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BUILDING- INSPECTOR BECOBD <br />SITE.WORK DATE ID/SIG.OWNEi'TIII-I'ER DEL('ATATloN <br />I lkdhy,,lnh rndcr Fnrlty nl pcrjury rhar I o cr.n{r ln'h th. (rnrn.h6' l,f,.hr. Irw ntr rh. t'll,win! r.N$ rsft 7orl5 <br />B!{m( $l Pn,lc(r'n Cdt{r Anv C y or Ci'oiry wh.h Equfti : Fmi nr $n{d(I. .lr€. rmPn'!c. &tu,lsh or EtE! .nv <br />{rudurc F rb r rrurk., rlq, rqums rh..rDl.rnl f.t.u.hFm h lik I !l3Fi (.rcmnr rhi lr ilx ! ltcnGl tlmrr <br />r' rhc pn,vrs$nr dl llr (o"rr(nr \ l.(cn*J lre ((hrPr.! 9. O'nrrm'n8 wllh S..rt'n 7l{Xl ol f}ivrr). I of rh. Btrsim* rnd <br />Prnc\li'nr Gr].rtr rhr! lE (, ilt s.r.qn rh.r.frum:il rh. hr$ n{ rk.lh8dl cr.ryrrr Aryr.lli'.olSdrDn'r0rl1\hr.nv <br />rrfl(ahr hr a t'.mil suhJek rhc trp0l(dr k! tr e,v'l l).nrlry i ml nn)rc rhln I <br />'vc <br />hlnlr.d ,lollor ( !5lxl ). <br />I !r wmr or ih. pn'rn y. or my.mnk'ytc! urrh w!8cr r\ rh( tr {,L $mF_ns.lr)n. wrll d' ltr k*t tl <br />'h. <br />suiR n n <br />llrorlsl {r ll.r.d h)r qk ( S\- 71144. Bu\h.* rnd t}nt.$rr\ C,iL 'l h. (hnr.Nrtr t Lr.n{ tjw dtEs nor rp?ly n, t o*mr dl <br />rh( F,Irny *h' I'o ior trrlnEl rh.Fn- el *,rt*smhsrt hm*lrDr h.r{lt ot ihmush htr ,{ lx, o*i.ill5yc.r. <br />!'ov'd.n rhd {kh rmpn,Enrfi N nor d.nlc<l or nficEJ l(tr elc. Il. hrkr6, rtf, hurllm3 rr{rtwrnr Rhll] w[hh.m ve! <br />I $,qr!rr)n. ilI Ohr Bui&r I uw rlr hiJ.n.r [rnu! rhr rroi.rFJn B! tur!,{{IIi,E rh. FlFny nE dr FrrF*or <br />-,1. <br />,\ o*Nr ol rh. tlnFnr. .n.\(tun\Tlt .od'rrr hs *r h l(.nat .odrri.F kt .ohrorr ih. F,Fi I x- 7{ll1 Bulms <br />lnl tni.(rh(-,ic:'lh.Conft.rtr'rl.,r.n\.l.rvdo.s n lplilyr' rio*nfi I r$.ny who horlitrur rmPovc{ rhctcon. <br />,nd *tx, ('d.&k nr (uh F'Fr! Btrh r (i,nrkn,( 9 lr.n{d Nrud k' rh. (tnrtuntr'r tr.n€ trw) <br />!0a6E8li-ga!llENsArl9!u[gd8AulEi <br />I h.r.hyrllmrr dcrli(rlryotIrrJUrtnn.olrhrnrL,*mttl.(l rll'n\: <br />-l <br />havt rdw,ll nr rh . C(nriurc ol Con<d ro S.ll-lh\!r. !,{ sortm' L{hFn.rIn. .( Fn\ rlcJ iin 6y S& I i'n .\'lrl ol th. <br />lrhtr(i .. turrh. lxrLrrun.c.lrh. *orlt,,tr whirhth. trrn s fn'.d. <br />I havc rn,i *rll nx'nrln work.rr ( nrr'.nrsron nrtrrlec. r\ rcqurd hYS*l$n lTlx,ol rh.ljlxt(ir,.. f{n rh! IirrornBtu. I <br />itf, $orl r,r *h.hrhtr lEmr '! Bikn My u.rk.r' !r,mFni.r(,i rrurfr..rtrir nrrFnrynumk.4c <br />Arol6l:- <br />LICIMED.!&MXAIIIaIEO.A8IIq! <br />I h.Rhr.trrn unLr FMlyor Frjur! rhi I n L.rn<rr unkl |rrwi'n ol (.r'!r{d e ronrB'n3 Mh S.dnn 7(xr)r.r Drvsrn I <br />ol rhr ao{ft*anl Pn,,.ssnns C,xlc. sxl ny l{.n{,! m lull bn at!cit.rr. <br />APPLICANT I'E(:[-ANATTON <br />I h.!d'y rltim un!.r Fnrhy ol Frrury dE ol In aoUow'n8 d& bt{i'nt: <br />ttm,l(r'n P.mnlA\h.{o! tL{tfr.tir fs!.rl Rq hrxm\ (T.k t{1. P.n6) <br />-Rcqund <br />ld.r of t*xfr.lrh <br />I!drrylh.rrhcti'l.rnlrrtLrx'n\Esnrlrns.!hn.lr.'n,!dr^ft,mli.hLn'rhnlln,j.( <br />lrcnrlyrhar Ih1rr.i rhs r!r,li.0l0n,!.l n crharrh.rh'v.,nl,trnul!'ntrcoftd Irr.tt,rdnDly*ihdU(-rvo (r'unry <br />.rJuNc! r,rl Srd. Lur ELtha h I'xrtl'n3 onntur$n. lrl h.rchy .ulh'd. rcF.(drlr$ Irhtr Crt .nl Colnrv lo $r.. qirn rli <br />.trrE nrnlDftd pDFny ktr hlFron P{rlir$r <br />lppli..nl o. '\!.nt SirNluR <br />Set Backs <br />Forms/Steel/Holdowns <br />Erection Pads <br />UFER Ground <br />SLAB Floor <br />Subf loor/VenVlnsulation <br />Roof Shealhino ?ur_ l/< l,o <br />Shear Wall <br />Framing <br />lnsu lation/En erq y <br />Drywall <br />Ext.i lnt. Lalh <br />Brown Coat <br />lvlasonry <br />Pool Fence <br />T-Bar <br />Handicap Req <br />Deputy Final Report <br />Enoineer Final Report <br />Flood Zone Certif . <br />I <br />FINAL 7/u//4 aNa \ <br />Certilicate ol Occupancy '-7 =a { v <br />Notes, Remarks, Etc <br />?M<rh P6aao.-lo,,.-,:6 a,r a-.6F A)D ?A44rA .rr.rr}! Ar})PraL <br />1 <br />COMMENTS <br />I smcr.nd Dni.r Sark,n <br />Ihl.:- or[r- <br />-l <br />(nrryrh.r o rh. JxildlmB. ol rh. rort (tr *hrh rhtr Frnu tr '!$.t, I.hrll ftn cq*'y rny lxF,f, r Mv lMrr <br />v) s l,' h(aom shlc.r r' rh. k,&cr Nml.nrilon hwi ol ( !!lon,a, lnJ nrNc rhil rl I \h'xu tt 'm ruhi.rr lorlt <br />ur.tcF (omlEnqrnn F{liix,nlofSdi,n r'iu}ol rh.ljhn C,xL.I nE[. l,nhs[h $,Ill|v *irh rhE Pn'v$hB <br />wARNIN(;: F. u( r' \_ur k cF'(mFn\dK,n (,kh!. rr uf,h*tuI. ril .h,ll hFr o 6I 'y.r h, (mr.l FulF,tl <br />rN,l l-,m\ uf r, ok hundrcd rh,ur..d dolh'! ($j(XJ,0(U). rn add(irn io rll roq or com!.ns.r!)n. Jz@e.( N nn,YLl.J n' ih. <br />S.nrrn l(l?6ol rh. bhtr Oir.. or.r{ rni dnf,ry'\ lit.. <br />Li(rs Cltlri:-l -(.nk NumtEr: <br />- <br />SEEIB!.I{:TANIINIIIIi.AGENSI <br />I lrrchy.lltmud.rF lry or tE ,ur, lh.l rtE. r 0 .r'n{ruJr)n lcBl 8.8.NyturrlEl.rr,mt..ll,roolllntwhihlhsFm!nnrult(sfr 109?.c,v. c ) <br />I rn,lc, . N8m <br />-