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BUILDING- INSPECTOR RECORD
<br />SITE-WORK ID/SIG.COMMENTS oWNER AUILDEN DEI,CARATION
<br />I lErchy rfllrn u.&r FMlly of F iry rh.l I d .r.mpr rmm rh. (i,.rrdo. I-itrs l j* ro. rlE folb*inl Er$n l S.. 7l).l l J
<br />Blrirc$ .in Pn,,6ri'n C{'&r Any Ciy or (dnly $hi_h rdtuid . Fmr b mnrnrl, rxo ht,ow. &mliih o tFn ev
<br />(nrrc. ri, n, irr niurm, tl$ EqliEs rhc {,pltur td trh Frni to filc. {is.ei rtir.m thd ti dr rlE i lkcncd IWur
<br />k' rlE Flvniont of rlt (tntdorr t.itnqd li* (Chrlr.r 9, CtrMn.in8 wlh Sslion Ttxn of oivirnn I ol rh' Butim( rnd
<br />Prot \ri'N Cod.) d rh.t lE m rL n cicn{,|rlEtfmm rd rh. ba.r for rlE .lLs.n .r.qrit. An, virldion of s.db.,0l I J hr.n,
<br />lmlaanr ror r Fmn rubj.<rs rlr ql|'ttanr h r civil FBh y of d ntrG lh,n nvc hundrd dolLB (tlltr
<br />l. .s o*Er ot rlI ,mllny. u nry .mpk Fd uilh s.3c( $ l,tir rlk $rirnririon. *ill &t ltE erit .d tlE dErE i r
<br />inrcd.d d olt(E{t td {k ( S<.?ota. BuriFr. .fl| PFr.i.i,n CnL Th. C..rrrlt 3 litm t w &Ei Dr .Iltilv ro r ouffi or
<br />itE FDIEny *trltlitLrint E tlEmr !d *ln dG q$ roll him€lf o.lrclf or rhDoAh hn d hc. ow..qrtty*r.
<br />I)n'lidcd rhtrt n(h impn'wnh s dn inkeld d oficRn rr, $k lt krkffi. rlE trildina or itr{nrEntnr i. rtld wilhin otr. Fd
<br />or$rplriotrrt 6vF auiBd sill lIE lh. hhld! of Ftrvi.r rhd ll.t rlE dn ri r{iu * intmE dE FoIElv t, llE FiFE oI
<br />-1,
<br />f,s o*mr nl r lE lfl,Fnr, om crcluriv.l, (ntacring wirh li.cn<d .onlm(xr{ tr, .o rrd.r rh. ltmjc(r (Se 7044. Ausrm$
<br />ed ProGs Cod. Tlrc ('onrrrror'r Lt.n{ l..u dr8 fr'l rPply t' d o*ffi of ||lon ny *ho blildr o. itpov.! rhdon
<br />Dd $l$ $dd\ld rkhFlFdtsirhr (h uda ldntd FFd h rlr Codrxr(r'r LitN lr*r
<br />I mr\(n,ln u rr S..rrn'-
<br />l)rlr (r*r.
<br />1\'()RKl rL$i()niPl,tsa'I'loN
<br />lrllLa.86rl0N
<br />Ihrrchy]lln ru.ddFtr tofpc,,ur!omor rh( i,nl'tr m* &![tr!r tnn
<br />-l
<br />hrr 'd will minroir . Ccn ifrrc of Consnr ro s.lr.l ruE [i, $nk6 o,qEnrsti,n. r( F.vi:kn 4., hy st! ion ]7(r] of lhc
<br />Lahtr CdG. nn rlE n ,rrmr.6lrrE work for *htn lh. psnii n niu.d
<br />,{I h!v. !d $' ll tuinrln *orkdr' d'nqEFrrhn insorrn-.. !s r.1utr.n hy S(r hi l'7(r) ol rh. titl, (ix!.. f., rlF Frfmmrc oI
<br />' krk l{n eh(h rh$ JE mil t ir(xd M y $ort.^' n,nlrtr{orn,. irtur"tur .M tr 8n lnicy numnct ft
<br /><-*",?tere/ ( Et dl-A-J -/
<br />.u.r r"^*,- m-rO <?b *'1 /? ', /-"'*
<br />I(difrrhnr inrlrFrlortuN,'f rlIf,u (trrhihrhi\p.rm n nru.d.l \hlllmr cqtlor rn! F.v,n inrnrtunF
<br />$ !\ h tE our \!hFr t, rlF rn.ts' omtEn$rx,n l,sr nr Crlinr trE. 6nd !3N rh 'rl irrld tEor tF! hrrE
<br />eo*.n' snr|ri\ ion !tuvhion! ot Sccrion.l7tl()ofrhc tihtr Celc.I{hnll. n'dhs[h.nnl|lly Iirt ilnt frcvninn\
<br />\dtnrW
<br />ic. nktr. 8 rIh sc.rhtr 7(rr)roll)iv \ion.]
<br />?%
<br />{e ?
<br />I hcrhy .rrm unj., FDh y 6f Frtrr ! o.nMi,n knti4 r8f,R y ftr llE FldlllR .f llE wl n, stah rn! Fnr i!
<br />ir\!.d rse. rlr9r.ci! c.)
<br />lxBLrs N!trr:
<br />arfl.tcANflrD(ltaau0!
<br />I hd*,t rfm urLr Fult y or Frrry oE of thc nnb*in! d6htr'r i'..
<br />l).'n n idr P.rnirl ArlE(os Norili.lri.n F.J.EI R.Sular ions ( l il b {,. P.n6 r
<br />_RcqoGJ kkr .f MxifEtir
<br />ln'trs Egldin8 &drthi rcm!01fi. mr.prltdtl€ ro rhn Poid
<br />*.iion !d {.r. Dr ih..l$E nn)mnhn i.ffi I rsr ro o.inl, shh.ll Clr.'d Coldv
<br />,{24*.LG4 k-rz :qZ#;
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathino
<br />Shear Wall
<br />Framinq
<br />lnsulationi Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />FINAL lt-P-r4 t)A,3/rt
<br />Certilicate ot Occupancy
<br />Notes, Remarks, Etc.
<br />DATE
<br />ol rhc Au\n\rrni fofcsionr(irL. rn hJ
<br />I i.cnsc Numh.t
<br />Set Backs
<br />UFER Ground
<br />Pool Fence
<br />Enqineer Final Reoort
<br />Flood Zone Certil.
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