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BUILDING. INSPECTOR RECOBD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNI:R BUILDEI( DEL('ARATION
<br />I lochy al,lrm unl.i F.tulry ol p.rjury rhjl I af, c(mfl !n)n lh. Conlracnna trrns Li* ror rh. n,&,*in9 rcrv r ls9(.?0.11.5
<br />Bu{nc\s . Pnr.son Crirc, tuy Crry o. (iunry *hih rcqurF r trrnr! t, nr!tut. !hd. mltln'v., &nn$h.r E'.tr .ny
<br />iruLtrk. rrtrro rls r\$.trcc, !lN) rcquEr rhc,!drd nn lu.h Frmir 1,,I'lc ! sisn(d tur.ftnt rhrrltoi sh. r lMnFd Purudl
<br />b rh. ,n yrvons ol ilE Cirrr (n s l-r.rrJ lr* (Chanrs t Commr$8 w h SRrnn ,{XD ol Orvilrr I ii rh. Bu$rcss uJ
<br />rrncs!,m CoJ.)orrlli lE rh.L\crc'nlrth.r.rio'ndtulrkbasintrlhcullcscdcx.nlinnr.Anyvrn{.nolSclrrt.70.r15hyrny
<br />.fi'l(r ln!rlErn srh,.(h rh. !,Dlunr (, . {vil ,tnrlry ol nor m,. rhln I trr huDlr.d d lrrrs r SslDr.
<br />_1. !s opNr ol rhc FUtFny. u ny .nDby(\ wnh rracs nr rh.tr $k (on't.nsl iD D [lll llE *(ik rn rlt nslE a .r'r
<br />d. ldl oroh.&l f'' slr rS(. 71144. Unsk$nnd Pn,lAsi,ns C,{c: 1hc ({,nrncrtr \ Lun$ li* d,*s nor.fl,ly k,.n.*ncro,
<br />I h. n 'Eny wh tn'ill or rlt{mvc\ rlf,dnr r{ wh) ,f,\ nlh rorl hidrcll or h.rqlt ot Ihn,ulh hN or hcr nqn .mtl(!ycc\.
<br />pn'viLd rhlr turh mtn,kmnh e rn Drdrt rt or olroln rtr eL l,, hrftEr. rhc tu,!trl3 r rFEmnr r vi! wnlu oN ]sd
<br />nl.l)rykri'n, rlr Orndr tlurld.r *dlhrh rtE hur&nolnovr! rhd h nr rlr dil r)l hltl 'tr trIh)vc rlr rn,IEny tu rhe prlr,Eol
<br />I )\o*Nrol rh n !'p.ny. !tr,.r.n^^!l)(otui.lur8 w h lrn{'l Lonr,.kn n, .onnorr rlr FoA r rS( ?{)14, Au{k\s
<br />rnJ hns\rD C,xl. -fh. Conrlrn, s l- '.cntc l.rw J, r\ nor +tly !, an oqncr ol ,lr'rF(y ph. hu r l'ls r nnr)v.: rh.!..n.
<br />,urd sh' n{rrrlrtur\(hO }{h wrrh r C.Dlfudon n lrca*J puriu rL,rI[C,mt ,tr'\I-(cn:-tr*)
<br />_l !nc(nrfl rldcr S.cron_. B. & P.C lrrrhrrctr{nr
<br />SI,B.XUE:(!l!rEE!lATAN
<br />D}:CIIXAIIAT
<br />I hcr.nt ritrn,trn(lerF..nilryil lxrruryoneol rlk Lll,,w i! l.chrnntrtr
<br />_l hlvc r'rl will Nrn Ih{Ccnricrrcol C.n$nrn) Sclt:lnsui. nlr worlc .nnrFn\ul(,n, nn'trJcrl tu hyScur]n lT0Ooflhc
<br />llhtr Ccl., ,nr |nc Frf!,mtu. ol rh. u|* ntr whf,h rh. Ismn R ssu.d
<br />I hart.,rj wIlna,nr.r worl.rr cnDlEn\ari rnsurnn... s{ rqtli.tl h} S(rn'n .r7([ ol rh( Lrht CoJ., ld rh. n nrek. of
<br />rlE Rod( n, wh(n
<br />'hs I'(nrn !\ drrn My *)rt.o onrFnsarB'n m\rhn.. rnnFr r,n rrrry .ndb.r c:
<br />Itl[y Nrn \.r:_&tNr:
<br />-
<br />_l(n,lytnarinrltp.n,rrukcolrh.*ort11,*hirhrh'\J,crn,\NnkJ,l\hrll cmtlryanyncrvu hrnymtrrr
<br />!r .snr b..otr suh}cr !' rhc wi,rkai ('mp.n\d!'n ln*s.l C.alnor.lx,,nn r3m rhrr ,l dxllld b.otr ruhr(t l,' tlr
<br />worl.n $n,rED\ur!,n !,n,vBioDs olSc.rnn lTurorrlx Ltrh, cdlc, ! shrll hnlu(h (omfly *rrh rh's Frvnii,n
<br />WARNIN(; I llur. io s-m *orld(.on{xnsarilr d,v.rr!. r nnld*tuI. nLl rh.ll \uhF-r.n oployr, h qohrl Fdia,,rl
<br />Livil iocr trn r, otu httrJrnl rhousaiJ Jollrh ($l(xl,ftU). trr aldnDn I', rhc lon ol..mncnsuri,t. 'lanhlc\ nr nn,v'Jcd tur rh.
<br />S..r(r.1076ol rh. llhtr Ciilr. i, rt{ rnJ lnonry'rler
<br />D.L:-
<br />^Dlllot:-LIL'FNffi
<br />DE{:I"AEAIAN
<br />I lrrh, rrlifh utrrto Frlry of Fqury rhnt I .n lkrn*rl uLkr Frvtan ol ChrFs I (oMh-''n! w'rh SR-.|M nxl)) d DNisi\n l
<br />.l lh. Busm* dnd h)lcsionrCodc, r*l6y li..ns ( in tull ntrcc 3ll.flccr.
<br />caNtlalcDlrxl.ENllllcia[xq
<br />I hcEny dltr unJ.. rEnrlr,oltr ]tryrnd rhdc tr, on{fl(rx,.lLlns 4cRy litr rh. Ftlorroh-'..lrh. *sr* itr vh.h rhir Fm a
<br />'x\ucdrScL
<br />i09r, Civ. C.)
<br />lrBl.t\N.m:
<br />-
<br />Lrn&rr AJdrcs:
<br />-
<br />AIELTCAILDI!:IAEAIIII!
<br />I ns$y,Iim rndcr rcnrlry otprrjry nnc orlhc n)ltrwm3 d.rl.r.lk)ns:
<br />D.fr n(iD P.rn(!AsIr{o. N rlf,arn)n F&l.ral R.prbrn'hr (f Il(.t{l, l'rn6)
<br />-R.qu
<br />(,1 hn.r ol Ndifx?rkr
<br />_lr.n,l!rtur rh l(Jdilrclrrl r rrrSdJrF,rh({o\drr'ul{.trorimlkrhlcn,rhaflorcrr
<br />_l l(nrf rhlrI h{rc oJ rhisrmli!,tonanrirr.rhll rrh,vc mnmunutr i\rom(r.Iuar< nr.o'hfly wirlr dl ciryrntl counit
<br />on!tutu.s and Srarc lj$ rclxns t' bu lms.onsruxon..d lrttydrh,u. rcFcr.r.l tr'6 .r lhN (iry,'tj Connl,io.nrct rlr,n rli
<br />nh,vc nFnror!..1 p(,I'cny ll, insF.rnnN$,*s
<br />ADDli.xtrl or A!.nt SlsmllE:- lhle-
<br />P.mlrr m,'.rprt r
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Rool Sheathinq
<br />Shear Wall
<br />Framino
<br />lnsulation/Eneroy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />It/asonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Enqineer Final Beport
<br />Flood Zone Certif
<br />FINAL /oed'ut k A "sn tta.$,*,2,
<br />Certiticate of Occupancy
<br />Notes, Remarks, Etc.
<br />a a
<br />,2 -z- -tt - 20 Z.-a .3/vEAo -S*'z=/r4r{- 5./Y!Q &tau' , L' ' -
<br />DeL,-
<br />Set Backs I
<br />I
<br />Subf loor/VenVlnsulation
<br />I
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