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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNEI EUILDER DELCARATION
<br />I h.(hy lrrsn ufti.r txn y or Frrrry thr I u .i.mF rn,n lh. GDrrri6 lrck Lir n, llE louowrt cfr,n (S& r0l l.!
<br />Bunn.$ .rn Pnna$rr clilc): An, ( rry or C,{d, ehrh E\ruu3 . IFrmr fu .sn{tur. dl6. unFrlvc, &m|rh or EI'.r sy
<br />(tu.tuF. Irnn t, s 6\oer. de Roir.\ !h. r0riltr{r lor (h p.mr io lilc . sllBJ d.trnr rh.t lt or \h. tr li.n*rl ,rrurd
<br />tr rh. F,lnDnt .r rlE Conin.roat l-&n{J l:* (Chrrr.r t, CdmmturnS Brrh SdtFn 70(ll oI Drshrn I o( rh. Bu!d( &i
<br />Pnrr.sonr cdL)drhrr h.*rri 6.r.npt rh...lnh.rn rtE h.$t furlh. rlks.J.kn$!r Any!r,L'xrorSe'$n70ll5hya.y
<br />rptlr. ntr.Frm( suhrtx rlE .rrlE.ni h ruvrlp.dryoarur nn ih:n,i!. huhtEJ dollst (5500).
<br />-1,
<br />a! o*kr ol rh. Iklrdy, ,tr m, .r'rfi'ye\ wrh *a8.r r rltt q& oqtnrdtn. w'llLtr rlr k*t drl llr {riF 6 d,
<br />d.nld roIq.d lor qlc (Se-' 7O4]l, Bulft( ...1 Fn'fc(Dnl C(xlc: l1t (l,ntranx'r Lr.n( l:w dE\ nd ryplr ro dolhrof
<br />rh.nnrFny wt$ hr lr or n!n'E! dftr, lrn wtr) Uf,r ruh HEt hhrli $r hcrcU or rhtuuth hF s trr ow. .r?l'y..r,
<br />nitvild rh.r lkh n{h,EmnGe Bi rrcBlal -rfiiGl tinsl.lt h,*.tL rli lnrllns M,i!,oEmd ssll *llnboE ]ca
<br />o!.orl)Lirn( rh. o*Br Bu[kr * nrE [t hnL. of F,vuE rhc llor d. Jil tul fild.l dr !q'mE r& In'Fi,lq rlr FrF,s or
<br />-1.
<br />aro*xrol rh. Inl,Irny. m.rclunv.l, ..dh.rm3 rdh ltrcn<d .r,drf,rs ro otriBr rh. rhrAr (S... 7044, Burms!
<br />iJrl lli'LsM CitL: I h. ConkLr.. r LL.n{e Lrw !(s nn rnrly ro u owncr ol pn,lxdy rhr huthlt or hoDEr rhdn,n.
<br />.tuj *ho . d6ck ntr lu(h ror{r! *irh a G,,nRii,n r lktn{d fu^@r o rh. (idrf,l.a r LE.n{ llw )
<br />_l rm.(mI UDdrrS&rbn-, a & P.(.l(trrhl! rcaa).
<br />llll8f,E8s:gllMtEllarlo!
<br />DEIIJXAIIA!
<br />I h.rchy nrltn un&r Fmhy dt 6rJury dF ol rhc ftnb*h8 &rlr.rinn
<br />-t
<br />hrv. sn *rU mml.tr r C.ll rrrdc ol C.nsd n, S.[lniurc lq wtc6' rr{Ensd otr, .r Pouldl In h, S(!r,n ]?01) oa rh.
<br />trhr CiiL,ldrh. !.rfl,lrlm. ofrh. kfi tur whrh rh. Fd ! srk!
<br />! hr\. rnJ $rllrortrr n *ort.rr .onrFn\.ri,n 'norlnLc, r! rcqtrR{ ny SR. rir 171,(r t rh.Irhor(ixl.. ktrIlr itrlormRcol
<br />*:
<br />*d1.6' .a,qxnrl knniur.m. .nEr aIl F'l.y tut .r d
<br />-{
<br />*,*,Ar:cc:cl)aYZ{!9|***'k,lt It n
<br />_l..drlyrh'r nrk FrlornE*..1rh. *ork lir uhrhrhFrErnrr F 6{ir!.I tull L ci{l'yrnyFFon
<br />'n
<br />rny mdEr
<br />q| s r' lt\.E ruhr.r t' rlE H,rt6 d'mlEn$r k'n law\ ol Cihroms. r rENrhir I \h,ull hc(orr ruhE! hrli
<br />*oltsi $nf.ni rn pn,vrtrrns ol Sdr)n r7(l) ol thc I jtin (iric. I \hxll, lidhwrh onliy lnh lbf, ,)n'!rtr$
<br />wAf,NtNG' FrloE h rm k,*.6 (r,qrn\,rk,n $vcEfc 6 unL*tul. rnd lhrll srhrcr nn.nltlloyct li) cmml IEMTEs u'l
<br />rNrl lin \ W (' ort hrndr.J rh,urDl &nl.ri rJlm.Uxr, rn rltd(!'n ro rlE (o< o1 $n{Fh{rxr.. d.m8c( .! pmvic,l tlt rh.
<br />S.!rrr rrrr6olrlr lr}rtr (ql.<)
<br />Y.,.')
<br />DECIIEAIIA!IlEEhyrrjmurJ.rl.MlrrolF+ryrh,I.hl'6tlu.tl.ran,vrx'nolch!..0(.a,mrNr8whS.dr,.7(lr)olDrvna.l
<br />ol rlE Butrrr drr Ptnlcsnr! Co&. ul hy u.n< s tr tuI nrN ril.ll-_l
<br />Y",,.".,,. cr;,1 Dzq x...5'.Lt 1 L
<br />'(,,,.>\ ri l rcr )(.",,.-,..
<br />carslal]cuqurElllNli-f,{iElt1
<br />I hcnh, lnm untio Fnrlty ol Frjury i hr rlEN r . !..(Bh)n Ln!u3 {!cEr l,r rh. FrL'mr. ol thc wott fitr *luh lhn F.mI B
<br />rru.! (sc 1097. civ. c.)
<br />L.d.r . Ntm:-
<br />l.d.ir A(llr(s
<br />-
<br />6TSTIIANI.DECI.AaAIIO!
<br />I l$.by .llim unLr F.rlr, ol F.rny om ol rh. fol!'*u! d.(lrnl [n\
<br />Dcnrl on P.rn s^rt riin Ndfrc.ron l-c&hl Rctull|nnl(l,[klO. P.n6)
<br />_Rcqor.d tr(.rol M{diarr
<br />_l.c.r y rl'r rlr liJ.r.l asul,rk)N E3tJo3 ldEnor rch,vrl d nn rprlr.hl.tu rhspn'Fi
<br />-aLra.n'ry rhr l h,!t E.J'h rnph.rlu{rl n{.rhj llr.hnr rntomlr,n r.omcr I rsrd ri' $n!'lt wrh .ll C y.dCounry
<br />,rJo'h- rnd Shr.Ires n!{uB lo hu'l]ns .onrlddDn. .,rl h.rchy.ulhtruc EFr*ir.ritd of rhrl C y lrl Countylo.dq uP.llr
<br />, r'rc nEnr$mJ pn,Fny tn h\I,.
<br />ADpli(rnl or ]\!.nl Sisn{luE
<br />Sel Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Rool Sheathinq
<br />Shear Wall
<br />Framinq
<br />lnsulationi Enerqy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />ltrlasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />FINAL /o'>71)/z cr.'>.!t: /tA4 FZ7
<br />Certiticate of Occupancy
<br />Notes, Remarks, Etc
<br />>l t: ltQ
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