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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS owNER AUtLDtit DEt-(ln TION
<br />I h(r$y rl,nr unalcr pcEhy ,,1 Frrury rh, I n .\.q,1 InrB rlE (n rr(,G' L.tn< ,:* n, rhc n,U.qr3 rc.q'n (S.c ?0]1.5
<br />aurn rr lJi Phntsn. (iri.) Any C y o. coonr! whirh r..luo.r r Fmr t,, ..nilrucl, !lr.r, impov.. &mnth or rl{tr rny
<br />{d.lurc, Frrnr nr irsldu. rho rcqurcs rrE rflrlksr ntr sulhFrmrrn' ilca !3nil nd.ftnr rhrr lror \h. r I'c.n€d i'uru.nr
<br />k' rlE rrn!tr'n\ ol rh. Contf,kn'r l.ren{'l tr* r(h:fl.r 9. Commr'nt vih Sd'rn 7{xlo ol Drvr$n ! ol lh. Bulrs uJ
<br />Pn,f.iont CcL) d rfi:r lr d rl* tr.t.qr rlrr.ln,h rit rlx hcni n, tll llLaal ct n{'tDn. Ary vrrhrrr ol SdrD.'70!l I 6y y
<br />.rrlf,.nr nr . ncmn ruhF-k rlx rpdE.nr 6 r .Nrl p.d[y of d'r fr,. rh& a'v. tl!Ll,.J JoU$ (!t$,
<br />l-arowrro(!h.JrruIEny.ormycmtbyc.\*hwrS.rrslh.(a,k(mFn\aroo.*lJorh.h &nlh.{utwi!n
<br />hrc ot or o,tircd ntr uk (Se 70,{4, BuliR$ sJ tt( .r\r,n\ Ciir.: 'I hc Co.t..hr r l*.n( L.v d\x! nn alPly ft} u owEr o!
<br />rhc F)ttny eh,t ltk dr irF'Et rrrNE.rn *b! d.r uh ufi hrm(lr lErsll o. rlmulh hs or lEr orn cmpldy..i,
<br />Fovrt drhir tu.h nlprDffidr ft r d.rldi ddktn rir ek ll. h)kr6. rh. l!rl|63 d rrImEEd ! -ll watM (x Fr
<br />oI (nDLirn, rlr l-)$Er Bunrd sdl h.E rE hlrLr ol Frvog rhc lr or \h drl d tolu d lqnE dE F|Fny ki rll FnFr or
<br />1. .\ orkr nlltu pn)lFny, !n . trtu{vcly rnr r id 'n! wfh lrcn\cd ( o,rrru( rtrs n) ton( ruur rlr pnlccr r sc. T(u4. Bu\ocs
<br />rnl Pn 6\rr (inl.: l he Cont&tn'! l-kcnsc L* Jmr nsr lpllv kt !n owmr ol tln,Fny sl{, hu rlds .r rfllPn'Er rhcr.on.
<br />itu! wtl, ('dh(\for r!\hF'r.k u(h i Conr!(d r r lf,ch<d nu.{.nr brh. (i,nrr{(, { 1...n{ l^)
<br />_l drt.hfl unLi Scdr)n
<br />UOAf,Ef,S:S!!ItENTAIIO!
<br />DECJJIAIIO!
<br />I h.r.hy.lltro!n&r p.Mhyol Frun or.l !h.lt{t,}Dt dcLr.rD.1
<br />_l h.tt .ni *
<br />'!l
<br />tfuM . C.d t.t. of Concnt t, s.lf-lnruE tu krts lanlEnrt,r. .1 F.vrldl f,tr tty S.ct.n l7m I tlE
<br />l$dr C,rl., kr rtt Frtolrrl^-. n, th. md( fttr wh.h rh. Fm( ! ntu.d
<br />I h!v. rn'.j *1ll nrDr,D sorrcrr' romncn\rrnn Nrrtu.. as kquRJ hr S(rr{ rTlxr I rhc t2tx{(,ilc,l', rhc pcrlornurt'. ol
<br />r ! tr!&l My hrtda .i$ 0\!rn. (s.r.nl r,lf,ynumlE r.
<br />al^
<br />P,,lrJ, Numh., ' \ L/'
<br />_l.cnnylh.r rrh. Fr,i,rnNcot ltE vort ntr *hrnlhF trrml r !u.i.l \hrll rn.'r{br.., Fr$n rnrnylMmr
<br />i, Nk, tE(!r lubFLr b rlE k'll6 lrrqrnerk,h L*rofcnfohr, !n +r rhrt rl I rhrll h.$r iuhFr li, rll
<br />srts $n{En{rib pNvsi,n .l Sd! nn .l7m ol r& l:h, Cirlt, I ilEll. fffhw{h loqiy *rh rhr. F)ynur
<br />WARNINC [riluE k, RrE *trL6' LsnrxN.rr,n (,wn!. ri unltpfll. .rn rtul tul'Fr u drplo}il n) dn s] FBr.r .[l
<br />.'vrl lr..! uf h r* hu.dmd rhou{nd dollr. ($ltxl,(x|,1, n .drl(i,n t, rlE cod of.omFnrxiion, dlm8.! ri ptuvklcd tut llE
<br />DEC1NIATION
<br />Ihcrh, rltum uRt ' Ixtuhynl r-_rrurr rhar I r ll.n\rlunl.r t'n,r6r'n nr (luprcr g r Nnnr( 'n3
<br />*ihS&inn 7(XD)ofDrvtrir !
<br />ot rh.8u!n.s M'l Pflntsn'n\(ixl.,.Jri myl(cn\.tr m tuu l!'to. hl.llcrr.
<br />1,"".,"<h,, 'A
<br />c1 2
<br />CAIIIBUCIAN.LENIAG.A(.EIgI
<br />I lErcl'y rrrtnuftLr FDkyor Frrurr rhi r,r'. ! r Nn.Nrin l*lur r!.E.'y tor rlr Fni)l1i$.,, rh. $rt tu }r4h rhs Fr !
<br />$u.d (S.( !O97. Crv. C J
<br /> PPLICANT DECI ATATION
<br />I hd$, .rfm ur.Lr Fn.iy ol lErrury .F of (lx ltnl'*u! &.Lri D.!:
<br />Drm,ldxr P.m!c^.b.no. Noirfk.tNr F.d.r.l R.8uLlh.r (1 L 41, P.n6)
<br />Rcqumd l.trer ol Ndilidlrr
<br />_l (d , rh{ rh. f.Lhl rcluhr.n( E8.rdr8 .rh(nor rcfr'v.l .'r fr{ +tl.tl|L t rhn lxrFr
<br />Zr^,'y rh! I hrw Erj l& qDl.llnn !n nd. rh, rlF.lnw '.n,mri'n
<br />( clmr I.!re
<br />'o
<br />drtlly *ih.ll Cry.nl Coud,
<br />r Srrir l:*\ r.Lrul8 n, hu r!'ry (on{ntr rktn. rnlh.r.hyrurhtru.h'F.cnrrrrv.(.lrhr C }
<br />rh)v. mmomi pn)Fny iirr rrp.cltr,nJluqx,*r
<br />Arpli.{nr dr ,ls..r SicmluE
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf looriVenVlnsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framing
<br />ln su lation/E ne rgy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />En gineer Final Report
<br />Flood Zone Certif .
<br />FINAL l+-q-t'1 IL<_2 .')
<br />Certilicate ol Occupancy
<br />Notes, Remarks , EIC.
<br />. rb-\q
<br />lxtrrl..{ Add'cs
<br />=
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