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BUILDING. INSPECTOB RECORD
<br />SITE.WORK DATE COMMENTS OI4ItEi DUII,DER DELCARATION
<br />I h.rct y al rtm u.d.r p.nclry ot Frjury lh, I m .rcnpr lnm rh. Conrrklou l,k nE L3* litr ln t'ldwir! ,c.$n rs...701,r I
<br />auim( rrn Pnrf.isn CdL): Ary Ciy or CtEnry whrh F\tuK! . F.n n' onrur. .xd. rnFrE. 4tulih or E rr uy
<br />nderur., Ilntr to rr! issueftc. llto requrcs rhc lpplf,anr nx orh Fmir tu [L . n!rcd (rl.mnr rh.l lE or n 6 h.n!.d
<br />^3r4r({, llr F,vti,m or ttl Cdnrtu!tr'. LEnrn L.w loE!|d e. ConmBh! *'lt S-r!tr 7m0 6f D'erbn I of llE BurEs .,.i
<br />Pda(nlnr C,rlc) or lh.t lr or {lE ! cr.hl rimfrem.nd ih. b.s! loi ih. rl ka..t . r.n{t r). A.y Yx .lnnol JeLrirn70Jl I h,16,
<br />rrtlf,$r k* r Fmir rlhj-r( tlr +ila.nt to r (vil tEMl|y ,f mr fr'E th, Iiv. hudrJ Ln)ll4! ( 35C0).
<br />)[d,. - "**. r,* **"y.,r my crrL'r{cl ! h !r!.i.r r,rtr r* onlinsrM. wil] Lh rh. wfft arl0E ntutr s mr, d.hl6l dDflrGl ri*qk(Sd ?04,a. Bu!trs &l Pntr.rtr)n Culc: Th. CodBrd-\ tlar tr*d.. nol {'lllylo uowr of
<br />rhe p$IEdy whoho dror ripmrr rt e'n.d *M ltrr \hh krl h'mrclf or lFnllf or rtnrSh htr .r h.r .M .hpbr..r,
<br />Fovrr.liih.r.kh rrFrw \er*doLlqoltBlfo.sk ll.bKE. rll lnt tr trntnMft nb!*dhn<EFa
<br />Dt urlllfur. tlE O$mr allll.r wrll h.E rlr hdcf, of F'sf lM lE { slx Jn d tu! or EgoE rt trrFny f!f, rh. PrFrot
<br />-l.r!o$ncrolrhclror.ny.lmcrrlu{r.ly.onkrcr'nIwirhl,r.ns.(l.ontkt,6t,Lon{rucrlh.Pr)Flrlsc.7(B4.BNn.$.rn Pr{.an. Cqtc Th. (i,.k-ttr ( l .((nr l rw dlrr n ,pily k' !n o*mr o, tfltBnt *l$ ho'Ll( or mpov.\ rh.ron.
<br />rnd elx, (drrd s kr ru.h l(,J(h ri h r Cnnrn ro(9 li.h\cJ pur iu! n)th.(i)nlr itr'rl.KnyIr*)
<br />(_
<br />DECT {I TION
<br />I h.r.6y .1, rn lnLr Fnrhy or Friry .E ot rh. f.lt'rrt d.rlf,i'.!:
<br />-l
<br />h2\T rd vrll r[|ru r C.d 'rf,I. nr Corcnr b S.ll-lnsurc ld lolt.n (ruvi nerln. :s F'rrLJ iitr by S&rir lru) dl rh.
<br />ljhtr (irlc, ttr lh. pcrttmd. ol rh. worl n, *hrh rhc pcm trnnki
<br />_l h& :nl * I hflntl'n s ork.F' d.r{'.nii kfunrurrtu., .r rcqurcd hy Sdrir ]TIL ol rlI I rlxtr (irla, litr rlE t'..lillrur'. of
<br />rhc uork ntr wh.hrhtrr.rnnr i\ rsudl Myw !kcr'con{Enr* n xruram. lfrr arrt,l'rynuhh.r ar.r
<br />flfl-nr, ,hlr - ,* o.r"rnk ur rrr srt h, rh.h rh,r Fmi 6 rrBr. I !n I mr .rryk'y r, FR hdyffi
<br />qi a\ tr tElom.uhjccl n' rtr *,trkcr' ('nlp.ngnon LwtofC"liomE. anl r3N lhd rrI ihrld h.om \!t'j.rr t, rtr
<br />*o.t.r LomFnqi nn F)vr$n! oi Sdrxr l?(l) of rh. llh, (irl.. l {rll. Lnhw h umt'ly *[n rtut Fvtr{r
<br />rVAtNlN(; F. !B ro e(rc u'rter ron{f,nir[r (tmr:8c ri unh*lol lrJ rhru .u6]c(r .n mpl,ys b m'rrrol Fdls ml
<br />(trr litr\ trt, k, otr. lrtr nr.(l rl'!n,\,'nLl n!'llr\ rllrn.rxxrr. n,
<br />Sdrln 10?6.r r,E ljh CirL, !{.cc nl rnry
<br />X 4-)-)-t9
<br />L!trL!&!Ut
<br />I h.Ehy ilirm ulLr Ful, or FUry rhl I rm l*!.trl ldLr Fb$rrn ol Ch:F.t 0 (oodE-,o! *ah sarirn ?m), ol D!t!r,n .l
<br />ol rh. Burm$adl Pnr.$ionr CoJ., drl ny lr.ni. ir D fullftr( r cff.ll
<br />lQlll8!]!:uqNrE8lltdc-&cEucr
<br />I tEEhy dlirm uni.. IrMl y ol Frrur, rhi rln !: ron(Brln LilEE 4.hy fitr rh. Frli)lN.__c ol rlI *rt ld rtBh rh! Fmd 6
<br />rs!.J 1S... 11,97, (lv. C.)
<br />Irftl.rr N.ft: _
<br />lrnl.r r A&lr.(
<br />APPI ICANT T}E('I ARATION
<br />Ilrrt'!rdimuB,.rpcnr!y IFrrtrryoRo,rh.l, lo*'nt&rlllarlnl
<br />rhm,lli)n P.rm(r^rh.dos Nonlrrnon l.'l.r1l R+rllrx,ni ('l L,(). Pln6r
<br />R(trtr.(l l..rk' !n Nordir[tri
<br />_l r.d'lyrhnr th. fcd.hl r.luLron! rc3lrh! rrlEnolrco'rrlaE B, rlllxrhkD rh( PoF
<br />:.r l.aE lomiply*rirll C.y.,rl Cou.ry
<br />onlnr.res iNl Srirc Lrws R.lrrq t' hu'Lltr,t rotrnni.rtrr. rnlh.rrhyrtrr&trrc tr...1 rh^('rvrRl (irnnyk,.rl\J trti rlr
<br />rh'w mdxrhd pnrFny d trF..rnr
<br /><,ppli.{nl or p.nl SiBmlum .-e q
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Ereclion Pads
<br />UFER Ground
<br />SLAB Floor
<br />Roof Sheathinq
<br />Shear Wall
<br />Framinq
<br />lns u latio n/Energ y
<br />Drywall
<br />Ext./lnt. Lath
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif
<br />FINAL t**t?t**r16
<br />Certilicate of Occupancy
<br />Notes, Remarks, Etc
<br />t
<br />ID/SIG.
<br />D.t
<br />-
<br />('ont tor-
<br />Subf loor/VenVlnsulalion
<br />Brown Coat
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