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BUILDING. INSPECTOR RECORD <br />SITE.WORK DATE D COMMENTS <br />JSet Backs f <br />Forms/Steel/Holdowns <br />Erection Pads <br />UFER Ground <br />SLAB Floor <br />Sublloor/VenUl nsulatiorl ,^ <br />Roof Sheathin K-2-/?xd(.xs1 <br />Shear Wall v <br />Framrng g-z-t"l <br />lnsulationi Enerqy *z-t1 tMH 6rCtq O^/LY' <br />Drywall B -11-i9 Y"V.Wtl <br />\) <br />Masonry <br />Pool Fence <br />T-Bar <br />Handicap Beq <br />Deputy Final Report <br />)Engineer Final Report <br />Flood Zone Certif . <br />FINAL "l-/o.l'?k'!/J,\0, <br />Certificate of Occupancy <br />Notes, Remarks, Etc <br />tL/^. <br />V <br />OIVNER B(III,DEB DEI,(-ARATION <br />I h.NN alnnn und.r Fn.lry i,l pcqlr, rhd I rm .icqlr lnrm rht cldrrttr\' l-.$c lr* Iir rh. ftn**oi (.a lS! ?oll I <br />8unft\r .Dl Pr.lctu'n (irl.): Any C Y or Coudy ehrh r.riurN . Fm n, (nNrurr. rlrd, !qn,vc. ,LnIhh .r RIirtr M) <br />nturrurc. Frtrt' r s\udr, rlu rcq!!rcs rlr q'nlrnt ntr surhFrmn b il.a nlntl nll.trnl rhli h.or \h. n lr n6t Nr.td <br />b ihc pn'vN$ni.r rh. Ci'nkrrnr'r Li.n{.tt Lrq l(lu0.r L CtrmmBrt *Ih S(rrn t0)0 ol Divn$n l oi rh. BxnEri rnJ <br />PNlc$r,.r (-qlr | ,, rtur h.or.lE !c!.md rtF.lror ul rlr hlar ntrrlr llLS.d.t.n i'n. Antr!'liri,n.fsc Dn,01I 5 hy rny <br />.mlE..r 1,tr . |Emx {hj.\rs il* tpplr rnr (, . r'}il F.rlry ol Br ntr rtun I rvc hrn,trctt JollrF (ll{xt) <br />-1.a! <br />o*turollrrIn,Fny,t{m!.q ,r(<* hw4...rrlEn5h(n{inrrr'n,*'I.!'rlr*r unrh{Brmtr*n <br />d.nj({ or olLrd n{ eL lS( ?tN.4, nuriE$ NnJ Pn,!isk)n\ Culd: Ih. (i'nr&tn r l-i.nk l,* *tr ft{ it'Pl, t' u oeLr ol <br />rh. nn)Fny !h' tid tl\,r rtrlf,r6 rh.Ba lrl qlh drs un k*t hmrli or h.rcll or rhn'lfh hr,tr h.. o*n.rftov..\. <br />nr vrldl rh.r ikh nFrErEd! e dr .to'la! or.ll.Gl ,ir rk lt, h!ft(i rlr t uU.r tr{mEEd ii $U *!hm om !t{ <br />ol $rlllLri4 Dr Owrr Bu trw hlk rh. hnnLn ol nfl'lr! rh'r tr or {t .lit nn tull r !ryn,w rh. FlP.iy lu rli nt4r!. or <br />I. drorn.r ol !hc nn)l].ny. am crctu{rcly (nha.r'hs *nh l'(.n\.J rodran,rr, r.r{er rlr Fnrd rS& ?(!'1. Bu!F\ <br />h.srh(irl. llrConkrnr'rl-(cn{lr!J!( n rpplvrd:nowmrolStFdy qhd hurl&or mPNv.!rhcr(nr, <br />*h' c.dr.rl\ nn luth I'rtih eirh r Co B.n)(irlictr*d Nr\uMr rlrh.Cd.inlror'r l.f,.neliv) <br />I .r.mfl u ( N(rrn- <br />1I(IRI(FRS' C(IMPFNSAIION <br />OEI'JTAITO! <br />I h.Eby.lttrhun&r rrMky oa Frrur, nr trtrlr ftlllovhS d.(lDrbnr: <br />IlL,!.lil*'llntrnrra(cd.lunot(i,o!dn'Srllln\unl(nuorlch.r'n[.trsrrmxF,!rl.dntrhyS.eltrt]17(xrortl[ <br />ljhtr (irL. tu rri.trrlnmlL. ollh. k) tur whrh rhc IFtrxi r rlucJ <br />I hv. rnl*rll nrr iu * nrl.r! omFnr.t rh rn\or,f,c, i\ tqu i.J hJ_ S&1r'n r7(t) of rh. Lll}tr (itl]c. l{ rh. l.rnrn,s(. ol <br />rlr uork !,tr uhrh i [F lrmi s H\u.d My w rkcF ( nlti nqr run rnlutrBr trtr rrn F,l*y ntrn*i i {c <br />\_-!9X"n,tyrtu -ttc Fa"rmn. i'l rr* *otl n{ *h.hrhBFrm n nnrJ.l \h.rl n, f,ntlyrnyFrw'i 'n <br />rnymner <br />r' !\ r' lEdrm ul|Fd n' rh. *)116 Nn{*.\:ri Lp! ol Crln.rn'. .Bl rSrc rlur,lI.hluld bc('m ruhrd nrrh. <br />m rn .onVxnu on I'n,vnx,nr ol Srur tr,n .lrll.) I rhc l:htrC,iJ..I it]ll. nfh*dh.$ntly * hth'<ra'vrilna <br />WAnNN(;r tdlurc t' BUr. s'rt.r'.1rqxns!r'n (n.r.It 't unh*ful. aDl \hrll ruhF.-r r.r'cl,yer h urualFulrrr a'rl <br />( !v'l liFi uI h oN huDlEd rrr)u{tl doll,i ( l l lxl,lxl()), <br />'n <br />ldd nn-jJ} rnL roi rl cnmt'. nidr ron. du&3.r i\ lln vrl.d |,tr tlr <br />Sr(n 1076 I rhr l,rlrtr (,r1., tr .rc( m'l rrrrn! \ l(\ <br /><". <br />I lrFby rlllrnundcr IEMlryorFrjory rhsr t drn ll!.n{d trn,.r Fn,vri,n ol Ch,dq t hohmturr3 }ah S.atnn 7(t)).1l)'vFbn t <br />ol rh.Ilunm$ lnd PnncsDnr GrL..d my ll.n< | m rull r(rLt ,n .! fdr <br />K.",.",,..-4 2("6 <br />k'.," <br />(INSTIUCTI(IN LITAIDIITC GENCY <br />I h.rny rlfrm ufti.r Fully ol t!.rjxry rh rhdc tr r d'nnrud rn ln luE lsctuy n{ rh. Itrrollre! .t r& k t lor whrh rhn Fm, ! <br />r kJ (S.(. 109?, Crv. C.) <br />a.ttllcallllgglJSalloN <br />I ls.t4 1ninn und.r Fnllry ol !.0trry oft ol rh. n!lt'*mf d.tl{.ll,n(: <br />D.frn[k'nPcrn s^rtE.nx Ni ntrdiln Fat nl R.8!t{r'nr(Irk40. l'.nc) <br />_R.itlmd lrtrdot Nlrnt.l$n <br />I(.nriyrhirh.lcJ.,rlrcsuLrt,n\N3{rdm3!sh.{osrcm'vrlrr..mlf,rhbn'lh!P$Frr <br />lliidd vrhrIh.r.n,llhrll!flrr r,n r,rl drr.rhrr rh.rh)vc DhhurN'n rror(r I4rer,,uomnlyw hrltCiylndcounlv <br />-.'rl'n.tu.i ad Srrr. trw! RLruU x' tdrl.lrn!,"n{nrrn,n. ,nl h.r.by.ulhtrnc rctts.r:rir.1.l rhnCryrnl (brdtt,.ntd uF n rlE <br />d)vc mnrk,ftJ ln,rrdy li, rFdr <br />,K,- <br />I <br />IIETftI <br />f <br />Ext./lnt. Lath <br />Brown Coat <br />. . /,-.,1 <br />'/-Z <br />Utt <br />Y-lt <br />Drl. <br />- <br />Oxrr- <br />7 -/ -/2