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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS ()$ \t lr lll t,l k,rI I ( \tl\llr]\
<br />I h.Ehv rlltrh lnLr Fulry ill Fr,try rhi I m d.r!x hrn rh Conrtuftn' Lse L.r lor ih. lnlh*ut rc1sn (Sa ?0.!l I '
<br />Bunrc( mi Pn,f6*'n C,rl(l Ary C y or O{dy *hrh rcquEs i Fni b !1)n(B*r. rlrq. m|,ow. &frrsh ot EFlay
<br />{Mrur. rD. b ni Nrn., rlgr Equmr rh. {rltsr tn rkh lEmr h a,k. nlRl <r .mnr th.t rE o} {r n l&nE{ I'@ur
<br />h rh. F'!trtr,ns oI rh. Conrr&nn\ l-irnrJ ti* (Ch.rrcr 9, CoBrcftm3 * h S(ron 7000 ot Drrrr)n I .l rlE Busirc$.nJ
<br />Pn,l.*r,nrCi.)orrh,lro.rlrn.r.mrrth.Rrnrnurirhchxsirror$.rlL8..l.r.q{ion.Anyvbhrhnols(l{D?0.1LJhy.ny
<br />lppltrrnr ntr r rEmn shF{h rrE .t'plElnr lo . .iv'l p.ulry .l rn mic tho lit hualrJ dollrt itSm)
<br />_1, $ owffi or E FqEny, ,r nr.hpbyes wnh *r!6 8 rrEr oL onFnq'r'n, *'ll d, rlE xrt.d th. rndE 6 d
<br />ur.d.d or ofi.rsl fa sl. (Sd.r044. Burmi..d Pnn6.hn Ccl.: TIE G, 81tr'i Lr.d L,r tlo.' ft{ rptly h o ow.l
<br />rh.InFn, *tnt i[! d mFtB th.@,rl ph) dE *h s*t hin-lf o. h.r<lf or rlNulh hE q hc,.h.t{tk ya,
<br />pnrvrLn rhcr !4h uqnrwdt e r, id.rtl orotliEl tr rk l( lrffi, rtE lllllo3 d intnEmd ! r,U *Ilr oE rs
<br />orcorplc'bn,llE OwEr Bu Lrv l tuE rlE bunh. (I F)vut rhd tF or nE J! dn to l {x ur+row rh. pNFry rd trE tuFror
<br />_1, rto*Erof r,E FrlFnr. 6.rctu(kly $drirtri *!h h.nql odrar(n b..nrN rh. Fnjd rse. 7(x4. Bltms
<br />.,n hlftst. Co&: Th. ConrBloit Lx.nr l:r &B rn lnoly ro u o,F ol p.ordy rho bu d! o, mpmEr lh.N..
<br />ril *tb ldds fd Bh pordr r h. G)nrturdlo l..trkl I{^d rt' rlE oodBrqi L6E u*)
<br />_l m.i.nF unlrSarri_. B. & PC. ro.rhlir&'n
<br />]}l)8f,E8t:C!]M!E!lAIil!
<br />IIETIAf,AIIOD
<br />I h.Etry r(ttrn uftt r IEEly.l liluryoE orlh. tull,BDt &!lu.rbnt:
<br />_l h.w.rn wrl llEds. C.nrfu. of Co.rd b &ll-ltrM ld wt6 oqEndD[ ar FDvil.ll tur hy Sdsn t7m ot rlr
<br />tlhd CcL. fd rlE Ffl)ltl4i ot rh. qrt f rtrh rh. Fhn ! aqFd.
<br />ic. n rqurcn nyscr[n.utx]i)f rh. bhtr cix]c, ntr rh.IElomtuc rl
<br />(, rtrr filtllf,y nu ,h., r'r
<br />37.aot ?o(
<br />I\cd yrh:r 'nrlrFrforNh.df rh. wo* fd whrh rhtr trrh n 6.u.,1.I rhlllfrn crFl'y.nyFr$n mrn,'mr
<br />$ .r n, lr(E suhlcrr t' rh. xntsr (r,qrN.rx,i L*! I (:l omn. cd lld rh{ 'l I rh,uld h.a{m rlbFr h rhc
<br />wu*.F onqFn\ar$n F,vtrtr)h\ ol S.crio.]7mof rh. Lhr (ixt.,I shlu. knhw[hlr,nrly w(h rh)k nn'vni'nr
<br />l,,y.r rr dnxnllFmIrr ntul
<br />cNrl lnrr up n' om hun'lrc.l rh,ur{'l Joll{\ ($llrr.lxr))
<br />iilc. 6r.rc{ rll rrtmy r ler
<br />LIII$UL(TII8&IABIITLIaAIIOI
<br />I h.Nhy rfinn!.d.r $Mlryof lf JUry rhd I am l,ccnq, lht r llt,lson of (-hlFd 9rcdnmErf * h Sclr[n 7ui) oIDrvhi,n I
<br />o, rh.lh\ur$ and Pnn.$('nr Cid., dl nyltr.ns. K r lrll l()ntdrlctlcrr
<br />o q
<br />-1 l/'
<br />CqNIAlJlfIAN,IEPllIi.A{iEtr{:I
<br />I h.rcby rrtrm untlcr lEnr,lyorFrrury lh.l tlEE ir. on(Ndrrn L*iins as. y lir rh. l.rtolr11lM ol rh. *orr lnr *hih dn ttmn s
<br />rru.d (S.(. 109?. Crv C ).
<br />l.BlrT \ A.l,lr.(
<br />APPI ICANT DECLATATI(JN
<br />I h.rlry .nih unlcr p.nllry ol lrrjllry .m or rlE ttlhery 'jeLIr nn{:
<br />D.molnn,n P.rnile^sbcno! N,trl(rrion fcd.rrl R.rulirDnr ( l,rlc t(), Pln6)
<br />-R.qumn
<br />l.rlsol M{r-Er$n
<br />_l (d r rhd rh. lskrrl r8llji,nr
<br />l!.n vrhd I har. rc ihtr (r I r8c n)oq y $rh.U Cry rd G{d,
<br />rr.\ ol rhr ('ry onl (i'unry t,.nr.r uF,n rlr
<br />Set Backs
<br />Forms/Steeli Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Sublloor/VenVl nsu lation
<br />Roof Sheathinq
<br />Fr aming
<br />lns u lation/ E n erg y
<br />Drywall
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />1t
<br />FINAL 3 2A \q /-<,aqn
<br />Certiticate ol Occu pancy
<br />Notes Remarks , Etc
<br />\/1
<br />WAllNlN(; l..trLu. r) {r. *!ikd\ (dnlBlr\d0, ,!,rr.'t. r\ trnh*h'1. rftl nl'l {'t,,.!r rn
<br />,*," t'L-/?
<br />Shear Wall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Flood Zone Certif .
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