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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNER BUII,DEI' DELCARATloN
<br />I lrrcb rrtnm uLlcr l.EIry,,4 Frprl rh.r I 6 .r.n$ rn,s rrE C.d[d6 li.trr L.* lor llr lolkrwin8 E.rD (S.( 70.!l 5
<br />Bxnnc\\ ,11 Pn,lisK,n Cdl.) Any Ctry or Counly vhf,h rcquF . F md n, d,nrrtucr. .116. $ttdt. tLBrsh dr EFr dy
<br />sterur.. Fitr r,r rir tanc, ltv' r.1|uF. ilE qid(Di ta .kh Fmr tr ,ik r n8*d i.rcE.l lh.l h. or dE n lcctrE j lu{inl
<br />r) rh. Itrovrtr)n! ol rtE Conua.trt L(cn$d trw (Ch.prd 9, C.nmBt,l3 s h Sallh lD(D d fJrr[n ] oI rh. Bulrs ."d
<br />Pnn$rnni cdlr or th.r lr r \rr s .r.B9t rhqcfnn. ..rl rlx ha$ 1,, rh. dk!.tl .r.n!ilnm. Any vr rl,on l Srdi,n ?o:ll5 hyuny
<br />rFrlr(.nr (tr. Frmn $hFaB rh. .rplE.nr r,)..rvrln Mlry iB)r mn. rllrn,ir. huft]t.J dolltis (!llt)).
<br />_1, r! u9ft. ol rlr F Fny. (, sy .nplor.! prh v.3.r .r rlEr $L .rmFMrD( s[ do r,l wrl {rt rh. tur@ t d
<br />d.nLJ oroffcrcJ rd $L (Se,04,4.0ushcs and lbfcs!'nr Cqlc T1* Conrtldr'3li.nr l)B.tB mr {pl, k' o*Er.r
<br />rh. Ffrny *lr)l l,! r utnrE tidcn.nl rh, J'n uh k{t h,tu.for lEellor thNugh hE,r lE osn.r{|hyc6,
<br />pDvnlcd thrr such mF)EB i E o, hrcuLU.rotlcBl ntr rb l( h,EF, th. t ,!83 r ntEEld E g{l *.hr in Fr
<br />olo{r?krbtr t}. ()*Er aulltd wdl hlE Ur lulo olFovi4 thd lr r slE drl ni tliLl or iqn'€ 0E lrqEly lbr rh. $[Ir'r ol
<br />1. .r .*Br of rh. Fl,'criy. rm c&lu{kly corlll&lmS wnh lr.nyJ .o rrd(n kr onntul rll Frr[l (Sa 70,1t. Itu:iftn
<br />Nrl h'liaqr C(xlc: Thc Ci,ntudr'r l-(c.xc l-aw J*s n ltfly r, .n ovrcr ol lln)Fny *lt, hurU. or rmlhEr rh.rd'n.
<br />.nd wh, dn krr tf, rah ImFk *irh. (1,r Bbnn li..rFJ pununr t, rh. conrftu,. Ii.hi bw)
<br />_l hlvc rnl wrll roinrrr r Ccnficrl. of Conscnt l,r Sclllnsurc Ltr *,f,lsr lr'qxnqiirn, r lruvrkd tlr by Sdri,n :t7(xl .r tlE
<br />trtrtr CdL. td rh. Fftf,nBc of llr H,t lii *hrh rh. Fmr !r stu.J
<br />I h.tt .'rl *rll nlinr. r *orl$r .om0.n\.lion nrtrr,'(.. rs r.qdiRJ liy Sr( I (,h 17() ot rh. hh.r Oljc, n, lhc pcnonufr. nr
<br />th. $o litr *hrh lhr Fmr !r Effn My *orlse comFrernn m!hE... (arrr lrl Phy numh.r e:.rp
<br />,,,",,',,,,,,.,', 2 z z fi 1 1,t,,,', 6-/'U
<br />_l.cnny rhar nrh. p.rlornutu. ol rh. w! rk l,n *hBh rhr\ lrirni n !\'c,l.llhdllnot cmlL,ysny Frnn na yn..tur
<br />q' i\ b h.!-r \uhF_r r' th. k'rls\ $mlrnerx,n L*. ol C:l omu. rnl :!r( rtur
<br />'r
<br />I rhrull th tm suhFl I' rlr
<br />wrkd! roq^..nsrr.tr In)vrions or s.oon 1700{r rh.lih, Gic.l \htrll. n,nhanhd'mply
<br />M .mnli}tr k' onuPl IEMII
<br />nsrn,n, d.da.s .r |'ovndk\i rhn^r'rl J.ll,{\ rllrrr.lrxrr. '
<br />I hrEby .llirm lndcr IEMlly ol IErlUry lhlr I !flr trnJ.rI,o!ni,ni.lCh,,|n.rI((o trrf,tr(tr,! *nhS(ri r TlliXr) .1 I\vNr{r I
<br />or th. 8u\r( .ft] I1oac(r'B C,rh. r nylr.nsxbt llhft.trl.fidi
<br />4 a2.5-3 (3
<br />Ih.nhyrrtimu.,I.nlr,olncrlrrrrhrrrhctui\:$n{turlnknd0r8N!.ByrdIh.JEni'rmBcofrh.*orknnwhtrhrhNFmr!
<br />Nsu.n (Sc. $o7. Cr. C )L. .r'r Nltr. _
<br />AIILISANI.IIE4EAI,I9!
<br />I lrrtiy lllm lnlcr Fn.[ y Dl rr.Nry .r ot lh. ftnhwh* J.{L{rlnrl:
<br />DcnxrirIn Pcrnrir+A\trno\ Nor,i(rron,jcJ.ral R.3ulxr (,ns ('I''rL,fi ), Pe6)
<br />-R.quirJ
<br />Irtr.rolN{ iarrr
<br />_l .rd,ry rhrr rh. L&r.l r.8uhrh,N E3!rdin8 .rtEs!,t rcB'v.l c. B, rnd.rr* b rh! nn'Fi
<br />-lllnny
<br />thx I Mr Eal fi! r&Ir...lrrn rh*c rn{nEh)n tr(r(r l,3r(b.o,q'ly* hdlC tJ Counr,
<br />dnlMn!$ in! Srdrc Uvs ELlms n, hur .ll h.d)y !!rl$@ FFldria of lnn C,r, .,n Counr, ro 016 uttr rl!\.h,vc mnrnral pn{Eny f{{ NF!
<br />,1ltrli.rnr or Ar.Dr Sirnr
<br />a,L-r,)
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsu lation rl
<br />Roof Sheathing 4 {7t DA*T
<br />Shear Wall
<br />Framinq
<br />lnsu lation/Enerqy
<br />Drywall
<br />Brown Coal
<br />Masonry
<br />Pool Fence
<br />Handicap Req
<br />Deputy Final Report
<br />Enoineer Final Report
<br />Flood Zone Cenif .
<br />I I
<br />FINAL .|t,1-l w*x/
<br />Certiticate ol Occupancy
<br />Notes, Remarks, Etc
<br />-l
<br />.m .rcnpr lnlq Serion-. B & P C ,M rhB rc&"r
<br />wouREs' conlPF{saTl(!N
<br />DECTASAEq!
<br />I lrr.t'y rll ir6 un.lcr JEnrlty nl Fjury orc {i lh. nnl,wi!3 &.|r,runa:
<br />,n" Z'?- 2/
<br />Ext./lnt. Lath
<br />T-Bar
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