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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNER AUILDER DEI,CARATION
<br />I h.rcl,y r|lrh unlcr pcnruy,)f IErrury rhr I m.r.n{i lmn rh. (i$rrkn' h'd. l]* f l& tut}wot r..e,n (S& tu11.5
<br />Buqr a ti,rci\x)n (-dJ.): Any Cry or cddy *hah Equfti . F.tu n' ('Iru'- .lrs. FrtoE. J.ft',!ih or EFU a,
<br />$Nerurc, Irrtr n, s BlulBe, alv' rques rh. {'nlia.r ,,n s!(h Fmr td liL . nSmtl id.m rh.l lr .r stE B lrcneJ Fr$6
<br />b rhc Fovnx'n\ of rlr Cunr,crtr's l-rc...d l,* (Chrnr.r 9, Co'nmftin3 *ilh Sdnr '70(t) ol l)rviriDn I ol rh. Busms ud
<br />Pn'Lribn. c,{c) r, th.r lE tf, str R ctcr{, rlE.fir'm.d tlE lErir n! tlE nks.n.r.fl{rrn Aiy vri.rr ofsarrn ?oJI Jb,rny-
<br />.ml(rnr rN . I'.m'r suhl.(!' rtE :tfl'crnr k, r .rv p.n.lryor nEtr th.n liv. huut.i Jollri tslrl))
<br />l. rs owxr ol rlE rir,r.riy. s m,.mplotcx w'rh w!s$ rr rtrr $k onlrnsri'n, v,ll6 rh. *$t !n 0E c lurson
<br />d$N ,r oIl.rcJ li,r sh rSR 1!{. 88ft!. mJ Pnr.i\$d\ Cci.: fh. codr&!f,'3lr.r* tlw.fq n, {)I'ly r) 4 n*8, ol
<br />ttEpn'Fdy wh,t lrtr |R{NB rrrfrra .rn *hr dF tBh snl hrnklr or h.rvlr or rhnlo8h hR M h.r om .rl0l,y{s,
<br />nnrvllc'l rhsr surh inlrovcm8 e nr inrcrrlal d ofichl l(tr sk li. hrvcw, rh. li{ildin8 .r nlmv.md f $l] * hm om )rd
<br />o(sDphrh, rh. owrc.llu 16*'IMrrlEh{n nolF,luu dd lir,rk drl n ii lorurFrErrEF{6yturtrJtqrE.I
<br />L nsowtrn"l rh. F('p..ry, .m c(lurivcly uo,rrrdcrirs w h [!tnq] tontr.r,r h $n{ (rrh. fn!.d (scc.7041.Ilurncss
<br />lhl ttd6$r (iil.: '1hc Contrrnr'r Lr.nr L,* rtrr ftn.pnlt nr inoen.r olFo|rny uh, bu,ldr or r4'n'wr rhcrcon.
<br />intl *lx, ()dc-( nn \un Ix,Fr w h r ('(tnrlron, Lcnql f{hunr h rh. ((,.tRtr'! Lr..s l2s)
<br />l.ne\.mpr unJcr Si'rrrn-, B &PC htrthi!rcri'n
<br />y08&;SuggufI!$floN
<br />lrEcl. xallox
<br />I hr.hy.lirm un.lcr p. ulry ol0qlu,y om ofrh.l,rlk,*r! J\--l,rrrfr
<br />Ihrvedrl*,llmrrlmrCcd'lf,dr.olConrtrrn'S.lllnru'clitrk crs (hFninrsr, r\ Eovd.,l ntrbySeu'tr l?mdl,hc
<br />lfhn Orl..,ir rh. IrnnrEh-'c ol rh. eorl (trehf,nrh. Fmir *,sx.J.
<br />S r,.r"
<br />","r
<br />*,rr *,no,n *,,ldr on{rnuri)n nsrB., ( rcqukd by s(lt,n 1Il0 ot ILh. l:hoi (-,rt , fd irr Frf.rEhc of
<br />t
<br />lgikrfyrMr rrh. FruEm.ol rh. wod nr whrhihtr Frmn 6 \{.J.1rh.ll nn.mot,ro, FRm '. $t n6tr
<br />(, ri (, bdrm tlhFr tr, rh. k"rrB on{Enqri'n L*i lcillomD. rd !!Ec rhd rr, \h,!Ll tnom ruhF b rr.
<br />q $' comp.N.lion pn,lNnrnx dl S.cl ion .11x, ot rh. lllrtr Gi., I rlru. ifihqnh .omtly wrlh lh,* Iln*nnrni
<br />WARNING: ,'.rlur. (' B'uc RrL^ $trllrnernn !1,v.tu3c i\ unLwtul. .nl lhlll $6Fer d crr{,l,F ro @l FMiB rn
<br />(^n iE1 up h) or hu rJ rh,uq,rl dolL,\ (!r(I).1lxrr.
<br />'n
<br />runnn b rlF .o{ ot.-nfEneron. &m3.! ,t ForiJ.J , rlE
<br />"-'l"l-f^'.o- t--*-t.[6i[ n trl I ttrtrrx
<br />l+('r,\I.\1(,i\
<br />I h.rhy rinn unJcr D.n{hy ol FrJUry rhar t rn lrc.h$d undd lNvsu oI Ch.fln 9 ((.nrfrin! w h s(rbn Tuxll ot DNh!$ :l
<br />of rh. Bulurs Dtl Pn'lc$-tri(irL, !n my lr.n* A stullnr.c m,cite.r
<br />!7
<br />V...Jo
<br />i.,LlCAa
<br />G.,
<br />laESrAllJlr[ENDllC-&{ilB.Ct
<br />I Lr.hy .rltm u.d.r FMlry ol Frrury lh, rlE!. B . (uqu_ru kLhS +oy l!tr rlt tErlf'llnc ol rlE unt n{ gllrh !n! F.rIr s
<br />a{'.(lrS( lr)r)7. Crv C I
<br />l.'rl.i\ AJJr.s
<br />-APPLI(:ANT DECI--/IIIATI(IN
<br />I hdtt, rnim uBkr If,.:X t of txrlry om of rh( tnb*r3 d.(hr.r tn1
<br />ocmnnbn P..hn$Arh.n s N.rrli.urn,n ljcJ.rjl Rc8n[ro (Tirlc,l0, I'an6)
<br />-R.qur.J
<br />lii.rol Mi iatrr
<br />I!.n'lyrl rrli.llal\rrl(3n Dn\r(-! d(u r\hc{!\r.!i'vrlrrr n! trml'(nn. i' rli^ tr,rL(r
<br />Ad.di'ry lhr I h$ r.rn rhs.r?l.r
<br />o.ilruBs rfil Srrrc LrBrli03n,h{
<br />.r.th.rrlrrh'wlnlomrutrloNI llsE'ooilily*dh.ICdy.dGtunty
<br />mrMtin, rnl hcEhy.urhnr r.F!knr!xt.\ olrhl\ Cry &l Counry kt.ntd uFr ttE
<br />rlx'v. n{Dintrml tx)pdy 11tr nF....!y',/.,
<br />Appli({nt or,\a.nl SisMlun
<br />Set Backs
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/Vent/lnsulation
<br />Floof Sheathinq
<br />Shear Wall
<br />Framing
<br />lnsulalion/Enerqy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Reporl
<br />Engineer Final Reporl
<br />Flood Zone Ce(il-.A
<br />JtLn - )d$hc}\hE^)-s'24-a
<br />FINAL 5-z-L-A lN q$
<br />Certiticate ot Occupancy
<br />Notes, Remarks, Etc
<br />Forms/Steeli Holdowns
<br />I I
<br />I
<br />.YA
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