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BUILDING- INSPECTOR RECOBD
<br />ID/SIG.
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />ENTS
<br />UFER Ground
<br />SLAB Floor
<br />Sublloor/VenVlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsu lation/ En erg y
<br />Drywall z[sl t t 3 6.4to,
<br />Ext./lnt. Lath L/ta/t e 16.rrr I cfl
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certil.
<br />. tl/4oo/),4
<br />hk",hit*,/&,)
<br />FINAL
<br />Certilicate ol Occupancy I
<br />Notes, Remarks, Etc.
<br />OWNEf, BUILDER DELOIf,ATION
<br />I h.Eby rlirh undo fnrliy or Friury lhrl I d ci.t{jr rhm $. Conk .k'n L.rnt tr* rd rh. ,nlh*ut r.s. (S.c.7oll 5
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<br />nnrrm. rh, b nl nrllB.. .ls' Grrr rl! +dr&r nr luh Fmir t' riL r rrs*J nd.mnr rh.r h. or {* ( lr.n.al Purud
<br />h rh. F,vsi,.s of rh. Co.irrtn s l-..n{J hw (Chrtr.r 9, Cohmtr8 * h SRrir 7(x)0 ol Drvr$n .l ol rh. Burrtr .nJ
<br />Por..ur.r c.rL) r{ rh.r lE { ar !r .r.npr rlEdEm .rn r& be.s lor rll rlk!.d .(mFbn. Ary vii.rbn of sLr.n r0l I 5 by .ny
<br />.FplE. t)r i p.mir {6r.k rh. rrplirsr kr r ovil n Mky ol n.t nIE rhu nve huBir.n.iour.s ($5m)
<br />-1.
<br />15 owrrol tlE F)Fny. rr my.rl?loFs *ilt uscr.r rlu v,k u'mFnqt.n, v'll J. rh.xn.d lll {urE r mr
<br />mr.nldl or off.EJ for slc ( 56 '7(|14, Eusim* sd Pn,t $kr! c0lc TIE ai,ikrtv'! Lf,..r tiu dtr (i {,pl} h rn orf. ol
<br />rlE trrfdy *h h{[tr o. lttrcls rl.fft !d *ho &s eh k)lt hrrel, or lttu lf or rtftllh hF q lE .tu cqrbv..r.
<br />Fovrlcd rhrr \!(h mFrEm sc 'l rr.BlGl orolIcB] n, qld.ll. h)EEi lh. hi!u{ o, dtiowm.n s$U w(huorc Fs
<br />old,q,krrn dr ()*Er BlllLr u! lIE lli ltrd.n ot lfter! dn tE M ilr dil n tu! or lqeE {x F,Fly frx llE F Foiof
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<br />.r nrrr ol rh Flrny, rm.rlu{Ely (.dr*rh! w h lr.nrl lodrd,s tr.r,nrBl ilr FFr (Se 7O1t. Buus
<br />ril hlk$Dn Cql.: Thc Contr&i(tri l-Ecrr. L.w d&s fr,r rrply ii, rn own.r drPol.ny *h,) ho'l'i or nrmEi th.ron.
<br />.nd wlx' .on*rr rd **h FoFt rdh I Cd*rdlrr 1...*{ Fl\ui b rlr codfurd'r fi.ne lr*)
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<br />OF
<br />II]EEEE5-COMTIISAIIO!!Eg./r8allg!
<br />I h.rcht lllm un].r JEMty.l lErru.y oE ol IlE lr tr*r8rklMrr,nr
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<br />h,v. lil *,U mridrCdrhdcof (i'renl t, S.l!l$c lu krt6-t,qxndrn- r pN\rral lor t'y Serrn 17m ol rh.
<br />Ulxr CixL, tu rtr Frftffir ol llE knl ltr wiich rlr IEm n rnu.d.
<br />I h.v. .nl $!ll mrnr{n *orkcra &hFMrk,n m\ur.n c, ,i r.qtrrcd hv S&i x,n t7(X) oI tlr L.htr (irl.. l,n rtt p.rLt1ia. dl
<br />rh. wirkI,tr*hrhrhisp.m r. sleil. My wortcr- ..m!.ns.t nn rnrurrnt. trmfu txnrcy.umhcrm:
<br />PolryNunirr-Fr.imr:
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<br />o rr ro h.!nr suhr.r lo rh( *)rt.^' con{Enssro. u$ or Calrromd, !n,l .ar rtur lf I rr$old truoB lubj.cr tJ rlE
<br />mrt.r' otr{Ens.r on I'UrnDnr of s&r on !'7u} nt rlE f.htr (iric. I rldl, (.fh*.h !ai{'ly *ih rbr FovNDn
<br />WAININGT lrrluE l,i EW *trk ror{tndion ov.E8. rs unhwtul. ul rhdl suht\r e dnpktxr t, (]rJi@l IINIES Md
<br />.p,l nnci up lo oE hunJErr rburtnd doll.6 (llot,,fl ). m .t r{n t, ri. Nr of $mFnsl,on. l!u!.r !r pn*ri.l ror rh.
<br />SRrir $76 o( rlr L,h, Arl.. d.(i .rl dtmy r kr.
<br />D.t :- Aootot:-r-rcenffi
<br />ItlcllxA.Uq!
<br />I lrEl'y .lrirm !d.r p.MIy or Fr,try lhd I d htnei uBLt pn,vnx'n or ch:t{6 9 (uDrmm'ns vrh Sdrr," ?o0o) ol DrniD I
<br />ol rhc Auinc$ .nd Pn,f.(!,nt Citd., rd my l.cn$ s m tull LEc !rr.! .llcd
<br />CONSTRUCTION LENDI]t(; A(;ENCI
<br />Ih.Fhy illirnund.r ltnllly t,r,Nryrhrrih.rcHronnnrdlnlcn.in8rtcn(ya(trrhcP.rfitrhsfr.ufrhcruklrtr*hrhrhsIEmin
<br />BtErl (5e. 1(197, civ. c.).
<br />t Lrr Nam:
<br />-
<br />ATILICANLDECIAEAIIA!
<br />I Hry .nin uBj.r IEn.[t ol p.rlIy or ol rh. f,tuo] m8 d..Lrdrrs:
<br />Drd)lirilo P.rnia-A!h.{os N{x,rultrr r.JcBl Rqulsi,'n{ I l k 41r, Pd6)
<br />_Rcqumd l.(crol Ndllidi'n
<br />_l (n y lh.t rrt acJ.rn kerl,rrhl E8{dn! .ihc<o! r.m'yrl e nn {'?lrftk b rh8 pn,A*r
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<br />.dfy rh, I h.E Erl rlu rpglirr.n rrl rrd. rhd rti lhoE nr(,|nr Dn ! .!re-r I lSft ro u,nply vih .U Cry rn Cod,
<br />odERlr.,rl sltt. lrwt ELrin8 ro bua!168 roNhcrh., , h.rcbt.ulhre Errc,ratrw! of ttu! cty !n Gilnry ro..rcr upon lrE
<br />.tDw md.Bd FoFn, nx ntlElrrn p{rF)(i
<br />Appllot or A,ol slruluE- D.l.
<br />-
<br />=::2!i-
<br />OSITE.WORK DATE
<br />Ilni.ir A.ldFr.l
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