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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNF.f, BUILDER DEI-CARATION
<br />I hcr.l'y ,lttm uBLr FDly (n Frju! rhr I m cr.mrr fntn rh. Onrr*n'F 1,..n( Ll* for rhc nnhwuS E on lsd 70.11 5
<br />Bunn.\\ z^l Pn,fr$k'n C,rL): A.y C y or C.unry *hih r.qur. . t(d k, .nn(tui, .Xd. rV&E. Lt mlBh or rF! ;y
<br />ndctur., Frtr !' (r !i!kt. .la, rctu@\ rlE r0plrnr nr u(h lEmn tr l'rlc. r!!ml ntEr.r rh:r tt or slE 6 lE.tJ Puqur
<br />t' rh. F,!r[nr ol rlI (i'nrrrM'r l-rth<n Lw (Ch.F.r c. C..mEm! * i Sdron 7m ol Drv'rbr .! of r& BurB( lrl
<br />Pr.L\rirr (ixk ) ,{ rhi tEdrlE n ctcf,{r 0Eelion.rn rlE 6.n! in rh. rlLt.!.t.n{rr'. Any tFhrDn of Sdr-n 70l l Jhy y
<br />.ppl..nr ld.rEmn tuhFi rlE rnr (.nr b r .rr,l ptDhy ol ft frtr rha lrrc nunlt !t d.lU,t 155{0)
<br />-1.
<br />ri o*rr ol irE FrFny,,r m, cmtbF.r r h w.!6 .r tlru si. roqEnqrnn, * LI, rh. wt.,rl rlE nturE 6 E
<br />d.nlal dr rtcEdntrqkISd?044.Eutcs,xlPrutt!xm!Girc:Ilr(!'ntr*nr!L..ntLsrlern,{tdytouo*Eroi
<br />rh. F,Fdy *,r' hlltli 'r ntnkr rh.Fh. !,rl wb &xr \*h u,t h'h€ll ot h.r.ll.r ttNulh hr d h.r oqoryrlrrc.(.
<br />Fovd.drh.t sd fl{hrE.rErt e r, d.nLl doEqEl fq el ,,. ,r'ktr. rh. h{$trt d urF'EE ir$U*!hoorFr
<br />of ronI)lixn rrE O*(r sxdLr w'!l h.E lrE b'r.!.n ol Fntrs lhd lE.. !n Jrl nn l[ll(l.t rtnE dE FtrFr, ror tlt l'rFl*or
<br />l. r\ o$rkr .t r h. |), 'Fn
<br />y. rnr . {.h^lvrly ontrtui 13 p h lr.n\cn r, tr!. rnnr n, (n!rud rlf, tn,fcr (Sc.. 704,1. Buu\\
<br />!tr,i hh \bn ( .Jc: l lr (i,rrr!.ntr i l.r.n\c l-r* d,B tror ilfly t, !tr .end , pn,lf,ny *h() t'u ilJr onhrmrcs rhctcon,
<br />rnd *ho (.d!rtkl,n {rrh In*(r{rr(hr(i'nrB(r(t lk.n{'] nuhtrrhrr)rlf, (ir[tr(ttr \ l-(rnr liw)
<br />I {ncrcmpl uni$ S*-.rr
<br />I h.r rn ]rll dd.D. Ctri'frr. oi CdBr ro Srlr-lNuE ld wt6' oFp.Brnn. .r F erLd ror b, Salsn 1700 olllr
<br />L.Lr Cd$, tu E Frr(x1rlLr ot llr fr{t lq ,tat rli Ftn ! $EJ
<br />-\b!.d
<br />*'lltumr.'i *oir.6' cor?.B.rbn illluB.,.! r.gu,rn h, said.lTmol0* Lrbr coL. for llE Ffqllei oa
<br />rlE trrt fd Bhrh thn p.m!. a arrrl. My wdtc dtrrFtriDn irrun..ftr dl pol., nunrb.r el
<br />c,--,, O*r'' &r.t<r
<br />Pnt.yNrnt* /4L u)CoLC?3?/ - 4' a'>,./
<br />I (.nrlyrhrr rrhc r^-.r,.rmE..l rhc work ntr *h'chrhi\ Erni 6 r\{kal.l \hdll nor .nDl,'y rny F.on 'nrnyminncr$ ,\nrh.(,nf, llhrrrr,rh( wtrk.^ !.mncnrdon hx olCdrlom'i. lnt l3N. rhrr rll fi)uld hNN \ubFcr turlr
<br />w.*$1, ( nlrn\.r! lnrrtr'nl l Sc(rrnr lllX)ol rh.ljlr,(ixl..l \hill, n)nhs{hd'nlplyuihrlr,t pDvilx,ns.
<br />WARNIN(; [r ur n' <.ur. eort.ri (rnpcnhri'n dnra3c r( unl5slul. ,' \tull \ull,..r rh ntk)]er ro rimin.l [f,uhr\ llkl
<br />flv'l lincr op k' o* hntotrd rh,urrnd 'l.llrr ($|OO.U|(J). rn rJ,llrk,n n, rhc !o{ ol ( n{tnr.rnn. drm3c\ * nnr}ded 1,, th.
<br />hr.r.q lnJ,rbmv'\ l!.\
<br />ArDlldl:-
<br />UCEISID.CqNIEASB
<br />DfCIjAAIIOB
<br />I lrrh, .iam !*r lFrxy ol Fryr, rhd I m [e.sl $!r Frv6r,n ol Ct{rd 9 (onmh ur! erh Sari'n ?m)) dr Dr($n I
<br />ol rhc Bsltrs ul PrcltsDnr Cdk, 1, my l..M 6 r tull l.M lri cnci
<br />C-24 loo E 3qZ-
<br />0 t1.ut1 .y'co,+ -Jz k47,- c^ d 4, " !!:,
<br />-_7
<br />toxsrtrlJcrlo[uMllNrilclNlir
<br />I h.Ehy.rltr undc! JEnNI y or n rjury rhr rhcE ir a dndturnn L.din8 i8.hy itr lh. IfrLtuc oI rrE work for which lhi! Frhir ir
<br />i!su.rllS.u. 1097, Crv. C.)
<br />AI?LICANI.DEIIdEAUA
<br />I Hry .dim un jcr n nrry dl lrrnlry o* o, rtl. folld*n3 J..hr.r k{r
<br />D.frrh*,n P.rm.lArbcir.t Nrd.riD. fri.El R.Atliu.rtTik {,. Pd6,
<br />R.luEd l.(c..r&rfrr.n
<br />_l L.d y r hd rh. LJ.hl EluLl Dnt E!!na3 .dEsbs rm!'l e n{ q'?1..61 tr rh! F)F!!
<br />-l..n
<br />y rh, I h.v( rrl rh! !fi roh,n nrrc rh.r rh. rhrw rri'lmr,'. ! (xEr I .sc b Nnply wnh rll Cly uj Co! t
<br />Set Backs
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loorivent/lnsulation
<br />Roof Sheathino
<br />Shear Wall
<br />Framing
<br />lns u latio n/ En erg y
<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 />Enqineer Final Report
<br />Flood Zone Certif
<br />i I
<br />FINAL .( rpll,I rwul n lill
<br />Certificate ol Occu n
<br />Notes, Remarks, Etc
<br />Forms/Steel/Holdowns
<br />laBf,EBggqufEltAru!
<br />DECI {R TION
<br />I h.rchyrlIrmu .rlxulttolFiur,oMofrtttotr*iry&tlrlrtrr.:
<br />h.rchy .urhtruc r.Fcrnrrtv.! ,,f rh5 Cny .rd Cou y ro .nr{ ufl,i rlt
<br />y',,bt,
<br />I
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