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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />SublloorVenVl nsulation rl
<br />Boof Sheathinq lt
<br />Framino
<br />lnsulation/Energy at
<br />Drywall A/-r.721
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar \
<br />Handicap Req -7_t -|c ).\hlt}
<br />Deputy Final Report
<br />Engineer Final Report
<br />FINAL -1 Y -l\A.\k.:tL,I
<br />Certif icate of Occupancy
<br />Notes, Flemarks, Etc
<br />OWNER AU[DI]R DEI,CARATI('N
<br />I lE..hy alftm und.r rEmhy ('f rEi,'Jry rh.r I m.!.tr{, rinm rlE O)drtrh6' l-tor br lrtr rhr follo}ins .c!s'n {S& 7(l.ll 5
<br />Busin6{ u,n Prollssi,n C,nlct Any Ciiy or Counry whi.h rc\rut$ ! Frmd k' d,nsru . al'd. irrf.ovc. dcmlnh or RFn sl
<br />\rn.r!E- r,nr r., rr! 'ssue.. nlh,.q!tr.r rtE +rl.rd n, {ah Fm' b fikt ri8rcd s'!.m rhd lro, lh. ir licntd puhurd
<br />to tti Fovirion( oflll Conlr.clr'\ t,i&nEd la' (Cnaplcr 9- Commcmin! *irh s.coun ?ur) ol Divtion ] or lhe lrulinc\i lnd
<br />Pmfc\rhn\ Codcror
<br />'hat
<br />lt o, {r i\.Grs,r rtmfmD 4l rrE lirii tor rrE drc8.d cr.ftp'i,n A.} vi,ldlbnofSBri.nr0.rl56yan,
<br />rmlrrn'larrFmJr\uhirrrrh.lttli.lnlr.r.iviln.n,rryor.rnxftrhrnfivchundrcddolh (Stlro
<br />_1. !\ o$mr oI rh. ,'mFny. or ry . rlr,tE\ *irh *ngc( o{ rh.tr sld .omFtrsri{,n. *ill do rlE *ort und llx ndrR a rrn
<br />intBtri.roilcftdtdqL(Sd7lx.l,Aunm(r.ndltof.skrs(-,rk:'nr.O'trrrdror'.l,icn<lr*dEftr+pl:_hanowdnl
<br />rh. Dn)rdr wh, hdild\ or in{'mr( rheB)n. and wh) {k{s !u(n u)* hinr\clfor hcrcllor rh,x8h h( or h.r own.nlr.ycc..
<br />prov 'd.d rhrr \*-.i inFnErnB m rn idcrLil d olYl*i ntr s! ll h'*$s rhc triUiis or nqrortftnr s sU sihin o( )tv
<br />ol conplcri)tr rll OrBr Buius w l hI$ lhc hunlcn rt lrovtr!8 rl![ h. or \,8 dr] fln ttuild o qmt llk FrFny foi rlE lurF)c oa
<br />_1. ar osEr ol rlE FTEdl, ah crcturiv.ly contxl 'nt * h lkcn{n .odrarr6 h ofl1rMt rh IFF| lsr-. ?(r1,1. Bu\incs
<br />uftl t\b(\simCnd.r'Ihc(dtrfrckr'sl.icciscl-.wd.cs r.rplylo un.on( ol pn,Fny*li, h{'lJ\or 'nProrr(thcron.and *h' o Ecil ln ruh F.F( rnh | (idalon n lten{d llx6u.r k, rh. (i,nlr&1ol \ t-tcn< tis)
<br />I rn.r.nd ud.r SNrion
<br />uaa$;&r:(a f}:|lalllJli
<br />IIECLAEAIION
<br />I h(chy ltl irm un s ,(Mlry .I Frlurv .'x of rh. ri,ll,* tr,8 J.rbfur x,hr
<br />I hivc .d e rll frrnr.in ! (td ifErr. of Conmt !, Scla lnsur. f *,,t* onrinsrln, 15 F.lxld rd by SNlnn lT 0{) ol rlx
<br />Lih, c.xL. for rh. FlfonMm. ollh. rol* ntr {hah lh. fdnrir i( is\ucd
<br />-lh.rc rnl sillruinroin *olkcrr' c.mpcn\lrion inruBtrcc. r\ rcqun.dhrs..rtrnlTlx)ofrh.tihrCo.L.lorrn p.rlomntu.or
<br />th wort in *'hrh rh! IEnnlll usEl Myso,k$ con'Irnsrnn ,niunn. oni.r dl F tynuorhctuc
<br />Polkt lltrmtrr
<br />Ic.nrftrturrnrlt|En{.Eft.orrlrtrorltutrhihrhtrrrrin n n{r,l l\hrllrn rmpl',yanytlrv irrtrtmrn'u
<br />{i Js n' h$otrr \uhrri x, th. sn,l.^ (1nnti tr\nr trn ld* \ oi Crl, nrnri r l lFrLr ihlr rt I \Inulil h..'m \uh,!rr n, rlt
<br />lorllr\.on{f,nsri)nl,n,!Nnn\ofSd.nr7rX,,'trhlrtrr(,dc.l.hrll.t)dh$irh.on{lyrirhrlrMf'!i\i(rr\
<br />WARNIN(;. I.dlurc ri *rurc tr.rkcr ..nlndvrk]n
<br />cnrl finc\ up n) ok hudr.i rlrrsd d.l[^ r!l(x
<br />S!in{ Il)76o1rhc lrhr (itlc. n cr\luftlrllamy \
<br />cf{ik Fr ro omiel Fruis !d
<br />.{hn, dlnDB$ os rrividcd lor rli
<br />/-Beort
<br />IIEIIABAIX'N
<br />I kehy lrum unicr rEnllry of n rrury rh.l l .m li.cnEl udcr rovision nr chfl6 9 (.omntB ine wnh SNlhn Tlrro ol D'virion 1
<br />ol rh. alrftrs ! r Pior.shnl (:od.. dfll my lios ir m tull ,.c rd cfl€r
<br />*,*-LA2.Z)/t
<br />I h.rchy.mirn und.r Fnalt) ol FrJury lhll llm n r.onntuair Lnilins sscft, r.tr rrqEfo.n4c of rlr *oll fn, *hth ihn Ffln n
<br />AXELIIAITUILSIdSAITOX
<br />I hdd, !trm urkr Fu[ y or Friui, om nr rlE r,rrhu rn8 d..Lt.r irn.
<br />l).m,liionPcrnik Asb.dor Norifiorhn lr.rlcrol Rceuhrions(Tnb'l{). I'd6)
<br />R.qxt d ldrcr ofNurfi.nrbn
<br />_ I(.nilyrlDr rh. L,l., lrrStrlJr(r,\ r.llrnli,)t r\E(!o\r.trr{rlJ,r r',,'|)nl(ihL k, rh^ |x,J(r
<br />I r.,rlv!hrl ll'r\. r.r,lrl,F rpfl'.n,tr! rrl r r(on(t l!3rN t'i,mply sirh 'll C ylnd(iNnr)
<br />,r(lnrR-..\ rftl Srd.li$\ rlar'nE k, t rLlins ir,r|,ckr dn.! of rhi\ Ciry lnd (i,unry k) cnrr uFn rhc
<br />l!,r trf,trfir\ll a",trir_ ntr i\tr'.r
<br />'\5o
<br />At'Dli( ntorlE.nlsi!tulur
<br />,"-U**-.,,nr,, fl N4o
<br />L'222ot2
<br />476fl
<br />ID/SIG.
<br />JJ,ry
<br />UA
<br />/
<br />+//l/A
<br />Shear Wall
<br />, .r.
<br />1"7/< 1Y
<br />Flood Zone Certif .
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