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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE COMMENTS OWNER BUILDEf, DTI.(-AtrAIION
<br />I h.6hy rltirh ont r If,D!, ol F+ry rh.r I m .r.n$ fmE rlE Contr.cr'n Li.ns b! ntr rh. f(nkivm! E.$n (S...r0ll.5
<br />6urE( .rn Pnnc$r'n coJ.) Any Cny or Cou, , whrh rcqum( I Fm, h $nnddi 1116, in{n E, J.B rh .r r.F ,,
<br />{rucrur.. Irxtr r} rr\ rsuML!, a, Biurcr rh. .!rrl.. ntr lkh p.mi n' tjL . n3Etj ri.iftnr rh.i lr or lr r lidkl lrnMr
<br />lo rnc F'vri,ns ol ltr Co.t*ktr s t-.cncJ Uw t(lE| d 9. ColtEtb! erh Sdix'n 7l[o ol Orvtrrn I o lt Bulim* ud
<br />Pnt sirn\ Cqj.) or rh.r E d ilr s .r.ryi rh@ftum Bl
<br />'rr
<br />t{.s ntr rh rrl.Fd .r.n{rk,n /M, !i,I,!in ol sar.n 70] I J hy d,
<br />rmli. ntr r Fmir ruhFl. rh. .pplird r, i .rvil r,.Mlty ol Ml fr,. lhu fiv. hu lrcd Jollar (SJ00)
<br />l,.\ owmr oi th. frlJEny. ur mt .n !t(r *rrh w.S.. ar rlEr ek.rloF.sri4 * l Ji, rlE kt [l rlr {rre 6 n,
<br />dr.ni-l u orLEJ lin eL {Sa ?l}l,1. Eumlt rtl Pn,t63nn. CtrL: TIE O!dr*rr'. k.nc lrv dxs B]| qrly to u owNr of
<br />rll Ir Fny wb hru! or rqmB rh.GE.nl *hl (,* qh h)rl himcu or h.klf or rlrou3h htr r* h.r own.mfrlrr..r,
<br />Pbvri.d rh!! ruch ir{r,wds 4 B, dcnLd q ona:lt f(n el. ll, tnw, rh. t rE d BFrEmd s $tl wntu oF t r
<br />ol or{'LrDn. rhc()*mr [ruilLt *tll h'F rrE hntrof FMt rld lEornEJrl it [, d urtm* rFtdykrrrF'llFBof
<br />-1.
<br />rs.*m. or rha non ny. amerrlunvcly()dr miw h
<br />.Bt lhr|t$ihork: rh. conf&!tr'( Lr.n< Lr* JrEr ftr
<br />,ft1 *lx) Lodrrrrli, r(h Ff(rtr hrc(,nrRlo(rlr
<br />(,nrr(ouh 10n{ntrr rlr
<br />rh'. I 1aY riII
<br />I lErch, nll rm uBlr Fully ol ,r.Jl4v oE ol rh. n'Uowr8 J(lrnrohs:
<br />I hrv. !,rl urll mrrrh ! C.drrrrr. ol Cord i' S.laln.lE rd wl6 .r,f,rFBrrr, .r FDqidl rd hySerr rrftiorrh.
<br />llhrr GrL, rM rh Fnrlrrur or rlt *ii ftr ttih rlI Ftur i nre,l
<br />-l
<br />h,vc .Bl ,iU nrDr,rn *ort.r' comFn\1r k,h ,nrur!k.. .s r.q!r,l hy S<r nn trm of r,r libor (ixk, rot tlE Fni',rlm. or
<br />rh. woit lor shf,h rhls Fmi 6 ssuJ. My wdts' limpcnq.n 'nrurBt .ss rrj Fn.y Nhh.r el
<br />_l.cnrrrhar rn rh. n nnrtunc. o, rh. udlk ttr whf,h rhr I'(rmn F ntucl. ! rfirll nn .r{)hy yFnrtr.nyturr
<br />a' .1t' tEaom (ul'a.r l,r rh. m*
<br />*r*6' lr)qEn€r rD pmrrionr ot Sarni u(xl ol
<br />l4ARNlNc Fr ur. k' Guc vnkcr'Nnln.ndtr
<br />cNrl lBcr trF b ox hundrcd rhoulin! 'l.116 |tl
<br />Serirn:1076.r rhc l:htr (irj., mrcEe.nl itftmy
<br />L*r ol crhronr. rnl .ar lh, i, I sn'u! rEor luqer
<br />I rErby rllnh unJ.r IEEhy ol Friury rh.I I d Urtrrn u cr tr'n nl Chanrcr !) (.ommn nrs *dh S..r i,n 7(In) ol D^ (r)n .\
<br />ol rhc Bu\m\\ !' l\Dt\\i,n!\(idc ltrrylrctr{c A n' x'll nnLr:urltrlc((
<br />L..nr CLai-LEN NumtEr
<br />lalsIAIIlIIAEIEIIUIC-f,CEN.CI
<br />I lrrh, drnn onLr FNXtof F ju.y rh, llErc ! ronntu.rbn kBln8 !!cdy ntr rhc F.hrl4-'.-. ol rh. x'rl fnr *t\rh rh( Fni (
<br />istu.Jrsd l{107 ci! ct
<br />Lcnd.is N!ft: .
<br />(
<br />A.TIITCABLDECT.ABAIIO!
<br />I hEhy sn'm u.lcr Fnrhy ol Frrury oft of rh.lolh*m8 Jellr &nr
<br />Ixfrnin,n PcrmnlAtt'.no! Nd (.rx'n r'c&r.l RquLrD..rldlc C). Pdl,l
<br />,R.qumJ lrrr..r, N,r inn
<br />I !c(rlyrhar rh. lcd.r.l (Erlrto.r El
<br />_l !d yrhn I hlv. r ihr.ml..hon.nl s.oGl. I .sc lo omrly *nb.U Crt
<br />onlurnri rnd Sid. L,ws Rlnrnt k' h(r
<br />rh'vc trrnr k,rJ pn,Fny Ltr h\Fnr0
<br />rcF.drirKs ol rlu! CrY ril
<br />\ppliunl or A!.nl Si!nolur.
<br />Bll.
<br />t
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />ln s u lation/Enerq y
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />l\ilason ry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Enoineer Final Report
<br />Flood Zone Certif .
<br />,/...-.\
<br />FINAL Ll-11 VIILK\
<br />Certilicate of Occupancy
<br />Notes, Remarks, Etc
<br />tD/stG.
<br />ttE or .l.or{E...ri(F.
<br />D.r,.:
<br />Cdr*r.. _
<br />I
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