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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.oWNER BUII.t)EN DEl,CAXATIoN
<br />I h.i+'y rllirm u Lr FElty r'r F4ury rh, I o .rery tnrm rlr O'nrr_-nr' 1...n* lrw tur lh. nnl,wos rcaon lsc! 70J1 5
<br />Bu\ft( r Pnn.$!,. C(r.L) Any Ciry or (i,un,, wh'ch ..quks r lrrnnr n, .on(to.i. alra, hFow- &n'[ih I Fl.r {n,
<br />nd(ru . fnrn' r 6ru!.(...lso R\lurcr rlE.|lf'l.r! ntr nrh Fm ru lik r nAhrl {.i.'m! ifiir lror {r 6lkinej p@rnr
<br />b rhc t'n,$iff .l
<br />'h.
<br />conr&!,'! l-r..rJ Lw lch.prcr e. Co.nBFrr *nh Sftri,n 7(xx) ol DivN[o .l ol rhc Bunm( rJ
<br />Ihn.s$n\ (ilk)or rh.r lEdrdr s.rcmfl rh.rcrrdn Md rh. hrnr t'nrh. rlks.J.r.frdln nt vnl,irD ol ser nn T{r.l l 5 hr'rny
<br />.mlunr f,, rl).rnnr \rhj&rr rh. altluni n' r errrln .rlry.l nn m)E rh.n Irr. hudGl & Lh (15(U)
<br />-!.
<br />a( trwh, oarlr IIn)IEiy. (tr my.mnli,vcc\ wnh wa8. r\ rh.n (,k.onrFntrN!n, sJl &! rtr kxt ail rrr {tuim. nn
<br />ml.nkrl or ofl.nrl ftr !L (Sd 7044, ButE( .d Pnn$qr. Cirk Th( (i'.lra ktr r tr.nc ljw d{r fl{ qdy ti, { owx(.t
<br />r h. Fr:nv *tn h dt ,tr rqn'B rh.Br. .il wh, &{\ \uh urt hint.ll or h.ncll or rh!,uSh hr o. h.. o*. .mnL'y..t.
<br />pmvdcd rhrr {rh n,)n'ktud\ ft !i.Br.d f DflRl f{ qL ll. hrNE. rlr t!'ury or rt'ohGd sa)u*.hh(s h,
<br />dl o,q*rr& rlE Olnr Au lcr w hrk rll ltun]fn .f F)vir3 rh.r lE o. !r Jn rn hor! or nlxlk rhr pn'Id, tff rh. F q s f
<br />-
<br />l. .*x. ol r h. Fslrd y. .n .k llriv.lt (nik&l'n! wih |,..n\cJ ronti( rx r, u 'ndntrr rh. 0n,JNr lSc. 7lB.l. BrnRs
<br />iul Pnrss,n C(rlL 'l hc Conrrnr'1 l-'.cnk l,ru (,,r\ d ltfly h ih n{ Nr or Borxdy rh, 6u'lJ\ nr 'n!n,vcr rhckan.
<br />rhJ *lk, (di{i \ ld .u( h Fr*G * dh r (nnri{lnr r r lf,.n\al IrAUr nrrlkCin r&nr'\ l-r.tr€ ljw)
<br />I am rr.n{'r unL. Sdll,n
<br />1!I)8{EB5: TU[DNSAIIAN
<br />DIII.AB6II9B
<br />I h.rchr rlrtrm trnikr p.n.lrlolI'(.lurror olth. n,ll)rr,t l^Llrrttr)n\
<br />_l hrvc dr! wrll mlrnrM . (tn rL.r. nr Ci'n*nr h S<lI Inrur. ttr qrl.(' rotrqxnd $n. .i rrn &n l{ hy S..rxr Ulxt o, rh.
<br />LlrnCd.,l rh. JEd,mr of rh. wolt fttr *hrh rh. permir r ssucd
<br />I hr!. r'rlwrllnri rn tro.t.(r \!nlin\!rrD NrrJh...N '.qutr.(l hvS.LrDtr lTlrlonh.lf,h '
<br />(i)Jc l(til\.Ii'r,rnLrR.ol
<br />0r so'I ntr wh([ rh6 F.rnnr r\ r{'eJ Mv *!trkr'\' .! nr^-r\rr r finur x. .rtrEr rnl F)|rt nun$.r r.
<br />-l(.dilyrh.rrnrh.lErlnr.rtucolrlr*o,tI'x*hihrhnlrrnnr ^ Nk{. I \h!ll ,k .trlllli,y rny 0(r q,n
<br />'n
<br />rny rutrmr
<br />v, $n, trotu ohFrr t! ih. $'rr.F .rmp.nerrr lr*\ .1 Cdrtomu. lht rlN rhlr d I rh,ull h(om luhrcr r, rh
<br />*oik.,\,.on{r.ns!rkrntn'vrDns.lSc tr)n l7(rodl rh.ljhtr (iri€.1\hrll. l(nh*[h contly rnhih& pnn.rni
<br />trnr.,srnl. .trtr1 \rr.,ll ! hF(r .trr .trrt,r,,\.r n, (,trntr,,r |lMrrf\,ql
<br />htu!.t r! lln !rl.J t)r dr
<br />!]t!LlB!I!!rl
<br />I h.rhy rlrnh ud.r Fnrhyor lxl,urt rh.i l.m lf,c.<al utrLr For6r,n dl ChrF.r e l(onmturns wnh Sc(on ?{u)) Dil)rvr{dn 1
<br />or rlf BurEsaL, Pnr.sDns(i{c. n, nrylkcne ( o lulln)r-. drl.llt(r 60t3 3
<br />I rFrchy.lrm! LrFnxtof Frrliyrnrrllair. trdurirn L,rliry.rcBy nn rh< Frntrn1ec oIlh. p{Ek ti}r}hthrhtr [tm ii
<br />$u.d(S& nn7.Cir. C.)
<br />APPI I(ANT DECLARATION
<br />I Nry dlim' und.r Fnrlry o, Frjo,, oF or rhc nrllowrnr 6,..tflll'nc
<br />I).nultr!)n t'crn rA!tEn.! Notrlk.ll'n li{c l Rqnllri,nt lIil. il0, Pd6)
<br />-RcquEi
<br />l.(.ror llol f,,r'n
<br />-.1(n
<br />vrhi rhc l.J.rrlr.BrhriN R.Iu'ltry.sll(n r rcnr'vrl rc Bn itplE.hL t' , hn 0nlrrr
<br />I (.nrlrrhd I hr\.r. rh^!ftii!rx'n {rrcrl,rr rlrrlx,r. tr,l mlirnr\.orr.rr lr!r..i,ronfly] h,llCivrrl(,rnryii'l .nn.\ rtrrl \rrn.l-.r$\ 'rl. rs r!, h ,l,lirr
<br />.ni^. rtrrtr,rn Il','Fnr i,tr
<br />'nlF..dk -t
<br />t\p0lnxnl.r,lqeni \istr.l
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />8/z+/n ,fr?r./or
<br />Shear Wall
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Pool Fence
<br />T-Bar
<br />De Final Re rt
<br />En ineer Final Re rt
<br />Flood Zone Cerlif .
<br />FINAL ?-z,t-rc *?td,
<br />Certif icate oI Occu pancy
<br />Notes, Remarks Etc
<br />COMMENTS
<br />C.mri_
<br />P'nf,, Nurnl!.r:_
<br />Rool Sheathinq
<br />Framinq
<br />Masonry
<br />Handicap Req.
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