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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNER A!ILDER DEL('ARATION
<br />I h.r.hy :lltn onkr JrMlr, .r trriurr rhd I {n c!(s!r lhm rh. c.r rrnn\' Lr.tr{ lrw fttr rlE n r)qha rc.vn (S( tutr t
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<br />d.moh\h or-gafuny
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<br />ro tlE |[lv!\i,nr ol rl* Conxlrnr,s L'.cnrcJ lrw (Chdtrdir, cdnmcrrus wilh Scrr,on TulO ol Drtrion I frla ltunncss tnl
<br />Pnn.l\r)n\ CirLr or rh{ h. o, ih. r cr.rnor lhcr.fron .nn rh. banr n{ tu rlbS.lt etnor(tn AryrFLrxnolSdlrr?0r156y.ny
<br />rttnuun(ntrap{rnrirsuhjclrslhclmhrsrhrqv'lF.Mxynrnorm.rcthdnrrvchundrcddoll{s(StlD)
<br />_l,rs o*h-.r I rltr prcIrd, ,tr my cnploler * h *r!c\!\ rh.tr {nc unnBtrurion. w lJ.rhe vdrllnlrtr(mthLrt{
<br />rdc[h! droli.r.n nn sk rSd 7O14. Brnmsa ltrdrclnon\ C,il.: Th. abnrrtr.ror'r lrcnE tl* J,tr n, !0pl!hro*Br.l
<br />rlr pn'rEny wlx,lo'l'l\ or nF){x rtsGnl rrl w&) d,n r(lr wlll hm{ll or h.r*I, or rhn{tfi fi's r hn own cmll,'r_ccs.
<br />pl'rrllJ rhrr su(h rn{h'rm1ns d rn ! cnhd$oltcBlLtrvL ll,h,wctr. t horlluE or F{t.sNd Es lvirhromF{
<br />or$q'l(.l n, rrr'()wncr llurltr srllh,E |,f, llnl.n orti,'$r rlur h( d drJrl rn tiorll rn qtoE rhc In'Fny nrrh t)J{r!r ol
<br />-,1, r\orrkrolrh. pn,|Eny, imcrrlu\ilcly(. rucrnr!hrhh.rtrvJortrciBi,(.n{ru(rrlE|I,r!i(Sc.7{lll.llu\trs
<br />i,rl lhil!.v Gi.lc: Thc Cidr&1.i\ l-tr.n{ l..s J!r\ ft rttiy nr n ornq ol ln'n n y *lx) hurlJs o. 'nnr!!. h.rdnr,
<br />snJ who (n turLl(trskhpn,i rwn[rc trro.ttr(rr]trcnsc!l[nunr(,rh.Oxnrurr*rl-mnscl-r*).
<br />I xn,rlspr trn'l.r Sr(ton_.ll & l'C htrlhN '.r(rr
<br />tvotat(Frts' c( lPENsATloN
<br />pf,!.t rLEAullE
<br />I h.r.hy Jlitrm un.Lr rr,ntrlry.l pcriury or or rhc n,u"*nr nc(l{3rr{'s:
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<br />uir 3 Ccnii(rrc ol Con$ n' Srlllns!rc lir worl.rs roqknruron, !\ rrrvllcJ li tr br SNrs,Lr?ID ol rh.
<br />tf, h, G ., nr rh. tEl,l,fthr orir *drt frx whai lhc Frh Ls r\ikJ
<br />I hJrr:nJ vrll mrnlJh *ortcri.oqitr$tM rNoh^_c. FqutrtJ b/ SdDn.1r{D o, rlE lllitr Cixlt- li, rlt lEdomtu. trl
<br />i .,;iirt *** -.t**ltrn,,nsurrmc.anicr mrr E,riv Nmh.r dc
<br />,.,,,",n,,,,*,, O /A7 t)7 t"/U !-l-l-Jj
<br />-l.rd'lrrhar
<br />rthc Fnoiirsh..cnl rh. work ntr*n(h rhr Frm ^ '\{rcd.l lhrlltr.r.n{t!,)y a.yPctq)n rn,nynMtur
<br />$ (\n,hc(m n$F.r (,rhc *o .rL.onr!.nslrionlnr\!, Crldnnu. !n,l rgrccrMr 'l I \h,uld ^_om {rhrr I' rlr'
<br />work.(' ..mFtrslt kr Imrri,ss .l Se.-riu .!?IL oI I hc Lrhtr C,r,., I \hJll, t,dhw h (ry y lnh !li,e nn'!'ru!\
<br />WAI(NIN(; Fdhrc r,) s-..urc ktrlcr\ (,mp.tr\dri
<br />'n .ovcru. i' trtrlrw,ul, dtrJ shall\uhr.(r rn cnrll,'yf b.nnDJllItulris r*l
<br />rnl I'kr xI k' !N hurjr.d rh.usnl nolh^ lll{r}.1r,O. r ,JJ[k{ n) rhc (d{ .l .oilEnsllon. J,B!.t I tln,lrlcJ n, rh.
<br />sc(rni) rr)?( or ritr rrhtrC'nl(. tr ck\1in,l {rEy'\ l.rs1'da
<br />DECIdBAIIOTIE'r6yarrrnunLrFrlryo,txrpryrhllImlNMnu.rFrvNn'nolCh:rrs9((oh'EtunNrilhS.dMrou}lofDti\n,nll
<br />o, rhc ll,'nNs\ i d l'nftsr,tr\Co,l. ir nry lr.ns'h r lrll r'tr(c a,rl.l1..r \
<br />e .D{)/0 a 17)7
<br />lo 7 a-]wrQtA-+.-tl- t/Utto>>
<br />^ t=,,0-a< - at tr,Sq
<br />('oN5Tl{l(-rl(JN L}NDINC ,\( i ENr'|',
<br />I h.rhy ill rm undcr lxmlry ol n rNry rllr rlEc ( , ( Ntu(rk,n kolhX i8.n!y l(tr rlr pcrlonMmc of rh. wdrl kx ah(h l [r\ Fnnr is
<br />is{Nl(Sc( r(l)?. Crv C l.
<br />trndci\ Ad&esr
<br />--
<br />Af ILICANT DX('I AII TION
<br />I tmlD alrnm unlcr pcnahyol lcrltr! om of rhc kllklrn8 J.lltrrrkr\:
<br />Dcm)l x,nI'.rnnr!Asl.i.r(sNotriirurDtrl:cdcril Rc3!luriorr(T l.40. l'in6)
<br />-Rcqrh,l
<br />l.usol Nd '{,run
<br />-t
<br />crnrly rh.r rhe lctLialaruLrirB n88Jin! drtEslos r.fr'vlldrc nol qrlx hk'dln,'nrF
<br /><I($lt}thi IhlvcRrJrhtrrmltr$un I d.rc lhd rlE Nh,rc rlnmr'on i{ coBl l,sNrd$nll'lyw hrllC{y.n<lclury
<br />ordo rc\ nl Sldc l rw\ rchl rll3 t, h 'L!nE .otr{nr.Lo . Rl h.thy rur ucr.rcscnr!rir$ofrhr\Cn,!n(lCounryr!ctrrcrtrF rlt
<br />nh'v. mnrrnEl In{rny n{ m\rxttrdn
<br />7n -/. )O\0pli.{nl or ,\Sul Sisn{lu^D/,uA2o(
<br />(-rT
<br />Set Backs
<br />UFER Ground
<br />SLAB Floor
<br />Subf looriVenVlnsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framinq
<br />lnsulationi Energy 3-lr-zr YW>t)U!,op 'tN,
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Depuly Final Report
<br />Enqrneer Final Report
<br />Flood Zone Certif
<br />FINAL 3-\-/-"\Y.il.,rft)
<br />Certiticate ot Occupancy
<br />Notes, Remarks, Etc
<br />.1))L./
<br />Nl-/l. ) /)
<br />Forms/Steel/Holdowns
<br />Erection Pads
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