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BUILDING- INSPECTOR HECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNI.:R aUIUrt:R Dltl,(lALAT()N
<br />Ilxr.h,aflmunJnp.n,ufp.rjur_vrhdI .r.nFr tom tlE (idmrc Lr.M hw fot rh. folkJwdt Es$i ( Sd '1)11.1
<br />Burin.j\ a l lt.ri*$i C.dc) Any Cny or (i,unrv *hkh r.Oun.r . trrmir h ..nnocr, .lrr, r.pov.. .kmlhh or qsn rny
<br />ntutuE. pritrt, iis *sua*.. rt$ Eq!rci rh. rllfliitrr ntr snh O.mir t,liL! rX,Ed nlr.nrnr rhd llor OE ir ltratrs! p!Ru!.r
<br />h rh. pmvNrns .r tE ( onrrroi * l-c.ql l r* (Ci. c. ,. C.nnrcBiry ! h sariln 7(xrr d l)rviinn I nl rh. Aurirs .nd
<br />h.t.uhnrCei.r.thrl.q!E.t!.ifrrh.ElNnruirh.hra\turh.rll$J.x.r!iD An,u,btiDulSdrn7011Ib,u,
<br />npd'.rnr ror r p.nni {brcn rrE .polEnd ro r .tr r I Fn! y of mr mr. rhrn ll r. t{drcJ dollsi (tsrrD
<br />_1, 6 .\*r dr rlE F.Nnt, or my.nrphlr.r ril M3!s rs rh.i, !'k dqiMb.. rlll iL rh. $!t ,tl rll {MG B d
<br />rr.rlAl rofi.r.J tu EL (sa ?Ol.a. BBiE\! mtl Pnr.si.d aol.: Th. (i, r*r'rLa.n€liwJsmrrpplyrorno*Eio,
<br />rhelln'!.dy w}x, tu'l',1 .r rn{irF! rh.Ei\ lnd *lD J<s {(h wd hrMh ur lE6.lf Dr rhmu*h hr or h.r own .E loyer.
<br />prn dcd rhar srh impnrwEnk m mr iddrdol or.ll.an lr $L ll. hu.wi rlr buildi.r r iqh'Eftd L sld *ithh,t Fa
<br />onlnllUnn. rh. o*E Burud willIEE rh. t!^kn o, In)!i.r rhd lE or {E d! d huitl,tr qmr tlE rrnrEry i, rrE rrrr$E oI
<br />-1.
<br />rl ow oarh. Frfsly, o.rlEiv.ly sndrnt *rh lf,atrcl odBtn to N..M rh FnFd 156 nx,r, BuriEg
<br />.rn huesincuL Th. Coddol! lx.tr( Lr &B d.prrly k' u ovs or FoFny st hd,ld' u ulprcE lfr'tr
<br />.d *tr N B' n{ {.n FDidr wth r codBlni r Uc.&d psnd h rlE co'r.dd! tj.r@ tr*}.
<br />-l "d\cn'l trtrd.r S.(rn,
<br />TQBf,CBIS}UIIAIAIAT
<br />DECI-JIIAII( IN
<br />I h.rhy rtitmufrl.r FMltvol p.ryr-v or.llh. n, trE3{krlrdr)6
<br />-l
<br />h.r! itn *rll nEinru . C.d iau. ol CurEd n, S.ll-lBUE f,r *rrt6i (r,nF.ndrn, .r F,v&J for by Salir l7m of tlE
<br />hlrr clxl., ror rM Frf.mB. or rh. rojt n rhthrh.n rmir N L$u.d
<br />I luv. lnd p,ll Ndlr *{leR comp.Nlrn)n ih!r!ft-., a! Equntl by Sdrlm l70O ol rh. ljlitr ( (iL. fo h. FrtdmuE. ol
<br />rh. rtrt l{n *hlhrln!r,n n isrd. Mr*orldr $nIrNr$n nrurm. cqn 8l pl.y nur'h.r a.:
<br />Pol.' Nuni.r ErpEr
<br />I..rllyrtur rnrh.lErr(rnuN.()lrh. *u nf *lr(hrhspcrnnr rs r$u.J,I rhil nor .ry'loy !., F oimr.y6rim,
<br />s ^ ro he$m shjc t' ih. $rk.rJ.omt trvr io, Lw\ ol Crlifotr,i{, $rl rgE rhrr iII sh.uld h.(nE ruhjcDr rorh.
<br />k,rl.^ $np.n\dDo nnrvnrcnr o, SdD. :l7ru ol tlE tjlu Cql.,I Jvll, fonh*irh omdt ,irh rl$El'DvurN.
<br />IIAINNC: f$luE n) <.ur. *int 6 lr,ntxMr,r r,Eoic a uolr*hrl. lrl )h.ll iuhrcr o .dt!l,'i. n, oiDl FMlri ul
<br />.!'l liEl !n [] .B huLl d rt udrl d.lbh (lllrlrrrrr. r ,l'l4rr r. rh. co{ of.orqEnstro.- 4.m!.s a proy'd.d tu tlE
<br />s_rrm v)76 0f rh.lihr (irlc, dftr $l droftr',f6
<br />lr.k:_
<br />U(IN!I]-(I)NIXA(IAA
<br />IIfELAMII9dIhcEbyrllt'. u .rFnrhy.rFrjurvth l m lic.nsd udcr pohi.nor( hil]trr,(.o'nmein, *nhS.crhn70lxr.ll)ir(Dn l
<br />ol rlt au*ncs intl Pnn sDd\ Ork. I my kcn* 6 r tull ld( drl crtccr
<br />c()NSTRUCTtON t,t:NplN(: A(:r'NCY
<br />I lFRhy dlirm u,rL. Fklry l Fqury rh,r rh.E h ! (r,ncn,.rr'n !' !,! !!.'ry h, r rE F.fd'frr. of (h. *oA t, rhrh rhs lsn n
<br />APPLICAM Df,CI {RATION
<br />I tsltryrnimud.. Fndxyof FrjlryoE of rh. lolkr*,n8 ddlaBionll
<br />I).!Dhrion P.mlrlArlBror Ndir'..r.. F.d.r!l R.3!hrio$ (Idl. 10, Pd6)
<br />-Raluual
<br />trnd ol t{rlrrdin
<br />I cddy rhd ih. aalnl k3!it&rB Eg! lnl .$.{oi Enrn il4 d .pplr:bk b ri. pruFl
<br />l!.n'fr lhrr I lN. r.. rlrtrrttlf,nrLDn rt{n.rhirrh.ntD!.nL lrgrcroLinpLy*(hJllCiIyI .ounry
<br />finc n(dntu(l tx,r^.-nt n, h|).d0npuqha\
<br />PtmxEDmrprinr):
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/Vent/lnsulation A
<br />Roof Sheathino -7-tt-2t kJLtd
<br />Shear Wall \,
<br />Framinq
<br />lnsulation/Energy
<br />Drywall
<br />Ext.i lnt. Lath
<br />Brown Coat
<br />It4asonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certil.
<br />FINAL 'l lzl-zs Dfrvfio z*Y
<br />Certilicate of Occupancy J lt
<br />Notes, Remarks, Etc.
<br />lkrv. 08 0/ 2015
<br />Appli.. o. &6r SkruE
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<br />D.l.
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