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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COTVIMENTS OWNET AUII,DT:R DDT-CAI'ATII)N
<br />I h.cby afirm nnd.r p.Mlry of p.rjlry thd I e .r.hpr ftum rh. ( odaroi! l-i.d$ bs ,o. !h. follrwi4 Er$n ( Sd r0l l.5
<br />B!ii..$ rd Pintc$irn Cod.r: Any Ciy d Ctudy uhth ,qun.r t Fd h cnnlMr, .ltE, irproE &mlut or r.F, x,
<br />{urE.F!trbi! Eu...L EquBrrr rpp|ld fd uhFmnr. shr rirEli ruft rh! lr(cr uliBsl olr'd
<br />r. rh. FviriB .l rlE c.ddr 's l-a.h.d lrr (ct !.r 9. c.'@ring rnh s<rn ?utr of Dirni'n 1 .f rlE BaiEn rd
<br />Prui.(bB Cdr.r ( rh.! lr d ilE a .Erp(hftln)m ui rtr h.iu f( rtt illq.d .kn$rr Any rrrLrnn of Sdirn ,011 .t b, r.y
<br />,ttre9l{ " F-. -hF",h. an rlJr ro J o,,r p.dhy nr mr mk,h!n rtr. hui.xld dorr&r,tlrrD
<br />(tuf.
<br />"**,, '* "","nr "r my.mphrd *trh s.,q.t rh.n v,k c.triE*rhn. qir d. rh. wir,n tu {dm c d
<br />;.(rbl .( nll.r.J tu rl. (56 70+r. BulEn r! PluIffi CaL Th. C. ranxt lrrnt lrr drr d rpply ro.i otu of
<br />r F,Fny rh. ho h( cqDE rhaq !n *b dE rfi$d hrNlf d leElrorrkoulh hito,lE oM..pblE,
<br />I'i.rrLi rhd erch lr+cmtund ir.d.dqol&n.d rff rL ll.ls*lw, rh. hildrt 6 tllroEnd t$B *ih m Ja.fdrpkra r o'rE 8ollld ,ill hrE rlE h!06 orFDyIt lhr ll r rlE dil d hriu d inFw ilE FF!, lr rlE FrFr.l
<br />_1. !{.*ErofrlE p.rrr,.dy,.n.rclosrr.ly$dr*!r! }irh liensJ..nrtu(u kr.on{Mr ltl ooi.d tsd. i}l,l, AuriF{'
<br />nl Pr'kiirCod. Ttu Co.rrrol! La.ne Lrq {llB i rmly n, u opft. Dl rnFny wlD blrllr r hlpnw! rh.B,n.
<br />r..l *hr odr-B fi ruh rmi<r v.h . (idftrd{s l..Md 0o^@ ro rh. Cddrdn s LirN lr*)
<br />(o6^4 X- Go^--.^-\a
<br />!!!28l!!r:!]:!ru:ui{I!-|!
<br />Dr1l!rlr\1l!rl
<br />I h.r.hv rrltm und( n mhv ur Fiufr or or rh. nrll)* 63 &.l.I.rr,N
<br />_l h:v. u, e,ll Edrn, r Cdifr:i.of (tled ro S.l 6uE ni srtqa t'n{Es!\ x FDv&il ftr lry Sdri,n l7m of rlE
<br />llhr .(nr, n rh. rErIn.M..f !h. *ort h, shrh rlE Ermd a Blu.d
<br />ll'rv. !trd willtrri, ri',wo^.n conI.Burtr'n in\urrk.. r( Eq rdl hySdrirlT(r).lrh. tllxtr(iil. turih.pdfurner.of
<br />rlr *,trlnn shkhrhi n rnnr tr irskd My*(\fJ o)nr*trrrr,i r^!u'ae!:n*, Mltrrl(y.unfi.r {.
<br />in rlI tnr,trnLnr ol rlf, w!tr1 l,'r whirh rhtr t{rd ^ hruc,l. I ih,(lln.r cn{noy {y Ir,()n in rnt n,rnf,.r
<br />ruhrr . rtr *orl{i(omp.nsr'.n ll*\ or ('r
<br />'rnnni..nil4rc. rhr 'l I thrulll h.otrE \uhrd r.(lr
<br />h{6 (orrEBimFUvnrdof Sdu 11)0oarlE Ljhn (irL, I a l rdhwirhNnplrrnh r.FDvsrB.
<br />WAINING F.itu. h Kur. rnLs o.qEMn. oEnt u u.L*tu| .d ddl shrd x .nt)bF ri, snul FulE {n
<br />.'v,l liEr up to oB h{dcl ttos,ld &llr! (lllrr.U{r. r rld.nn ro rh. cd orc..IrMrao, d.nry.t r novrr.d ld..
<br />I
<br />lrhr(irt., ht.d inJ d(my r!Q,.s*-'o L G,'"""'--3 lzl 2{>
<br />IICEII,ED.CANIEAI]]B
<br />DEIIAXAIIOd
<br />I lE(ry i rrm r.&r FrXy.l Fjurv rhl I m lE.!.d unLr Imwr. ., Ch{id 9 l@nr(!rg *trh S.dFn 7rn}) of l)!r lbi t
<br />ol rlr Aars.id Pbt .r$6 CsL..n nr li.e i!,n hrl, f.'c rnl rtud
<br />calNrat]craMJilDlrc.Ac[!(f
<br />I lEEhy litD nord FDhy ot 0.tjury rhr, rh.F a r ..Nruiln hl!l3 !3cBy ntr rlI ,'..iorrorE .r rll u.rt Lr rtlth rhN Fmur !
<br />isurdls.c. llll97,Cir CI
<br />APILICANLIEII.I&IIOB
<br />I lrttry ulfm und.r p.nrhy uf !.rjury on. or rlt rolbwnS d!.1!rrrnnn:
<br />I).nrliinrn P.mirsA\tlnor Ndi6ution r:.J.al R.!ul.ii'nt (ltrk.r0. Pd6)
<br />-&.quftJ
<br />t: .. ol ll(if.,r
<br />*h.-^ - ",." ",.p$.hrrjrtr'r r,YJ' kn,
<br />(1,J,,,.'t., Thi\.'. i,hrJppr'.rtr,nirnn ,r.r, I i!,ebonrpry w,hJr ( i,rtrDd(rr y
<br />'nl'd r.\rtrJSrrr.ltr$\r.Lru,3n'lxrtlnr*.urnrd! .i,rllrrhv hrt.Etr.yohrt.\.rrlu(,rv -Il(int yrD.trdtFt'irr
<br />Jh^r trrnrnrn.rlF)lt ynr
<br />\pphcnni ar,lrmrs(nrrF tr.r. .
<br />c-r.! 6.14> r,,JZz-r&
<br />\z
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathino
<br />Shear Wall
<br />Framinq
<br />lnsulation/Enerqy
<br />Drywall
<br />Exl.i lnt. Lath
<br />Brown Coat
<br />I\,4asonry
<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 qhi bD .-,{1l1tt
<br />Certilicate ol u
<br />Notes, Remarks, Etc.
<br />Rev. ulr.r)/ 2ul5
<br />D
<br />l.n.n\. Ntr ,l{r
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