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BUILDING- INSPECTOR RECORD
<br />OWNEN BUILDEN DELCAR TION
<br />I tErlr, ilrm u,'d.r Fn Iy o, n ri,, rh.r I u .!.r$ rmm rh. Ctrderon Li E Ur ri, rlE rolbrin8 mon (Sd 70ll 5
<br />Bunmi .rn Profc.ri,n Cd.) Ary C{t or Cddy *hi.h r1ui6 . Fmi to o.{d. rlt6. nrlroE. d.d'lnh or qri uy
<br />(dcruE, rior t.r ilr issu!rc., lls Eqrn$ rh. lrplicd fot rxh Fmi ro nk . sisftn srd.r.r thd rE .r sh. i lacned Nmrd
<br />to th. pn'vhions of x Conlt(lor's Lisnsd t w (Ch,fl.r 9. Conmming *ilh Scdion 700{) of Division I of rh. B8in.s lnd
<br />Pr.f.$nnr Co<,.r o. rnd h. {r t& n.r.qx rh.r.fi.m.nd rlE trrii for rtE rllcr.d .r.nflbn Any virl'ri,. or sdh. ?0ll5t'yuy
<br />.pplarnt foraFm rubFk rh. rpf,lr.n! ror.rrrlFrhyof hr mErhr lir. hudEn dols (r5($).
<br />-1.
<br />N owffi or lll. F.Fny, rn my crykrFrs Dilh w!8cs as lh.n qrb $trrrtnsrn,n. *ill d' itE *(rt ad r,t {rdw i\ nn
<br />iddr&rt tr olfcrcd for sb ( Sd 7Ol.{. BuriEr .nd piDfcisi,.r Cd. TIE (tdrd.r'( I -atnc Lrv il6 d 9t'ly h u o}E of
<br />rrr F{Eny *t hldrtr lrFNs 'Esr nn wh, &s uh uft h'mrcll o.lrrcl, nr ttFush hn c rE o*n.ryh)s.
<br />provil.drhor such mnmEm.h e ml irtcd.n o.oflcrrn f.rqb.ll t -cEr. th. triuin3 o. inrdMm.l is afi sithin o'r }!q
<br />of..rttni,tr OE ()vEr Built r eill hoE lh. t{.&n of nftrvine rhr lr M sh. dil mr b{iU or inpmE lhc FmrEiy lor ltE F{Ir'$ of
<br />-1.
<br />!i owmr of rh. lft)p.ny, !m .x.lusrwly .onre.rinS *nh lk.nscd conr&run ro onqdd rlE F,Fl (S.c 'rl!.4. Bxrimn
<br />lni h!'tsinCdc'rhcCDnrrErofsl-ic.n*ljod,E\m[mlyrolnorn.rot )rdy *lr' b{ildror intkrtr rhcr$n.
<br />rnd ulr1 odtu1a rd iwh FiFk r ilh . C. Rlinn lk.n*d lllEM hrlE Co.rdmi ticn( L.rl
<br />I dn.r.mr drkL'sNti"n;tdlu/lt 6z tr4a/u64cCt
<br />I)!t r.\t{ I I t()\
<br />I hcrcr'y.finmu.d.r Dctr.lly or rErjurrorc.llic nn!'!inx dsb,.lii'n\:
<br />-l
<br />hlE .rd will minr.i. . Cdifrak of (lrenr io s.lf.lNuE frtr *rnl6' mn!..srhn. .s J[ vil.d for by ssrao. .17(n of rl.
<br />bh, Cul.. for thr Frfomft. ol rh. k t lr whi.h th. Fmn ir hslcd
<br />_l hrE .nd *ill m'nrrin sril6 oqEnsrbn inrur.Lr. r. EquiEd hy Sdhn.lTurof rlE t hor Cod.. td rrE Fi*mN ol
<br />llr lml lor wtah lhn Fh'l 6 irrn My adt6 mnp.noi,. insuBr cuir !n Inli, tuiad &:
<br />_l..nifyrharinrh.FrfortuE.of!Mwortforshththi{Fnniii\irsu.rl,Irh.lln.nphylnyFrsnitr.trymnrcr
<br />r .r!. h$m rlt ..r ro rtE kr*6 sn{En{.n Lr\.rcrlr{omr. dn !8r thd il I .h'uld lEom shj<r nr ill
<br />woltdi onp.n.!ri,n Fo\ iirnr or Sd kr. lrm ol rlE t h. (in - I {ElL nrdhsnh oq'|, y irh rhns pmlni,nr
<br />\VARNIN(: lr'lui, i, wu'. *,trk.^ .f ,no\rrtrn' L,nC. N unhrtul. md \tull !xhl..( an cmfk,rrr t, dinnnal lEulras lnd
<br />.n'l lnr\ uI r),nr hutr{l'r,l rh,u\rrl ,lollr\ ()r.
<br />'n
<br />rddiri)n n, rh..o.r ol eon{'cnetk)n Z;D:-S(rh. 1076 of ih. l,hd (]i,e rrN{ .tll,.',pL/1/tr'
<br />^
<br />/z xta
<br />I h.d,y afl-rrn unJrr p.Ehy ol ,Erur, rh,r I am lkin<r! undc, i $i,n or(rEfld 9ldrnmErnB * h Sdi'. ruD) or Ditnio. S
<br />.I rltr l\Ftrr\\,nil l\ h\{o ]\ (irlc. rtrl nry li! \. 6 0 h,ll l,rr. itol.1nrl
<br />raluxusllll[llu!1i-ariENrr
<br />I h.rhyrlltrunJrr Fnrlryoftf,'juryrhtrr rh-rc n,.on(tucrin,5i inen8dryn{rhc,ran{nrrcolthctr.'li,trshi.hrhnpcnnir\
<br />hsEd (ss :nD7. (ir. c )
<br />kirLl-l Nrm
<br />I diry rtur rlr f.n rd kgllrio.i E8antine rstr{ns rmul rR mr q'nlr'.blc ro lhn prcFt
<br />-l
<br />ccnrly rhd I hlw,.ad rhi\ lpplicari', ari (src rhlr rtE alrir nntrmri,,n t corKr I rsrd i0 comlly i'rh rlr ciryifrl ( (,unry
<br />.rdinrN$ lnd Sr4c lrss Ehrin3 ro hrildin8 con{rucri'n. ard h.rchy rurhir. (pr.Tnirrikr ofrht ( irymd Counly lo.nrd uBln lh.
<br />SITE.WORK DATE
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathinq
<br />Framinq
<br />lnsulation/Energy
<br />[ywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certil.
<br />/^)
<br />FINAL Zts.//a.,-*P.2t ,/
<br />Certiticate ol Occupancy
<br />Note emarks, Etc.
<br />ID/SIG.COMMENTS
<br />Shear Wall
<br />Polky Nun5.r:-
<br />2 /''
<br />ArtutAltlrEg.Atarm!
<br />I hdrti, lllm uM$ pcmxy orrcrjury oft olrrr f(nk,*n'g ddhEri,,.s
<br />D.m,ldi'n Pcrmik A3tEsrG MriiElrb, kj..l R.FuhionrrT L l0. P.n6,
<br />-R.rtuircd
<br />Lcll.r of No'irEllion
<br />:#I#ff? !4u*:
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