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BUILDING- INSPECTOR RECORD
<br />SITE.WOBK DATE ID/SIG.COMMENTS OWNER AUII,OER DEI,('AN IION
<br />I ltrchy srlrh rftl.r p.n y ('l p.tury rhd I s .(q hn rh. (i'nrr&tE lrcnr u* L{ 'lt r,rt,wrr rc.in, 1r*
<br />Bu{m$ ., Pftncsirn Co.L) Ary C y or (iNnly *h.h rcque\ ! rffi n, u,nrtru(r, .lrd, !rr{n,v.. &mltrh or EIEr ry
<br />(Nrurc. Frtr r. 'ts LssuNc, .lo aquNr rh. {rhmr ld rkl Fmr ro tiL r rllErl n.rmnl rh.t h. or \h. tr l*.n6t I'UNfl
<br />n, rh. FUvsrB or rtf, Conrtubri L..ncJ trw (c1EP.r e, (bmmB!n3 * h Sernn 7utr or o,vtrln 1 .l tlE Su\iE$ ad
<br />PhLsrnt Colc) or rhzr h. d sh. r .rcnpt lHn'n.'l llE b.nr fttr rh. .lLr.J .r.n{fur^ Any v$Ltnnolsdt'n T0ll5ltyrny
<br />!t lk. ror!Fm .ubFtsrlE.rplxanrr{'r.rvrlFmlryotnrm,Eriut,v.huLl6{&nl]t((SJm)
<br />-1.
<br />8 o*E ot rtt FUFny. M my .rprrF! enh *.!d I trE, sll. (r,trFnsr,n. *iU d' rlr k t .,rl lh. .l^rrE s Dr
<br />d.nidl off.Ed rm !.L 1S.t.?04,1. BltiE3t !n PrDf-lxh! GrL: TIE co Lroirk.nct,vdi.i'rdrpt,roeogfror
<br />rtl I[{6r llb hodr tf, rslB {EEE tl vb dr! si srt hhull or lE<lf o, rln)urh hr d lr, oh.hpby..i
<br />pn,vikd rhi *h iqftEldr e d -rcslal q .ff.c1 fir et lt. h'tfr. ItE hdllt { DrDEEd ! $l! i.I6 m Fr
<br />ol.oq'lrn 0r O*d Bu'rle ?iI brE dr tuld or Fbvnl! rd h. d rlE dn r, hlll ( ltlroE t E FnFly lu dE F!po. of
<br />-1.
<br />a! o*ftr ol rlr l,oFny, m.Llunltl! Ndr&r68 !.h lrcnql..rr..(i6 n,.onrtur rlr F,iu (Se ?Ol,l. Bu\trs
<br />r,! h'fc.uhCrj. Th. CodBrq'\ l-i.n( t,w Jmr r {flt h a orEr or tlnln.ny *h' huLlr or npn,wr
<br />'rE@..rnd *h, ud i! fG ssh F,Fh *nh. Ci'dRrna l.cn$.j Fnun b rtE co.rrtr,t lr.n< lrwr
<br />l.m.r.nF uBLr SarFr
<br />uoa(E8srolrfrdtarlaN
<br />DEIIAEAI(A
<br />I hcr.by rllrrm undcr JEnlh,{fFrjuryom orih. nnl,wh3 J..h.rrr$:
<br />-l
<br />h.E turl wrll tuinrrn. Ccnnirlc ol Consnr ln S.ll-lnlurc fttr *ortdr d,hFnrdir..( FDvdsj lor by S*rion l70OofllE
<br />Ijhtr Ori.. ,M rh. JFdnlrj1ro ofrh. ,od for *hah th. Fmnl r ntu.d.
<br />Ih.vc lnl wrllmrrr!,n w rkcrr.onDchllntr nrur!n(.. r\ kq krl hyS&Ir,n 17(xrof rh.IrlinCtJ., n,rhc P.rtol]llu:c ol
<br />rhc w.* n)rwhi.hlhir n mil is nsuc! My *.rkc(' (omp.nurnn miurae..rtr ud F'lf,y numlErs.
<br />_l..n,iyth.r rn rh. Frf.rNkcoflh. work ltr *hEhthr p.rn r !!uLJ.l ihru nor cmll"yrny F.&'n nsnynrsrcr
<br />s, a!1,' IE!.ft suhrd x] tlE x,rlen r.mpcnrdx,n hwr.l Crl'lnmu. d.d lSrc. ih nl rh,utl h.cont subFr trlfu
<br />wo*.r' .rmpenui,n Im,viibns or S.cr K,n :1700 of rh. llhn (ixk. I $!ll n)nhrnh ('hlly * ih rh)t Fn'vrDni
<br />WARNTNC larlur. t, Br *ortc^'.omp.ntahon rov.dt. ,i lnLvlul, r,rl $rll rut'Fr u dl0k,}tr h.llmdFMr.i url
<br />0v'l li.cs op ro oft hu nd rhorsrnd dolls (llir).flIr). h rtllrkro t, rht.oi o, .omlx.\rtDn. dnN!.\ liovd.d [or th.
<br />S(rnn.l(,76o1rtu llIr)r Cdj.. hrcE{.nl dr Fy'llccs.
<br />D.h:- APP
<br />LTCEIIELCONIAAI:ITIB
<br />DECIJMIIq!
<br />I lEEt'y .iarn uDlcr rEMly of Friu, rld I m lkhrrl ldkr lhrvtrr,n ol (tEFa 9 l$lmB !u *.h S.drr 1X,0) oa Drv'$n .l
<br />oI rlE aurmsi .,rl Pnrrc$pni cllj.. rn m! l..nE N o 6ill n& lrl .it&r
<br />CAIIIBIJIfIqUIEIDAIiACENCT
<br />I lrEh, lllth !d.r F..r, of Frilry lh, llEE ri . ltrrMlr'. LdF! .s.e', rir rrt F.r.lrllec oi rlt kxt ft,r ehrh
<br />'h!t Fmi ir
<br />F{.n(S<.{)9'7,C,v C).
<br />APPI ICANT I}F('I RATION
<br />lHry rnim undcr pcnally rf pcrjury onc olrhc Idl'wint il(biari,n5:
<br />D.nII k,n P.rfrrrA+.ios Notrliuti',n lic'jcr.l Rqulafu,nr ( lirl. tfi|.l'd6r
<br />_R.qrrcd lrrrc.ul N({ iclllr
<br />l..n'lyrl rl[l.ncrilr.tuli.(r\rctuJLn3r\l*{.\r.trr)vrlr'.norrtlPlkrhl.r,rh!|t'l.rr
<br />onntrrR.\ x'nt Sra!.lrw\ rcbrnp h hurlllrnr con(rhnvc r(Dr.w,rrrv...l rhr ('rt xnl cortrry rr) cnts ur)n rhc
<br />rtxtr. nrnrn'rc'l pn,p.ny l,r in\r.(ri,nNl,i,{4ln hr,
<br />1
<br />,\ppli(nnlor \!ml SiA'ulo r- I
<br />Set Backs
<br />Forms/Sleel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsulation
<br />Rool Sheathinq
<br />Shear Wall
<br />Framing
<br />lnsulation/Enerqy
<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 />FINAL Vlwl'tq I /f)
<br />certilicate oI occupan.y-
<br />Notes, Remarks, Etc
<br />lr.l. _ ('dlrrd
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