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BUILDING. INSPECTOR RECOFD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNER BUII-DER DEI-CARATIOIT
<br />I Efth, ilrh unLr FMly ol F4!r, rh:r I m ct qi fnh rlE Cirrralon LEc.c Lw nn rl. folhwhS E.$n (S.{ 7011 5
<br />Busnc( .d Pnncs!,n Ciri.): Any C(y or Counry *hrh EquN r Fnl b on{fld, .]id, mI,Nv., &@l6h or EFr mv
<br />rrfrrK, F!{ h r FsllM. rl$ Biuirc! rlE r0ttliid rttr tkh tEmr ro lrL r !8md {i.trnl lh, lt or rlf $ lktncd pN&r
<br />k' itE F,vsrm nf E ConrEtr'r L$nr.J bw lch. ( 9. Co'jmknS s t S-lx,n 7frx) ol Drvrnn .l ol rlr Bult( "rl
<br />Pn'fcsonr CcL ) or rh{ ltorsh. rccmd ih.rdnrh rnd rh.6rns tulh. rlks.d cr.mflx,n Arv vxrhrionolSerr'.?0.!I5 hv rnv
<br />lpdf,. lnrrlxmr iFl. rhc qDli.rhr k, . (vrl rrmlry or ftn mr rh l,k hunhn di,lls! (!lm)
<br />l. rt o*n.ror rh. lrlFny, or nry emlhy..t *ih *4cs.r rh.r $L.rmFn{ri,n, * d. tlE srtl,fll rlr rlurE tr mr
<br />d.dhl or.lrcRd for $b rsE.'.il!4. Blrfti ud lhnc$b.! Ciri. l h. G, r&loislr.ntLiw&{sB{+plv6ndwrrol
<br />rlE In'Fdy *h' hlll( or 'qnw. th.c)n..d *l$ dr r.*h q,lt hm!.lfo.ls<laor rtm,!8h hA,f, hcr .r...!*'!tc{.
<br />pn,vrLdrhar $rh mF,Erdr K rur d.rl.d or.nLrd tuah lt h,kk rh. t{Ulm3 o. ut{n'ktu ,is l wlhmox,ts
<br />ol c,{rpkt,^ rtr o*ncr llurtlcr *ill hrE rlE t{ntn ol pnM3 rha! lI or \h. Jrl nn huiu or F{n,F rrf, d{Env ldr rh. Ftrp(,< or
<br />-L
<br />ar dwmr ol rhc l,n'Fdy. m.klunvclyddr.llur! *uh li...a{ contr&Jo lo qrndtut rlE Fnr.{l Isc.. ?044. Butms
<br />.ri h,btir(iik Th. ({'dr-ntr r LE.IE tle d(xt nn .l"rly lo e o*Er or PoFny }ho llur!\ or mP^,w( rlrron.
<br />rnd rhr.r' at l,tr $.h F)Fc wnh. Co tuli({) trcnEJ lonMt b rh. Cotrrrtn'r L{..c L.q)
<br />_l rn.!.mI* und.r S&r
<br />!{ oRl(Elis' conlPF\saTloN
<br />IIECIA8AIAT
<br />I hr..hyrllrnunicrIrnrhtolFrturyoncolrhchrlo*rgJ..[r n\
<br />-I
<br />hrw.rn rrll d!ll... Cdft.r. ol c.lld b S.ll-lnruE lq srtdr oryrtrdrD. a th'riLi nn h, S&rr' r7m dl dr
<br />llbor Crdt . f tlF FrfomN. ol rh. wolt ntr $i.h rlE pcm u i3!u.rl
<br />-l h.v. rel w'll @drn sBt.! .ooFntrDn '..ur.d., .. Elu!.J h, S^rrtn -tr(x).l llE Lrlbr Cdl.. tor th. Fdlxlm! of
<br />rh. M*l td *h.h lhr p.mir i! sn.J. My work n .lnllBtlpn it\orn. cffit !n Pl., tunlEr e
<br />LVx,lt Jrq.1u, o^n (o
<br />t
<br />"
<br />r,r ,
<br />-E\*!.
<br />tlt/nr,.r *r.*r, t tt)07b qt q6fiq 'Zo
<br />l..dnyrhrr mrh. Ftntr@B.,,1rlE worl ld *hrh rh,i lErmr I stkJ.l rh:ll fr{ cnY'loyrny lxro. m..t ronNr
<br />v, ( t, h.u'nE ruhF-l n, rhe w.*..' cdmFnsli ion hws or Crhi)ma, md rN rhll ir I rlt'uld h..om ruhrc! b ! h.
<br />*or*.^ o,qEnelon pr)r&,nr of Sdri,n l?m ol rh. ljhtr Cui.. I ds[. nlnn*nt $,i0ly *nh lhE F'vro.r
<br />IVARNING t.nua n' <(urc s'rt.F lt,n{'cnsarDn intn8. s unLwtuL fil thill ruhFr e cmpk r$ (' (mror FFls i
<br />.Nrl ,rnrs up n' orc hu.dr.d rhou{nn nollic lsllxl.(l$). 'n
<br />addtrrr l,' rh. .on ol .of,P.nsuln'n. !!hr!.\ as Jln)vrlcJ hr !h'
<br />SetNn !{r?6nl rtr L.hr (iri., d.({ nrtom'!'rres
<br />I h.Ehy .ntm u.!cr Futry or tE.jut, lhd I rm litnd ll!.r F,vn$n or Ct.Fq 9 lcommreh! w lt S&r bn TOq)) oi DivN$n l
<br />of th. Burftr! .rd Pn,r.!.ion! Grk, rrn n, k.n< r nr tull lb^! .il clter.
<br />1
<br />crt
<br />ca!u8!!:rqElEli! G-aoENra
<br />I hc(hy lllirm undcr lrnilry ol ll(rjty rhar rhctc t.()n$rurrnn knJn8 rScfry lnr rrrn olfutut l lh. wotk hn qhrh rhr FmIr tr
<br />us! (St.l0g7, Ctv. C ).
<br />r,nkr'r N.m
<br />-
<br />ASELI]AII.IECLASAIIIN
<br />I isd,:ninu Lr FdltyofFrlor, oft trfthc ftnl'wr3 &!lrt.tirn\
<br />Dc ,l !,n P.rnilAsb.{os th{ i..lpi F.J.ral R.8tl{i,nr (Inl.40. Px6)
<br />Rduotrl Lrtr.r ol t*rlrurr
<br />I !cnrlyrh{ rnc fc'l.rrlr.Suhrx,nrE!!U,n8 drtr{n 'cfr,vtle nrr 4nlrrhh hi rhN ftut<rr
<br />W.,nn\ in t t-v ft d thx q,rllrlth rn nxc rhd rh. .h,r intumrrin s.Irer l.!N toonplv*ch.rl Ctv r,n coudv
<br />1 ".,1*^., "'.t srt L"*.*turuu n' hu,U(!( hnru( r k,n. !d lrEhr rurlr)m EFtEnllriv.r dr lhr Cilv.nJ Cortrl v t, .nl.r uF n tlr
<br />ltn{ Nnr!,kJ linrlf,dy ntr mcFdi]tr
<br />Appli.!nr o..\*.ntsk.{loR
<br />,,, oL
<br />,-///-/,
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />S ubf loori Ve nVln s u lat ion
<br />Roof Sheathing
<br />Shear Wall
<br />Framino TlrRlrq.<,<a{ri )
<br />lnsulation/Energy
<br />Drywall
<br />Exl./lnt. Lath
<br />Brown Coal
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Enqineer Final Report
<br />FINAL tw\,\w6it )
<br />Certiticate ol Occupancy
<br />Notes, Remarks, Etc.
<br />-+
<br />Dat.
<br />-
<br />,,,".' q,/t"y', I
<br />2""".r (. Clqsl3.*"*r,",",,- lltb ?9 ?7
<br />Set Backs
<br />Flood Zone Certif .
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