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BUILDING. INSPECTOR RECORD
<br />SITE.WOBK ID/SIG.COMMENTS OWNSR AUILDET DEI-CATAIION
<br />I tftb, d'n uDlct Fn ry or Fjury rhd I m .!q{ rmm llE CirrrsrrB lrrB L.* aor rlr ftn},*!A r+.r,n (S.{ J I t
<br />$u$rc$ .d Prolc$i,n CGb): Ary C'ry r{ c(r , ,hich rqrEr r Fnd kr (rtutur, .x6, ,n{r.E, &mlsh or rF{ r,
<br />sN.Nrc, Frtr to ,r! $u{ncc. rlso rcqurc! rh. cpplE.nr |nr !u.h Fmr (' iL t risril s'r'.trn! rhrl lE o. 3h. n lic.ns.t lum l
<br />b rlr FovarB or rtr Co.Lrkr'r Lmn.J u* (ChrFd e, CollwEr8 srh Selrn 7ll)o or Drer{n I of tll Butrs .rn
<br />Pn".sxnr CGic) tr rh.t lE rr .lr is .r.qx rhd.tt'm .nj rh. 6rB nn 'lI rllcs.i .kr{rin Any q'Lris ot F_rDn 70-rl.i byq
<br />rtPli.$r tur. Itmt lunFl} ttE !!FlE!nl roi.rtilp.,alty.lnot nmthrn fivc hunL[ql Linlles (t50l
<br />_[ .r ogd of rlr FoFny. q 6r.rphF! w{h srF r E! oL Nf,Ic.NrM. *i[ d, tlE Et.d tE rtulE ir rEr
<br />,ncatdl or oficr.J rM !k (Sd.70a4. Buses.mt PNf6shN ctn : TIE ConE&kli LatM l,e &E tui {rlr ro e owr or
<br />rlE FlFny *n, hitt or i.irers tlEdll! lrl sh' JrE tuh sllt himr.ll or lErsli or tthrugh hir or lE oM cnFloy.c!.
<br />J'mvrle, rhr' ruh drFD@ ,cD'nrll oiEcl t .L.lf,hre.rrrlolllr4d dltmrd i.$rlwrh,d F{
<br />oI lrnil|Lli!! r& Owd Buttld *i[ h.E tlE hriLn ol Fov!tr Ul. lt r rh Jn r* lnlti d trtnE tlr tFFt rr tlr F FEoI
<br />l. .{ ourr ot rrE F{dy, m .rclu$ly odr&rry *'rh lrsr.r, .a' 1116 io imne[rE FrFl lse. n]4.1, Bush.
<br />.al E *rn Cilc Tn. Co r.r!tr s Lrcnr Lrl J€r ft)l .noly b u owE of nn,Fny rhd buId, ot in tntv.r rhcctn,
<br />lnd who $nr&k ld lurli lrojels,nh r G,.rEdon, h.ns.d pursurtrl lo lhc Conlndff t Ltuns Lru)
<br />_l rn .rcnF u .r Sdrr
<br />lg8f,E8S-CCUENtATqN
<br />DESAAATq!
<br />I hcrchy .lfrm unds !.rolly o, N,jury .rc o, rh. ,tllo*in8 'jaldarnrn!:
<br />_l hrw.,n urU n, e. C.nf.trc of C6Mnr lo S.U-ldruE tx ext6 drqEeri'n, [ ,bvrhl rd by Sdrn ]nn or rlE
<br />L.h, C.rj., t tr lh. rEno1 Br ol rlE uri litr vh.l' rlE l.rdi ! i$ucJ
<br />_l h:k 0l w,ll m,nrrm *ortrd or{).Niin nuntu.. I rquftJ hy S&rr'. ]nr ol E llhor clrL. for lE Ff(m---. ol
<br />rrr krt ,{, *nrh lhr Frnn r !!&1. M, wst6 NnFMrbn xsrrB! 6s .,n lDlry nu,$.r E:
<br />l\rlryNumhcr
<br />-ErPcr:
<br />-
<br />_l .drl, thrr in tlE FrformLr ot rlE work for whii lhu JEml| I i.ran, I rh.! n .rq ry r., Far in n, mE
<br />$ ro h.t-m $hFr lo rlr q{i6'.!r{E6.rir L,s ofc.lti,tu..d lsr rh'r t, I rh ! harrm obF ir,rlE
<br />unk.s rrhp.n{ron povi\NN of Sdri,n l7(lo 01 rlE Lru C{rt., I shrll. rdhpnh .lrFly wnh rhos pmvti,flr.
<br />WARNING: FrihE k, scm strIcF .on+cnqri,n udv.hSc is uLvtul. ud rldl sunFl u cm0!,r.r lo dihin l ltullB alrl
<br />(Ml rmr up id or hurlrqj rhusri d LB l3lm,llDr. h rllnhn b th. (li oa.rqEnrron, (]Id!c! ! Fohlal ft, th.
<br />Sd'bn .{,rt of dE trh* Gi.. hl.Br lrl dlomy r fc.
<br />D.r.:- Appliol:-LICENSffi
<br />DEqIEAIIq!Ih.rbyltrtmtr Gr l.nrli, ol F juryrhd I rn lic.netl un.r now6n oICh.Pls 9 (.onmEitr3 *ilh Sslidn 70OO) of D ni]trl
<br />ol rlr Bus,Gr.rr PtufBbtr Cdk. rn my Ll.nr 6 r hitl loE! 8l.lf(t.
<br />I).r.._ (-onlBror _
<br />!o$ aucu(aJjNDNlilGEEiJ
<br />I h.Eby rlluh unLr FMlty ol tErjury lhll rtEG r r $trrld.lnn lt in8 la.tu, nrrlEFf(mtu.of th. qc* ntrvhihrhBFd !
<br />N.u.disd 1097, crv. c.).
<br />attugANtlEcla8aua!
<br />I hshy r,lim uftl.r n ni[ y ol pcrNry om ol lhc l,)ll,'u ina d..li{r i,nr:
<br />I).mlr[n f..nit-Aih..tx &r'lErrirn l.&rrl R.8lLrions lTrk.lO, Pd6)
<br />R.qutrcd trlcr ol N{ i.rDn
<br />_l cdlfy lh{ rlr r.i. l E3lLrioN rcrdh! .iErl,x rcarlr] sc u, q'duhk b thB F,Fr
<br />,_I(cn'lyrhd I luv. rcrd rharpfl'rarrr u irrc rharrh. ih,v. trrloner()n $(otr rr I allen,cory\lyuihaUCiyddCmnry
<br />orJtuB-.e\ rnl Srarc lrw\ rlrruB r' hd'lJmg ronnodx,( arl h.r.hy.urhrrc EF.€nl.hws.l rris C y ..n Oury b .or.r uFrn rh.
<br />rh^. Bn[)mJ rn'Fny nx rrF--rohtiuF'*s
<br />A pplionl .r Ag.nl Slr'ulue
<br />-
<br />Drle
<br />P.mir.. BmiDnnlr:
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathing l0-z-Z
<br />Shear Wall v
<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 />FINAL lo -21-?t
<br />'{ux)Certificate of Occupancy
<br />Notes, Remarks, Etc.
<br />DATE
<br />C0s:
<br />rl 11c/
<br />Flood Zone Certif .
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