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BUILDING. INSPECTOR BECORD
<br />SITE.WORK ID/SIG.COMMENTS OWNER BUII,DEN DELCARATION
<br />I hscty sfinm unlcr pcuhr ol F{or, rh.r I im .r.mfl E m rtE G)ntrlnn Lr.ns ll* ntr ![. folloe'n8 Ers,n (Se 7o,ll.!
<br />Eurindr rd Proiassiln ci!.)r Any c(y.r County vhrh .c.luiEs s Frn nr conetucr, drd, rmIrDE. .1.fr,16h or rlf,n dy
<br />o.ru., Frr k, n3 trrum.. rlo (qumi ih. rlJrifr rar 3kh Fmi ro nl . !l3rJ i.rcftnr rh.r rr or rlE ! lra*n n!rud
<br />ro tk lkrvrr'tu of tlE Contrxu: La.a.J trr (Ch.t .r e, c('ltmNDs *'rh SdrNtn 7(lx,r {r orvaion I .r rr BurEs ..J
<br />PDfcas$nr c.i.) u rh, lt.rdE r.xcry'r rlEcrnh. rh. b.!E,t! rlr .[.r.J .r.6lrrh 4.,vi xonorSar n).]1.5bru,
<br />.fi,h.inr ntr r Fmn subFk !h. lp0ltrd! kr r dvil p.Mlry .l not mr€ lhD nr. hu rJ dollrt lltm).
<br />l..r ovErol r,E Fop.nr, d ny.npkryr! wnhsrs4 r! rrE! $L od{ENrrn, w ldr lh. *qi rrj lE rur4 6 br
<br />ddi.i q ofr.Bl fq xL ( Ss.7o44, BrtB! rrt PrDf.*i,N c.rL: TIE Gdr-rtr r Lt.ns Lr* da nr {rd, ro , o}tr.r
<br />thc F{dy uhl h{UI!,r !rF)E ilEEn.trl wL, r*E sn ** torltor lErclf ot tlmuah hr r lE oh.,q*r!6.
<br />Fovin.J rh.r \kh nlNq*dr e n .r.rldl d Dff.Rl nr sl l( h'wE. tlr lnilllB u lqtffid ri **j *dho m Fr
<br />oi$npLr$tr rlE O*rcr A! Lrw l h.w tlE hrd.tr oaFlyint lhn,r u{t,lrl a, hrix - !r{mE thc FotElt lin rlt I'u4r* or
<br />I. 8 opEr.rrlE FIdy, d.t.tunEly odr&rot * h lF.n*J onbrtB to.allfu1 rh. F rlr (Se ?Ol.l, Bu$s
<br />!n het$rnCcL: Tt ai,nrr&ttr ! Li..n< l,w !ro.i br rt!'|, k, moe..t otFoFnyvho bu'll! or unpm6 rtEror
<br />$J *li, .lnrtu1s fd *h Fl,.d! qtrh. C.ntmro(t lNnql Ptrrunr tr'rltGd'dd t Lr.n$ t v).
<br />_l {mctcn$ lBLr Sclo tr ,8.&l'C Lrrhi\rcrs,n
<br />woll(rtl\' co lPENsarlol
<br />DECI.Af,AIIII!
<br />I hcrchy.rfir un,ls pcnlltyorrErjury orc orrh. n,Iowrr n(h,rrr,.s:
<br />I h.E rn *ill mbrrir . Ctnift.r. olcoMnr ro &lllniG ld wkda on{tMi(D c F vilcj for b, SErbn lru of rl!
<br />lrtrn Cq!, nr rE FfIIfu. ol tlr k l f{ *nrn tll F6n a E rEl
<br />_lluvc v,lt mlnrsrn worlfis conFninon nu.Bc, rs ro+ftn by Ser$o 1700 ol rh. lrtd Cul.. ftr rlE Fnol]rmc.frlr knk l(" wh(hrhllFrmn r!,*u.J. M,*ork.tr conFns!.n insurr .!dt, aBj rirlq numh.r d.:
<br />PdEy NunnE
<br />-
<br />I.cnirirhrr in rfurE turmn(of lhcwort inr whalrhN rof,i r irsu.d,I $!U not cmnli'yrnrFRrn in.nyhrnE
<br />$ a\ t,lxlom flhjdr h rrF h.t(6 .$oFnori). LB urc.Itumr .,n {r. rh.r ill 5lD!! b.s)r subjer n, rrE
<br />*orLs co,r{En*tFn rn,v!$ .lS<li'.l?(I)olllE bh{ Cirk,l sh.ll. r,flhtnh6ry y} h thos Inrsini
<br />I,VAININC: f.nur. ro sE u .s' (rrqrnnrx,n .oEr4. E ml,*tut .nl :hrll subFr r cnohF to @l FrtB.rncry lin$ un li' om hutrkn rhouenl d,lla (!lo0.m0). n eU bh h rlt .or or d,i{'.nsuon, LLm8.! .! Fovncn fo, rlr
<br />Scrrhn :1076 ol lhe UEn Gnc. i.rcrcn u.l rnoE}t fc.
<br />{rrlst
<br />-
<br />UIEIIiEDIPNIAAqIqA
<br />IECIdIAIIOE
<br />I lEEhy lllim ud.r FMlry.l F jury rh.r I tn la..sl !frLi Ftrvahn orcbFd e llnnmEh3 * n SdrM nlr)) ot DivB,n 1
<br />oI ttE Bu$E$ ud Prufcsio6 GrL, {rl h, l.ce is in tutl roR! .,rl .n(r.
<br />Ixlr CLs-
<br />lrrle-
<br />CqNSIRIqUQIIENIIIC.AIiEECI
<br />I tEEh,.ntn urLr FBXy ol F4ury ihi rtftir.sd lin Etnu!.tcEy for E Ffllr-.-. of rh.wr tu vtuh thi lsrnr u
<br />E*J iS( -lol7. C'v C )
<br />l.oJ.is AJrn *:
<br />-ATILICA!1IECL6AdIII!
<br />LEll'y zilid unlq pcBlr y ol FrJnry oft oi rh. k,lkr*r3 J.rLr.r irr:
<br />D.mn kD l'crm lAslr(os Nohfi.rtion ljolcrtl Rqul0rrnr ('rrrk,u), Ped6)
<br />-PaquKJ
<br />lrd.rol Ntnn'krrd
<br />_l csl r rld rtr fqr.,rl Esll,rnn! rBaJoS ailf,{o: Em)vrlft 8r .f,tl*.bL ro itu FlFlr
<br />I ccrtrly rhdr I h!v. Mn rh$ rlrlicarnn rlrl src rhd rhe {h,tc 'nbmrion is coEcll l .Bft lo cotrDl, wilh rll Cily ud Counly
<br />orJmtu.s..J Sl.ic L.ws Elrtus b bu rns .o,srucrim, .In h.,.byrurlr,d. Er.lnl,bkr.tdK City.nl County l..nld uF)n llE
<br />or trdr'8l,r.DtEny ntr urFli)n [lqi'r.
<br />P.mh{ n.nrrDrinll:
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Roof Sheathing la.l'vzo Mc/ho t4tY
<br />Framinq
<br />lnsulation/Eneroy
<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 16-(..N70 bkxfto
<br />Certiricate of Occupancy
<br />tes Rem rks, Etc.
<br />4aU/"-/
<br />e4
<br />DATE
<br />Subf loor/VenVlnsulation
<br />Shear Wall
<br />'l )c)u,. b
<br />/9a,v- .^, ,
<br />Cri.r:-
<br />tt
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