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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWN[T AUTLDEN DET-CATATIoN
<br />I h<fthy dlltm uBlcr n(hlry ,'l n 4tr4 rhr I m .r.nnr lhm llE (nnrrrbn l-(.n{ ttrw fttr rhc n)lh*m3 Erl,n (5.c 70:ll !
<br />trunnc$ .ti P(n.$!,n Cillc): ny ( y or Counry lhri rcqun ! r Fm h c.Nrrud, alrci. 'nPnrvc, & rlnh or rcI,atr rn,
<br />(turi0rc. Frb nr tr\u.Br. .lqr G&ms rfi. :j)llkrnr fd .u( h ,Em n) ilc : I|3m,l <ar.trnr rh.r h. or {E tr l'.ctr*l Pu{nnr
<br />t' th. Er'vF$nr or rh (i'nrh*L"'( l-..ncd li* (Ch.prci 9 CommEnP Erh $\ri'n t(lr) ol D'!rK,n t.r rh. ttu!tus Dl
<br />thnc(r,.r C,xii) orrhrrlxdslE s.r(nfl rlr.rron,r rll hqn\ ntrrh..lL!.!.r.n{i$n Anyvi,hri'n01S&r$nTOllthvr v
<br />,tpl(rd ntr a p.rnnr (uhlerr rh. rlpl'.snr o r0v,ll(nrhyol fr)rtrttr rh.. n!. hr'xn.JJoll-t (15(n)
<br />-1,.!
<br />owrrolrn tr,Fny,dmy.nlcbJt sw h *!3.t rs rlrt g,k ('n!EqrDr, qU & rh. krt &l rtE slBlE tr r
<br />d.nlal ,*offcEJ nr sb (Sd.7(x,l, Butft<.nl Pn{firon! Cql. Trr Crdar,"'. L.mc L.e,!Et rr {tpl, k, a dwFr ot
<br />rh. lnIrdy *b t{ lr c ulrrer! ilEr- !,rl *l$ &E un kfi h'm.lf ot lE rll or itmulh hs ot lE. own .r{'hy(r.
<br />provrLJ rh4 shh mllnrkftd. e ri dhk{ u orl.Gl f.n el tl. lnM. th. t{ m3 .r irIFEEd s sU *thh oF F{
<br />ol NnlpLlirn. ltE Owxr Burtjer *il hlw rh. bui,Ln ol lntvh8 thot h. or nE Jrl ftn hod or urtnrE rlE lh,Fny fd rlE PurFrE ol
<br />-l.
<br />t.ohrolrh. |k,Fnr, m.!.hrv.ly uodr&rlU $rh litn*d dt&r(E n,.r'nrnd rL tn,Fr (S4. ?Ol... Butm<
<br />drl E\,Firmc(.rTn CorxBrorr l-r.hr br &$ Br rm'ly h e o*Er ol ro,Eny wrE burLlr o. nIPtuEt 'h.rnnlnd *,N lutu(r! n, ruch Fn,Frr w h.Co nlr{(,I..tr{d pxnu.nt rorlE (ihrero^ L*n€ lrw).
<br />-l
<br />rmci.mF ud.r s.di
<br />woR{ERS', ('olllPEltsATloN
<br />I}EII.IIIAIIQ!
<br />I h.r.lry rfirm und.r Fn.lry oip!riuryonc ol rh.l,'li'*Bt d..lar.rk,n\:
<br />-l
<br />hrK,rl w,ll Dntrh . C.nrti'ri. olCon*d h s.ll-|tr{E rd k,t6'mrindi,n. $ F)vad ror hy Sarbn !7m of rlr
<br />l,lri CirL, td rlr FrrolM ol llE unt nx "nah rri Fd n 6rEJ.
<br />lh workntr*hLhrhFFrm tr tr{rd M y woitcr a lompcnsr ron nrurrru. cdkr rrt F'lty numh$ r.
<br />C!ffi-I
<br />P,r*v r"i1- Lrpr.
<br />-
<br />.ZI*d'ryrh.t nrlr Frtoro! ol rh( *orll,f, rhrh rhn F mn tr ssuc,l.l rltrll dn."'prry.ny FBr tr tnymnE
<br />$ n b lEdr tul'Fr ro rlE H,td onp.$r$n L*t of C.UmL !n rF. rhd , I {rBll lElor tubi{r lo llt
<br />q'rt6' .onqEnr.rDn r'$s6 ol Sdrbn lTmol llr L.lri GrL. I rhrlL rdhsrh onPly wrn db. |iD$DB
<br />wAnNtNG: Fr uR k, EUE wtrtcs L-mrEtrqrnn coka!. i. unLwtul. .,n .ll {hitr a .fllloy.r ro (rrllml Fnla: .tn
<br />.'!Ll ltrk\ ut r, !tr!. hutr,lNl rhotrvrl (lollrr\ rll0o.rxx)l d.es.\ 8 F'vrlcd nr rh.
<br />1
<br />I hcthyrlarmuod.r!.n yotItrlury lhar I sm h.n{d trntitr r(,vri'n ol Chapr.r 9 ((mmkn3 w(h Scdrr Tuxrlornrvni'n I
<br />ol rhc ltr<ftsunl I'n)!s\x,nr C(rL. lil ny li.cnt tr n lull kn. rni.l,.rr
<br />c57 L 1zf
<br />Ih.nh!rrltm ,.rFn ryol liitu,yihlr rhtr. sr(nnnturrxri LrrlrS r3ctuy l(trrh.Fn,mrc dl rhc *orl fit *hf,hrh!Fm E
<br />tr{trarrsr r(rr7 (iv t' )
<br />A'PLICANI DF(:LARATIOIi
<br />, h.rby,rlimu cr p.nahy ofPerjury oft oirh. n,ll'wr3 tLcl,r.rrni
<br />D.m'l[Dn Pcrmr!A r(os firr'lrrhrn r!&r.l Rquhtxr\ (I k.l). P.n6)
<br />_R.quEn L.rl.r ol Nlrlfrli
<br />-l
<br />c.n fy lh.i th. ral.rd ErtLl ii,ir t!r.tr8 .r&rtx Emv.l e Fl .P iqbk hthn Poicr
<br />I d'ly rhn I h.E Ed rhB lpolln-. .,n id. lh.l llE JnE intumri En r cm1. I rrr lo @nply t.h n! Cl, ,tl Codv
<br />oilon.! dS'.rcL*rEL'rus!,M EIr.$.trKr of rh! C.y Itl Cou' ylo c
<br />rhl. nrnr()mJ pn,r'(d, ntr
<br />3Apt i.{nl or AEcnl Silhsl -?'-
<br />Set Backs
<br />Forms/Steeli Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Rool Sheathinq
<br />Shear Wall
<br />Framinq
<br />lnsu lation/Energy
<br />Drywall
<br />Ext.i 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 Certif .5q o( 1u 6ratl 711.<t1 y't4((t',)w (72-t-e dl,+"-t-Oazt$7c>""'
<br />FINAL v 5 t Lt4 aA)
<br />Certilicate of Occupancy
<br />Notes, Remarks, Etc
<br />Subf loor/VenVl nsulation
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