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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNER AUII,DER DEI,('ARATION
<br />I tF.hy .llts uBJ.r IEn.l, r'r Friur! lhd I n .r..r{i lnrn rh. O,drrt!! Lr.nr lr* (tr rlI i,lhrn! rcaq'n lsd.ro:rl I
<br />Iluucs .nJ Prnesr)n C,rlc) ny (irt or Counry whxh rcquF\ ! Fm[ r' d rrrucr, !l(.r, ,f,p()v., dcfr)lsh { rnrr lny
<br />ntu(rutu. F,n, \ rore...ly, r.lt!ft\ rh. {tirzd nn !h Frturt,lik. !!nrl (.r.mnr th,tr.rrt ! h.n<r] Ftriuint
<br />t, ih. pnvni,'nl .l rlr O,nrrrk, i l,&mcn Lr, rchllrcr 9. Con,mNns * h scrri)n ?u$ or Divri('n .! dl rh. Bunk( rtr.]
<br />Pn'rcl(,nr C,ilc)drh.r lr{rh. (.r.mfl rh.r iom atol rlx h!s\ r{{rh. rlk3rd.\.qii'n Any vi'hrrrn of Sdr rr r(r l, lbyu.}
<br />rml..dntrrlxrmx!!hj(Brh.:!i !.nr t' r (vrlp.Mlrydr fr,rnBr rha rr!. hnlrcd Jruri (!501,
<br />_1. $ o*ftr ol rlI |ft{Eny, ( mr.r{lrrel w h *r!{\ a\ rh.tr irk con{{ns.l i,., } llt,rh.vrLrllrll{ur@rn,
<br />rLnkJ or ofcmd Lr qk (Sr 7(144, Bu.E( et Prtrf.(nrr Cql.: flF (irrrdor'l l-icnq Lw &xt h {rly h r wkr oI
<br />rh.lnlttn, $h,t illtor nth,E lrF!tr t wh, d$ (.h urt hrm<lr r h..rll or rhn{Eh h! ir lEr o*n.rll(ll,!....
<br />Frvrl.d rhlr ruln mFrkmnls e R, ddln d ofidtU for \.k 1,. hwrq. lhc l'{rtluf or rtrNcnl t $tl *nhir nE t(
<br />ol orlPLrr& 0r owrr Bu !.r w'll h.E lh. hnkn dr F,vuE rh, tr.r rrf, Jn o{ tudl M lrIn,E rhc F,Fdy n r,E rirFEol
<br />_1. r\ trwnrr ol r h. pn,Fdy, am r\rlunrcly $nradm3 w h I'r.nrnl rnnt& tr\ t, ennM ! ttr In'Fr r Sc( 7(X.l- Brn'ts
<br />rni frtrrL\$h (!rl.: I hc C! (k& rtr . l-E.nrc L2$ dcr B{ nmly r' u. .*ncr ol In oIEn v *h, tu,Llt or mrov.r rh.r.on.
<br />,n'l xllr oda.t |,tr n'!h ln,Frl wlth i (bnx.Ln)n !) hc.nrL! nu(urnr I' ihc (in ra.nrrl.*n{liw)
<br />lrncr. inr trnJ.r S((nr
<br />EAEf,EBS:.ClrUflESArqrDE(lAf,AIIg!
<br />I hcn hv Jlltr m un(hl lxMlry di Iirrnrr_ or ol rh. !')l[,]'urf 'hhrarhnr
<br />I hrv. $lr,ll nEnrs r C.nnirt or Co.{nr !' S.lr.lnntrc ntr trdlkf^ t.nDcnrrrNn ri pr,lrkJ l l'yS..rx,n r?r()!'rrh.
<br />l-ahr C{xj..l,rIh( F lDmun( or rh. q l,tr*hihrh.Faffr trr\kJ
<br />l h.rc rBlwrllm.rnrirn *ollfir ..n{rnr.r on rn\uftftc..\ rcqtrn.Jl'yScr$nlrli, lrh.lf,titr(lrk.ntrrh.n n.mrncnl
<br />'lr utrI iu rhrhtbrFd G lrd Mr* (r e'trFm.t,.*,'5!tk 1r.,./
<br />^rrn'^*,' . ?2Z1/727
<br />In rrurrr..rEr rn F,lry nlnrh.r ,.
<br />i:r / /r /2.> o---.
<br />-_l (.n,rvrhar
<br />'n
<br />rh. FrrornLr.olrlr work r(tr *hih rhs !.rin tr FnrJ.I \h3llrn.n0lt'! JntFron hany tuN
<br />s, !\ r, ti\om iuhi\ r n' rh. s lt.n d 'mp(n\!r Dn lnrr ot Crlrl',mu, r,rl +trr ihri ,l I \hlulJ I\(om iuhrrr t, r lr
<br />*.*.r' (mrt.\alr)n llnn Rkrns I Snr i'n l7lx, ol rh. I jh{ (irL. I {ull l,f,hr h mhdr *i h rh,( ln'vr|'ni
<br />tlARNlN(;: Frluc b {!ur. wo'tcr omp.n\rri'n (!rm8. ,\ trnhutul, ,nJ lhill {rnrcr an nll,'yc! t) Ln..rrl FBhr\ rnl
<br />!r'l r0.i utl n' om hn ,.n rh,u\!i] rlll.tr5 rll .rxl)). m J,ldix'n nr rlr $r ol .on{En!!r!'n. JiEt.! ri ltoul.J nn rh
<br />/1 Z
<br />u!l-ss!l!l!!r3 c.r.l8t2!rt Bttra[
<br />I lEFhy.l!nmuBj.r FMIy.r Frjurr lh, I rm ll.nrn unj.r F)vr.n ot ChnF.r9l$6nrEms $ih S(ri{ 7(rr,) dr orvM,n I
<br />ol rh. Bow( u! Pnnc$r,ir (i .. !^l my lxcna. N m tull l,trlr rrl rrld(
<br />lo3tL/ ? dc37
<br />lQESIat4l.lrElElQIlcrlIiElII
<br />I hcrh, arlrm ud.. rrMlrrol F4ury rn, rlrE n a on(tur,n tl!m! rrmr r.r rlr Fnrmec or rh. *ork tur f,hrh rhN Fm, r
<br />rsucd(S& t0e',,Crv. ( )
<br />AP''LICANT DECLARATIOIT
<br />I hc $v altim uB].r rtnlliy ol p..ju,v oN oarh. r,'lh*,ns .L(!rrri,n1,
<br />[.mnnh,n fumilAllErr'n N,i rd[n F.lrrl Rc3u[i[nr rl(1. llr). Pd6)
<br />Rcqu{rn kri.ror lld ,lrrh
<br />l.cn'lyrhi rhc lilcDlr.gulrrk)nr 13r,l'n! x\tx!o\rt.nhvrlr'. i xPtlKrhlt t) rh^ Pn'Fr
<br />I drfyrhrt I hrr. r.rdihr lpplf,irn,n:nl {!ic rhir rhr rhtr. rnntrmx.n r(oErr I4tri(,.l,mfly f,dh rllC[y.Rl (inhty
<br />.rlEB.(.Bt Sr.[ l:*rrkuu tl 13 $n{ru.ri,n. irt] trnlry lurlrtru. klr.qnrrr'r.! ol rhA Cny sl CN.ry r) cnr( trIi'nrlr
<br />!h,vc rnrN,tud on8nv lttr
<br />Artrlnsnl or Ap.nr Sixnnltr
<br />P.mllR dturDrlnl,:
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />SLAB Floor
<br />Subf loor/VenVlnsulation I I
<br />Roof Sheathing 1li t/q ruM 4/L /rU
<br />Shear Wall tT I
<br />Framinq
<br />lnsulalion/Ener gv
<br />D rywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handic ap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />1
<br />FINAL 7/r 7 /r,-t>f{2,',
<br />Certiticate ot Occu Cpancy
<br />Notes Remarks , Etc.
<br />UFER Ground
<br />Flood Zone Certif .
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