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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNER BIIIIJ'ER DEI,CAR TION
<br />I krchy rllrh unlq Fn,ry ol lEpry rhd I .h.rcnfl lnrm rh. Conttd(h lr.tr{ l,u ktr rk nnl'wr8 r.N,n (Sa TJll 5
<br />Blsn.il rnl Polcsnn C(iL) Atry C'r, or Counry *hrh r.qurcl . Frmn t) (onnRl. .l'.r, rflVrrv(. &mrnh or EFU .ny
<br />\uNlurc. nfttr 1,, irs nsu.Lc, sl$ rcqutr$ rh..ml.$t ntr s!(h JEmn n' 6k r 5l3*d srd.mnl rh.l h.or {E s lr.n*J lrMsr
<br />h rh. F'vtr{n\ ol rh. co.rRnr-t t-r.n{J lj* (chiri.r e, c.tnmk-'!n3 *nh sdrrr nxx,.a Divtnrn .l o, rtE ll$iF$ ..!
<br />I'rol.rnons Cixh) or rhd lr n. sh. i5 crcry{ rkrcrrom rftl rh.6.$ ntr rh. rlk!.J.kmfli'n Any v$lirkrn .t S{ii'n 70.t I t h, in,
<br />rJ'lhrnr litr r ,'.m[ $hr..rr rh. rt'Jil[rnr tu t .rr,l FMhy of to)r dn. rh:n l]!. ho rcJdoll,.I!5([)
<br />_1, is {wmr ot rhd FoFny, q ny.njPl,yss wnh w.r.r.r r,E! e,lc.omFnr.rnn. *nl& r,r *{rt anl rlr (ci@ s n'r
<br />d.rl.il drorl.nJ i(tr sk rss_ 7(X.{.Ilu\ftrs rnJ tlDf.r\r'ns Ciilc,'tll. Cod4rlq ! l.i..n* li*dxid q'dyk,{o*Erol
<br />rlx ln,Fny *hlhu dior n{NEt !tER'n, dll eh,&qrLns,lt h'Nllorh.rrlf r rhhrgh h6 ,* hcr os cn{lhycs,
<br />I'n,yrL! thd s!.h mftuEmnB {. nI 6ra}61 (tr o,Lr.d (tr el. Ii h'kB. Ih. t{rldtr{ or irlrDrm,n a s l qihn oft )ri
<br />ol !o,r[rr'n. rlr(]*8.llu[Lr *i! h.vc llE huhjcnolFrvul3 lhd tru {r Jn r, hurLl or uryr.E fi. F]rEly (tr ltr rturFE ol
<br />l. r\ .* mr nr rh. J'n'p.dy. ,m cr(lulrc ly ofis( rs! * h lk cn{J ronkrnos h, .onner rlt F),cu (Ss ?(lll, AuiEs
<br />rr lhrsrnn ClrL lhc(i'nt!(ktr'\ Lr.tr* L.w 'l(ri trol.mlln' rno*krolf,Irdy qh, bu'lJs lLhll('r.r rh.rnnr.
<br />d.l *ho onkkt ,({ \urh In,Fk *nh . ci,fir.ri t lNnf,,l p!^unr (! rh. (i,.t.(r, 1 I rcnr l r* )
<br />-l
<br />rn.urnr unJ.r S&ri)n_. a &PC l,trrhhrcxlr
<br />]!1]!tiLtsl_1_!l!tt}!!-l.L!1]r)!( l \L r ll(r\
<br />I h.r.hy.lltrn und$ t(hrhyol Jrrjlryok olrlr. n,lk,*'nt &1llr n,n\
<br />I hlvc.,n e,llexn2nr ccn,liarLo, con{nrn' sclllnsur lo.*,{lcF rotr{xn\rri,tr, rr lrrEl.! tn hys!r[n.]7{x,r, rh.
<br />L.hn GrL, I,tr rh. FldN^... ol !h. *o* tur whrh rh. Frb il r\kJ
<br />I h.rc .nd u ill mlrnl.m yorlcrr conll.nreri 'nsurlrc. !\ r.qutrtJ ht Sc tln tl(lr of rh. Ll'i, CixL. f,tr rhc Jrrntrtu^-. ol
<br />rlE krk rn whtrhlha lumt 's
<br />fnFl My sort6r' (rn{En\!rnn hlurak..rriErl F,lrynum}E,.
<br />I (.nrly rh{,n rh( lxrlnrtuk. oIrhc *ork Lr *hxb ih'\ Frn r ^rkl,I {uU ftn .mtl,y ,ny Frw)n 'nrny'fumrv, n (, lt.um \lhFrr r) rh. s'dq( omFnelhn U*r ol C.!r.rM, ! l d8r rhr f I \h,ulal hc( m uhF{ 1,, rtr
<br />u'*d{ omFns.r rh t'n,vri,nr ol S&u'n lT(xl ol rhc bhr C(r] . I +!ll. kf,h* h (,n9lt v:rh th,r F,v^rrr
<br />WARNING l;{lurc h \_ur. *{l.r( lonrFnsirir (ovcn8c r unLrhrl unJ shrll {hF1 rn cml'k,Fr b lmMl ,!MhB r*J
<br />.'v,l liNs up k, or hunJreJ rholsnl doll6 ItlGl.l[(,), h .dJnFn tr) rhc (on f (mtEns!.n, dlmA.r rs Fovrj.J l', th.
<br />5..itr'n l(,76 olrh.l:hrCd.. or.rc( otl rrr,trrly's res
<br />A&CIISAIIAN
<br />I h..!r,y rritn uBlcr Fuhy IirrJuryrhrrI!mlrcn*lu.rFrviiDnorch.fl(9lonmDry*trhSclrrnrotu).1Drvlsnrf,l
<br />ol ln Bunft$ .rn Pmtc$on! Co!.. .tn hy lic.s tr tr hI ntre drl .l1i(t
<br />Dd.:- (:onl lor
<br />IAIIIAS:I1ANIEEDIIGICE!.q
<br />I nttt y llr"n uhJcr FDhy ol tirrur, rhrr r,Ec s . .r,Nr l rr Ltrlry rr.ry nn 0r !.rlomR. ol llE url tu wh(h rhB Frnn 6
<br />irsu.d(Sa .t0er, Crv C ).
<br />APPLICANT DE(]I {R,\TION
<br />I hrltl, il]im unkr Fnrlry ol lcrrury oR ol rh.l,,l!'*h8 J(ldrth'r\:
<br />D.ri)l[n,n P.nMs^\bc{os N.rrltr.ro. Iid.rrl Rcluhrr{* { l,t)c 40. P.n6r
<br />Rcqlr.J IJ(.rof N{ iiri,
<br />I qrfy rhd rh. lcLrrl.ctuhooN EldJrn! rsh.iofcm,vrldc tu{ rltlrdrL ro thlr ln,Fr
<br />_l lmrfy rhrr I huv. @J rtB.fi'If,.r$..d dai.rn.i d..h,r ml()mll,n i\.{iBl I .B,e n, (d{ y *'rh .ll C y&JC.unr! /
<br />odinitu r.nl Sl.rc bus rcln'iry l. buillnr .ongrud ir .,rl h.rcny.urhru. rcF.ol.xwr olrhir Cny. Cou.l y t,, ..16 utDnrrr
<br />{h)v..Enri,Fl pn)0.ny l'tr usp!\
<br />Aplii.snrorase lsirNruF ))l - )J
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Su bf loor/Ve nVln su lat ion
<br />Roof Shealhinq
<br />Shear Wall
<br />Framinq tr-n-a t,
<br />lnsu latio n/ Energ y
<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 />Engineer Final Report
<br />Flood Zone Certif
<br />FINAL f8-z)t)klv
<br />Notes, Remarks, Etc
<br />I
<br />I 0/,L,
<br />Certificate of Occupancv (,/' \ -
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