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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNET BUILDET DEI-('AXATION
<br />I hcrchy aifrm un lcr !.n.lry ,,f Frjury l hrr I M crcmtl lioh lh. 6nlr&lon Li(cnic Lrw lor lhc nnb*hs @{,n (Se 70.1 1 5
<br />au\mtr rnl Pn'..\r[n Cd.) Any C'ry or G,d, *hrh rcqxE\ . Fd b $n<tui, rlrd. n{'NE. &frrlrh or rFr Dy
<br />ruduc. Fior tr is trruRc,.t$ Egur.{ lh. +plf,d, ntr lurh Fm o nl.. ltEJ n.rcmnr lh.t rEor +E s hccrrn p6u.nr
<br />l. rh. Frvi\bn\ ol rh. Conrardi t..cnr.J tr* (Chrfl.r 9, Col11mE6! wnh Srrs. ?Un of OrvEi'n I .t rh. A Es ..J
<br />Pn{csi'n! Gric) or ihrr lr or tlE ! crcn{ rhcclrr .,n rh b.r! nn Ellkr.tld.irrDn,Anrvr)LiEnofs&t,n70!l56yrry
<br />rmlicrm for. Fmd {16r&r th. rflrl(.ht ro!(vilp.Mlryoa n tuft rhd lrvc hundrcJ dour! (l5m).
<br />_1, ( owmr of rh. ln)lEny. (tr my .mtl,ryt.! wlh w+.r .i rh.! $h n,6p.nr.ron, wdl.L rh. *o* lrl ErtBlNis Dr
<br />lrcddl n ofi.rql lfr * lsc.?&., BurDs .,rl h)fdt,B GrL: TrE Co.lr&1n'r tr..E L.s dE! ,rd to?ly b u owr ot
<br />rh. FIrn, *lr' hr'!! q dth,Er rtl.tu. rd *b ris sh fr)* hinr.llor lrelror rhEllh hn o, lxr own.oIhy..i,
<br />PNyirLJ ihrr rqh imF)Er rG dn ir.rjol.rotrGl ntrsh Ii hoffi, rh. h.iuuia d inp.oEc !$U* Ewtrr
<br />olcoq,lrrddrOwErButEvlh.Etlrhr,LnsfF)v4$rh.diEdrlr{hrdlnlqmwtl.fotEr,tui}EFrFEor
<br />_1. 1\ owrcr ol r h. pi)pcny, !m *!lu nv.ly .odr.rr hs w h l.rnr'j .odrrron r,, con(rucr r lE rd*!r (S& 704!, surm$
<br />.nl Enksu (irJ.: Ti. Cotrt(ktr'r l-r.ns. ti* J{6 ftn {'plv n' r orn.r rfln Fny wlr, tu,lJr or mrh)vc! rh.r&n.
<br />:.! *h' i,dtuil nf, skh Fr.Lr. *dh . Conrtul.n, l.cn-J llurud (, tlr C.d.*roir L..nE ljw,
<br />I d.rn|r ud( sar-n_. B &P.C ror rh! Erv,n
<br />Drt._ O*(
<br />rQxf,ras:glltlllsarlll!
<br />DECLASAIIA!
<br />I h.rcby rll trm utuLr JrEny ol ,E.rury or ol tlx lolhsD! LkLLrrrnnr
<br />-I
<br />h.v. .rn *rll Nrlrh r Ccnltalc ol Cdncnt tr S.ll-lnrue tr qnk€r lr,n{EntrlNn. .r pNv!.d tu t y S t,n l7( oI rh.
<br />lru (i{., nr rh. Frfiffi. ol rh. Ert tu Pnrh !h. Ftut n rrEtl
<br />_ I luk [1 *rll Mnlru work.F' omFnrrr r)n nrur:L c r( '.qurcJ l* S&r x,n .l7rX) ol ilr lrlltr Cirk, nr rh. F rf!nl*. ol
<br />rh( *o,k l,r*hrhrhtrFmi
<br />'r
<br />snhl M, *orkc^' .omp.nd[n $kmcldrr rnF,hy iom6.rr.:
<br />R,lkyNunllr_
<br />,tI (n,lyrhrr h rlI FrfurEL.olrh. *itrk r,r *hrh rhr lFrh i( FikJ,I \h:ll nor.n{llr.n] JEMn hrnynuF
<br />a, ^ n, tRrm shjdr ro rlE *!t6 (.rFnqrln Lrr o{ C.nnhr. .d .!r th.t
<br />'r I slDul] lE 0r s.6rrr ro 'lrworlq\ $mFn\!ri,n truvNions or S..ron 1700ofrh. UktrGrl.,l \hdl n)nhenhohdy e h!h'Ep$vrr)ni.
<br />WAiNING: Fr,luE b sm h.r.r comFMr,n drwE!. n lnl,elul. .,rl rhrll ruhF.l u dr?t,y.r h dhrl Fft6 ul
<br />dvrl nn.t uF t' om hurrtRl th.ur.il dolla (ilu).{Xr). n &llnrbn h rh..on .l . 'l|rnr.lon, dm3.r $ F,vii.d for rlr
<br />Cnlc. rrcEr .Bl nnmy'r r.c.
<br />\q
<br />UIEMELCONIIAIJqA
<br />!Eqr68AUq!
<br />I lrEby rtllm !Ll.r Fn lrydi tErjury rh:r I m LdnGl uhLr lrrvtri,n ol Ch.Fd 9rlr'|lmBrry *rh Sert,n rul)) of DrvKbn 1
<br />ol rh. Burm( rri Pbt n$n! CdL. ril my lrci( s d tuU n,(r dn .lf&r
<br />1.."...C1",. A
<br />,r,.: llnlA rctr449
<br />s0lsIa!&Io!-LEDAS-a{iENra
<br />I h.Eht {jim trndcr FMlry or Fr,lry rha rllE n r.ondtollbn Lftli.s rscR-y ld rh. F fomM or rh. vort lor whi.h lh! Fm ir
<br />trrBi (Sn.lu)?.C'v C ).
<br />lxnrl.i\ drIcs
<br />AP?LIC NT DTCLANATION
<br />I hodrydtimu .rF lty ol Frrtry om ol rlE loll,*i.! Lk l&npnr:
<br />D.mldin P.rnnlAttEqot Nolific.'Dn lt!.r!l R.fuhl nN ( l'rk 40, ?.n6)
<br />R.qu!.tl lrn.r of l{irdi.rir
<br />I ..n'ii rh.' rlE Ld.r.l rrlhr.nr Esdu! .ih.(.r Em\.1 e ftn afl'L.li. k' rhn p(Fr
<br />_l .d y rh{ I hsv. r.d rhl! lppla,rbn.rrl ntr. thlr dr !li,v. hfomix'n r..tu1.1r3E roNrllllyvnh rll Ciry.,n Courry
<br />o^1mtu.. .ii sl... tier ElJr! ro bo lrt .ontulbtr frl h.r.ny.urhrroc EFcd.r rvcs of thr! Cr y ul Cood, ro . d qb.rlE
<br />alnl lc
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsulation
<br />Roof Sheathing
<br />Shear Wall ,a'\
<br />F t amingrt<lEP rr.6 Nl&,2'.t-/1 ,.?A
<br />lnsulation/Energy htftilV
<br />Drywall *'ttffi
<br />Ext./lnt. Lalh U \J
<br />Brown Coat
<br />Mason ry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif .
<br /><\
<br />FINAL ,t-d!1 hVT,}O
<br />Certiticate ot Occu pancy V V
<br />Notes Remarks, Elc
<br />4-,1 t 1tlD$eSf ou I teal f++*b?L iotclh4L,
<br />rhr. n.nrknril Pr)Ii.nvntr
<br />g- (0".
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