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BUILDING- INSPECTOR BECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
<br />I hcr.hy rrrm unJ.r lEMlry ,'t Fryury rhlr I rn d.n, h,m !h. G'ntrt'a l-..n* I:* ntr rtE nnl'vin8 r.sr {S€.?oJl.t
<br />aurr.s r Prcf.rsion Cd.): Any Cn, or O{niy *hx[ Equftr . Itmd ro (.ndur, .h.r. nqrot. d.tNlish or EFn oy
<br />trtucrrE. Frr kJ iri Nue!, rlv, rquft3 rtr {d.er ntr ru.h Fml b lilc. r'sEn n.kmnl lh, lr or slr 6 lirrcd !u$.nl
<br />hth.FbrsxrBoirlECotrrrk"'sL..nFJLrwlCtu.r9,Conmh,i8wllN(ri'nru[olDivisi,r]ofltEBurirs.nd
<br />Pn'rc$$ns Cul) n ltut h. d rlE n dcq'r rhdcton rn rh hdB ri, rh. rllq..l .r.f,q{rn Atry vrLrM of SdrE. 70.} I 5 by y
<br />rfi'lE.nr ft, r ,Etu br.Ek itE rmlkd b . .rvrl Frhy of dn dE rhr. arv. nun .rt & l&. (l5m).
<br />-t.
<br />.! otu otrl* p.DFnr,6 or.rploFr vnh erlt a llE !tr$npcB.lu,,iI&Ittk,t.,ndEtuE6d
<br />idorrol q o6otJ d qk ( Sa tu4a, BBB! .ll Pnlf6rhN Cirl.: Tlr Codarq r LlB lrq .t- d .ptly b r orEr of
<br />rlE FrtEry *lrl txr!! q il+.o6 ilEt \lnl wlbtlBtuhk thlelf d h.rtlfq rhrE h hn u is om.'rIllot6.
<br />FDvrlal thr sn iq.Dwdt e r* i,i.rio, qdtci tr EL lr.h'ffi.tlthlrliBdlqn)Errd!$!Pinbmra
<br />ol dEpLra tlE OvE Bu![, *Jl h.F rlE h,.Ln ot Fowr llEl lE ir tE llll ml tld r lqFt dE FsF , rn uE F,IE ot
<br />-1,
<br />s ow or rh. Fotdy. m .r.lu'Ely .odr&r,s v'rt l$nEJ .od,si6 ri' Nnrfrr rh. FFr (Se. ?oa{, BulB
<br />rLl PDks C*l: Tlr Conrr-roa r Lrcne Llw &E mr rttl, k, rn oeB or FoFn y vho bu'!t d 6lroE! rlE4
<br />8rl *h sddtls uh FUFB uh. coddtllr lit*n rrrtui{ k tlEGrrard r llrM L.s).
<br />_l rm.r.mF u .r Sel
<br />Drt.
<br />-
<br />woR(rffi
<br />tlEctdBArja!
<br />I h.r.by.rtrm utuler lcnrlly of n<lury om olrh.l,,lli'*u3 J\_hdrIn\
<br />gft* - *r, **o.. ."d,,krr.,,r c trcn, r, sclr:rtr\u,. r,r r.,1.3 $qi..rir(,n. d F,vd.d tu hy sdrir l?(ir oI rtE
<br />ti!n c,{. ntr rh. Frlomhc I'hctr,. nr*hrh'trFlm ^tr\.,rJ
<br />!f*" "r.r,*.ot,o e .omp(ns{rx,n ,nr!ruirc. {s
<br />th. *or[ nlr*hichrhN psn ,s assd My work$s 1>-
<br />rceuu.d by Sc(ton lT0OoIrh. Ilhor Cod., tur rh. Ixdnmtu. Dt
<br />k,n h\ur.nccQEE ml F'lty Nf,h.r d.:
<br />FtP //a 2ozL
<br />_l ccnili rhlr u rtts Frto,mk! of rh. wrl l(trvhrh lhr p.rB n !:t..l.l lhrll nor .nfk', ..y Fhon in.nymnrr
<br />g, .s ro tEdtr subj.rr ro rh. m 6 .rftrEn{xoo bei oaonn,ru, .d 4R rh.' f I tlr)utl b..om slhF o r&
<br />k qi Lrnlltderion |,swioB dr srrri. ]7fi) or rh. Lhtr (irl., I rldl tunh, h (,r{iy wdh !h,r FoYBnri
<br />waRNlNc: Falur. ro *m *utcB .otr{Enqrn'n ..Entc ri tnlr*rxl, nrl .hrll .ubFt D 6lPhy.r to uininl FDhis.nl
<br />c0il fFs !n
<br />'o
<br />oE hunJnrl rhurrJ &,lL^ rtxrr.(nlr. In rUr'FflV
<br />'rE
<br />on ol N,tllNlion, J.drc! r' Fo"r.,l for rltl/ .'2,,*#
<br />I lEEby .fim llts FuIy ol Fiu.y Or I o l,rnEl urld Imvs,n ol C-lqrd e GlllGF(8 di SdiJ. 7flD) or DNBb. J
<br />of [E AulGs rn Pbldsa Cur.. nn sy h.E t r 6lll loN !n .64r.
<br />vfr 5s- z?
<br />2 S I ,r, 4ru, /r,J4gt,t'ct'
<br />colslBlguqNtlNDtlli-atisMa
<br />I trrby .nm u .r Fndry or Fjury rhd trEr. ! . .rNrdrrr Ltlos tsd, for rtr F.rtllnr. .r rlE wrt lor rhi.h thi{ Frlr i,!
<br />rru.J (Sd. .]04?, Civ. C.).
<br />AITLICANLI}EII.AEAI,P!
<br />I lld'y,llid on lcr p.n3lry ol F jury onc ol rh. nllLlwins !.!lurrrn'n\:
<br />rxmrlnk)n PcrmrllAsl,cnos Noxliclrtrr [.']crrl Rclultrrtr)nr (l lc dl), P!n6)
<br />?Acuum.r rrtrd or Norru,un-T
<br />ZIrd rrh{ th. rdcr.l rcrular,trr Errn][s rh(notr.tunrle nd rmlr.hk r,rhR FUrrI.
<br />knrry,r,, r r',"" .",r ,r,,\ afirrr rr( s,rr{I.r rc rntrmlln tr.oK-r I rsd ro $ndy q,th.ll C(y antl Coutrty
<br />.rd&Rcs,Rl Sr!r.li*i rclrD3 h
<br />.hok mnri,rcJ pDFn, kn msFl
<br />,r.Eri.{nr.xt..ulrhFC ydCDunrtt,c.rdl|DnrtF
<br />,\pplictrtrr or AE.nr Skerur
<br />tc -l\bt
<br />I
<br />I
<br />z/s/z t
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framino
<br />lnsulation/Energy
<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 />Enqineer Final Report
<br />Flood Zone Certif .
<br />FINAL z{12/ -I Fz<-r,re vV
<br />Certilicate of Occu nc
<br />Notes, Remarks, Etc
<br />7^-s )
<br />I
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