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BUILDING- INSPECTOR RECORD SITE.WORK DATE ID/SIG.COMMENTS OWNER B!II,DEN T'EL('ARATION I h6.1,! rlrm undd Fslr) ol Frjlr) thd I m .raq{ ton rh. crtudoR I-r.* bq for rh. folk'$ iu r.en i.*.' ?0:r I 5 trBin6s .d Prof6ion Csj.) Anr Ciry or Colnly shKh ..qut6 . Fnil lo cotrrrucl. !h6. mpro( d.nolnh or ,qnn .nt nruCl(r. Fnr ro irs Busc, aE r.qun6 rh. q,,,lter fo, such Fnir ro fik ! !is..d nd.tFl rh{ lr or dE n li.6kd rdmer ro rh. FovarB.f'lE contriorr l-i..ns.d t $ I(-hrFd q. Conmdcin* trIh Sdio. 7(r0o of Drismn I olthc lturn< and PreGsbnr ( o&) or lhd lE or sh. ir .tmF lhs.fion ..d lh. h.si! fn lh. .lle.n dfrplion Anl- \hhtionols.\1itn 7011 5 h) ml .ppl(anr for 0 Fnir sulr.cr! rhc q'plic&r ro a cNil p..!hy of nor moE rte fiv. hundr.! &116 (t5@) l. a osffi of rh. F)Fny, or ny cnpL)6 *1!n *ll|6 6 rh.t $k comFdion. $ill &' llE *ort nd $. snIlr u mr inrdrH o,orqdj fo, ELtsd 70.14, B!$d &d frllsioN (-odc llECodrrroarlic.slrs&6erq,plybsoedol !h. Fnpdir $lb hrit& or i.rm6 llE@tr nd wln dE sh Nd h,elr nr hâ‚¬rlf or rhroulh hi. or h6 .sn .mphtc. provid lhrr 3ucfi imFno6lr E rul inrdrd.d o. or6ai f xk I( h.s6q, rtE tlildnu or lirror.lrd iteld silh'n o.. \@ orcoiI dbr llE (xE t uiEq sill l$! lll hddr oaF.lirB r ll n !h. dn d hoild or ir{mrr d. FDpd) 6.llE tr,rt* ol L e! owns ofr h. Fop(ly. a'. .xchFn.lv conrracling { h lcdsd (onrrldoB ro coturrucr tlE FoJ(1 (Se 70.1 1, BGme .rxl lh\iarin (-o& Th. Conrrdoir L(.n* I$ rto6 mr qTlt h s o*nd .f tioF ! tr h) ildror inFro\6thqFn- .nd rho stu.ds for such [rojdr! *Ilh a Co r&1o(s) lkde.d puBuatn torhc( onrradoir l-rdr. tjs,) I m.r.'nfl und6sNl'on Drt. oind t!oR(lis aomPFNsai()ii DESA&II]OI I hE.hy a$irn undd Fmlty ot p6ju' r- oo. rf lh. fdlosms d.clrahons I hi\. $d will mdinldm e ( cn ili( r of( olMt ro S.lf- lBu,. lor \{rk6 (rnr..e! 'on, er Flvd.d fr hy sdri.. r 700 .{ rh. I lhr ( od.. tor th. Fforll1m. of rh( nvt lor *'hi.h rh. rEnr 6 isai Ihl\.rndsillmrinr nuork6'.nmtnerirn'Gurrm..a3r.qui,.dh!Sdriotr:17(X).flhctrtr(odc.forlh.IEli,m..ol' rh. (orl lor*hi(h rhi. Fhi a issl Mr sdrtd'$nf.str,n '6urm...nE dn Fli.l numhd e I rqrifr rhll in rh. Fto'fuft. orrlE rorl lor \hihrhiiFDn i 6i<n.l drll fr, dnpht rnt F$n in rn! lMF $ a n' b..om. iut'ra' kr rh. eorl6' comr.trn i.n la". of c.liaomi.. md t*ra lha if I rlEuld b6onc {t .d l. rhc tro 6 omFN'hn Forisk N of s.clhn l7(Il.a lh. llbor ( ode I CEll. torlh$ I' snpl) r nh 'hor Frn 6ioN \l,ARNIN(: Farhr.l. ycur. \or\-i cnil llnd on r) of,. hrndrdl th.u$n.i Sdrk,n 1016 flrh.l.ahr Gxi.. 'nr66r I subd dn mpl()rd r. aimrnol rsuhK rnd cor oaonFN,io[ drm!36 !! t orid.d tn th. I h6cbl amm und6 p60lry or psjurr rhar IM liccn*n und6 Fo\irion or( fiq'r6 q (co,nn6cins s h s<1ion 7(xr0)ofDirishnl .f rh. Burind !d PtuldirE Co&, di m! lke ir r full for.. di.fid zf y',, I hd.lrj allm und.r rE hy of FjuD rh, rhd. i! ! co 6.u.d(Sa !097. ( ie. (') l'rdins rsft, f.. th. Ffollffi. ol rh. $ o* Iu tr nth rha rEn'l . ATIUCANLDIISJSAIIO! I hortyaffEn und6 Fnalry olF.,ury on. o[rh. rolhri.A d(t irnr t,trml'rM FmnlAstdG fiorific.ri)I r.dsal R.8uhrpns (Tik.r1r. Pdo) Rcquncd lnr6 otMtifi.dirn lcdli! rhr rh. rdr.rrl qrulariotr\ Elding dtEtr d,r.l ac tur qfl(.hl. ro rhL pl.j.al lh..borc intonf,ahtr G cotrd l asrall con pllsirh6ll (irvani ( ouhry () dd Counry !o d!6 qin rh.i0rl[rur rcF.s'dn6 of rh6 ( r(3tV'd6 ,/4,, Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor Subf loor/VenVlnsulation Roof Sheathing Shear Wall Framing lnsulation/Energy Drywall Ext./lnt. Lath Brown Coat Ivlasonry Pool Fence T-Bar Handicap Req Deputy Final Report En gineer Final Report Flood Zone Certif FINAL h/o -/f .J&16a1 OD Certificate of Occupancy Notes, Remarks, Etc I I I I I I