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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE tD/slG.COMMENTS owNEr aur-DEta Dct-cAtaATloN
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<br />tu Iln,Fny sho htrrllls or iqx()v$ rh.Fm. {rl wlru rl(f,r uI u'ft himscll.r Nhcll o hnn,rh hr\ d hcr own cmrl',yr.\,
<br />,(!!'J.,1rhrr {rh mr$ffiDr\ .n dctrLJ d lnttul |,tr sL II.l*rucv.r, !h l[ruireor nlidvcm NsUw hn k}rd
<br />otor{',.rrr,rtF(hftrBo.rwllBlcrtrt r&ndrInrn!lturlEqdrddlrnhn!ortn{ro{0EnnlFnvnrtEnl.F,*{l
<br />L i\ o$n.r ol rhc ttr.Fny, dm c \! nr{v.ly (,ntr&r rr w h li.cnE l (ontr(tr\ n,.on{tu rh. l)n,l..rrS.( 7ll4, tlN'hc$
<br />r th,lcs\Dn(itrlcr'lhc CdtrkJ(rtr ! l,kctrsc l,rl J.c\ nor {tlyn, rtro*n.. ln(lPcdywh(' h!lu\rnmln,vrr rh.Nntr.
<br />anJ who ronrtu.r\,,tr\urhFk,t.r\wrrhrConk&k'nnlkcnlitrr{r n rrrhcCntrlrldd { l-i(n\.I-rwr
<br />_ldrrcolr unLr Sftii._It \ l'1 1 ,' .' .
<br />.!!L8a!&t:.!:aurE!sa[9!
<br />PECIJNAI(A
<br />I h.r.hy atllrnr trn']lr Il.mny olFrNry,'n. ol rlr 11)ll!'wnr! JLrld Nnrs
<br />, havc {rl wnl Nrrein a Ccrr iur. ot Consnr b S.llJNlrc ntr worl.r\' $Dlra\rrln, I |rrd.J ,tr by S&rNo 170(r or rh.
<br />tlhtr Orlc. l.{
<br />'h. FrlinmEr rl lh. q'* lif, *htrh rhc pcmir is $su.J
<br />I hiv. rfrl wLllnurnrln *o.l.r\.onD(n\d! trxur.N.. r\ r.quncll ny S.(rrr l7(r0oi rh( l.JhrrC .. ntrrh. FrlrffLtrf,c ol
<br />rlk urrl li lhrh rlr\ lcrnrr r\ rstr.tl My wor[.^ (nrir\rrrtr' ln\urrn.. (Jtrrr Ir] Frlt, trtrnrlir r.:
<br />C!rar:-
<br />p"t t N",t*,,--!y-9---A/---)Eq-7a .'j tL ,t -Ll
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<br />y' r\n) tr(mE \ubrrr k, th. vo*.rs (,BFn$tirn hw\ ol C.ldomo. lnd 33r. rh{t if I shrull tE(,ft slhFlr b rh.
<br />uorkq\, omNnxrtn,n pn'vri,'nr ol S(l k)n .17(xr ol rhc ljhr C'rI.. I shxll, lnn hw h oholy vlh rh's tn,vdions
<br />WARNIN(; hil'trc ro $curc e.rlcs' comEnslrnn' !.!crrtc is unlart!!. rll \hull \uhFd m.6ll,'ycr k,6nml Ftulrrs r l
<br />(trrl lrc\ uD r, oN hnDJr.J rhduitrrl J.lla^ (!l{xr.lx[,). r r'lJ (rn rh. r,\r !,, (omrn\,itrnr. Ll,nrurc\ r\ prr i ntr rhc
<br />Se..rDn llr?(r.r rh. L.trtrc(il., u crc( Jrhmy'\!cc\
<br />3 ?/
<br />,,ESI.AIAIOB
<br />I hcEhy rllirn unl.r Fnrhyor p.qury rhdr I um lictrr{ undcr r*)vi$,n oiChu d e {uonmncnu ,ilh Sc(ron ?tx)0) ol DNirn'n .t
<br />o, rhc ltu{i!f,$.*l P^ !$i,'n\C(ilc.! hyl(cn{ ^ n liil n&! ul.ri.(l
<br />' 7 n.
<br />Lk.n.c Cbs' \' r's-{/ 7 ./7
<br />CONSTRU(:TION LEJTDIN(: A(|FNCY
<br />I h.rcny.rliim udcr lrMlly.l Frrrry lh{ llEe r. (dn(turir lcnlinr arcB, na ltc Fiinfu. or rlE u,r} fd shrh rfis Ffin E
<br /> IPLICANT DECL./IRATTON
<br />I hft6y rnim unlI Fnzlr, ol Frpry oh ol rrr tulhpif,8 leLbrd nml
<br />Dcmlkx)! P.'nne Artixt'r Nor B.ron ltJ.hl R.8nhrH)nl (Tnl. {O. P!n6)
<br />R.qutr.rl l.e(cr ol NoIi( rn
<br />I ..rtrry lh.r rh. lcdcd r+ul.ron{ r[dljinr 5h.snx rm)vrl uc !d iflrlul'lc b rhis Frcrr
<br />llet."n,r,,r,.tt'".","u,r,r,^{Dll.rxrdtl.tatcrh.tlh.,rr,t!,mrrlns(se-,rIrgrRlo.rnqir,wnh,rrc'lya,rlColnryadmtu.s.nJ Stlt Lr\ rcLro! r, hnll'ry onnturhD..nl h.rcby.ulhtruc rqrc{nt.livcs ,'l rhN Cnr.nd Counryl{,.nt.. ulrlr llE
<br />rhr. nxtrrtr,rllart^..ny l(" trNIr.rnn
<br />\t,t,lirnnr !tr \($r \i{nnhrft
<br />f,auq- 4 tr/-t --
<br />z
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />SLAB Floor
<br />Subf loor/VenVl nsulation
<br />Roof Sheathinq I l)t{vfl
<br />Shear Wall
<br />Framinq
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lalh
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif .
<br />I
<br />FINAL 4 oulL\vlxg'q
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc.
<br />u*" t/3t/.l
<br />NkJ rS.. !rli)i,C,v C )
<br />lJrhis Nrh*
<br />lf,ndcr'sA,idr.rs _
<br />/-.,,/.--r''*
<br />UFER Ground
<br />I
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