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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE lD/SlC!,,COMMENTS OWNER BUILDEN DALCARATION
<br />I rEEhy .rltn uni.r Fur, or Frlry rhr I o .r.qi tNn rlr Ct,rr*JiF' Lro* L:s ror r,E Llbwr! F&n (S.r'70.r1.J
<br />Busincs ad l'r'L(dn Col.)r Any C y or Counly whah r.qrircr ! Frd ((' con(ru.I, nis, rmp.oE. J.fr lih or EF! uy
<br />(rucruc. Frtr b rr Lsuer, d$ rnur rlr +tlf,d ntr rkl Imtr t, fiL. .lsr! rr.icrd rhn rr Dr dE E l.rGl FNlr
<br />b rlE FrvnioB of llt Conr(ro.r Litncd ll* (Ch.prct 9. Ci,mmrira wirh S-..rio. )luo or Divnhn I oa rh. BlriR$ !
<br />PnrL\*'.s Ci!d.) d rh.r rE c dE s .rcrr{i lhftlnD ul rh. h.!!r l{" rh. .1k8ql .rcqiion. A"y eni.rEo ol sar$n 70:l L5 hy Mt
<br />rt li2nr lor . Fmn lubt{ls rlE .pfli.r ro.civrlp.uhyof RrmRlhs6ychu Edltnl,[!(t5(x))
<br />t. .r o*rr ot rh. F,Fdr, r my ..r{'bF.r suh *.!c! .s rh.r a,k lx,ff,Mru. wtll d, rlE a,xt .d tlE {utu r d
<br />nr.klrd or otlcr.d nx {E (5(.7044. Buifts rn.t Pr,f.r.x'n. cdle: Th. C.nrB.'k \ l-r.n{ hw de\ frn rgrlv ro u orftr ol
<br />rlE F,Fny rt h{lur d lqrn6 rlrNh. ul *b &.. cn sft hm(ll o' llMll o. th^,uah htr ( h.r o*n.rphvc.l-
<br />povil.rl ihar rkh lnt)n'rm t Nftil !r.dd r ollcEi ireL.ll h,w, rh. htil]D! oi rthwmd r $U wrhinoE Fs
<br />or uEpkri4lh. orEr Bollh $rU ME r,E h,rL,r of Fovq rh, lI r rtF dri n* hi! or in .oE tlE F,fEly t{ lt F{Ibr or
<br />l. r\ owNr ol rh. pn,Fny. in .(lunv.ly eontllr 3 * h h.n(n ronr&kB l(| uon{rud rh. F').d ls4. 7(x4, Ilunm$
<br />h{.rqrCai. Th. Contxtx'r Lf,.ns.l2w &{i n{.Plly ro ro$N otl'n,txIy f,t$ hurlli.. rBl,trrhr !h.N'n.
<br />*ho (onr6cr ld su.h n(*(l\ w h r Conrra.n'(, n.cnrd luru.nr !, rh. (rrn(&ntr'! L!.h{ Iie ).
<br />lrh.r.nnt unl..Sdrtrr
<br />D.r.' O*n..
<br />latf,E8s:CAUlE! rO!
<br />IIECITIXAIIA!
<br />I lxrcby rm ur].r FElry ol F,lrt oN .f rlE ftlt'*in8 &!Lr.rErr:
<br />Ih.Err srll nu! .r . ( cn,li.d. rl (tn(nr t! s.l,-l n.urc l.r !.rt$ (,hAnsi rr.. .i F'v!.J li,t hy Ser nn lT(D ol rh.
<br />l jtltr ('qt, l'tr rh. Fn.ruec of rhc wort for whi.h rhc Fm G srucd
<br />Ih.krndw,llm{mrs'n*olkc^'rohlEn\alDniNuan(r,arrcqumJhyS..ri'nJ?lXrolrh.bh,Cr.,ntrrh.lt.follM.col
<br />rh. k)rl lor rh(h rhB Ftu Ll euJ. My *nl6 .rlnfEidpn miltsr (u.r .rn Plry.tn xr &
<br />-Erpft.
<br />-
<br />Lf,ue CLs
<br />-LEns
<br />Nud*Er
<br />SJNSIBJJC IIt.I,EIPING.ACEICI
<br />I rr,.6y nInu .r Fh.r, ol Fr,llry rM rlE s t.tm(Bi-r hdl68 r8.Ey r rlr Frfollll,n.,,rrll wut for rltih rhi! Fm, .
<br />krucd(se .1097,(iv. ( )
<br />LntLar Addrcs: _
<br />AI&ICIINLIIEILABAJIA!
<br />I lmr!! rllimrhd(r linr!t ol rirrurJ_.'x o! rh. n,lll,*'nt J.LUrrrIn\
<br />l). x,l i,n l'rrm r \h.{os N.Lll..lrn l.Jcrll R.8trlJritr( fl lc 40. Prnt)
<br />R.(ttrtr.(l L.(.' ol N({'U.ri!{l
<br />I(. 'lyrhrr
<br />()tr l.deril rcplnrotr\ ^!:trJtr,r r\lrno\ nlxrrlue mrrprl'.rfi1. r, rl'tr I)n!r.r
<br />I ..dr,i rh, I hdv. ard rtus .ppl.ll nn .,n sl.rc rh.r rh. .h)E i.r'orMxri n omd I lsr nt Lrnply wilh rll Crv .nl Counrv
<br />GUh.N.r .!n 9.l.l,*r Ebry lo bU rr.,.-tr(tulr4 rd lrErly rurt rr EFccIlrIB orrtl\ cr, r,n Counlv lo.'id t rin rtr
<br />ltr,v. mnrioNd tnlll.ny nn in1Birr. p!rll'e!
<br />ADDlic{nr or ,\scnl Sismlut
<br />Fcm'llee Bmc rprinlr:
<br />-l'nhn t-.
<br />Forms/Steel/Holdowns './''''v. -. ,o-l
<br />Erection Pads
<br />UFEFI Ground
<br />SLffi Floor tprrlty.r'2
<br />Subf loor/VenVlnsulation
<br />Roof Sheathing Cl tz ltc 1 # lo",
<br />Shear Wall e 3,a6ar-Lhz l,<
<br />Framinq
<br />lnsulation/Eneroy
<br />Drywall
<br />Ext./lnt. Lath o/t a/rc 8J m|
<br />Brown Coat
<br />Masonry
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Reporl
<br />Flood Zone Certif
<br />*/.MtA a^.o.-I tqd lo\
<br />FINAL t6lr00 Lbr,t/*fu fl
<br />Certilicate ol Occupancy I
<br />Notes, Remarks, Etc.
<br />+
<br />Set Backs
<br />:70a
<br />Pool Fence
<br />-l
<br />(.nrfyrhj urll. Fno,futu. ol tlF r. ntrahrhrhtrFrmi r ro.J.l $.ll B, .i{'l'y .ny Fr{,n r r.y lMF.
<br />$ * k, h.(onE suhrd lo rhc x'dcr conlP.ouron hw!orc.lndrtu.. !tu1r3N rtxr,l I sh,uLlh.(,tr \uhj.crlollE
<br />$i.t$' $iIEnqr bn pn*son! ol sdr r)h 1700 ol tlE bhtr cdlc. I rtEll. lrf,h*rh .rrnp!, *rh tb$ PovNirrt
<br />WARNING Irilu( ti eur. mrk 6' (ml.ngrion .r,rn!. tr unuwtul. rnJ thrll $hjd e mpk,)tr rD oihel If,Nhn id
<br />(Ml nm( up b oE hu.iEJ llruld Jolhn (ll(xl,ru). m llllirr nr ilE c.i ol conp.er'on. d.m3.r .r PrlvrLJ n, rh.
<br />S.rrbn:1076 lrh.l2htr C{r1.. [l.r{ rnd dn,my'r L.r
<br />D.t :- a!dlol:-
<br />LICENSED (\)NTIA(ror
<br />!ECI48AIIq!
<br />I h.Ehy rtam ! .r p.Mhy ol FrJut) lh, t u lenv.l td.r ltDrliln ol Ch.O€ g (n'rm 'n! wnh Sairrn 7(ln)oll)rvNln:l
<br />o, rlE BusiEs.nl P^'L$r,n!cld., {rl my lt.nE s 6lullnEt Erl.lli(t
<br />I
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