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BUILDING- INSPECTOR RECORO
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNER'UII,DER DEITARATION
<br />I hd.l, ,l[m utr& Frny of Fi'ry rhr t d 6aDF ri]n rh. (blr.rlm li.dg l$ for rh. aollosaB l6n{sdrollt
<br />Bcm6. r'd ftofdion ( od.) An, Chy or C.d, shich rqtniB. Fmir k' NdM, .116. mFove &mollh or r@! o!
<br />ntudwe Fxn lo irs isumq .L. r.$rnd lh. +plkur lor.uct FEi lo frL i lisnd 3l ndi rhri rE or dE i! li.d!.d |!{err
<br />to
<br />'lE FoviioN of r (t.rncroir LklE d t f, toirpra e. (_onmftiry $ nh S6lnn 7000 of DivLbn I ot rh. Bcit6 rd
<br />Prcl4rc Corlcl or rhd h. d tlr ! crdpr t,Erliod ed rhr t6! lor rh. rlL{.d 6onprn. ]\., vhldiotr oasctsn 70:r I 5 b, .n,
<br />oppli.st for r p6nn luhjelr lhc .gplicu! ro r civil F h,ofnor mrc'hM 6r. huidrcd dollss I lr0o).
<br />.l.Bo*Eoarh.FoFry.qmydnllolE*nh*rs66rh.n$k.oipdlqiirn.*1ltdorlr$dtildftnutc!mt
<br />intddqj o. oII6.d for !1. (sa ?O44. Bqins ed ProasioN Cod. 'l fi. ( on'n.loi! Lic@s rrw do6 .or l9ply lo d own6 ol
<br />'laF1Er!- $ t! ulili o. !,ForE dEoq -d *ho &E st N,t hiE*lt o. lrr*lf or ll'D!3h ni! or hs 6$ orpli,t6,
<br />p.oriLdtnd &.h imFltdEi!Ercl ndrd.do.olk rdsh I[ lrl@. r,EtoildiBor inEoffi itrldwinrm)a
<br />of.o'r9Lliotr llE ()*n6 Auitc will luw lh. h,&n ofprovin8 th, h. or 3h. did d hrild or i,q.w. th. FoFly nn llE rnqne of
<br />l. Bosn6ofth. F.p<nr, M.r.lciv.l, .oirr*th8 wnh liru.d rod6clo6 n' codrucl lhc riij.t-l (56 70{.1. BUuB
<br />,r, h)fsiid ( o&: l'h. Co.rarr'i Licorc Lrw doB oor !p?lr ro 6osd ol rroFn v u'ho hri[b o. inpNvdrh66tr
<br />.nd sho oirrrt3lm mh FoF:ls *nh. Cotnrdo(s) ltaE d Fll!@ ro rlE (-o E lo s l-t.*lj*)
<br />I trnc\.nrfr trnLlfl s.(rrn'
<br />D.r. omr:
<br />wonKiRs' conrpFNS,{IloN
<br />I}EI;IJEAITAN
<br />I hs.h altim !rd.r Fntt of Fjurr oE ofrh. lolhsus rklr.rioa
<br />I h,vc an *ill ooi.rrin ! Ccninc!!. or ( o.gr ro s.l['l^rurc for r o (6 $nrpodn'n, a p6vid.d for bt sdion :17 r oI rh.
<br />llltr (ode ,or lh. Fa..lrec o f lh. tro forqnthllrFnn E i$.J
<br />I h!\. and *ill frainlrin worl6 comp.Nrrion iNuid.., a rcqtrnal h! Sd nin 1700 oarh. l$.r ( odc. aor th. Flormmc. of
<br />lh. {nl for "tth lhir Fnn i! ie.d My trortd' onFrdirn i@re. .&ir ird F)ltr nuhtEr a.
<br />cffiid 'ArunarZutcLlnytoa&
<br />PorkrNumb.r'(lJC ?O.OO ASa: O8
<br />luognT
<br />,'** LGI&lAAlq
<br />..lc.ni&rharinth.pdfolrrecolrlreo.Ilor*hkhrhi!Frt i.r nru.d. l .h!ll ror 6rylor any Fref, in uy nun6
<br />$ a io bdoG .ut!d r. rlE srrt6'6mFsi6n l$. olcdifomi !n .eR rhr il I nruB h6om $bj6l to tlE
<br />$o d omFqrhn F!vi!io6 of Sdio..1700 olilE tlt rCod..ICdL fdhrnh mnply wilh lLr ForilioB
<br />WARNINC' Flilu.lo B@ worl6 6'npq!nn'! cov6.c. it unbwtul. Md $all subjd o @dqs b diniMl Fdiks d
<br />.nil fin6 u, h oe hu(H rh6rsd d.rl6 {llm.UJo). in ,{Uni,n rd rh. .or of .omFsli... dir+6 a rolid.d fo. lh.
<br />sdio. !076 of rlE bbd Cod.. id6d Ei don !r. f6
<br />".,", ' tohil tg E
<br />I hdby llfm urdE Fuhy o f psjury rh.r I 6 licda.d u(h Fsrision of Chaflo o (6oE@in9 *irh S.di.n 7000) of Dirili{n l
<br />of rh. Blaing dd Pmfdi!6 Co&, r'd m, lt6u ir h full lorc rd.fi6l
<br />cjg 76534e,
<br />".,,,'to/atf L! **-".,*MrlqR (orp Dba Uo,r (ldW
<br />(otslBucradrElDac-acll(}
<br />I hd.l! alIm udd p.nrh, 6a pflury rh{ rh6. ir . .on!rud bn kndin! .soc, for rh. paaommcr ol E work for rvhih lhis Fnt is
<br />isu.dlS( 1(,97. Ci! (
<br />'
<br />A,TTUCANLDECI.A8AIIA!
<br />I hd!h' .trmr trnrta Frhy ol Fju, or of rh. folkr$ine rkladion!
<br />DnfrnnonPmtu A.h.!'os Norili.lrirtr r_.dd.l R.*ul.rhN ( I tl. 4tr, Pd6l
<br />Rcquild lrrrd ol fda!6.dnn
<br />I (diry lhot rhc f.ds6l rlruhtiore Esodirs atGros raorde. nor lppli<.hlc ro rhir rmld
<br />4i.diay lhd I hn. Ed rhir.lplklrion rn {d. th, t E.t ,. hfiEld.n t q]tr.cr I .sraro onDb * nr rll cnt i.<I ( odf
<br />ordi n(6 dd sr.r. lnB EldinX r. b(ilding codrucr ion. md h6.ty aurnoriz...rrdd{a ivd of th6 Cny ud ( ounry u erq opon rlr
<br />.bov. @ri.n d popqry tu iNp<1ion p,,,*"6
<br />4tqovg+
<br />, /opt lt1
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />SLAB Floor
<br />Subfloor/VenVlnsulation /..-..\
<br />Roof Sheathing 10.zI-11 A.W-rr)
<br />Shear Wall
<br />Framinq
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif.
<br />FINAL q c)lzo DKfYtt 4-.nv7
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc.
<br />-:>
<br />^
<br />perk,r, or
<br />^.o,
<br />shn.,u* fl A{{X
<br />Pmr,(dh.(prrn,,: * frahcnld
<br />UFER Ground
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