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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS (,WNF.R BUILDgi DELCAIATION
<br />I h.rcby rllrm u,j.r Fndry ot F]!ry rh, I d cr.n{, frum rh. Co.rd,n Lrcnr L.w tur llr n,lLwbr rc.$n (S.r D.ll.J
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<br />ro rhc FDvsi'rN or lh. Co.t&&tri Licnsd L.u (Chrllcr e, C.lnmEu! * h Sdrion 7m) ot DrB{'n I or rh. Bustr* ftd
<br />P^,lcsDns cl)d.ro. rhrr lE or s'r. r.rcn9r rlE eh'm.rl rlr h.!r n, rh..lk!.J.r.rnFrr A,, viol.lnrifserrr ?0115 by.ny
<br />rtJ ,rinr ftx. pcmr ruhFlts rfu .mlud n'. civil FEly olmi n,r thr riv. hofllrtl do)lr (lvD).
<br />_I, rs owmr of rhc p$Fny, G sy cftpbyes wirh Dr3.5 .r lh.ir eL .!trIp..eron. rdl .1, rtr edt rnl rhc nulm B n
<br />d.hldl oroflcr.d nr{lc (Se.7(,44.Irulrs rnl ttr''.doN Col.: Tn cldrarn.lxusL.r&Erft,4plt!i,'nowrol
<br />rh. In'Fnt *ho t. Lk or :mtnuE rtlDn, .rll vtrr dB Bt k,* hrNll or lrrtll or rtmrSh hr r lEr ow. .t{*rycc.,
<br />rh,vrlol rh.r such !n s,mnk I rn inrcBldl q oiiftJ li,r qL li t sq. dE t itlrE ir lqmE1rh 6 $ll *.hx oE ,rr
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<br />u!.!!,!x.!ra:
<br />I hcEhr.,ftmn.d.r FnrlryolFryryo* oflh. n,lhsq rh(Lr.li,ro
<br />_l h:r.,ri prll rnrrD . C.nrficir. oI C.Ecnr r, Scll'lBurc ro, edI.B' conlxNr rn, .s F)vrki lor by Sel pn :uln ot tlE
<br />L.!n Cd.. in rh. F.fmmc ol ih. m ror sd.h U* p.tu s nsu..l.
<br />I h2B ! wnl mrDrrD *o,lcrr' lomp.nsarxm mursnrc, ss mqlr.d hy scct rr l?(D.f rh. I:hr Gij.. tor rh. FninmL. .,
<br />rlF kn lr*n.hrlNltm ir 6srn My*0116 $nFn\aron rnsurrtu. (e.r drl Fniy nuhld el
<br />Poliy Nunb.i:-ErpiFs:
<br />-l
<br />rcnni $rr in rlt Frlnrtutu. ol itr rork ktr rh.h th'! F,mn N $suctl, I sh.ll n cryl,)y ,ny 1"r-- m ,'y ron*F
<br />s, ar b hcom lubr.r l. rh. uollcs Nn{rneriin L*r.f C.l,fomE, ,n! stN rtur ( I shruhl hc(tm shj.d l(, rlE
<br />k) cr omn tr\d n). nn'vsbn! ol SNri)n i 7(Il ol rh. Lhn Cn].- I \hall, 6d hqdh (rmply w,rh tln)$ rn,vatr,ns
<br />1{ARNIN(;: larlur. r,, *-u. Hrlcr'u,nrlEnqrsn drrc !.,r unhrtul. .nJ rhrll nrhj..r rn 6I'1,,y., !' urul IrMhEs rd
<br />rNrl li,$ trp n) orc hunalrc'l rhouunl Joll{s rllUt.fil)), r rlnri)n t) rh. co{ i $mp(nsrron, ']aru3c s F,vrlcJ ftr rh.
<br />Settr'n !076ur Ih.lrhtrCixlc mrcr.{ rnl ruotuv'\ fc\
<br />-". t iir;f"- *
<br />^^".Y/n * d---l<-"rffi
<br />IEITABAUA!
<br />I hrch).litmuolr p.Mliyo, p:rjurt rhr I rm l[.n!-{ unJ.t fn,v,{Nr,,f ( hiF( q rt,llmEi'U wtrh Sdtr.n Tutlr of D'trxr.l
<br />o! rhc tlu\Ns rnl Pruli\sk)ns G,J., rl nyI'$n{ B o luu hrc.rJ.flc.l
<br />Lt E CL$:-
<br />D.l. Corlktor
<br />aon r ua-nolt .tn,ryc
<br />^a,r,"a,t h.rh, rrtrm uftl.r tEndry of lErlury rhrr ltrr. r . lurlturirr LLling .S.By nr r Fftirrle. ol rtE *ul fd wh.h rhqEmr 6
<br />riual(sd :t097, civ c)
<br />l,nld'1Nrm
<br />lrndcrr A,l.llc$:
<br />ATILICINLIECI.A8AIIO.]
<br />, ho.Lysrlimr cr F*naX, of Frrury o ot.n,&'rtn8Lkrh.rrhns
<br />Orftnnhn P.rm(lAitEsh Mniri.rrDn li&nl Rcful.i&ar lTnl.,l{), P.n6)
<br />_RcqurcJ lrl(crol Mn(iar.n
<br />-
<br />l (d rly rhd rh. fcd.rrl dgxLr bnr E!d!,rha &rh.{o, r.mrv.l {c Nr rt?lut L ro lhr ImF.r.
<br />_l (n rry rhd I hr!. rd thlr lmlrarEn !,rl s{c rh:r rh. ihrk 'nrttrBrar n u,Br I r3re to Nmrly t'rh rU C , ud Counry
<br />oldh.tuca a Srarc Ljsr Ehru{ ro t'rillins .oNr!.ri,^ r,n lErfi, rurh,u r.F.*d.nE. of rlus Cny r.,l Cohrylo cnl6 ulr nllE
<br />rnrE mnr[k'i pNlrny f,tr
<br />Appli(r or Aa.nlStulu A--4-
<br />Ao nl€y'-A
<br />t/ztt / z-a
<br />Set Backs
<br />Formsi Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Sublloor/VenVlnsulation t
<br />Roof Sheathing ',y'o4 /*-oS.-r1 Kq)
<br />Shear Wall
<br />Framino
<br />lnsulation/Eneroy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coal
<br />lt/asonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Beport
<br />Flood Zone Certif .
<br />I
<br />FINAL /n/ /t /'Z.t?4 /1*+r,)
<br />Certilicate ol Occuparty'
<br />Notes, Remarks, Etc.
<br />_l. rsowForitr 61rrr, ro.kl!!kly.onkadDS wnh lk.ned.onk oG lo.rrNrru.r rlE lnrFr (SN 1X4, BniEs
<br />rd h,L!\rr CdL Tn Conrrkr'r l-ir..* Lr* &f,s mr .pply k' .n owncr of I'n)tErry wh, boiLls o. inltok! rhsN,!
<br />.nl vho.n.rrdrlirskhFrr{k*irh.codndo(nh.tricdp!^u!dbrlEco.!&ttr\l4L.^clivr.
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