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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE IDiSIG.COMMENTS OTVN F-R IU II,I'ER DEI-('ATATIi'N
<br />I hcrchy rllmr u c! nnrlry,n p.rjort rhd I .n .r.mfl ln'n rtr C)nrrn ttra I r.n( hr nn rh. f(nbeo8 '.ii,n rx( ?oll 5
<br />Itunru( r Pnn.(()n C(iLr Any (-rt! .r cl'ud! *h.h rcqu,r\ r Inri t' ()n(ru.l. .h6. rq,oE. &nrn(h o. eplf ,nl
<br />(ru.ru(.. Irrn n' \ F\un(., .lrn i.qtrrcs rhc aml'crrr lnt {'(h Fm tr lil. a !8ncrl dd.m nr rhd lE or rh. s h..naal pu^urhr
<br />t' rh. fi'vrin\ ol llE C.nr.*nr'i t-rcn<l l:* rch.fld 9. (i)nrmLrn! wirh NLrir ?IxxJ.l DrYsi'n I .i rh. Rx. . ,nl
<br />Pnnc(i)n\ (itj.)drrlurlE orsh'tr.(m!rrhd.k m. tlf, h.n\ ntrrh. all.3cd.t.q)ron Any vnlrrtr)no, Sc(r(,n 7(,ll.5l'v.nv
<br />aml(,ni l,n, If,rnnr nrhJnc rh( ip0n(rnt t'..rvrlFnalry.l r)r mn. ihrh I'rc hundal dollrr (i5Ur)
<br />I rtr,rkJnfl trtrJ.r S$krr
<br />tloR(rrts ( (rt\lPENslTloN
<br />DECL R^IION
<br />I h.rchv.ll nr utr.hr Btr!hv olp.rrury oR'or rh. n,lL)utn3 ,lt(l1rrrN'na
<br />-l hrv. d, erll tu rnr.m . C.nrl.rr. ol (i)n{d b Scll li\ur. lor s! [. ..nqrn\rifn.:\Fn\'d.dntrhyS..rtr)n17(x)orrh.
<br />lf,txtr(ixl..l,,rh.r.rtumhiccolrh. w iII'n*h!hihcp!.nnr tr,str.J
<br />- -l tuvc afrt wrllnBdin work.r LonrFnsrr()n 'n\uhnc.. n( iratutr..,bySNri,i17Ii,olri
<br />rh. r,{r r{ *hrh rhr n m[ r! niuJ M]],{*df \oftI$n\ri'h 'n!urrn. \ltr' ril Ir,L\
<br />,.^,, '\)or4..orcl. -n,,,.,*,,",*.-1ZwC(2J(aol-r,,,n^.
<br />r t:txtr Cill.. tu r,t Frfr,!M-. .l
<br />sSalt-te
<br />ILcnnyrhd rlE p(rlorrum.ol rh. work n, *hrh rhr frnr rrsual.I\hrllo rnll'y.nyP(N'n 'n.nvnuntf,r!,r\t,trrotu\uhj&rrrrlr*r'd(cr\(ofl{inerk,nh*sol(rl'l.rn,r.rnlrSrccrh rll \hnr[] h.rotu {hjc(r l,'ilr .*o.I.^ omF.txri,h frlvri)n(.1 Sdr &n l7(troarh. Ilhtr C((k,I \h:ll n'nh*nhs,mplv * hrhrt F.rtri'n\
<br />WARNIN(;] frnu. n, {.ur. w,)rlch (nrlE.rari}n (orcrrSc r\ unlrwlul. rnd nu nrhF_r {n cmpk'ycr Lr dmnn.J lrnrlrLr xn
<br />LNll rm\ uI n, oN hun,ln'J rhotr\,nd (loll,tr\ ill(,(r.(rri ' trr ..r ol.oqxnqrnn d:mr.. .! Ftvrl.J !i{ rlI
<br />lrh* (irl.. nrcr.{ :nl ,rtrr}'r h
<br />-'l rA I
<br />I hoehy lllrn u cr trnrlryol trrj ! rhi l rni l'(cnt unlcr lx.vri,n ol (lln (9r(omftErry*ihS. r)n7(lt)rdl Drnir r
<br />of rh Aurft( rrn Pn,l.1.r,nt Ccl.. 'nl mt ll.n< N tull l!'N , cllN.
<br />,...^",r*' C-lO
<br />,^n - -l /fi I t1
<br />oz
<br />T---a -
<br />I h.Eby .lftrn unlr rEElry ol pcrjury rhx rhE n r (,nrrucl ir Ln hs aSctu y lnr rh. l.rfurmEc ol rh. k)r* fttr eh.h lhr Fmn !
<br />n\x.J (Sd _rO97, Crv. C.,.
<br />L.0l(i\ N.m
<br />APPI ICANT I'T:('I ARATI('I
<br />I lrtt!.- riinn trlxto BNlrv.l Erlurv ofr rl rh n)lL,wnrr d(.l rri!!F
<br />l).trx,1(trr' P$nnh-Artr{ ( Noll,.rrtrn, I'.J.rrl Rrpnhrtr,n\ i l(1. .lo. l'! l,r
<br />_Rcq0nd t.ndotMi i.inn
<br />I Lcnn! th.l rh. rcdcrrl r.solark'nr m8dtrtrt.rtE{lor rcfr'v.l!r. nor {rlr.hL h rhr PntFr
<br />I c.(iri rhrr I hav. rcad rhil +pla&on srl shlc rh.r rhc.h,vc intut.di(,n 6 $Gl.I ryc bd,nfly enh rl! Cnv JG'unrt
<br />onlhrB.. ad srtr.lr*\ rlzrsS r ri)tr ul lr.chyrurhrr. rcFcsnrrrivct ol rhr Ciy 1xt Couriynr.nrd oF)n rlr
<br />rhn. mnrk,md nn{i ny
<br />ppliNnr or ,1fMl Sisn{l
<br />Set Backs
<br />Forms/Steeli Holdowns
<br />Erection Pads
<br />SLAB Floor
<br />Roof Sheathino
<br />Shear Wall
<br />Framing
<br />ln su lation/Ene rgy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />FINAL 6ll /tq lr/td /",
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc.
<br />L a\ .*ncr ol rlE pn,pcn y, .r hy .nubrtc( unh u.Ics .1 lh.tr qll. ..nIxnernn, I'll *l rl* w(lt ul ilE nerm 6 nn
<br />dc rl n orT.&l fd qL ( ^_ 7()4,1. Buir( r,rl Pn'l.$r,nr C,ik Ih( (l'dr&tr'! I r.nr I i, **r n+flyn'.nowrol
<br />rlF I)n)IEny wh) hurlljs or itr\T,Er rlf,tu,n, nl eh, rlts sLh s)rt hrmr.ll or h.rcll .. rhftulh hn or h<r own .n{t,y..!.
<br />liovrkJ rh:r lkh uJ{hlltftd( & tr, dmLJ i, ofl.r-l i{ ek ll. hrkw. rlr t iUDS d uqn'Ern ! 1,1! wihin ok F,
<br />ol onllllcr[a rlr O*n.r Bu rkr w,ll hrrc ltF hur&n ol pnrvr3 rhar tE or rhc Jrl 'r htrtt or nlnr rh. F'IEny ri,rh lfunrE ol
<br />-L
<br />.( oekr ol th. F{Eny, in . rlur{ ly .odrr\rin! s ih lf,.nd .odr.(r'F (, d,n{o(r rh F,Fi rS( ?(}t'1. B .'r(
<br />rl thn6st, C l.:1n.Cont,lntr'.l-r. $ L.w d(E\ nor lpnly t' an o*n.r ot l)n)!. y *h) nur l.]s or mP(,v. hd.)n.
<br />hJ *lI' Lr, rrd(ntrrEhF'Fh* i r Contrron ! ) lr.na, flru.t !, rh. (i'dtr.i(x r I r.i. l:w )
<br />1'-//?
<br />UFER Ground
<br />Sublloor/VenVl nsulation
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