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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNER BUII,DER DF,I,CARATIO:\
<br />I lxrchy ilttn u[J.r Fnllry (n Fr,trry rlllr Lrn.rrmir iion rh. Conrr(rB- l-ktnc tra lar rh. n l,])n3 rcrv)n lsc. ?0ll 5
<br />aujn is i*l llro,Nsim (-li,.): Any C[y or Counry qhf,h r.qutrc\ r lErmir hr.on(tu(. alicr. rht(rvc. &m,l!rh or NFr lny
<br />{d.ru. n trrrrrs Bstrrfrc rl$ t.qutc\ rh. {inlilnr ,fi <uLh lxrhn h lik 1 ssmJ .lrcRlrr rhlr lror rh. i\ liucn*n tuurnr
<br />k, rlr l(r$i'n\ nf rh Gfltrcktr'r l-rcn*t Lre rchitirn I, ComnkNm! *[i Selt)n ,ltn ol Drlrsrln .] ol rh. Bu\m3s 4J
<br />Prnc{idr\c:. c)orrl rtEor \h. n crcmnr rlrrclrom I rh tusis l,r nf, NUclrJ.\chtr n Atryvnrhtxrn fs.clxr?0:ll thylny
<br />!,tflkad n". Fmr $hrc.'r rh. .t! M r,ridv FMhyor n mrcihnn tnr ht'rl,cd Jolld.l!5oo
<br />_1.,soBmroritE,!nrFny,ornycnpr,rtcs*nhrrs$.srh.rsftonFner!nr,rl(,(llh.url.,!lh.nLrmsnn
<br />mrcrlrJ .r , 'tl.rcJ L. $k ( S(.T04l, AuMMrs rnJ Prof.rsdnr C(xlc: Thc Cin r.cntr r LEns l x* Jo.r mt rmly n, trn o*ncr .l
<br />'h. I'nrrEny vhl tui[r r{ uqrNs rlrNn. .,r] rhr t-IE. sh u)rt hrhxclf or &rcll.r rhhl8h hn {* ho ou cmB!y..s.
<br />!n'v'd.J rhrr surh mphkmnk& rrfllGl ur oltihl ad sk Il h,kEr, rh. hnll'n* n nlx,wmn! 6 rrU w[hin on. ,t{
<br />ol lorqrlclr,tr ,r Oaer lluilia *ill haK rh. hu&n .l pn'vtrg rn{r hc or dr Jrl n hu l d r$nv. 0* IhFnl nr itr N{rM ol
<br />_t. as .sM dr
<br />',E rr.Fnr. !m.i.lB'v.ly .onrru ms w i [.fl*J .ontr B ro onnod rlf rnrj.rr (SN ?(x4, Busfti'
<br />ari lh)r($r CoJ.: Thc Grntr,.ntr r l-ir.ns.LnsJNr i.rrftlykt trn own.r of nn)l.n y wh(! hu'ldr r mtiovcs rhcr..n,
<br />rn,l *ho.rnlk-'.cltrsenF,r.hp'lh.Cinhf,tnisrl.rn€Jplrlmrror,r(inrr{rrirLlo<li*r
<br />l16r\.hfr unJd ScLrtr
<br />lrhl{ ()$Nr
<br />lvof,f,tl&tlroufja$ras[sct &urcn
<br />I lx r.by rl ltro uJ.r 0( kliy .r ILalUy om o, ih. ltrl,)sfr !e..l{dri,nr:
<br />Ihrvc,, *rlltur an.(.nili!!rc.lcDnka k) Scll'lhurc titr p.rks! oml* \ar Bnr, .\ I'n,riJoi ,nr hy Sr.r!'n .171I) o, rh.
<br />Lih, (ihk. ntrrlrllcaDrnEtucorth.vul ntr qh.hrlt rEmn s FlucJ
<br />_llsRr' *'ll Errrrn *.rkcA (omF n\ar nr rn\urJi.. ,\ rcqukJ hy S..rrn, r'7ul ol rht lit!tr (irrc. r(, rh. F .nle. .l
<br />rh! workl,r*h(hrh'1|f,rm ,r asucJ Myro .ri rotunLnsaitrB rsfan(c lmicr drl F'l(y nrmh.r .:
<br />-l
<br />(nrfy rhrt n lhc ltrt)rmN ol rh. qork ir whrtr lht tErmtr a r3\ual. I rh,ll r .otby anr rEKin n lny MnNr
<br />v, 6 n' h.$ft ro$jt1r h rhc wolk$ r.o{xnsaxon lr*r orcdhh)rnr, dtul,!Ec lhlr rrI rk,ul! h(om rhjer n, rh.
<br />$d.N .o,qxn\rrnfl llnrv(r,nr df setrr !?n, of rh. Lhtr (irL. l dull. tunfi* h . mtilr *'rh rhos li!rv'\r,N
<br />iryAnNIN(;: F rlurc t, cu!. workdt, .rmFrsdxrn corch!. r unhlrll rnJ \lull s,blc.r rtr mtlorcr i,' (rlmdl FMlrr.nJ
<br />lNd lrrl up k, onc hu*lr.J rl$urnd Jdlldr r!lm.om), r rJnirir t. rlr (1,( ri.omFtr\rri,,.. Jrrurs 6 rovidd lu rhc
<br />S.(r$n ru76 ol rh. hhtr Ciri., dr.Bn lRl anomyi lccs
<br />l).1.:- .\
<br />ucEN$D-l:A I&lJAtr
<br />DEII4EAIIQN
<br />I tf,rhy,rlrmu cr rctr0hr ol perrry rhrr l ,h l(c!\.ti unJc. t ova(r ol (1rnfld 9 (6nrmktrr8 w h Selrr TtxD) ol DNNn)n l
<br />or rll. Inxms rlPn cs\r)ns Celc. ,nl hy h.n* s r tull lt,!t xr] c,n.r.
<br />t-rc.nrClarsi_
<br />D.r. _ cotrl ror _
<br />coNsTRt,c_Tloli LE\IDIN(i a(:Ftlcl
<br />I hcEhy rlrrmnD.lr lrnrlry l r.rjur y rhor !hcr. n . ronnrudir lcndh3 .acr*y ir rhc o.rltrobrrc ot rhc qoll n{ whrh lhN F nnr s
<br />r\!.J ls.r t0)7. Ci! Ct.
<br />APPLICANT T'FCI,ARArION
<br />I hodrr ,,lim uJcr ItMhy or Fr{y o ol
<br />'h.
<br />n)!ow(t J(Lrar$nr:
<br />D.m'l rrnPc nrrsArh(sros Nonl(itnn licdcfulRftrlirnns ( Inh.r0, Pan0t
<br />-k.qumd
<br />lf,l.r or t{d'l-tar,n
<br />_l ..nrrr rhd rhc ri\lcEl r.ruhrinr rxatl'n! .stf,stn r.fr,lnl ai. n{ .pd..hk h lns I'n)].ll
<br />I (cnrry rh, I h.E EaJ rtN rt'dE.rnr a'n surc rhrr rt ,h'v.
<br />'nlitrmrirn N .6d' I aE( tr .\r,ply unh rll Cil y !'rl Cuunly
<br />ordruR..cs rhdStlrc trw\ rclrhn8 h bu dinS roniErl,on. , hcrcbyrulhtrncrctctnuxv.s(,trhBCtryrndC.rnrynrchr.rtrFltrlh.
<br />rtx'!. mnootui lln Fny ror in(Flrkn lnrlr'*r.
<br />\pt,li.nnl or A!(nr Si!uxrn
<br />Set Backs
<br />Formsi Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/Vent/lnsu lation Ir
<br />Roof Sheathing 1rl Drq(d,f -7
<br />Shear Wall l
<br />Framinq
<br />lnsulation/Eneroy
<br />Drywall
<br />Exl./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />I I
<br />FINAL lllo '?-\t)kry 'vv
<br />Certificate of Occu anc
<br />Notes, Remarks, Etc.
<br />I I
<br />I
<br />I
<br />Pool Fence
<br />Flood Zone Certif .
<br />tl
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