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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE COMMENTS OWNFI BUtI-DER DEI-CATATION
<br />I h.Ehy rllim u..l.r Fnrhr r'( Frory rhd I 6 .r.n!t ln'n rh. Codrrln lroe Ltr lor rlE tout*r! ER,n (S- 70t1 I
<br />Ittrnftri .rn Pnn.sl)n C!rk, Ary Cny.r (i{dy uhrh GtuEs . Fiml n, .on(ru(r. .lrd, n$.E, d.m'lrh or EFd ry
<br />{urw. Frx b tr! !surr.. iv, Rquf6 !n r{,tl(d ftr \mh F|mr t, ik . il3Fd (.rcmnt rhd lr or dx ! lf,cnGl puNd
<br />t' rh. FrvtrDn. ol llr Conlral,n r Li.cn$d lr* (Ch.pr( 9. Conmmm8 w h seri,n 7000 ol D,vn{n I ot rh. nu\iE( thJ
<br />Pnnc(!,nr CGjc)orlhrr lE orth. ncrcnpr rtd.lr.hrnd rh. hr$ rot ltx.llc8.d.r.m,'4nn Any voLnooolS.cl,n 70.r15 by.ny
<br />ryl'.rnr li,r r p.mn \uhjdlr rh. ,ml,.d k] r Lrv rl lEn,lry .i nol n)rc lh.n rrvc hunnrJ 'iollr (55m)
<br />_1. .! .**r ol r,r l.,Fny, d ry.rtploFr * h wr8- $ rlfr iL L$rFn..li'n. *dlltl dr srt.d rrndE.'r
<br />d.nrdl ,off..al r {L (Sa.ro4a. BulBr &l Prsr-t,.iCaiq Tlr Coi rrd'i trflr rrw dE< ml q'Plt l. ooftror
<br />rlr Ftdr rho bltk ix nlhB drca .n $r .]n .rA Hrt h'reU c lnElf or llmulh h! n lr, om .npltyc..
<br />I'$vrl6l rh.r st ulintmrrr G D. ddldl qolLFl ftr qk ll lbM, rlE tlrltlu d trlFlMn ! illl s.io d Fe
<br />or(,r?Lrm i,E OvB Bul}r w l ME rlr hh!n ol Fruu rrlc lE d sli dil ht Irrl, d olrsE tlr FotEry [, dr Flpor ol
<br />I. r\.*ncr ofrlx F)o.ny. inrcrulurvely lonlrJ.hnt *ih lNn\.J.onti(ktr\n' (rnrnrcr rtr t^)rur (Sc(. r(}lt. Bu"m.$
<br />r l\lncsrmC,*lc lh.(tnrr!.(r'sL'.cn{l-rs,n{\n +flyt. ino*nc, olflor(ny wh' hu,l']\or 'mPn,v.\ rhcro'n.
<br />rnit who...lr.!r\ktrru(hpnrruk*rrhs(onkrddntlf,cncJnu(urrn'rh.(iNr.rktr'(l-f,cnru*)
<br />-l.m.rchpr
<br />rd.,S..ri,n
<br />lllEf,EEi:SqMtENIA[OX
<br />IIECI.AAAUA!
<br />I h.r.hy rflrm und.r lxnllry ul pcrrury onc otth.l,ni,wh8 Jccllr.lons:
<br />4"$,,:
<br />lnrrhc n rlornur. olrh. k,a tor *trhrh. Fam tr,\\!cJ
<br />rill tunr.n RtrtcE .a,mlEns EquGJ hy Sdr-n l7m.l dr trb(tro&. tu rh. Fnlfut ol
<br />nqrn My uqtcF' !-r{in rnn Dtl]]dt l5tt .d Frl.y nun$.r e
<br />frrw,-t't ct+trt
<br />i-))o C I
<br />_tc.nirrrhdinrrEFrrormMorttrworklirwh.hrhFF.mrnnskd.llhrlln.nPItyryFRoni.tnylMd$ $ lo tEom $hjct r,' rh. qrt6 .inFndln !.*r ofc.lLi,mir 8J rlr rhd 'l I dr! tsr ot'Fr io rlE
<br />s,rt6 .lmFtrqr[n F]v!&.! oa S<rir ]7@ ot rlr Urrr CaL, I rhrlt lonhplh drn0ly wnh dEr pnitllbnr
<br />IIAINING: F.nua ro re k t 6 onFnsr.. dwn3. . unLvtuL .,n ndl ruhFr u .rploF h {Mrl Fol; tln
<br />r lixr up ro oE hodErl rlrru!.rn & s (Slfr),(f,I)r. r .ldrDr ro llt .e o, $rrFndton, .i. !.. .r FDvrkn for rlr
<br />Scd()n.1076 olrh. tjhn (ixL, orcE{.nl dtrmy l r..\
<br />+ i lr 1rt1
<br />J lrlll tsL|
<br />I lrfthy "llth tnd.r l!.uliyol Frrrry rhd I dn L(hql und.r l()vtrnn ol(n.In( 9 (.ot.nErmS * hS.drr 1Ur)J ol t)rrir!,n I
<br />ol thc Ausftsr*l Pn,rcsi'ni C{rL..d my u.ne tr r lullktrr Uri.rr.d
<br />(,/
<br />d 0
<br />t
<br />!:0!tr8!J(flal,ll!Dt!!iatiENta
<br />I h.rhy r,tuh uaLr ltnlhyol Fturyilu rh.rc r..$(rud$n lcndos +.Rr l,tr rh. Bin.ll1mc Irh.work lrn*irhrh\Ftu (
<br />Nred (s(. ln97. crv c )
<br />knLrtN.m:
<br />APPLICA]\T DECI-IIRATION
<br />I trrhy ifim und.r p.mlry ol ncrjuryone oirhc ltllowrrS .l.clt,alr,ni:
<br />lXftr[K,n P.rmx$Arh.(.. Nolllulnrn fcJcrrl R.3!ulr,trs ('fib,l{l. P,n6)
<br />_R.q!nd Ln.. ol Mx,f.din
<br />:.nny rh:r rlE f.Jc..lESrLr.N ftldJo3 .slrnot Em,vi d rr.fi r.hL h rh! roFr
<br />)yrh,I hiv. r.rJrhn !flrl(.ri)n drl {rr. rhd ih irtr. rnlomlr'n trroftrr I.Sftn'con9lywrhlll(!yrBlCou.ry
<br />.JvJ Srrr. trw\ Elrtrnt r,) huidrn3 connrulr$n. .d h.i.$y aurhxu. rtn<hrr! 'v.i of rhr C y ! Counry tu cni.r tF,. rtr
<br />C
<br />+
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framinq
<br />lnsulation/Enerqy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coal
<br />Ivlasonry
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />FINAL 1inlfl -1/r' re)
<br />Certif icate ol Occupancy
<br />Notes, Remarks, Etc
<br />ID/SIG.
<br />Pool Fence
<br />Flood Zone Certif .
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