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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.OWNER BITILDER lrELCAnAfl oi\_
<br />I ltEhy rrfum uBhr I'culry (,1 pcrjury lhlr I m cxcnu rn,m th. (iff&roF' Lkr.r t r ror rlE rolb*ir8 Ercin (s.. toil li
<br />Burift\r ,ni Pnna$i,n Cci.) A.! Ciry or Counly rhrh rcqlircs ! Igmn lo conrlnkr. !hq. i,rryoE. &mnirh or q{n .n}
<br />{ft1ur.. Fi,lir nr n\u&!..Iqr knuiftr rhe q,tla!fl ntr such ocrmi to nk a !i3md rtln.nd tnd lEortll i\ liln<n NNad
<br />tu (h. F.rnon\ of r|E O'.lrNlor'c Lt.nrd lj* (Ch.Fd q, ( omrnine w h S&1i,,n 7fir fDivisD.Iofrh. Bu{m$ and
<br />lhlcs{on<Qld.)ur rhrr h o.rh.6.r.n!'r rh.rcrrnnrd rh.ln(i! th. tt NllcScdc!.rlllin,n AnyvdNionofS6rion?rr.1t5hylny
<br />anplionr a.r rrmirsuhJNr rhc llrlienrhr.nrrF.Mxtorfr Erh:nfiEhu ldtdolltrn(tsU)r
<br />._1. as o*E .l rlE FrFn y. rfl cklu(nrly .onr(rinF wirh l'.c.{d rotua.kr\ k' $n(rud rlr F,rrJ (sd 71x,{. Bu\i**
<br />rd lh{:atirCi'd.'lh.O'nlrelr'rl-kcn\cljudN{nniptlyro o*ncrnrlroniiy{lilhuildrnr,mtir{trrhc,$..
<br />rnt, {tr,.on.Ed\n,skhtnrAksirhrc.,nta.r.nrllcncdpu^unrr'rh!(onrudor'\LEcnEt$
<br />I !ncxcr.lr lRki lAi.'.lr r-
<br />llEclnt83flo!
<br />I h!rchl rrlkrnunds Ftuh) of Frrl1 or rfrh. n'lh*int d.cllrJri,x
<br />_! havc rBl *rll rurnrrr . ( d id. of Con<nr r, Sclf lnslrc ltr *orlc^ .oryf,nr.Jbn. ar lrevrdcn for 6y Sarion I7($ of llx
<br />trto (iiic. f,r rhc FnrmBt ufrlf, *i fo rnih the F mir i! is{ucd
<br />Ihrv.!n,l*illn$r rhtroAd{ c.nrrn\rrK trtruB'rc. rs r.q trGlhrS.(rkrnlTlrroIrhclrh(trCnd..ntrrhcF,krmrn...l
<br />rtu *o'l r,tr rhtrhrlh |Emir rc n5hJ lly q, trkd. .onJrnqrxr nr 'rNcuricr nl IDli.! nonrlE rr
<br />l..dilr rhxr ir lh. pcrronuNc ol lh. rork ntr rh(h
<br />'hu
<br />pdmn tr r\uq!. I !h!llnr.mpkJv znt Frq,i in sny ro.mr
<br />sr r(rr l4\.om uhfr' b rh. *orrcn' conncn$i nn lo$\ olcrli6mi.. nnrl a8rcc rhll iI I {nuld Ea-onE \ul'F.^'l to rh.
<br />trr*di .rmFn\riln pn,lrii,nr .l sdl i(n' l7(x) or rh. lihtr (iik. I !Ell. nrh*irh o),rloly * irh rlF€ r'd,$i.nr
<br />WARNINC hiluE to rcuE wo.k.r'mryrndn,n d,v..Jgr '\ unl,*lul. drl \h.ll \ohFr rn r4rloFr h oinnMlJrDLi\ sfll
<br />cilil nm. uI ro oE hunhd rtx,usnd dolldn ($|flr,(Xx)r, in I
<br />Sdhn:1076 of llr |itix L1nc. inr.rcsl.nd d'orNy s fer
<br />n. dnn!'gL\ !r pr id.d fitr rlx.
<br />I h.rbyaffirh ud.r FElryofFrrtry ih"r I m lic(n{n uBl.r In'vi\i,in of( hut'rd 9l.otrtrrEkint *trh S&li'n 7(l[) ol Orv$bn ]
<br />of lh€ Burimsand Pmr.srnnrCoJ.. ul nN l..n( n ir full fi{N url rll(r
<br />(olEIAUl.U0ItIEUDtltilq[dtI
<br />I hcNt y rflnnund.r Fn.liyof Fipry rhlr rllac ilr Nr{Mion L.xlinld8cft-y tu thc Fiomftc dl rh. r'nrk fin *h{h rht Fmn i(
<br />nslqi rsd..1097. civ c,.
<br />AIELI!]ANLDEIIJAAE!]B
<br />I Hry irm uftlcr Fn.ty ol p.+ry or ol rlE toll,winS &<Lru' k nr
<br />Dcmnilhn P.rmih.Alb.ior Noiar.{b. F.d.6l R.8!l bir rTnlc,{r, P.n6)
<br />-R.quE{
<br />t .r of Ndifrdi,.
<br />-l
<br />cqrify rh.r ri. tctcol E8lbr ions Bgadln8 r.tE{os Emv.l m e, ,tpla.bk nr rhh pmjN
<br />-l
<br />dify rhr I lrk cd rhir srr idbn {d \hrc rhrr rh. slnE 'nfotmlbn t cm.d I.pe k, sryly wirh tll Ciry.td Counry
<br />'(lnJrf,(\ Jrki Sri. ur\ n.l'r'tr! n, tu'Utr,!.,'hi! Cly rn Counly ro .nl6 uFtr llr
<br />rh*c tunrhRi nntpcnvL, in{,I(.rhn nurrr
<br />lprli(enl 0. \8..1 SiBelun A
<br />t h{rch} rur htrr. r.prc{orrl tr c{ rlr
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Sublloor/VenVlnsu lation
<br />Roof Sheathi ng
<br />Shear Wall /,-,.\
<br />Framing DJVt,"lowi VK 4-lr-t7 \._w1t)l
<br />lnsulation/Ene rgy U
<br />D all
<br />Ext./lnt. Lath
<br />Brown Coat
<br />It4asonry
<br />T-Bar
<br />Handicap Req
<br />Depuly Final Report
<br />Engineer Final Report
<br />Flood Zone Ceflif .
<br />FINAL v/(//a tuv ',/61-
<br />Certificate of Occu pancy
<br />Notes, Remarks Etc
<br />bha o u
<br />COMMENTS
<br />Pool Fence
<br />L a\ o&rr ol rh. nolrnv. o ny cmnL,)cs wilh waScs $ rh r {lc c,mFnihn. r.ill & lh. r oI .tt rh. slnIlE is dn
<br />inrqrlrl nr ol[r.d tur q! ( SB 71x4. Bu{rc\1 Md Pr'fsso.\ (irlc llF cl)nnRror'r l-i.r* I rs drr r, +pl, r] cn o**r ol
<br />lhc FIFn, $rr, hildr or i'qxmr r}tG,n- ud *hr d6 sh q,* himrllor lE.rll.r rhmush hn m lrr oyn.mnhrcr
<br />Follldl rhd sh xnnnnrmrk m rcr inrntdi u oficrcd lor eL lt tnErs. rlr hiildi,\s r rymEBnl s $kl *ilnin E )ts
<br />of( nlpLri'n. llr Or Er ItuilLr qrll hnh rlr hudm olpn,vrn8 rhn l* or <hc Jn ft tull'l m inF& rlr FrrHt r(tr rtE Frtr,c of
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