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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNTN BUII,DEI' DgLCARATION
<br />I hcaby altun rhdcr Fnrh, of pclury ihd I un .rcn{, fmm rhc C.ntrro^ I-ilnr lf,$ fd rh. n,lbwin! Eiv,. lS( 70ll 5
<br />Bulncs adl Pror*srr c(r!.r Any (\r, .r C{ nry $hih icquirc\ r Fni t, (nNer. rh6. nr{ro\.. d.mnnh or rcF" r.t
<br />{m1urc. ritr r) ns nruaRr. .ls, .dlutrr
<br />'h.
<br />llt'lr.nr ld rsh Fmir r' 6t . sEr! (rrcmd rnd ll or sh. ! licnrd nuennr
<br />r' rh. pi.rnt,fi olrh. Cootr.roCt l-iccnscd lr* ((halrcr 9. C('mdn.irs *nh Sc.rnrn 7UD.f lrvi$o. I ot rh. Busin.( 0nd
<br />Pnnrsanr(ixlc)orrhrr h or rh. i\.rcnpr rhrrdlrorsnd rhc hsti\ for rlf, llklnl .rcqr! i('n Anyvidsri,.olScdi'nl0.1l 5hyany
<br />lntli(rnr for r Frnir \uhFh rh. q,tl(rnr ro r.tr'lrEMhyul mkrtui n\c hu.drd, dollr.(15llrl
<br />l. rs owtri ol rhc lrrltny. orny.nlPlojry\ wirh er8c\a\rttrtr rld co D.nvtion, tr'lldo rt q{rl ad ihc inrj!to n dn
<br />iN. Ld or .ltscd f.r sl. I S( 7(N4, lru\im$ rnd l)llfc(in (ixlc Thc ( 'rnkr{oi s I -n rnc taq d,k\ not q,Ily h !n ou ocr or
<br />rlf,lln,lrny $h, hild\ or nltmra\ rlrn,n. rd *h' &E \L-h $nI hin{ll h.r{lf or rhmulh hn or hd os n .r9t,!rc\.
<br />Dn'vrLrl rhlr {(h m{xo\ord1@,rn indrl.\l n. ullcrcd n, st lt tFtr.w.rh.hfin B d 'rlraE,!E.r r oll trihinff Fi
<br />or (onpkl r{. rlr ()$ ftr Bor[r hll hlvc rh. honi.n of lrornls rtur lF or slE d trrkl or mImE rh. ,h'Fny ir rhc pury$e ol
<br />-l.
<br />rs otr Er ol rlE n(,Fnv. rm ct.lDlvcly codhr n* qnh lr.nrd codr run rn mn{tulrlt pr,,Fr lSd 7(!,{.ltunFr
<br />{dl l\oL:\rn (i c: Thc('.,nkkt, \ l.tcnc bs dE\ mi.tplyh rno*n ofpoF y *lx, huiLk or imp.,r. kr&Jn,
<br />and *h,..nrmckn'rrurhrmjcdrwilhu(inr&t)n,li.rn\ !tr^udnrr,lhcConlru.rn's Lic.n\c l.0w)
<br />I am.rcnlllr ufrJ( S(rr)n
<br />ll.r. (r*m."*ffi*
<br />I h.rcby .llir6 undcr,xMh t of,rrflry orf, of rhc l(rlt[ n8 ddl"ri kns:
<br />_l h"v. nlsillroinrinn (-cni,lctrrrol Conxcnr r,Scltln$rc fur*rkcn .oipcnr rt
<br />I ih, C(!. ntr rh. psfoirurc ., rh. solt lor *hth rh. f6mn ir n*d
<br />X r,.r
<br />" "ru " ,rr *,n,o,n " "rknt' (ornFn\0rln 'n(r.8.. :\ ,qu'r!\l h, sNr r.n t ,rrr
<br />/rr'c *urrr ri" *rrg;rrrs 6nn h tr\hrr Ml jjlr.h' $mFnw, h {, ,n\uruN. unE, urr F
<br />,.-", 'Z'!dn' , ',/ttxlr*
<br />u",,n,K, tDt' 524Y4/b/Ld2- Erntrc.
<br />'n, !x Fovnhd lnrbySc.rn'n 1700rl rh.
<br />.f ttF titrn (irl , for rlE IslomE. of
<br />/r -3/-/tr
<br />-lc.nilyrh,r
<br />rnrlErErr.rmNolrh.r'.r1l(,*hi.hrtisIt, n '!\ucd. I shll ftn .nih! : y lt,sn in !.y ns.ftr
<br />er !ikr b.\\nE rlhF{r L, rlx *oltd\ inrFMri br \ .r Crl'ftns- :it {ft rhd rrl druld tE oE ul'Fr h rlr
<br />u.tk6L rnEns.rio. Fn,vni, orSsti(,;lifirorrhr bhtr ((xlr, ! tEll. n,nh$irh d,mtly wirt rhrE povni'n\
<br />WARNIN(; |oilurc lo wlrc w*.r\' $nrncn\lrn'n .nvcB8! i\ unla*l!1. lnd \hall rtrlrrcr an ..,rh,}!r t, fimrhl ltDlrr\ md(r'l finc. uf !.gpc hunlni thougnJ Jolls. {tlrr'.t{Ur. rn {tlrln r, rbr<N Lrryrn$rn '. Jxtus.. r. t,!rxl.n ri{ !h.
<br />Srarpn 10t1..]]1rg tihi (i{c.
<br />'nrca{ r,ri ! ,fr} ' r,r./r/ -/
<br />D.,., /a.6-A ^pron,, /z\ft-t'\--,/ \g9ffisB
<br />I hcr.6, lfrtrnunds [f,BliyolFrjltr,rhd I am lx si und.r r)ri\i,n or C brrs 9 r.,nrm^-in8 r h Sdion 7(XX)) of Divnhn I
<br />ol lhc BusirNs ond Fhfc(ionsCoJc, flrl my licc.{. is in full t're tun cfii.r
<br />,.**"rU- 197
<br />,',', 3'2a A *'^"eDZ"#5
<br />co!6ralclMN.rEltrltilliErirl
<br />I h.rchy alfinn trftln FnlXy f FrJUry rhol rlEie 6 ! cu.{ddi,n lcnJiq ag.Ny for tlE n(rturromc .[hc rorl f,tr *hich rhn Frmir ir
<br />n\ud (S&. .l(r97.Crv C )
<br />aSllllAll.lrlt:l.AaAu0r
<br />I hrrtrr rlmr u'rLr FmX, ol Flury or of rlk ft)ll,* rg &.lfii ifi
<br />l)rnrrilion l,crmih Arttskr Nolificariotr ljcdcral R(3ulaliotr\ (hb.l0. PJn6)
<br />-Rcqun
<br />d lrtler ot firil.r,ri.n
<br />#;'f_
<br />rhr! rh. l.d.rrl rExhrtr,! rid'inre r\hno\rr r'!xlrr nor 4plf,rhL (,rhr Dn)fd
<br />rhd I h.$ r$l rli( {Dliar info ruri'n n.n&1 I lar ro(nryly eirh rll(1r) rM counry
<br />rht.uhonr. rcnrcsd2h$ orrhn C r. Cou.ry ro .nrd uFn rh.nl srnt. tj$(Elalm3rotid
<br />2-t5'/d
<br />lzzz)
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framinq
<br />lnsulation/Energy
<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 />I
<br />FINAL 3\?A r6 &(,\4-
<br />Certiticate ot Occupancy
<br />Notes, Remarks, Etc.
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