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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.CCIUMENTS OWNER IUILOEI DEL('ANAT()N
<br />I h.r.by 1rrtrh utuLr F hy (lf txrrur! rh, I m.r.nyi f6m rlr Co.lfu(,R L.cnc llv lor th. n,Io*ry rc.w,n (Sft 70,11 5
<br />Bunn s rhi P^n.$i C r.): An, Cry or G,udy rhrh r.q!c( r Fnd r,) lt,nrlMl. .llcr, ry'n*c. dcdnnh or FF( riy
<br />{ddur., Fr,tu nr 6irc..l$Eq!r. rlE.Pl id',itr ru(hFm r,, ikr ri3El (.r.mnr rhrrh.or $.6 ltr.nrd Pum.il
<br />r, rtF For(onr ol rlr G,nrLk 'i LEhrJ Lw rchlfld 9. Collftkng e h S.d$n 70U) or D,vrM I of r& AunE* rJ
<br />Pnn.rsrr( C,iL) or rh.r lr !, $. n crcrt{ rlE{h(m rnt rlx htns br thc rlL8.d cx.mplbn Any v!rrr!'n of Sdh'i 70115 hr..y
<br />rp0l(: n'..ncmir $hxlrtrh. r0nlrrd n'.crvrlDenrllyol n m)rcrhu lrv. nundrJ Joll{r(15(X})
<br />-l.8orrf,rollh.nd'Fny.,trmrcmpl'F.ruhw!!.t.r,h.urlkd'nrFnsi&n.*ldrrlEsrtrndE{turmnn,d.nlcd or of,.rcd t tr aL (Sd.7or,ll, 8u.tr( rht I'tr 6ri, CuL: 'l lr C.dr*ld-r lr.nc lr* l,E. dx rlrly t' e owNr o,
<br />ih. F$rrn, *nlru 13 q EtmB iEtq. Dl *tn LtE. u-..h uxt hihklior h..elr or rhnush hn or h.r own.n{rUy.cs,
<br />Fovrlal rh, 1uh 'mF,wmdr e ft{ dcnt.t or o d.J lff sh ll lrrkhr, rh. huusS or rryn,Emr r $! wnhb,r )c{Dfqrplrn rlr O**r alltkr wil] &E rll hor&n.l F,vog rh.i lE o. \h. Jn , hr l or !r{n,E dr F{dt li" rrE ,l+E of
<br />_1, sro*Erofrhc l,lFny. rm.rutulBly.odnltrs *rh ltcnGl.odxion ro $nrtur llr F),cLr (SE-.. 7(144, Bu\trcs
<br />rrn Pl!'hsis C!rl.: Th. G,ntRloii l-E.ne h* &F nn qirly h u o{Er.f Il( Frt, wrn, nurli! or mnruv.\ rhcd)n.
<br />rnJ wlrr odrd i fti suh lnlFCG rirh r Conr*r{(!t lr.nr.J punui ro rh. Ci, ncktr'rLknkI:*)
<br />_l s.rcrll)r uBt rsr.on_.B.&PC lorrnnE.s
<br />lvlrx$:&ur0utENs r0!
<br />ITE(IAf,AIIIT
<br />I 1rr.hv rrtrnr unJ.r n!nrlry or p.rltrrv otr. or rh. nni,*nr! t,L\ lr,nk)n\:
<br />_l h!* rn*'ll Dmr.r . CLn'ri.r. ot Cotr* n' S.lllo{E lix *rxl.r' . n}inda,n. r! Fovej.d fM by Seri'n ,?(D nf th.
<br />lihx Cqt- nr rE rEnrxrru. of r,r k,rt litr *i.h rlE lcn'r ! i$u!
<br />_l hrE.Dd *ill nrrrrr wolk.B'crmn .rrton Lnsuhmc, r\ r.qun J h, Se(Dn 17(x)nl rlE lrhrr Cit!, tu rlr Fnollrta-.--.c of
<br />lh. wdrk ntr *hch !tur p.mr ,i rstl. My wo*da (mFnerrri r{rnr.an .d F,lEy.un'tEr e:
<br />A,lry Numh(r
<br />_t r.nrly ihrr m rlE Frfotu.. ol In *o nr *hrh 'hr IEmr tr s\en- I dlll mr .ftplo, !n, FMh m rny mhftt
<br />fu .rro h..om tuhj..r ro rrE mlt6 onFNrrh Le. otcdrr@4 .,r1+R rh,l irl .bul.l lE om $tFl lorlE
<br />$*.6 u,qEnsrDn F)vnr$ ol Ser bn !?0o .r rh. L.hr (tilc. I tull. fo.rhulh !r,r{ y * h rhrs pNva!,nr
<br />WARNING FxluE ro ke k*Ln $nFnorln u'vco8. tr lnlrwful. md rhdl ilhirr r mprry.r r, 6ltul FrlH .rn
<br />.'r'l lnr\ rf r' ox hu torl rhou\lnd dn 'n. d.fra.r . provrj.! lhr rlr
<br />Sc.ron lo7fi I th.lrhr C,rlc hr.r.( rnd
<br />'Z-/ t/ r4
<br />I haEh, rllnn uft.kr rlcBlry ol Frjury ih.r I lnr lrcnrn ud.r lrrvrNn or Clirli( I (@nftN rns * rfi Sdrnn 7flJ0) ot Dtr sD. 1
<br />ol llr Autm( r.d Pnncs$\ C,rlc. {r.l my lrc.nr r o fu0 n,N. $lcrt.cr
<br />Ih.Ehy.l,rmunkr Fn.lry ot Frjrtry rh! rhcr !r!.n{ru.ron Lndu!.echy ttr rrx I'cnnmNc o! rh. x ntrwhihrhtrtffi n
<br />r*u(J rs.c :l(n7, c'v c J
<br />AfILICATLIIE TIEAIIO!
<br />Iffi,lfimuD.l, Ftr.ly or Frify oE ol rh. tulb*hs &{kdrr\:
<br />D.mlrn. P.mrl^rh.{or f*rlrf,jDn R&El R.luhlhnr (Ilk,40, Prn6)
<br />Rcquu.d Llrl.r.l Notfuipn
<br />-l
<br />r.drly rlur rh. t.&rrlrctuLri'n! (S,Jrr *lino,l rcB,v:l qt tun {tlr.bk ro rhn Jh'lNr
<br />I (dlfy lh, I hrr. Ed rhr {nlr.r.n .nr .Erc rhx rlr .h,vc rnn,mlM r c,E..r I lsr t' .l,dtly w h all Cn y nl aounry
<br />irJiEtucr.d St.r. L*sEL!i,\arohurllin3 con(rucrkrh. lrl turcl'y NrhrE EFlenr.rrB! ol rhEC y.rlCoudyro.dd ut!,. rtr
<br />rll,( nrnrk,ftd l}r,Fny k, nrFc'i)nt'UiFN.r
<br />Appli.snl trr lt.nl Sit.{lur L/ t lt4
<br />Set Backs
<br />Forms/Steel/Holdowns )o ,(/t*-,,
<br />Erection Pads a4 '-|,,r\!,/
<br />UFER Ground 7 ----1
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathin s
<br />Shear Wall
<br />Framinq 4zr-t .{144n fa-h{- l"tb ptdlsc( p\,4,
<br />lnsulation/Ene rgy I
<br />D rywall
<br />Ext./lnl. Lath
<br />Brown Coal
<br />lr/ason ry
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif .
<br />FINAL ,z_176 rl /L/-441r
<br />Certiticate ot Occu pancy
<br />Noles,. Remarks, Etc.
<br />,a4 (h
<br />Pool Fence
<br />(0
<br />K
<br />t tr tr\ttrrrrltttrt ton .,/l)t( I"\k,rTtr'N C.,z
<br />=
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