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BUILDING. INSPECTOR RECORD <br />SITE.WORK DATE IDiSIG.C.:DMiviENTS <br />Set Backs <br />Forms/Steel/Holdowns <br />Erection Pads <br />Subf loor/VenVlnsu lation <br />Roof Sheathing <br />Shear Wall <br />Framing <br />ln s u latio n/ Energ y <br />Drywall <br />Ext./lnt. Lath <br />Brown Coat <br />Masonry <br />Handicap Req <br />Deputy Final Report <br />Engineer Final Report <br />Flood Zone Certif . <br />FINAL a/a/te a tWl.e <br />certilicate oloccupffi <br />Notes, Remarks, Elc. <br />OWNER BI'II,DER DEL(-ARATTON <br />I h.Eht rllm udt r FMlr, or p.riury rhd I m.lcntt rn,m rtE O)nrr-r,'F ll.nr Ll* aU rh.lou,*m! rc.qin 6.e ?0rl t <br />Bunr.s ., Pnr6rDn Grl<): Any C'ry or clur, *hrh Btue! r ttu b $tr{M, .ltd, nvroE. tlflLrn or tF, sy <br />dtu.rom. ru n' ! itru&B.. rltu Fqr,ft1rtx +flrd n, rurh Frmn k' liL. sqm! (.l.'Fr rh.r L or ..tt 6 lk.n€d p!run! <br />ki rh. F,visbnr or rhc O'nrr(roir l,.cnql lzw (Chafl.r 9, (omtrrn! wrh S.cr6n 7flx) or oilFn,n I ofrh. Bun** $,j <br />Pnn.srnr C,!j.),r rh.r h. r rlE n .r.nfl rl6.ln'd ui rh. h:q\ for tlr rlLlql .(qrron 4., vsLlDnolser,nToll5 bfrny <br />rtilkrnr tn rFm tubFt rlr {Clrrm ro . erv rl ,kMl' y oi br mE rh!. nv. hudE! ilollIs lt5o0) <br />_t.!ro*ncrolrtcrrltny,,*h,.mfk,ye3erhw.8cs.rrh.u$konFns'rn.ulLt,rlEwqtr^irh{d@trni <br />dcnLrl or oflarcd ld eL (S& 10,1,1. 6urE* ud Pnf6u)nr cGL -fh 6nrE-tx'r lNn€ bu Jo.i Dr .['ly ftr u o*Fr ol <br />rll lf'tdy *h, ll'Ift or n\n6rhdsh. in wh UB*n * ftmclr r lErclloritFu3i hn rltros.n?hy.... <br />provrl.d rhrr ruch hFUEftnh N n ukulcJ nollcnn tur {L la h'kE, rL t{rllms Dr nthrEmrl n $U *irl,D om Fr <br />olurrplclln. rtr o*rcr Au lcr will hrE rlE hmlor ol F,n3 rhrrlEorrrrJr! mrtu,llorrpNB llt tnltEry lq rrr FrFr ol <br />L owncr or rh. lnlEny. n.xclunv.ly.r,nlrkrh! *!rh h.n..d .onrr&ba t, $nrtur rh. ntuFl (Scc. ?044. Bllmsr <br />.,rj PtDlssin Ciljc: Th. Codr(rorr l-k.i* l:* &*s n, rlily b r.*rcr ol pn,Fn! *ln, hui[it dr in!$vc! rh.k.. <br />rnd *hd $d fi td rkh F)Flt rnh. Cod*ro(n lrcn<n puud .i, rh Cidtrd'r lr.nr trr) <br />lvaaf,E$:r0ut[N.sarlo!pEctaSalla! <br />I h.rchy lllmrund.r pcDly ot pcrjury or ot rh.,,'ln,uog 'l(Lnrx,nr <br />I hiK lrl qrll m6l.u . (-cnrfrrl( ol (onrni lo S.lllnruE l *oa6' Nnlinrri)tr .. F)vr.d itrt'yS(rnnl7mof rh. <br />hhtr (ixi.. ,ir t h. l!.rfD'rl1dc of th. wnrk lir qh(h lh. I'cmn B ssu.d. <br />_l h:k rd *rll dlru *ort.n $'r{l trnrr, hrul*c. I EquftJ I'y Sar[n .\?{D ol ilr lrtxtr Grr., n, rh Frif,ll4. ol <br />rh. kl* fttrwhrhrhRFmr ( ESEJ M, *uk6' con{En.{itn rrurfr. ffir &lIi xynuhh.re <br />-Eip!.r: <br />-_l..nityih,r m rh. penorEm. ol rh. *ort t, ehrh rhtr Frmi r r$.J. I rh.ll Bn.r{,by r.y FF,n,n.ny mrm. <br />$ .s b h..om ruhFr h !h. u"ts'i)ntE...rn. Lvs ol Cllforo- r,rl rIR rh:r I ilsutl h.a.m subF( iotlE <br />wo dr LohFnt.lxr pnrv!!'N ot Sdii'n ]?m ol r h. llhtr C,ri.. l .hnll, li'dh* h s)nl,ly *(h rhE Ft,vFKns <br />wAlNtNO: rliluE lo rruc,rtrk B omp.nithi mv.n!.,\ u.lrrtul. !v.l rhrll ruhjc\r u cmployci (, L trl F Lics.n'i <br />0i lnr\ uI n, rR hunlrJ rlx,uvdl Joll r I (X).(I)o), r r'lJi$n !, rh. .or ol .on{En {,F dtmsd n pmYrrd., for <br />'rF <br />I hcRt'y rtltrm trnl.r l.nrhyol Fr]lry I afr l'(r^<l und.r F,rrrn I Chnpt.. 9 ((dmmR mS wtrh Scd rn 7(XXD .l D,vBtrr r <br />.l (lr lluvNs r ltolcstrtrr\CoJ.. r'xl nrv l'..n{. is m nill l'trLc drl.ricrr <br />I h.Ebv rlfrm ud.r rEBlly.t Erjury I {rudln !f,rmS !S.my,or rh. FrfolrlBr olrlE * nnwhrhrlnrlEmi \ <br />srEJ (Sr.]{r97, Crv. C.). <br />L.ftlc.! Na : <br />-AIIIICANLDEC T8IIIAN <br />I hu$y rfm !nd.. Fn.Xy ol Frjury .E ol llx 6llrvlll3 &.ltrd iff: <br />D.nrl.xrn P.rm.(Arb.{ol Mrrsrrr f!&El Rqu|:!nnr (Tik.{,. P.d6l <br />Rcqurcd trrlcrol Norftrll,n <br />r 13. hf ..b.nor mrn.l e ftn {'?|.'nk b rhl. IhFli <br />trrr in. rh.n rh. Jlrn. n,'. n.omd l.srdh.rmtly* hrllCityd.!Cou y <br />,,c rcIr.{nrrrn?\ ol rhs Cry !i (i,unr v b .nr.r uF,n rll <br />UFER Ground <br />SLAB Floor <br />Pool Fence <br />T-Bar <br />I rn.\cnw nNrcr Sc(rtr r <br />Ilrr. _ <br />lrn ci! ,rl&.r\ _ <br />I