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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNEB AUILDET DELCARATION
<br />I l*rcb, .ifrm unlcr Furry or Frrury rh, I e crc,lrr ton rh. Cu rt'oN Latnt L.w rot rh. n,l!!wor Ed$n (S.r.70ll 5
<br />BuruE$ rn Pmtnirn CirL): An, Cny or C-,{dy qh.h r.qu6 . Fnr ro drrer .16, urlnk. d.mil.h o. rF( rry
<br />sturm. Fn r. ns is.u!mc. .lso E1riF. rhc dff uor nr such Fmr k' liL. rilml sl.rcft.r rh.r ll or llE n li.oGl $B.n
<br />lo rh. Frvsbnt oa dE Connrk*\ l-(nGl tlv (Cls|t{d 9, CoMEbs *nn SdiM nm or Drvis$n I or rh. BxnEs rid
<br />Ptut.s,onrC( c)orrhlth.orsh.rcr.n{ th.rclrom rol rlE h!s! r,r rh. dk8.d.kn{rr'n
<br />^lry
<br />vhlllin of 5<1r'n 70.t LJ by ry
<br />inrlt.nr i,, . Fmr bF{is rrE n lo.t k, . .,ul p.Mlly 6l n{ mE rh.n nv. hu r.d .loudr (iilr)
<br />_1. ls ovEr or rlr Forf,ny. u 6y .trplolrc * h *+6 6 rtEr $k (onFnsrron, ku do tlE *dt ltl rtE iuim !i nor
<br />ur.nldl or onarcd ttr qk (Sa.rol4. Boiits !d PnnasNff c.!.,.: Th. (lrnlartr ! li@ bu Jrxr d rnt'ly h x.w.r
<br />rh. F{dy rh' brll! d rFrB rtsE4 ul ,ho JtE tuh k'lt hmrll or h.ftll ot rrE rti hN d h.r own.Eployftr,
<br />pmvictl rh{ sorh qn vfur e n{ i!.nlal d{lllEl tr eL li h,*x. 0t tairlre or rtnEEd u old vdr,ft rtt
<br />ol c,q'Ltrh, E OpE Bultls *tI t E llr lmjo olliovlB Lh.r lE M.hc drl ml tuld or mpNrc tlE I'nIEl, fr rlE FrF,r ol
<br />-1.
<br />s oEr ot rlE rroFnr. m .ktu&I, codturrS srh lEE n .!'drars b .rNM rlE F)Fr (Sc ?o41, Aurs
<br />.d h'6i6 CixL i Ih. Conhcu'r l-,..n!. Lr* d(q nol qDly 16 d oear of troFn y *tir buildr or hltrokr ln.6G
<br />r l wh onrtur tu !(n Fbi.ri! wnh . Cotutn, lr.trGl l[.un lo E Co'rr-{q r tr.r L,*)
<br />Irmc\cmpru.rSe..r
<br />raxtrlat!:0uEN.ta.u!,la
<br />DECI.AAAUAT
<br />Ihcrchya,ltrmtrnJ.r ttnalry I lxryury.ne.l rhc n,li,*n! Jc(lar.ron\:
<br />-t
<br />hrvc lil *rll mml.m r Ccniturl. ol Conscnr k' S.lalBorc hr fttkdr (on{EnsrDn. a F tiLil lor h, S.{r.n .I7(tr of rlE
<br />d';;
<br />rd lh. Frfl'lmN. or lh. m n{ *hrh rh. Ftur L\ asu.rl
<br />wrl, mri.r w rtcR cotr{Enq RqtFJ hy Sdlbn l?Ur of llE Lihor Gd.. (r rh. JxrtomEkc oI
<br />."-fi ?
<br />is ir$61 My vortri !r,r{$erbn osurrL. cdfi.,ri F'hy nuDrE a
<br />E)t Q"n /'Co
<br />Tbooors: r>1 &,(
<br />_l(nilyrhrrhrlEp.,lnrDB.olrlr*orltuvhrhrh6Fm!!!18J.Inrlmrnr{lh,,FNr.i.lnym.ffi
<br />$ .s b lE(sr subFr tu rh. wDrrdc LImFns on l.B of Cihnm4 s,n rsm rhsr lf I rlx,u! iE .nE subFl b llE
<br />krrkr (,,r{rturlrn pBvlrrns ol SelFn .l?00 ol r,l L.tr, Co,l, I rI l. r(rlh*nh o'ryly r{t rh.- FDsn,B
<br />* tNrN(; Fdurc b Bu yrt.n .ont E t$n .1rvcn8. rs lnlrllul. .nd shtu ruhFr u .rr{ oyo ro (mi l tshir drl
<br />utk,n, d.tu8.\ .r lnovrlcd n{ rhc
<br />I h.r.6y .nrn unLr Fnrly ol Fr!r, rt r I d lrtrcl unL. FDhrhn ol Ch.Fl6 e (emnEfrrrr rnh Sdbn ?m0) or D,vrhn .!
<br />Dl rhc Bushc$ cd Prrf. ionr Cirlc. rrl ny li.N i! r tull lotN .In dELl
<br />k-?a.r.r 5l s t*.c
<br />CONSTRUCTION Lf,]tDING AGF'ICY
<br />I tEftt, !rf,n urld FnntyolFrJUrylh.l llEE L\..nn.rturDn l,rlDs r!.^-y r lh. FsinmN. ()lih. k't n,*tuhrn(lson !
<br />rru.d (Sce. .10e7, C'v C ).
<br />AIIITCANLDECIAf,AIjON
<br />I lrra, .fm uBkr Fn.X, ol Frjury oE .f rlE nrbsD8 ,lRhrrr ('nrl
<br />D.frnlknr P.rnik-AitErkx N(rilirttun tq].r.I R.alLri,.r lTnL 4{r. Ps6)
<br />R.qtrtr.d l.rrer Dlfiiiliuk,,
<br />I (dili rhnr ilE t.J.rn r.stlzrirB tldms.tlEnos rcmtvrl e B{ {rli..bl t' rhr t,.Fr
<br />_l .dily 'h, I lEx rc, rhir .prlx.ron .d nr. tur Dr Dromrir r(nar l.3r(1.,(,ry,|,w htll C yri.l C.trhry
<br />ord'ne,r.s rnJ Sorclrwsr[t,ry b bur
<br />ltr,vc tunrxrftJ pnrFny ftr inrF!rD
<br />.uho.u. RF*nrrrivd oflhs Citr.!rl Counltlo. (uFrllE
<br />Applioni or A!.nl SitEluF
<br />l-!-
<br />lo-(.-LD
<br />Set Backs
<br />Formsi Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsulation I
<br />Roof Sheathing /Ll q/tu2/n ,r*ut
<br />Shear Wall
<br />Framino
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />lr/ason ry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Depuly Final Report
<br />Enqineer Final Report
<br />Flood Zone Certil.
<br />I
<br />FINAL //tt, /*2,/ rY,v4/)
<br />Certificate of OccupanCy
<br />Notes, Remarks, Etc
<br />(pil nBs uI lo oE n!d,.J rl$uqd JollE tilm.(rD), n
<br />sNrNn J0?6 of lh. llhtronc, trl.rn mJ arhmy s L.r
<br />D"" tvG-L)
<br />f6fir"a_ D
<br />I
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