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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE IDiSIG.COMMENTS OWNER BUII,DER DELCARATTON
<br />I h..chy rtitn und.r Fh.lir.n Frjury ih.t I m .kq, rnrm !h. (i'dr!br' lr..* b* for rlE nnl(,*o! E.r'' rs'i 70rl 5
<br />Bu$R\s .nl Prolc\qr Cirl.) Aoy (iry or Counry wh*h r.qumr r Frnd L' on{ruu1. rlrcr. rnpn'v. &n,lFh or r|ur rnv
<br />Bsoatu...lq' r.qttr6 rh. q'f!l.ad nr\uhlrmnr k' lrL. !!EJ {rr.mnr rhr lror ilr s l{deJ Puq.flr
<br />io !h. lr,vrxnr of rlE Conrrskt'r l,rcn*J l-.w (Ch(|lrcr'J, ComhcRrn8 w h Sc(li,n ?l[O ol Divtrion ]l ofrh' Ru m( ri
<br />lhnar.k'ns C,iL)q rh:r ltorrh. ( c!.t{, rh.rcton "nl rhtlta31,, tlF .llr.tl .kn!ii!n Atrv Yi,hr{n of set.. 7011 5 t'vrny
<br />apll'r:nrntr.J.m suhJll! rh. rff l'(rnr I' a crvrl Pc.rlly ol frn turc rhM nv. huR,R{ d.llrs I l50O)
<br />l. r\ .*mr ol rh. In'ltny. or my cmtlor.r w h wr3( .\ rh.r qn. .omp.nqron. *dl do llE Rrl ml rtr (BrG i\ r,
<br />dc .J or oft Ed lir ql. I Sa 7tll,1, B!(ftr\ .nJ hn.(r'nr (irlc Tt* C,dr&ntr'r lr..( t:u lIEr n{ !tpl, ro d o}8. of
<br />rh. roFn! eh, t{,lk n n{n,h! rllt)n, d wh, n'8 {trh u,& hmsrl, or hcnc ll or rhDush ht dr h.r o*n cn{*)v.c!.
<br />tbvdcd lh:r luh m{rrrtrdi e r, dolJ inori.El lr, qk It. h'w. rlI t illr4 or rqmxrEd r bU s.hn rE F'
<br />oa$'q*rra th Owmr Burllr wrll lEw rtr hmL, ol Jn)v,n3 lhll lEor\h.Jrl ft, tr l.r iqmvc rh. tn Fnv,nr rlt t qh. of
<br />l. ss o*m. ol rlE F)p.ny, m . klulv.ly conral h3 enh lKtntd !.nra(E b 6nrei lh. J!,Fr I se Toa4 86Br
<br />ul rtr,ktqn C(rL: Th. Conrattr'r l-Kcnt l,rw d'Es h rrply !o ih ovn.. ol l'n'Fnr eho hunds or mpx,ka rhcron
<br />inl who conrtuk Lr suh F,,c.k * h: Ci,lhrorlrr lrnrn Pln@r ro rtr (bdrlrd r lNn€ L,e)
<br />I lmcr.md dd.r s.rrn .B &PC nr'hFFro.
<br />!ABEEEL(a!III!BSAIq!
<br />IIECIASAIIA!
<br />I h.fthyrllumutoLr Il lyof Fruryom of rlE tolt'*h! &{brrx'n!
<br />-l
<br />h.v. 4l 'nl mdu. C.dlfrr. ol Cont.l b S.FlnruE nr hrk6' L.nIE.st,n, .r Fotl.J tor bv S<rr. !?00 orrh.
<br />ljhor Cdl. ld rh. lErioffiN. o( rh. worl ld whf,h rh. Frmrl N Rsu.1.l
<br />I h.vc lnl * rll n.mrsm wor tcr Equord hy Sc(l tr'n .l?{)0 of rh. I:trtr Oxlc, tut rh. IErltlll4. o,
<br />rh. w..kl(trwh.hrh! Ixm[ Li Rul. My sort6 .otrqEndi'n o!!r.k.r&.!.[i F,lky iunhr uc:
<br />lsd . ,/-vlr =67
<br />Ilcdrlyrh.trnrh.Frforr^*(olrh.workinr*hrhrhnFrm,rr.utl.Irnllflr.nt{,h,rnvFB).rrn,f,xE
<br />$ .r b lKIm lnbFr t' rtE sltri drmt nlrrxrn l.ws ol Crlrnrmu. .r.i ryd rhd r, I llrlul,l tKom hr. rorh.
<br />wod.i! on{xmdon ln,v(k'n\ ol sdrif l7{loofth. Ilhr c
<br />WAININ(;: l.rlurc b Gut ro .r dnrl'.n\lirn L1y.t3.
<br />(rv hn.r u, n'.N htrhJr.d llkrsni Jolls lslln,ffi)). ,n
<br />in . ! {ull. r('4h*rh rnr'{'|, w '.spl0r!r n, 6innd IEmi.\ st
<br />pn. J:msc .r l,mvn.1i ntr E
<br />I hrrchy ijlirn utul.r pcnahyol Fr)ury rh.r I d l$n(n unl.r pn'!,\R,n ol Chaflq 9lcommmu8 *rh S.dun 7(In) ol Divti'n 1
<br />I rlE Bu(e( 8d Pnn $i'n! CdL, ui m, lr.nt * n lxll lo(c .nl .llirr
<br />c 7 Z.
<br />callrEl.glxDilErulsg-a{iltr.la
<br />I h.Ehy rfrlnulL, Fnrhyo, lxrilry rh{ thcE n. (n{tur[i LnJo3 rfcfty !q rhc p.rinllM.c rh.,urkfn*h(hrhFFmi t
<br />FsftJlse. 1(n7, Crv. ( )
<br />APPI ICANT DECI,ARATION
<br />I hdrty.Itm urr.r F. y oi Frll,ry om oi rh. lollj*trg &tbr.r irr
<br />D.ml,trrn Pcrnik-Ash. o! Norfic.ir)n lttLnl R.3oLrn,n! rTirk:{}, Prd6)
<br />Rcq!ft Ll l.rr.rof N,ifuri)n
<br />l..nnyrhi rtx lcdcrrlr.Iulalon\ NfrJm! r\h({oi kr*rvrl Jrc n.rrml'.rhlc r) rhA pn,Flr
<br />rcd'ryrhri I hnvc rcrJi|,trrtitl'( nnd nar. rhJ nr ah,I afftrocomply*ih rll Cny
<br />rurh{r. rqr.snrrr,wi ol rhr. cil y rnl (ird, I.1dd sr.r. tr*\ rLrnri tut{lllh3(
<br />Jhr( nrnrrr.n |['rrIy l!tr 8s]k!rk,'
<br />lpplicinl 0r Ax.nl SiEn{iur
<br />or(e- \ n
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsulalion
<br />Roof Sheathinq
<br />Shear Wall
<br />Framinq
<br />lnsulation/Energy
<br />Drywall
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enoineer Final Report
<br />Flood Zone Certif .
<br />//\
<br />FINAL \"1'tY i,w\a
<br />Certilicate ot Occu nc
<br />Notes, Remarks, Etc
<br />ruf /t1
<br />I.nL.r AdLkr$:
<br />Ext./lnt. Lath
<br />*utN sro- g+g - 5t5i
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