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BUILDING- INSPECTOR RECOHD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNER BUIt,Dl:N DEI,( RATION
<br />I lE.cb, rfllfln lnds pcmlry or rrjory rh.r I m cx.r fiDm rh. (inffaroF Lidr* trq ror llE folbwiD3 r.rsn (Scc.7o:]l5
<br />Burrc\i ,rn l,t.f.i$r CeLr Any Cir, or cl{nry rhth Elurcr i Ffl,l lo s'.rlur. !lrs- ir{'rch. d.mhn or EIEi 0,
<br />\rtodlrc, prtrr. ik nsumc. !k. rqoi(\ rrr aflilicun ad \uch F! t' filc 3 siErd srl.nkni rhd lE or slE G liccn$d pu$lnt
<br />ro rlr rmrsnn o, rlE Co rlcrs r l-i(Insn L.* (Ctqrcr 9. Comftrinf, lirh s<thn,Un d D'vlsi'n I otlh. BunEs !
<br />hnrc\\hn\ Cod.ror rhur lr or shc i* cx.npl rh.r.riondftl rhc hrrk tor ttu rllcNd.mmflion Anyvtrhlh|ofScrli,n?0ll.5hyony
<br />rmli:d ,or ! Fflrir slu€rs rh. applicanr r., a civil Fdlr y oI frrr flrc rh,. liv. hudr.d Jolldi (!5{trr
<br />fl-f*I.**',," p"1"",. ur n'ydlYtrorN-\ tr rr wJa$ !s rh!tr hk.rnnFnr.riotr. will d, rlE vqt ur rlt xtLl@ i\ Fr
<br />/''nb Gl ,tr orlcrd rd ek I sa 7(lr.1. BU1ES d lturd\ionr Crl.: nrco ,rdoir l-a..q t w dEs rn smly 1., .n o*Er ol
<br />'hcI^Isy uln huild\ or nq,o6ll- Dtr ui wh, &E\ \eh k,.t hi.L\clfor L(Mlror rhmtrBh hn d htrosn cmlk,yd.{,
<br />l!(,vil.,l lh.l {uch in{nrEftNs e d i..cndql ororEarl ta. q! lt trrrcw- rhc triu,n3 or rtFEnrd is $ld $llin ft )Er
<br />ol comphri,n, rh. Osmr suihcr will hE llt h en.Ipn,vin8rhr hcorrhcdn ml eiild or nqaE ttE tmFny rorrhI [h{or
<br />-l.
<br />u\o*ncrorIh. |N'|{nr, r cr.hsivcly .onrid ira qirh h.unsd .ontrdq\ l,) coNru.r rtr p('J.tr ( Scc ?Otl. lltr\ir$
<br />lrl Pnl(\\in ('.iL l h. O{ .ero, \ LNn\. tis dG. nd lpnly
<br />'o
<br />in o*fti nl p|({rdy tr h) r,uilJs or inporc! rh.rdm.
<br />rnd sho d,ndad\ lor surh F,J..h wiih r cln d.tfl ( r li.cns.d Nr{knr io rh. Co ra.d \ Lacn\. tiw).
<br />n dP c ltr thn mr$n
<br />D".. LLJ 4LZi-./..-*. )< .- J ri\ XL r/
<br />}A86EIS:COMTAIAITQN '
<br />DEc|JBAno!
<br />I ltr.+I !fl'm' udcr Fnally of lEj.ry w nr rlf lollo*inr dalr.lion\:
<br />Ihur.,n*illmi.in!Ccniarftoac(,nsnrroS.ltlnsu.,.rs.l6crnFN.rbn.IFovihrri,h,sdrir]xnDrrlE
<br />hbo. Odc. ntr lhc Frromtc or rh. w* for whi(t lk Fmir t hsu.n
<br />I hBE.nd *'ll minllin mrtcrJ omFm.tion iNunr.. & rcquircn 6y SNlnn l'r() orrlr Lihor CqL. lor rh. lErrollj!re of
<br />rlE sorl for whih lhn pcrnir h isnGl My *6kcrl cnn{xt*ri.ri insutuncc cMhr ,nl Flly nunhd m:
<br />cet.
<br />--
<br />^Ptrl(vNumh., __ Lxpirci
<br />-
<br />L3Zn, ,", . ,* r",r*mE. orrhc r{rr fo, whrh rh'i Frnir 's
<br />iiikrt I rtdr fr,r cnpb, .ny |EB'n 'n
<br />dy mc,
<br />so !\ n' tEorB ruhjccr ro rrE srkn oqBnvrn,n Lr*s ., Crlin,n',, nll(I se$
<br />'hr irlrhruld b..om lubFrl lo rtr
<br />so*cd tun{Enq'i,n nrclti'trs of Sdlhn l7(x} o! lh. Llir ('od.. I rtulL forlh*irh.r{iv,ly w'lh lhE r'6risnn.
<br />WARNING: rlnurc ro wE worlcn .otrlsnsriotr order{r4xvtul. nid !h,lr \dhFr tr. diyrll'rt. t, rimin.l FMiEr lnl
<br />(ivrl ,nB uI r" onc hutrdrcd rhouwd dolllrs lll0o.0ll,). 16 sJd in i' lhc cN ,'r rn$isrnn, drmSr\ st t,nvid.d lor lhc
<br />srrnn.1076rl rrr lrho Cdlc. dr.,(n x,rl nnomyi rr\ | ( .t 1 )_
<br />u.r., E (\ L3lz.l:r' eppuonr:K / c1 - .\ t t '' u!EN5!D!AXTBAT1UA
<br />D}:IITf,AIIO!
<br />I hrcny !flirm u.ncr FElry or Frru., lnd I m nc.Kn !'rlcr rotsbn oa Crrlprq 9 lc'nBkhg \[ h s&li'. 70mr .l Drt'itun ]
<br />.l lh. Buriftsr a.d Prorcsi rsCodc,a nrylncn€ irintulltuNcal ct'f6r
<br />QNSIBUCITIiINIIING.AIIEI!(I
<br />I lrrcht nliinn u'n r rEulrt or Frrrr, rhar rh.r x n fln,{oc'i,n hdin! asrMy l,n rrx Frfon'w. or rhc rrrk fo, trhih lhs IE nil 6
<br />iis.d rs&. .l(r97. civ, c ).
<br />l.ndr'1N!ft'-
<br />lrndcr'\ Addrc\s
<br />-
<br />dJIIIIANLITiCLASAIIOIi
<br />I liftty J im uakr lrnaXt {f Fjury om .t !h. li'll,q'in* &.lir!rkn1
<br />O.nrlir( Pcnnir!A\h(ior N,tificiridr l'cd.ril R.guldi,)ns(rdh,10. l'!n6)
<br />R.qumd l.crr.rot Nd'll. on
<br />_l rcd'lyrtu rhr kaL'rl r.subrxhs r.3r^lin3.tlt{or rmr
<br />,I-l.nii,",- I "*,", 'n,\,prrrrrnn
<br />r^r r',.,hd ,h( shn./Iid'nahh iniisrur. tjw! Flinry ro bxild'rE+{turmn. o, hcr
<br />ltr{. rnrhmd rmFny [. irqErhtr rrFs \ a
<br />/trrm ml,t l$hlc lo lh'r 0nlir'
<br />nfdinrion ilo,N. Lge!osrq,lyvnh Cil,ndctMly
<br />.by adlxriz. rqrc*nliliEs of lnt Cily and C'ounry lo dld upon i.
<br />I\ ^h,^ \rlua 17{
<br />ADpli(onl or AA$t Si${tum
<br />""-,u*
<br />*^.,rn*,,D(*
<br />x L
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Sublloor/VenVl nsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framino
<br />lnsulationi 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 />EnOineer Final Report
<br />FINAL t{64 tL Cte alz-et<-dZry
<br />Certificate ol Occupancy
<br />Notes, Remarks, Etc
<br />--+
<br />Bev.0B 07 2015
<br />Set Backs
<br />Flood Zone Certif .
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