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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.co MENTS (,WNER BI]II,DIJR DEI,('ARATION
<br />I h(rchy rfintrr utrd(r lEnolr, ,,r Fqury rhrl I dr .x.ml ft, rh. Cutrk!.nB Li.. { lrs n, rhc nnL,sins r$q'n (S..70.11 5
<br />B!nn.( 0d ltoti(rtr ciric) Ary Cny oi (-,{nr) rhrh mquih\ i F'nr r. .o.(d.r. ,ltd. invrovc. &m,lnh or EIEr any
<br />ntu(ur.. I'ir b trr ruam. lklr Etuird rh. !|llltad n, iu.h ,rii k) fiL , .Bmn iirclffir rtur lE or rh. \ l'(n{d lursid
<br />n' r|t ,'.oynhni of ttr aonkrttr ( Licnkd lj* l(hti( o. C(nshtu'n8 $irh S.dtr,n 7(lI) oa l)nnion .l ol ih. Bu\i..* lod
<br />Pnn.\\i{,n\ A)d. r or rhDr lr or\hc iscicn{'rrh.r.fionr!Bl rhc hrss ntrrhc !llc8cdcrcnrrtr)n Anyvi,'lni)nofSodi('n70ll.thyany
<br />lnplr.nrloroFrnxr \uhjNh rlh rrtli.ahr kr,.^ilFn,lryolmr BrcrhM fir. huftlarl dollrs t!5rx, t
<br />L rs o{ mr or rlE lrnFnv. or my cml'h}r\ lnh w!8c1 I rkn vrh .onVF.eion. s r,l do rh. rdl en ErdEir ,
<br />inr.nlcrl o. ofic..rl hr qk ( SR. 7044. Btrrik{\ trnd ProL\lfnr (-rric 'fh. (i,nrlcloi ! l.ncn{c rjw drr nor ll'rly hr dn rwmr of
<br />rh. nnDcdy whn hoil,\ or io{'n}rcr llrmn- aJrl ub des u h trrk hans.lr ur h.scll r rhftrrgh ht or h.r Den . rtl,'yccs,
<br />ltr'vikd rh.r \u.h 'ryn,kftd! m r inrcr\l { o,rqrn ttr elc lt h'r$(. rlr hiliinl or iiFEmnr ir g,It rnhin um rdorluvlJinrh.()$E Bui[r*rllhlt th.hhl.iofFrqngrhdtr,{{xddmrt iU o qmE rtr F,Fy ftf, rtr FrIEe of
<br />-
<br />l, ar ouEr of rh. nmliir, rr crrh\ntly .onrrrd in! wlh [ectrEd .onlrucl,'F lo .onqrucl lh. nnrc.r I Scc ?($1. Awrc(\
<br />lrn ltr ia\i-C,xk fhcCof,rrrr.ii Liccn{ L$ dE\ u rprly ro dn or Rr of J'lirIEn y Eh. b! rldt o. inroEr rhdcon.
<br />rnrl rh' codrul. fM 3uh F)r(l( r'irh r codturffi li:n{d pu^u n) rlr cldrkoas l-x.nr I j* )
<br />I rn,.rrtrrt, trtr(1., Sc.ri(trr . B & t)( lnr rh irx\rr
<br />D.r. orm.
<br />}IAAf,DBT_IAUT}]IIIIAT
<br />DIIIASIIIIIN
<br />I hr(.hy rltur utr(td t{idryor frUUr!otu.frtu r,rlk)*i',F ,1..Irrrkn,\
<br />_l hi!. dd *rll mnrrd r c.n ifrrrc of conEnr h scl, lnrurc for mr\sr' ontEtruii{'tr. &s rrn ilcd lor bJ sdrrn l70o of tlE
<br />Lalr* (ix!, ru Ih. Frf.IrrEn. or rh. x{t nn *hth'lE rrmn 6 nrud.
<br />rh. trDrklifrhrl'rh^Fir
<br />'5
<br />h{k{ nt!{orkc^ o,lxneii, iNur,uk. .!rtr drl tr llnv nuDh(r Jrc
<br />-lr.
<br />rfy rhrt rnrh.Frrrtr.ERtnrrlr u.rl ft, *h{hrhF lrrn r n riErl. |.hnll ft .q)!oy rny FK,n i. :n, numr
<br />y, A n' lEnt luhFr ro rh. *nt6 orqEn{r$. hw\ olCrlirt,mi.. rnl o*m !h4,fl (h,ull b.$m iubFr k, rrr
<br />srr[.'\ .on,lxn\.trk nDvi\i,, \,,rs..ri, r7(xJI
<br />tlALNlNC l.rlluc h, {.tr'. $r'lr^ .o rFn\r
<br />nrhc I nlr,(ixlc. I \lrll. ltfhrirh(o t,lysnhrhoy.,'n)vi{of\,n.o!r'rt. A unlr*rul. rnd
<br />fflY*''*.i\il llnc\ !I, h orr hxndrcd rhouend dolh^ r
<br />S..rr)n 1076 oirhr lih, GiL. '.furci..i-.trt|i...Ititc'
<br />I h(rhl rm.murls I{Nh! ijr r'..prt rhrr rn lNnd ud.r llnlrin ol(9 k\rnftft68 u h SNii,n Till)r or D$nx,n .l
<br />dr rlf, llu\tr(\ rnt lt.li$(ntr{\)J., rxl 'r-1f,.n\.nnhr1lhtr..Jrl.ln\!
<br />t / t7{
<br />I lErhy artrm unkr Ftuh!olFr,tjryrhd for!h( Frr,trroN. I rh( rork ld shihrh'\ Frnxr s
<br />A{rllisc( l(D7. ( '\ ( )
<br />irItUl;A fllicl,l8lllaN
<br />I lrn\ rlIm undu p.aahy nfncrrurvnm ol rh. t()lhun,e ialrrsti.n\
<br />Drnr)l(inr P.iin[\ Aihc{os Norltrarnn lid.lrl RcSuhri6! rTirk J0. l,!n6)
<br />-Rt']uncd
<br />krrdof N.iifisrirr
<br />li{cnlrcEULri,N E8ldin8 .<lEs'or lw'v.ld. nor +r r.bk b rhF pf,,j.{
<br />r.rlt rhr JI,I,L'., irr[1{.n.rhr rrr irrE ro.omnlv *irh all( rry ahl Couitr
<br />s\ rLri,,t n) htr,klnr! r.n(nrcrii)n.,!.\',1rhr\(irvrkl(,{r f r,rfru rli(rh.
<br />4ttLz
<br />a-y OI
<br />Set Backs
<br />Forms/Steeli Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsutation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsu lation/E n erg y
<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 />Engineer Final Report
<br />Flood Zone Certif
<br />FINAL ?/2,1/ts 5-\9<(
<br />Certilicate ol Occupancy
<br />Notes, Bemarks, Elc.
<br />I
<br />I
<br />@NW+Jl,///
<br />il\r
<br />lll," -/y flu44/\
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