dx,ns:
<br />D.frrl[r'n P.rftneArt'cnoi Nd ({bn Foi.r.l R.ruhtrN l'liL 40. Pd6)
<br />R.quu.d l. .r ol |{.nidrh
<br />I c.dlfy ihr th. lnlcnl EtlLr.tri Eitdr! $rBB r.mY.l c ftn q'pliqbk b rhr loitl.
<br />O.d y rh, I h.E a.j rhr. rpda.rrD In rr.r. lh.r lh. rht hn,rrnrr$n N(omcr.I tsErocon'0lvw,rh.Icnv&dco! v
<br />onlhdN.l J sror. bwt E!rn{ !' hu !n3.onnMrt)4.Dl htrft EF.E .tFt or rhl Cry .ri Coudy k, ..rd upon ltE
<br />rhr( mnrN)r,l pmpcny l,n m.txd
<br />Ant,li.{ l.r A!(nlSisnxluft tZ l"l
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Exl./lnt. Lath
<br />Brown Coat
<br />Ivlasonry
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />/t/tltq 1Atfrs
<br />Certificate ol Occupancy
<br />Notes, Remarks, Etc.
<br />Ltrkr'. ArrlEn:
<br />-
<br />Pool Fence
<br />FINAL
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