BUILDING. INSPECTOR RECOHD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNER IUILDER DEI-CARATION
<br />I h.rt', rtir6 ud.r lreh, r)rFrilry rhi I m.kqi rmm r ai,rrll6 l,rE€ li* ror rlI rolltlqn! E.$n (5<.70115
<br />Bun&i! .,n Prrarinn Chk) Any Cily or C@dy *hEh r..tumi r rgd ro (.n<tur. d'd. trttnE, rlonnsh or EF! m,
<br />nN.turc, F k'rrr L\u.Bc, dso rcquGr rh. lppl{tl {l, ruhFmd t, iL. r4xJ (.rcrnl rhar lt or ilr n lsn.rl ew.tr(' th. ph'vsx,ns or rlE Conhrr,'s LEneJ t w (Chr!4( 9, Commrura * ,r S..rr!n 7000 or Drvnrrn .! ol rlE Burix( ud
<br />Pt$r.\!hnr CdL) M lhrr rr d slr r.(tr$ lh.rdrun.nJ llE h.rr nr rh. lurs.d cx.mp6. AnyYk.rhro!S{r!i70115hrr.y
<br />.mkel tu . Fm,l iubFlr llE ar,pli..nr t' ..rqllcn yoln m(rh:n nv. huDlt iiollr!(l5fir)
<br />-l,
<br />as own.r ol rh. nftIEny. or my.mtk,)t.s * h *.B.s 5 rh.r q,k $nIEn<rND. v l$rlrk*!ntlE{tulu ( rr -
<br />D..ddl ,r orlcrcJ (* {L r Se 7{X4, B$msr .nd Pnrf.(i'ni (ixlc Tk Conrtuftti l-.cnk l:w &*r nor .mly nr u o*Br .l
<br />ih.IntFn, whlt {l d lqnB rh.64,n *h ds ut *rxt htnlltor h.ell or itsrSh hs tr Lr oM.tq,lrr.r,
<br />ni.vrlcd rh, !u.h imlr.rcrnt E , id.nidl,* olfchl lor qb. ll h'EE. rlE llill!{ ( i.V.owmd ! s! Pri rE F,
<br />ot uDpLrsn. th. O*kr Bud&r wU hrE tlr hurlndfpnlvh3 rh.rh. ortl* drr tu! or mpnt{ dE tn{sry fo. tlr Ftp('* ol
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<br />.s owmr ol rh. l'trrEny. m.r(lusiwly.odnri us * h Ii...(J.o r1roF ro.r,n(ei rlr F Fr 1S... ]Ol4. auims
<br />.nl h,ltsm Gxl.: Th. Conkarttr'r Lr.ns.ljw 'l€( no( annly ro .n owncr olpn,p.dy wh, hu'lds ot inptor.r !h.N(
<br />.trd wtx) lrdtulr as iEh F'r{i }trh r Conrr_.t,lt l..nGd Nrd k'rh.(i'nlrf,tr'r l.Bnr l:w)
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<br />ir cicmpr uojcr S4lni-, B. & P C ntr rh! Erbn
<br />!!r8f,88[SO!18!NSAIlAr
<br />DECLATATIo]I
<br />I hEhy.limufrlcr p. hy ol Fru., o* ol llI nnlrwm! rk l-.r$nrl
<br />I htrvc .nl *rll mdlu r C.n,aK.r. ol Co.rm t' s.ll-ln\urc ft{ worlG\ omp.nsr)n. .\ F,vrl.d nn 6y S..r nn 1700 oi rlf,
<br />L.br (i{., fttrrh. p.rl,,mB. olrtu *o,l( f(tr *r,rh rh. r.mn F s\u.{
<br />_l hIvc and w l md.r *orkcF .rmn nsrr nn orunB.. I rrlun.J hy :E*r r'. :l I(r of rhc I rhn Cixj., fd rlr FrftllfrR! oi
<br />rhc ao.k nr. rhrh ihr JEmn s tr!u.! Mywo cr' $mFnsrrx,n r\urn. (e.r .rn F i(y nuntrxr d.:
<br />PolEy Numt.r-EiPiGJ
<br />-
<br />_l.cni!rh:r m rh. Frlormnt of th. *o* n, *h.hthirFn ! !t{dl.l drll r.itlt y.ny Fr$n mo, nsrr
<br />o {s t} tt.om suhidr lo rlE *{{k.n €l'llxnd!)n Lwt or Crr omn. .,rl .sE lhr Ll l rhulj lt{.ft t!t!r!r ro lh.
<br />worft.^ LlhFnrir,on rnr!i\!'ns ot SRr[i ]7m .t r h. uhor Cul., I lhrll, r(nhw h (trll)ly eir h rlrr{ ln v(k,nr
<br />WARNING: rdur b d. e*t.^ on{rnr.rrn ovmsc r unl.wlol, lnd sh:tl ruhFr u mPloycr lo orutl Fdh.s ulf
<br />.iv aftr rll 16 o& nudrtl rh,ur.,rl JolLr (lru,.un), r or $n!.nqron. Jm!.r !r F tndl for rh.
<br />(irlc.orcrc{ id rtrm! s,ucl
<br />IIFCI ATATION
<br />I Frct'y lllm uftr.r F..hyol Frruy rhrr t rm liuhl untl.r Jn,vFtrrol Cirprc.9 (ommftm8 wnh Scdrn ?mll) olD,vnDn J
<br />of rh. Bu.m* r.J Prrcslr! CdL, rn 6y h6* a r tull ftrr .r, .ll.ct
<br />c /5
<br />S:OIIIBU!.:IIAII.EdDIISIAEISI
<br />I h<Eby lflrh und.r IEElry ol pcrtry rhd ifi.r. n r $nirucrrn Lndrs rS.ny tu rlE Ft i,:1j1d. of th. mlk i({ *hEh rhit p.Jmn a
<br />lriEd (s& J0)7. crv c.r.
<br />trEk''. Nrm _
<br />AIILIIANLDECIJSAUAX
<br />I hdrrryrlIm! .rtEMlyorFrJuryom.f llEfolbw$!{sLErnnr:
<br />l}mnirr P.rnur$Artr{or |{dfi{r,n F.&nl R.8ahrr,.itrrk 40, Prn6)
<br />R.qur.,i l.ll.r of Ndn-uru
<br />-I(d,tyrhd
<br />rh.fc&r.lrcauLrrrt Elrnlh! rth.{orr.rrvne n .0Plr.bk l.rh! IxnFl
<br />-lLdnyrhdIhaKrrdrhEir?lf,rrtr'nortn{.lhalhcrhNnn,lrur()nscoc*rIrlK!}omnly*nh.llCytftlC.unryonhnlr.r, sr.r.Ii*\NL U\r ro tr
<br />rh'r. mnr()mJ nmlxn! ld hiFrrrn
<br />ml lEEt'y ruttrrr. rclrren( trt(., rhn Cly a,rl O,!nry t,..t.t uF,n rh.
<br />,\pplic$r or As.nt Sisnrlue
<br />,l-A-t
<br />Forms/Steeli Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/Venti lnsu lation
<br />Roof Sheathino
<br />Shear Wall
<br />Framing
<br />lnsu lation/ 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 />Engineer Final Report
<br />Flood Zone Certif
<br />I
<br />FINAL r5 \r?y'l/L,fit,
<br />Certiticate of Occupancy
<br />Notes, Remarks, Etc
<br />-,.,q/llf
<br />Set Backs
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