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BUILDING. INSPECTOR RECORD
<br />SITE-WORK PAITE rp/srG.COMMENTS OWNER AUILDEN DSLCAX TION
<br />I ltr.b, rrlrh x.J.r lf,nrlry ,rr Ftury rh l o .r.s lnh lh. abnrr&r)n Lt.nc Lrw ft, rh. tunowh8 F.ah (S&.70J1.5
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<br />(turw- Intr ro ik Lrru!fu. rkr rito6 ttr .0!lxor fd ikh Fmtr n) tib. rl3EJ (j.lFt rh:r lr or lrr . l6(n !'{Nri
<br />r) rlE F,yni'nr ol r,r (]onrfrrr'r l-{.irJ U* (Ch4iG o. (i.hmtuln8 w h SerDn 7tm or Drrtrpn I of rlr ausEs el
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<br />hudEil Jolles (SslL)
<br />-1.
<br />8 owm ot G. F{rny. or my .mthyE3 unt v4cr 8 ilru hk conltNrsn, *il Jt,
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<br />{,urc ! 'd[,qlJ or olTcEJ rn {1. (Sd.7(}44. aulims ud PDfts$'nr Cnl.r Thc Co.tr.eroi r L(cnG kw d,A m, .pnly lri u owmt of
<br />ItE F IEny *tr toiur or uttmB rlEEr,rl *lr' &h *h k'n him*lf M h.rlf or lln,u3h hL! or rs o*n.nploy..r.
<br />Fl'vrLJ rh.r tsh liF Er.rrr c si rrolalqo&cl tuEk lr-bM,rllhl lqa d r+rM 6$llrrhrlr!d
<br />o{urpldrr rlE orffi Bu }r* lllEtEhlrhorF ry$r lEqtril! n, hi! d tFoE 0r Fl9aiy fq rll FlDd o{
<br />i./t. r "*m "rrt pn'1uy. m.r! lunrly.odE-'rr8 wtrh lxlnt J NdmlE ro urnur r,E rtrFr (S- 1044. 6urEs
<br />rit Ar'as. CaL: Th. c{dftloir LMnr t * drB Dl tnaly lo u orE or r.o!.ny wt$ borld! or rproE lh..s
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<br />DECL/IAAIIII!
<br />I h.Ehy dlrnunJcr JEBlryof tslu.yoE of rh. n hwinr dahrrt$rs:
<br />_I h.E lll prll mhr.b. Cdrfr.rc of Col6r t' S.lf-lBuE nr *116' $inFdrr. 6 Fuvdol tu I'y Snim l7m or rlE
<br />tior Cdq rd E Frrrm or rlE xrt tur *t.h lh( Fm n !$En
<br />_l hrk .nl siU Einrro sort6 uonle.nurr'. nu,u., .r Equud hy Sari.n 17q) ol rlt bbd Cn.,.ror llE Frdffi ol
<br />rli wt li{ phih th! Ftur ir &El. My qd6 NtrFnr.rEn h'l,lur .|mr $l tblry ,utIE c:
<br />Cdi.r:-
<br />t,rryNudEr
<br />-Errftr
<br />_l c.d'lyrhl rttu JErfolmM.f rlE *)rl fu rhrhrhr IE.m r !ru.al.I lhrll dn.r{fi,yrnyF&'n h.nymumr
<br />a, s n, L.rm suhFr b 'lr Mrkdi'snFnqrdn liwr orcdrh,mn, .nd {r thlt ir I d,ull hc{oft rulr.t' io lrr
<br />hrl(6' (u{rtrerpn pn,v6s.! or S(rD. ]ru or rrE L.trr Grh, I ilEll. lonhvnh .ri{ y wnh rtsx t'ovBm!
<br />WARflI (;r F.iluF r. eN q{t6 L!trrFtrqrln .!vm€. Lr t r*tuj. ,J .n ruhFr o .rllcl)F ro arflul Frlir rr,
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<br />oF hu r.J lh,uq,n {,lla (3l00,lID). n yJ{aob ttr/r*a!'n{Irs.ti@ d.,E&r n F&vn d ro rE
<br />(irlc, inrcr.rr rnJ arhlry'r lcc\
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<br />DEII.Af,AIIO!
<br />I h.ehy rllrn u.dcr l'.nrllyotFrjury rhal I m lNnarl unlcr 0n'vni,n ol ( h,fl.r 9 (connrncmt u h S.clir7xx,) traDivfn'n.l
<br />o, rhc Bu\mrt8i lh'r.{i.B CuL, ,rl mr lr.n( k rtullnn(.nl.ller
<br />LrcnEcll$: Luhr. Numb.r
<br />lalil3lJqrlrNrElllllli.dclN(I
<br />I krhy dlomlnLr FulryolFrrury rh{l lhe.c it t conxlur$n lcndin3 r3.my r,tr rh. Fdotnac or rlr k)rk nr ehrh rhr Frur s
<br />triEJ (Sd .v)97, Civ C )
<br />l.nJc.! AJ&$s:
<br />-AIILTCAII.IECIJEAIIO!
<br />I ,EEny dim unLr Fn.lryorFJUryoE of lh. foll,lirr .l.tl!.ronr:
<br />I).mlrion P.rnirlArh.no. Noutf,.rbn F.!.rrlR.8uhtb.r (T'rk 40. Pln6)
<br />_Raloftd L.il.r of t{Jrfuln.
<br />_l rn ny rh.r rh. rill*.IrguLrionr E8ndr8 !rb. o!ffilvde Rn.I'darnb brhn tol.cr.
<br />_I df, rh! I hE Ert $E lpplI.r En .rl i.rc rh.r rllc .rDr ditrd,. ( ll,ar. I .rr ro .!,91y r'ln dl Cl, .d Cod,
<br />dUmBd .rn Sr.rc t srELrrytobqllmgc rs or'hr Cr, !n Cd,nr r, mrd uFn rlE
<br />nh'rc mDrk,mJ potEny nE
<br />Appli.mr or AE.nt skuruE rl
<br />Set Backs bl L+t'/[k /Mtk
<br />Forms/Steel/Holdowns V I I
<br />Ereclion Pads
<br />UFER Ground It ///
<br />SLAB Floor I It
<br />Sublloor/VenVl nsulation AI
<br />Roof Sheathing (Jt, $--
<br />Shear Wall I tfulz #{v-- -
<br />Framuag----I (
<br />/o.bup 0*tuba t$
<br />D-rwvall (lO,t7-b Lba,/,vc-ff
<br />6rP.ltnt. Lath re,o$ l&/ttrl I
<br />Brown Coal Hr,Elft irc
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Enoineer Final Report
<br />Flo-od Zpnp Certil I
<br />&(Gt(h ile4 :wl&9Wl,) 1 t/^ ,
<br />FINAL w/a ed)
<br />Certiticate ot Occupancy
<br />Notes Re arks, Etc
<br />,?hr
<br />0 I
<br />26K)
<br />I
<br />1 z7tit)i yY-i/{_!.
<br />Wrtzo
<br />r.rQ.ilO
<br />.*//7/*
<br />.la#dllu@+t ) u/q
<br />t ft /,,2"
<br />lrl
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