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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNEN BUII,DER DEI-CARATION
<br />I rEEh, rfiirn unds F6sh, ot lErjury lhll I m d.nl,r rmnr th. (1rnlrsris l-irn€ Lrw fu rlE folLwirS E.$n lse 7011 5
<br />Busin.$ un Proa.rsn,n (-od.l Any Cil, or Cou.ry *nich rlquncs 0 Fmil ro $nnMl. alts- imlrot &mlnh ( rFn mn
<br />{MU,.. rrD.lo il. iore. alh EquiEr llr Eilli.rnr ftr rkh Fmi x, nb r.i8ftd (rl.r rh4 tr or nr ii lirntd puNll t
<br />ro rl! Fotsiom ol rtr c.nrrrt 3 l-i.t.r.d bs (ctutl( 9. co.mNns rilh sdi]n ?tm of oiv''bn :l ol llr BuriEr' fi
<br />Pr$f.<knr C.d., r lh.t ht d 3rE i. ct nl{ thscfrom.rd rlE t sir fo.llt .lLgtd.tcd{ihn Ant ti'Lrhn ol S.nion 701t Iby'nv
<br />lr!n' n" ! Frd \uhjdB rlE llplkonr ro ! .iril Fnilry of ml m,c thm ,l!c hundr.rl dnll(\ rs5{x))
<br />\ owEr olrrE tn,Fny, or mt.rihFs wilh *nsN s! rlxn ok.of,rrtrqrir' sill (l, rlE *6k !n tu {rErr ir hr
<br />n m ofi.En ad qk lSd.7OL. BuiB.nd P$r.i.i,N Cd.: TIE C.ddor'r Lic.- tr* dB d t pl, ro u orH of
<br />tlE Frrmy *ln tlilt ., irF)F rlElqa .ti who &F ti rrrt hinclf or h.relf d tlmlah hi r lH o*n .qi']Is.
<br />prciikn rhi Mh iqrcwnrs F d hr.i.t d d.lY.Gi ftrel lt h,w- 0E lniurq G tqnEE tsEvihhw Fr
<br />;f oq'Lrhn. tlE owffi Buitti pill h.t ltr hftrcn ol Fnvins llEl lt or rk dn ml 1l0iH or in{roE tlE FIElv ror dr FtrInr oa
<br />-1.
<br />rr o*E of rlr FltEny. rn crcturiEly ffi inS *irt lt.nBd (mt1(E ro on{M rlE ,mr.cr ISd 7044.6urlB'
<br />.,n E!€sin Co& Tn C-onrEroir La.n€ L,* (ts mr rl?ly lo M o*ffi or F!Fn, *ho b(itdr or h{'mE\ th'mn.
<br />.nd who o drrnshForGteirh.c. r&1.nr) lilned Porunl lo tlE Co rdsrLiu-Ur)
<br />I r .r. rpr ufrl(r \.rri, ,.X/uJ,r s4.<
<br />!t!r.t3rul]}
<br />I h.'.hytrlrtrnrundcl,i.tr lrrol ntrJU'yotrrol rhc n,lL)trr,8tl..lrrrn \
<br />-l
<br />h.E ud will minr.in r C.nifE.rc of CoE , to s.lf.lNuE lm Nks orFnsrion. ai FDriLd fo, i, sab' tTlxl or rlE
<br />bb( (tnc. fc rlE Ff(ffi of tlr eqt fq $ttih rlE Fni i i.tun
<br />-l
<br />h.E ,nd sill mintrin worl.R omF.rtthn intutrrc.. r! EnniEn h, Sario,l7{x, orllE L!ho. Co<L.lor rh. Ff()mN' of
<br />th. *orl l.(lr vhich lhi3 Fmir i! n{.rl My mrkdr Nnt isrion in{dmc cMici dld lrlf,y trum$.r ec:
<br />P.n { Numh.r Erfm.
<br />-
<br />!&,ry,h", i",h" F,r.' r. or rh. *o,k rnr *hth rhn txrnir n irru.d. I ihrll mr .nplov Mv FMn ir lnv .mw
<br />-;a ro hnr Nbr< h llr ed.r frtfEtro s. Lwr of Ctlifmi.. rd {d rh, if I +5uld bdoe qbj.d lo trE
<br />hrtd oqt nn F irisorsdhr lrooof llE t lirC.&.I filL f{nn*hnoq'1, rnhrLE F.vilbN
<br />WARNINC i.ituE r" <m rdtcF' Nititrr.li,n 6vn!c ir unLstuL !n sh.ll {biir s .ithF ro di'iMt Frti! 'd.ivil firur !p ro oE rrundr.d rholDrd dnl6 (tlm,flnr. in .ddaris h rlE or of <'.!Enslion. &tr rs. r Flvn d rot rlE
<br />Sc.ri'n, ll)7l,olihr_1.ft , (,'(1.. nr.r.i rn,l rn,nNr'\ lr.\
<br />+4/xlq N,\6&
<br />IEIIJf,AITO!
<br />I lrEhy.mrmu.dd FcMhyorFrjury rhlr I .h licntn unds F)rnnltr.f(l'oPr( 9 (connErcin3 oirh sdlion ?([x,rorDivnhn l
<br />ol th.ll \imrr ard thrfc$ionr C{tc. !r*l ny li..n* n h fullforennlclLtl
<br />7a
<br />coNsTtu(-r(rN I r\nr (: r(:ENcr
<br />I lEEhy .lrm urds Fhrny of lErpry lh, rlE ir r sn{Mbn Lndins l3.ny lor thc F illrrl.N ol llI srt f6r *h'h rhn Fni ir
<br />kr*n (sc. 1097. civ c ,
<br />I.ndn iN.tr:-
<br />AIEUL)TNLDEIIJIAIIA!
<br />I k y lnim under pcnrlry of F.rjury onc of rh. r.ll.winr d(lo6ri.nr:
<br />D.d,hl!. Pcrnir'ArtE{oi Norifmrhn L.Lnl Rcrullli,^r (Titk.l{). Prn6r
<br />_R<!uir.rl trns of tldifrrif
<br />f-\-l r.n it rhli rrr t.ds rl r.3!hrion! Elt rns trh{ur (m * !l D. nur +PrEshk tr rhN lnrFd
<br />B6EJrf.gi'rv ihrr I h.E E.d rhl! rs,lrrrnn.d qrrc rh.t rtE shft inft,rmrirn t comd I r!ft lo ornlv * irh .ll Cn, rnd Counlv
<br />ord'rNr r,n Sdc us EbtrE ro lnrldra conshrlh( !,n hcby ll,hrn! EF.d.rrs of rhn Ci'v !n Counlv ld "rd i4nn rlE
<br />,,('V' 'l tJ
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />UFER Ground c
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Shealhinq
<br />Shear Wall
<br />Framinq
<br />lnsulation/Enerqy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report (
<br />Flood Zone Certif
<br />FINAL il/tzl/4 bLntoL +trl
<br />Certiticate ol Occupancy
<br />Nqtes,r Remarks, Etc
<br />lt l'>c c*L -bII I kcnq Nunrtlr
<br />!l$\c nrn,i,m'd lln'Fn, f.tr rnsFfliinruF(\ r f
<br />^--:,ffi:;#H-i;\.Eri\''q,.-u--*,ffi $lqvrK- n1o\^q\ts
<br />Erection Pads
<br />.-s-7
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