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BUILDING- INSPECTOR RECORD
<br />SITE-WORK ID/SIG.COMMENTS oltNER B1:llt)t.k I)t t_( AR.\ r()\
<br />I h.rchy rllun unJ.r Fhahy, t riurr lh.t I ct.mpr rn)m ihc Conkttr' l-ren€ l:*'tn rh. ft,lt,ra8 E.rr lS< toll I
<br />Bunn.s( rd Profc(rr ctr,.): An, Cry or Counry shth r.1uE. . Irmi t, (,nitut. .116, rr{r,8. &n)lrh.r rtl.r Mr
<br />(Brur., Inrtrn' [! 6!unr. r,q,rq!!.t rlE {I ..nr |ltr lkhFrmr h lik. !3Fl drl.mnr rh, h.or.h. $ l(cnrJ pusurnr
<br />b rh. Frvtrr'.r .l rll (irrB-'t*'! Lr..(l lru l(h.lrcr 9. (inmkm! w h scru n 7(xxl I l)ivt0n .l trt rh. tlumcsi antl
<br />P^'fcrtpnr CixL ) or rrur lr or (lE n cr.mnr rlErclion el rlr haqs ktr ihc ,lh3cd c tcspron. ny vx'lari,n ol Sel$n 7{,1I 5 6y y
<br />rml(rnr ktr r lxm ruhr.(lr lh. rl,rilEani t, , qv,l Fnrlry ol trtrr frtr. rhtn I rvc hun,irc,] ,iolhr ( !5{t])
<br />l. 11 owftr ot rhc F.Fny.., my.rytr,)tr * h *.3...r rh.! q,k (r'hFner.n. *dtr' r,r kxt t rtr {dru k mr
<br />d.ni.i ,r otl.Rrl ftr qk lse.?l),,a. BorEr] d Pt .nin! clrk 11r Conrr]tn'r li.n€ lra dr. ni qlJlly lo u o*xr nr
<br />r,x F'rr,iy wh,tx t.x rFrwt rtm,n. ul !h' dEs ruh x'* hmrlt or h.klr r lhn)u3h hF or hc' o*n .nt'k y..r.
<br />,)x!!rLd rh.r ru(h in{h'Emdt c nn u ctrlsl or o,tiEl ftr ek Il. k,wctr. rlE hnlmS or ltt{mtftd r r uihnoEra
<br />o, $n{br$n. rltr Owrcr AuNs *il h.E rlt l[nL. oi n(,vrB rhi lI 1r +. Jrl t{ t l or fltn'E rh. F,IEnt fu tt |{rl$i of
<br />l. rr.*mrol rh.F)ncny. am.\(lu!r.ly ontr.d n!3 ' hlrccns .ont,(nr n, !)n{nd tlt Pn,Flr (S( 70{4.ItunNr
<br />rftl lh,Lsr n C,xlc Th. Cdntri.ttr s l,(.ns. l,aw ,nf,\ ft rml, n, a oE kr dl lroFny $h' hu 'Ut or '.rF)r.r rhcR,n.
<br />rtrd wh. o.rru.t htr \u.h I'.FB w ha(l'nt.donl)lf,cn$d,ltr(lffrt,rll(i,nt{ntr'(Lr..sL$)
<br />-,l rn,.\.aU u .r s(rr)n
<br />wORI(Fl(S', t-OltlPf I\SATION
<br />DEIIJSII]ON
<br />I h.(hy.llrmu rr p(naliyol t ruryoNo, rhcl,n['wm8 d(lltrax.n\
<br />I h.w .rn *'ll mhru. Cr.d,lir. ol G'nc n' s.ll-ln.uE lor s'rtcF (r,',tt .{ i4 .( F)vlj.d ri,r hy Stt,n ]?m or l h.
<br />lih* Grk. fu rlr rErfrxlrB! ol rlE k,t n* whrh rlE Frn ir B(xn
<br />I hrvc r wiu nflnr,n *.rlcra conltnqr.n r\uanc.,.s k\quu.
<br />rlr work ntrwhrhrhs pcm,r n{hl. My*0rft.6 r.n!Endi'. hsu
<br />:d h, Sdrir l7m .f rh. llntr Git , for rlE F irllrlac ol
<br />rB.!rmr lrl F,lry.utrlrr Ela
<br />-,',*.JL:ZQZ
<br />O,*-, Rroil-{ ttnld td5
<br />,.,,," "*,":,
<br />? <{ so I 47 r{
<br />-lrcn
<br />yrhai'nrlrF.lormB(olrh.Fnkttrvhrhrhrrrm l tr{rd.I shallnor.nq,hy mv ll.r$n orny trrnncr
<br />!, .\r, hc..,E rut'rtt b ih. qdcF d,nI'.i\{r,n lrw( dl(-llnDnrD. rn'l a3rcc rtur 'l I \hnrld N*om n'hFlr rr (h.
<br />**c drwnqrrn, pn,vtron( rl s.crrf l71xr.l t hc ljhtr (irlc. l \tull nfhlnh Nn{ y wi h rh'{ I,rn rrrn{
<br />WARNIN(;: F!,hr. t, r(urc *o*cr .on,Fnsrnn .o\Trrtc ,s unhrlul. nrl rldl \uhA'r rh dftrtr. t) olrlml IrMI*\.nd
<br />m hudE! rh,ueil ,Us l!llx!.Urr, n rrllr'n n)n J!rolct r\ ftuvrl.tl tr lhL
<br />s.dDn rr))6drrrr If,lir(i'lc mr.({ rnd,(trrv l nc{
<br />u.n,7^ /X " /4 noo,**,
<br />DECL\IIATION
<br />Ih.d)yr,lnnutolalrulrv.lnriu,yrl$rIrmh(nk\lun(|.,tlnrrqonotChrprd9(uhnkturn8elSc.iDnTOlr)"ll)'vrk'nI
<br />"l rh Bu\ms Jxt Pnni(rrl\ (i!lc. {rl trry l(cr\c '\ u,lulll,n( Md.ri.(r
<br />4ss^,,2
<br />l.R.ns. CL$ l--l 7
<br />,," 2-/9-17 /D.T
<br />CONSTRI]("TION I,ENDIN(; ACtsN(1'
<br />I hcRhv rlrrn und.r Fnrkyol pcrjury rh,t rh.d tr a $hntuh,n LdmS rS.sy ntr rh. Frfdnl4. ol rh. *rI tur shrh thr IE mir !
<br />rrucd (Se. .Ir7, C'v. C )l.nLr. N.ft:
<br />rh,vc ft.n!rNd |ln)trny I
<br />Aprll.hnl dr At.rl Sitml
<br />l'.nJt( Em (prlno:-RA
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathing
<br />Shear Wall . ,A.
<br />Framins t#{Ur ?-to',l \"WYtl
<br />lnsulation/Energy u\-/
<br />Drywall
<br />Ext.i lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar 0-a.ykt)
<br />Handicap Req.U -\J
<br />Deputy Final Report
<br />Engineer Final Report
<br />I
<br />FINAL l ,\ 11t1r)t
<br />Certilicate of Occupancy
<br />Notes, Remarks, Etc
<br />?:.tfiw(.2 c cdAl
<br />* ( \-7
<br />DATE
<br />AIELICANLIECIAEAIIII!
<br />I hmny alrm unncr !.nahy ol a.rjxryom ol rh. nrlk'*m, J.(l.6li'n.:
<br />D.n$l !,n P.rn lArb.{or NotrlE.tion F.d.r.l RcEUhr$nr (T{|c.l1l. P.n6J
<br />_Rcqrnd t krdf Mr i.li'n
<br />I rcnrlyrhar rha,cd.ralrcgul,rir^! R8uJrns attr(orrcn,valad nrt ltthlc t! rhlt InFr
<br />)44r,*, ** *.,nx rn rdrr uj {rr{ rh:r rlt !h,r. n,mkr ir (otrF.'! Ir!r(!(,..iervw h rrr oiv lnd counrv
<br />',itlGL.i rd Sr.tc Lrw! rlluu r!, h{,llrn8 (dn{tuti{r. lrl h.r.hy urhtruc eprcs.drrN.r ('trhn Cny.nd (irrdyh.nr.r uFr rlE
<br />,rr,1'/ft'/Q
<br />Flood Zone Certif .
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