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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNF.R AUILDEI DEI-CARATION
<br />I lrEby rllirm uBj.r FuIy ,n F.,trry lni I d .r.n$ rn,m rrE Co.lr on' Li.n\. lrw r,tr ihc ldlowhs Fiv,n (S& ?0l l 5
<br />Buqrcs .[i P&f.str$ (,rr.): Any Ciry.r Cdurly *hrh Enurcr t Fmr h ondRr, .lls. rnpn,k. &m sh or EF My
<br />(Mre, Frn t' s Bsc.. .l$ Br{mr rh. .|llrl(r.i ld ru(h IEmr lo litc ! !3kJ {ar.mnr thrt h. or ttE n l(.t<tt puilud
<br />6 rn F)vssht .r lrE Co.r&tx ! LicnEJ Lr* (Chzr*.r 9. Collmmnt s h Sel.o 7fi1, or Dr(.n I or rlE B!rr1! uJ
<br />Pnn (bn\ CoJ.) or rhrt ,E tx rhc r cicmfl rh.rlr,o od rh. b$i lrtr l h. rlkScd .rcnFrun. Ary vi,lrl$n or S<r.rn ?0r 1 5 hy ty
<br />rptlt.nlfttr.FmirubFkrlr.mlurtrd..'v'lFMny.rn mr rh.a fir. hutrlErt Jt'll. (lJU))
<br />-1,
<br />tr o*erdl rlr F'Fny,,n my.mol,!tr * h *.8.s !r tlFtr c,L Nmpcnelrrn. wrll & rtE sf,t rnj rh. ntuim * en
<br />curd or orl.rcJ nr qle rse 7()4!. Blrtr$.n,i Pn'l.si,.! OrL,'l1r Codr<'i lroe tl* J(t n, {'tlv lo uowmror
<br />rh. ,iqrty *h,lx l!ffuFtr\6rtm4.[i*h'll-unR) h'm\.ll or lrr€lf or rhnu3h hn or h.r own cnPl,y..!.
<br />fn,vd.d thlr ruch ollxnwrd\Edi 6r. Ltl orott ftal lir eL ll.h,ftK.rltt '!rBddFErtr!g P.homFa
<br />.l lr,rllHra tlt owEr Bu'[.r * h,E llr lurhn ol FMs rhll lr or \lx drl mr ttrdl or E{mE rh. F,lEly tu rlr Pullr,c or
<br />-1.
<br />rr o*dr ol rh. ,r,Fny, s .t.lu{vcly rotrr&i hs w h lf,.n<J codt.(r6 t' .-n<Br rlt FoFr (sc. 701-t, BBBS
<br />.in h'k sh C(i!: fh. Ci,nrB kr'r I -K.n{ rrw d'ri mr .Ptly lo rn o*mt of notEny *h. I'u rlds o, inptuwr rh.B'n.
<br />.ft] wln, conrdr tur ieh F,Fl. *nh. Codrio(r) lEo6l |[FM! n' llE Ctnlr-ru'! LNn* rrt)
<br />I rm.r.d uLLr Sdlrrn .8 &PC l,{ihrE.q'.
<br />lvoRxFlts' (:(rMPrNsalloN
<br />DECLATATTON
<br />I hrFl,r.llnnund.r Jrni,ry t p.rrury oR olrh. n,lt)wm8 J&hra!.ns
<br />-l
<br />hrlr ri! wdl m'nrrh ! Ctn rltalc ol G,nrni n, S.ll-Inrurc ntr *, kc6' .oml.n\d nn. ri novl]td l,t hy Sr.-r (,n r7(X, ol rh.
<br />Lrhx (inc, tur rlt pc.lolrlB. orr,E srt tr *nrh rlE Fn r tr\kri
<br />-l
<br />hrE.ni *rU M!r.b *orlr'omFnorbn ' urituc, I frlumi h, Scrx,i 17Ul of tlE lrhtr Grl., fot !h. FrflllfuR! ol
<br />-l
<br />r.d'lyihsr in rtu Frtorfrtu. ol rh. woll rirr *hi(hihs Frhn n 6!!.J.1rh.U nn.r9lot rny Fk)n rtr.nt @6
<br />$ rn' tElrm rut'r(r brlI kxt6 .r,mFnlrDn Lwrnlc.llomE ml r!ft rh{,l I sh,ulJ tE on* subl.d (I lh.
<br />vtrr'nr of s( rr :uno l rh.lrtltrcri..l {Ell. fdhsih.rr mnly * h rh,< I{ovr$nr*o,k(i ..n,trn\.rk,,I,r,
<br />WAINING: taltrc k' Er srt r'.ory*.qrnn u'v.48.
<br />('ql fircr up io oE hurrlEJ rh)lqd Jolbr (Slfrl,(XlJ). r
<br />Sdbn :l{lT6olrlE trhtr Ccj.. hrcr $d dn)mr's rer
<br />nlr*lul. inJ \hru ruhrcur r. cn{'!)ttr h omilFuI.r uBl
<br />(or of (omFtrqlior. J.ru!t\ ( t,ord.J fc llr
<br />'j ^ / /-t1
<br />I h.rby.lrrnto'l.r p.E[y or Friury lh, I .n lr.nGj uoL ,rChlFsIromnrRmt u h Scd rr ?ll[) .1 DrrrDn I
<br />d, rl* IINtrN$rtr(l I'r.lcsvtrrLnrl., $l nrv lrcr\'tr n h'lll(r.. r'rl.rl.(
<br />c11 _Lrc.n€ Numh.r
<br />g77Ll
<br />,/ )14 L\ll
<br />L'(INSTRUC-TION I F\DINC AGENCY
<br />I tEEh, dam u ln Foly ol Frirr, rh.r rt!( s r ondlLhn Enru! .lctuy ft, rh. Fl,'lrBc ol ih. *ott ft)r rh.h lhF Fnr s
<br />ntn.J ts& .1097, crv. c.).
<br />lrBL.t A.Xr.*:
<br />-APILICAUTDEqdSAIION
<br />I h6rt, rrfm unLr FMly of FrIt, om of rlr loll*rl deLhl n.r
<br />Dchol on P.rnnls-Arb.{os Nl'lifi.rrm ltdcr.l R.srl,!lnrlTnk ll{,, Pd6r
<br />Rcquurn lJrr.rofMr t{Dn
<br />_l .cnfy thir lh. Ld.r.l rcsuhri,! E!r'lo8 nh.1G EB)v.l e r, +dqhL h rtur lntFrlifrysdiLy rhd , h.v. E l rhs .ll?la!r.n lrl dn. rnn dr vc 'nntrmr$n !..trNr I r3r( ro rl).llPlt r{h .ll (ir y nl Counry
<br />onlorRs rd srrrc llas Fhrq !afllnrf.rcpre\cnrr'vr\ol rhrc vMd(iruniyn,cn!.r!g,nrlr
<br />rh)v. nEnri,ri, lR,p.ny lbr tuF(in Oqr
<br />Appli(inl n. A!{nt SiiuluF
<br />Set Backs
<br />FormsiSteeli Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framinq
<br />lns u lation/En erq y
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />FINAL 4 lL,c,lt4 -l t)/rYr\4f41)la)
<br />Notes, Remarks, Etc
<br />-+
<br />Pool Fence
<br />Flood Zone Certif .
<br />Certilicate of Occupancv ut
<br />rh. u{|,'tr*hkh,hFFm 'rnudl Mr*,'l*cF ofl7qrDn In.umc.dfl drj Prrynumrxr r
<br />,--, ' +':-/o* F,, -,
<br />",,,,.,n ^*, " qollt o.-- ,**,'3-lZ-/?
<br />^,, ' 7- l2'-t9
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