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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNER AUILDER DIiI-CARATIT'N
<br />I h(rchy rllrm unlcr lcMlry (n ,xrirtry lhar I un c(cmPr tfl'n rh. Conltrhn' t,r.tr{ liw ntr rh. I0l[r*u3 r.r$n lsc( ?lr'!l 5
<br />hu!rc\\ .nl Pnni$r C(thr Any Crry n, C.uity whf,h rcqunc\ ! p.rnnr ro on{Mr. .1r... rnlnlr. J.nrllrh or N'n]n My
<br />rstrstr.c. rl$ Equk\ rhc anPltul l{ \urh [frm[ I' liL . q!8" narcntnr rh.r h. .. $. r l'(.n\.tl N6uMr
<br />L' rl. pn,v^kfi ot rtr (i,nfu.ntr\ l-r.n{J trw (ChrPr.rr). aon.-mm8 w(h SG..|tr'n ?(xxr ol Dr!(tr,n ! t rh. Bu!'mit 'to,I'n,l.(iff (!xlc)orrhrr h or \hc r crctr'rr rhs.lrom !ft1rh. hrq\ ntrrh.!lk3c,l.r.ryr$n nrvi,hrtrnolS-1rh7('rl!nvrnv
<br />rpplkrnr |,tr : F nN \uhl(k rh. f0h.rnr L, r Uv Fn.lry.l r)t n'rrh,n I'vc hunl.dJ.llrr 115(I)I
<br />l. .i o*Ernr rh. F,Fdy. or my c!i{'h}tr *it wrr.\:s trf,tr q)h lotr{xn$rln, e lt}' rh. *,tr un rlr {ndm x nn
<br />ur.d.l d ofi.Rl fi, {t ( Sa.?(l,lrl. Bnrr$ rxi Prn.$r'.r C,rlc ]1r ci,nt*r.i r l-r.nc li* lllxs a{ {'!lv t, u owrr nl
<br />rh.|n)Irny *b h'lll or nqtrB rtlmr ul *h, &rs Bll $rt hmr.U ot h..sll or ttmlu3h hn ( h.r os.rfhv.c.
<br />trln r.d ih.r lkh nt!,xnrdt r nr d.nL:l dd$.Bl fu !b ll. h,m, rh. h.'U!Y r' lrFrwmd n r{l *.hr or F,
<br />nr dnilld Dtr rlr ()*rr Bu[.t re lEk rlr hhLn ot lxovn! ih, lE N di drl n{ turll or EIn)E rh. Ftdv ntr rh. F{Irt ol
<br />-1.
<br />!. o*rr nr rl: FllEny. .m cr.luntl,.odr{rs *nh ltcn*, (r'nrkr,r b Nh{tur rh. FrF(r tsd 7oaa. aurlFr
<br />ril Pl\ftru. Cirj.: fh. (I)nt*ttr r L..n* L.* &Er un !fl'I, h, u*Nr ol pn,Fn, *l*l h .l. o. rhl'ott rlfrrn.
<br />.nj whl d,dBri fttr (Eh lmF13 w h.Gr Brulr) Ls<rl Pu6@ tu rh. O' ftt,'r l.cnc lJ*)
<br />B &PC h{rhF!Ln
<br />l,.l.- ort.-
<br />lvaf,f,E8li:garlB$rlll!
<br />I'ECLARATTON
<br />I lx(hy ill(n uBkr r(ulrv.l lr.r]!ry oft ol rtr bll,*h3 6_hr!r[ns
<br />-
<br />I Mh rBl * rll dm.& r Ccnlrr{. of C.ncnr l. Scllln\ut. nt nrk.6' comFnt.rt'n. r lhrvrJal fttr hv S..rIn lrlr| ol rh'
<br />lfhn (irk. ntr rl! Fnot]re! of rlE krl tu q'hah rh. F'mr N Es!.rl
<br />Ih.\.rn(lprlln nlrmworl.r\'(onlFn rln o{mncc. rs r.qumdhvSc(rirllTlllrolrh.lrtxtr(i!l. l,tritrF !trtutu'ol
<br />rh wurl r{tr whlhrhN n mi '{,\\kti My$.rkc6 uonF-nsrrk'n u$urikc!,Ef,r rl lirliy numh.r rc
<br />l.r 'lyrl! trrrlR lf,no.n,m..,,l rhc woik Lrwhi{ih lhN r^-n'r '\ ,\{1.J. I \lull nor .tr ov ,v l{h.n r mv tr'rnNr
<br />\' i\ n' l\onr i'l!,.(r n, rhc wo*.B uonrtcr\rrr)n hw\.lCrl1nntrri, rDJ +(c rhJr rl l \hnr[l ti(onr {'hirr t, rh
<br />$orI.r\.onlIxnvitrrF'vnr)trsolSc.hon.l7($olrhtljlxtrC, c. l \hJll. l(,n [wih $,ryIv *rlhrh!'{ fr|Y^trrtr
<br />lv^tlNlfi(i l'd|tr l,) {cu( *orkc^ ('n{ti\rr'on L.rcrdlc rs tnLwtl. ritl dlrll uhl.( rn rt,lnov.r t) (nNnrl Ftrhr\ rnd
<br />\(1 't^\a-A
<br />t,tct:\st:D ( (rNTlia('ll,R
<br />!!El! A[t!l\
<br />I lI(hy rlrn, un,.t Fn.ltyol p.rlury rhi I m lr(nral undd ln)rnrrn (l Ctultcr r)ls,mnE ole hS.lt'nlUIrrorr'\rrnI
<br />dl rli lttr\Er\rBl lh,l.\\r,n\ (ixlc. ml my lrcnq r n hllf(r(. m!.rlcrr
<br />L
<br />C]ONSTNUCIIO LFfIDIIiC A(:ENCI'
<br />I tkEbv.flrourLi rENly ol D.tiur' rhr ltft ir Ludtuirn hftlin!.!cEy lt! rh. F (llrjet ti rh. ktt ft* *n(h rh! Ffld !
<br />F\uJ rse ]()9r. (iv C.)klkr't NrE
<br />APPLICANT DE(-T"ANATION
<br />I hdrq ,rm u BLr Fnx,t y oi Frlry oE of rh. folb*r8 Jdbrtr.n(
<br />I)<frn r,n P.rmnrAtt'cdor N.i'airrr,n Fcd.rrl Rc3uhl.nr (Tnl. {r, Prn6)
<br />R.,l!rc(lldicr ot flr irr n
<br />L .nny r hr rhc hJrl| r.3ul!t nr rc3rdm! rrtrnos R'm,vrl ir. ton {Plf,xhk n) rhr ln)r( r
<br />.---l(Ld'lyrndll!\.r.i rhurppturtonr (!rcrhitrhefitr lrENnr..ml'lywahill(irvrRl(ntrhrv
<br />oftnnift c\ lkl Srdc lrw\ EUrs! k, ht
<br />'lJma
<br />rnn(nktiln. tl h.rc$t Nrhtrr. rcn($ rrr iv$ ol rh'\ (\r y rtul Cou.ry n) cnr.r tF,h rtr
<br />.'rs\. nr n,rn tr't{ v rri trr,r(rkn'
<br />Afl,lirxnl.r '\(rtrl Sirnrlu
<br />(
<br />Set Backs )
<br />Forms/Steel/Holdowns 5 I ,, lL
<br />Erection Pads /l/4\r") t '/4rl;)
<br />UFER Ground )tl (ty
<br />SLAB Floor
<br />Subf loo#VenttMion Vl,3/rrlrc y'/1af/r)
<br />Roof Sheathinq dz,qhq ,L(24,D
<br />Shear Wall
<br />Framino q lttl t",
<br />lnsulation/Energy c-2,1- tq
<br />Drywall r o-9-l ?tfu/s\
<br />Ext./lnt. Lath c-b-t1 DZr.af
<br />Brown Coat
<br />lvlasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif .
<br />FINAL ta- t4 a .@/ot
<br />Certif icate of Occupancy
<br />Notes, Remarks, Etc
<br />,,.,. o!t+lg
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