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BUIIDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNER AUILDDT DEI,(ARATIoN
<br />I h.r.hy rrfirn ufri$,rnilry ofFrury rhrr I am ciEmpr fmn' rhc C.ntr.roF l-8.( Liq lff rh. ri'lhpin8 rav,n (S.r 70.115
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<br />k' rh F,vi\i,n\ ofrtr Co^k|cror'\ l-ienrn tjw ich.t c.9. (,,mmruing *irh Scdiir 7llx) of Divkion 1 ot lh. Ausincrr rnd
<br />Ih,fr$r,n. Cd. ) or rh.i lrn. (lE tr cr.rnt ltE.from irn rh &\n forrh..lLSc,.rcnni,. Any thLri,..li\lioi Tlrlll5 hy$,
<br />ll]pl(0 ntru p.rnrn suhjs.-h rhc lppliqnrt' scivilpculryoliornttrdhen fiv. humlrcd doll6( 5(xrl
<br />-!..\owftrofrh(JrotEdy.ormycmpk),El*irh*sg.{r\rh.ir{'Lcomt.\rttr,n.sill&,llE}mkdrlrlE{rErm!nninro!.rl or ollcrcd fin slc ( S( 7(Ll4. Burik$ ,nd li'L\\irn( (inu Th. (i)ntr&1.is l,icnr lr* dxr nn srdy ro in nBffi of
<br />rh. FlFny *ht ho'hr or ntmlB rltEr. iri *k'.tB {i$ *r't himrll nr lEr{lfor rhhulh hn or lE. olnciPb]ac".
<br />F,ritcd rhDr sxch i'ryrohnrnk rE fr, i' .nldl or ofirlt tur sk ll h,w*!r. rh( h,Iln3 or in{nrcmnt is v,ll wirhin nc Jru,.f$nptxinr rlr ('[R nliur $illhlr rtr hllloolp(*u3 rlr, h ornr dil n hru ,{ iqhh rE lh,Idy ntr thc l!4ncir
<br />_l.at.srf,rrfrh<rnFf,r rn.r.lunr.ltcontr.rmE u h lk.n{i .onh (tr\ n, lrr.{rud rlr'|roF1(S( rl!,l.8ush-$
<br />rnd lh'ftsrn' Cod. 'l h. ( ,n r&nr'\ Li.ctr\c t-r*(nE{ nor amlyh.n"smi ol prop(ny*ho tuild\ onmpn)lcs rhc.coo.
<br />lnd wh) . nrd.h lor \u.h trclNls *irh , (i'ntr(ron \ r l&nrd I'Urdnd ru ihr Contrrertr\ l.i.cnc l i\a
<br />l ncxrortr urlcr Sc.rtr(r .ll &f( ntrrl'\,.rnr
<br />D.re O*ner
<br />vlraf,!85:r0lltENsa.rla!I)l:CIrrnAI0i
<br />I hrrrh'riltrmunn.r F-rulrt of l., jory otu of rh( n,Lk)wflS(l..lir !trr1
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<br />hry. ail f, rll mlillain . Ccd 'arrrc ol (i,n{.! t, srll lhurc nr $d\6' ro,qxnerbn. $ F)uij.! fttr hy sNri,n l7m nl rh.
<br />tjhnt C.dc. ntr rhc nslnraumc or lh. sork tu whih rhc p.rmir i\ isuc{l
<br />nttuhrl h! Sc(r'n.17( nfrh. litt, tinh. n
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<br />ri( ir\urrtr(.crtrirr rBlF,lEy nun$.r uN
<br />t/c7/ gq 37
<br />-l..niryrtur
<br />in rlE Frln,rortol !h. rn ir rh.hrh,\ Firnf r
<br />v) *t,t iri \uhF..'rbrh.ro d{mmrEneri'n lis.
<br />' 'l Calinmi!.
<br />Nrk!.1nullnn crmr,y !.
<br />\h,uld h.on. \ubjN! ri llE
<br />sortd\. (rnlt nii(nrp',trr('tr\'nS.crk{r l7l[)!lrhc I Jr!
<br />h sd. ertl.n .oryf,ngrrrn ru!.r
<br />((>",xtl,,",J
<br />Dl (1.11(\ 11()\
<br />I h.n h, !flnn u.dd Fmky or Frjr l lhll I r.n li(cnd u.xld rsryNi,n ol Ch3pi( 9 k nnttu r* ! iih SLtli'. 7(xlr r oa l )ir ni,!n .1
<br />fl rlf, Bu!'r,\ Jtr,l I'nrrr$()n\ C-' c, r l ry lrcr{. tr n tull nrlr 'rl
<br />/fo"4*(^ 0'/o';::'iipzTr
<br />ll)lSIAlJCDQXLErUrNG-Ali[ C\
<br />I hcEhy sriirn und.r Fn.lryorp.lury lhar thsc n o on{rudhtr Lndins ucrcy ntr rh lJcrro.fiuk. ol lh. woll li,t shi(h lhi\ p.rmir t
<br />irsucd rssi .rui?. ( iv C r
<br />l.ft]f''\ Nrm
<br />-
<br />AIILICAXLIEq.A8AIIA
<br />I tm$y dmmr lndn pcn.lly f pcrJury orc ot rlt fdli,*in! d(lurrioni:
<br />Dc.rrlirion P.rmir.A\hc*x Norifxslion tdcnl R.Buhi bnt I Ink {). P!d6r
<br />-t.qunel
<br />lltrcrol Norilicurbn
<br />'.in^i r. nor.,t,d !Jr'r. r, rh^ t)r't\!
<br />l(tnrft rhur I h.v...!d rh
<br />onliDn.c! on(lSrurc ltrwr rcL'
<br />ah t rnrrrhl pi(,Fd,rr,
<br />r "l h0.hv rtrlk,rr rrt)'(\(nirt
<br />,\pdi.enl or,\xdl sixnrltB.
<br />/LzvrLJ\- L
<br />l)"
<br />{"-L 4
<br />Set Backs
<br />Erection Pads
<br />UFER Ground
<br />Sublloor/Vent/l nsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framing
<br />lnsulation/Enerqy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coal
<br />lvlasonry
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif
<br />FINAL 3/u /]s 9 ltir .l2X1r<\
<br />Certiticate of Occupancy
<br />Notes, Remarks, Etc.
<br />Forms/Steel/Holdowns
<br />SLAB Floor
<br />Pool Fence
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