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BUILDING. INSPECTOR RECORD
<br />Blt
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<br />rmliclni tur . p.mlkut .ck lh. .l'!lr.nl k, r crvr l Fmll y .I not Btr. lhd fivc honlrd dollts (55(xl).
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<br />_l rm crcmprrtrJ.r S..rk
<br />&aSf,Eil:carlfEN$ N
<br />DECIII.BAIIO!
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<br />PoliryNun&r:
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<br />S.(rx'. ]076 of rlr L,hn CuL. inr.R( nrl .tr(mr'r Ls.
<br />DECIIf,AIIOd
<br />I tEEby.rltn! Lr JEn lry or FrJUry rh.' I u lEnql unlcr FovtM or Ch.ri( 9 ($,ftNhr *nh Said 7I)0) of D*Bi,n I
<br />ol rh. Buift$ rnJ P$Icsins Culc, url hy licns ix in tull nrtot rd .[.cr.
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<br />I l'Er', irm lLLr tmh, ol Frr.y 'h.r
<br />i}ft r ! 6dNr.h Lrlo!
<br />rsJ(Se .1097, C'v C )
<br />y rt, rtE Frl{ll[E. ol rlr ,,,t rsr *tuh rh! Fnr 6
<br />APPLICATr DECI-.AT{TION
<br />I holt'y lfm uulcr Fnrlly or Frjury oft of llE n,ll'*h8 JdLlr i,trs:
<br />D.fr)ltin P.rnits-A.h. os Not,fi({tun li.d.hl R.8uLriJnr(T l.lO.P.n6)
<br />-R.quGl
<br />l.Iq ol Mrifulln
<br />-l
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<br />l.qr'fy rhr I hrv.0J rh,\,prl kJrkr,nl {,r. rh rlrrhtv. tr'lonnJtrnr s!otr.(r I .rre l. connly w,lh .ll C'ry an C.unty
<br />odtrB.,r l srlrc L.*! Ekriry rn lrill'n3.otrq
<br />.hrE mnlnFl FnFny nn iNF.t[n puqrcr.
<br />htrrc r.r.{nr.rnr\ olrhtr C(y rnd CDunry n).nr6 uF)n rtr
<br />ADlli({tr( or A!.nt SirnrtuF'
<br />SITE.WORK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Rool Sheathinq
<br />Shear Wall
<br />Framinq
<br />lnsu lation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Ivlasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />FINAL 7't.t-t W:4 tz
<br />Certificate ol Occupancy
<br />Noles, Remarks, Etc
<br />,",,, tll,ht
<br />,,,," //l..{lA[
<br />Erection Pads
<br />Flood Zone Certif .
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