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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNER BUU,DER DEL(AR TION
<br />I h.r.hy .llnm utul.r Fuk! ,,1Frjurv rh,l I e ctcr{'r lnrm rh. (ndrdon Lsnr l:* t, ilE n,lt'*nr (rttn iS( 70ll 5
<br />Bun.c( .nl Pnfc$rr Cdj.,: Ary C'ry or Coudy *hrh E1trlcj . Fnr b qltr{tu r. .I(. rior. &n,lsh ({ Etu u,
<br />{turur. Frxro r FUB!. 'rq,6t06 rll. {l'lrur ntr rsh Fmr h llkr laftJ (d.lHr rh, lr or {r . licnql tnrud
<br />hr llE F'vn,'n..1r,r Cirirrrq-r t,rcn<n llv ((turrd 0. (i,nmEu3 w h Sarir 7fin or D'trln 1 {l rtt 8u!k$ tl
<br />Pn,l.$r,m (',ikr.r rhrr lE d rh. !.\.mfi rrrrdF o ml rrr h!!! nr th !lk!.rt.r.qrx{ Any viirrrlnof S<ruToll:l hy.nv
<br />.n lr.n' (tr. Fmn .ubj.!li l,E .rnltlnl h. (rvrl rEMr'y.l ft , nE rh.n irvc hu lr.tl no,"r (lldr|
<br />(f. - ,*-. r,* a,*nr. d m! cn,1,hy(! * h *r!cr !i rrf,r rrk.o,r{En.dr* $llu' rh. krk *r rt' n,.m K nn
<br />fir.thl ,r ncrcn litr {k rsa n!l.r. AurEs.n] Pt,t.sInt C,rL lhc CodB-nn'\ lltrr Lr* *r n* rf'Cly r[ rn o*mr .l
<br />ih. nn'Jrny wlr t{ Jrl! or rfnEs rlEm)[ ,rt phi &.\ u-h s'lt h'n\.ll or Mr€lf .r rhD!3h hr or h.r .*n .n{'by..t.
<br />Pr,vrlcJ rhrr ru(h ml'!,Emdr e n d.rkJ orollcrd r, ut lr, h'kk rh. t '!o3 or ftF,Bmd ! r'u *ihtr oF r{
<br />ol ! n{,krrn ih. Owr Bu,lcr *iI hnk rh. honLr ol l,n,vrl3 ihd h( or slE ,lil ft t ilj or mtn.w rh. |'fitdy htr rlr !ulJr'( or
<br />I r\!'*tc! olrlrprlrnv. rnrklrN'r.ly(ni'krr! $ih l,L. \((lLottr(rt\r, \dt{n'.r rlr ln!'|(r lS( 7(!1.] llL^tr'{
<br />rnJ *h. ronti.r\l!tr\rhF,r..s nr(i,trnr(n,r\r1f,.n..(lftrrUtniLtrh.(i,nrJ!ttr'\l-nrni.lritr)
<br />_l.nc(cht, u r:r S(ri'n
<br />,,"'. 't" q tq c
<br />DtcLAR AION
<br />I h.rchy rlltrflunkr FMNY.f FjufrdE ol rtr l!nl'*r3 &\l1.rrm:
<br />I hrE s, lrll mm.u. Ctniltar. o( (irrd n) Sxtl-ln.uE 1., ktrt$ on{End$n. I'rlellrrl l,n hy Sdri,n l7(r)orrh.
<br />lllrtr (irL. t{ rlE Frftlt tu. ol rhc uod l{ *h.h th. Fnnr ! r(u.rl
<br />_ I havc rr, e rll nror,o wortcr' c.mFnrlri,n 'n\uhfr .. !! rqrrd h! Sierxrn l7m ol rlr lftrtr (itrt. ntr rlE Frl,muB. o,
<br />llr s'rl t{ whf,h ths JEmn !r 6sud My *drk.^' ron{xnir (,n 6nraL. ('mr itn Fniy nu mh.r s.
<br />1 I(d'iyrhrr
<br />'n
<br />rh. lxr,ormkc of th. wnrk na ulrrhrl,nll(rnr(,\ tr\!.!l,I rh.lln cnd,y.nyF.qr rn riynrrnF,
<br />r r' NLm suhFl b tlE s,.tm lrmncnuri'n b$. rl (.i|,'rn!. inl rBN rhir 'l I str,ul! tRom \ut id n, rl*
<br />* ,I.r'd'mn(nrlri)npnq\i,nrofS.rrrm:l?(Xlolrh.|f,htr(irh I {ull nfh{ih()n{ir r hrh,*lln,$,'nr
<br />WAININ(; tsr'lur n, qurc krk.6'L!n{E.qri'n rotc,r3c r ub*rul. .n! $.ll ruhF_r rn.npl'yrr n, r',m'n!l FElr! rnl
<br />rNrl l'fra up t, trr hudrcd rhuq,rl Jollrs rlllr).llxrr. 'n dtrir n, rh. .oi ol (on{rns{r'n. J:nui.\ I ttort,cd t, rhc.
<br />S.(ti,n v)76nl th.l:hr (iJ. d.rcr.nl dn'mv ! rftl
<br />DF('t {rtarloN
<br />I h(Ehy.liumud.r Fn.hy.l Fr,lry rh.l I m lNnsl uDhr Frvnr'. ol(]uFq 9 (lrmBrt 8.h s(r,,n 7(xt, d l)rvni!.:r
<br />nl rh. Burmr rd Pnn.(Dn! CdL. .nl 6y l..nr ! m tull nft. &l .fler
<br />1.k.tr\. ( 1,'\.
<br />(-onrd(lor'_
<br />calualglaN.LsNllllc-acENla
<br />I h.Nhydltmurkr lrully olFrrxr, ih.r rh( tr!urdurrn kd'nSrS.R-'y fdrh.FnlmR.tn,h. utrl itr wh{hrhFFrn! r
<br />rskJ (Ss V'91, Crv. C t.
<br />ATTLI(ANLIIESJf,.UIOT
<br />I lrn{D Jtlim ud.r I'(nrhy ol Frrury om olrh.l,)![)sof Jdl,rrrmr
<br />l).nlhr$ rrc n(c^{ttnor Norrncltr'n [.dcr.lR.ruljrknn r l{L.llr l'rnir
<br />R.qutr.d lrll.r df Mriierrn
<br />I(,'r'1trh. rltl.n(rr]r.!trllr) .(. ror.]t,t,ll,'hn'r, rhtr Pn,i,rr
<br />{,*ihtrc nf,Nrnrl Jln{'(ny Ln 0s!d!'nIltrr
<br />,rr. t \, \'\1
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Roof Sheathinq 6-tt. rq t
<br />Shear Wall
<br />Fram i ng
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />ltrlasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />FINAL blt/tq 1
<br />Certif icate ol Occu pancy
<br />Notes, Remarks, Etc
<br />',",., 'b q \q
<br />Set Backs
<br />Sublloor/VenVl nsu lation
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