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. BUILDING. INSPECTOR RECORD <br />SITE-WORK tD/stG.-COMIilENTS <br />Set Backs <br />Forms/Steeli Holdowns <br />Erection Pads <br />UFER Ground <br />SLAB Floor <br />Subf loor/VenVlnsulation <br />Roof Sheathing <br />Shear Wall <br />Framing <br />lnsulation/Enerqy <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 />Enoineer Final Report <br />Flood Zone Certif . <br />FINAL JyPJ ) <br />Certiticate of Occu anc <br />Notes, Remarks, Etc. <br />OWNER EUILDEN DEI,CARATION <br />I h.rd'y rlrm uDL. FMlrt ot Frury rhi I m.r.npi fnn rlE C. tuiB k6t L2* I'r rlt n,llrvDt Erqls<.70115 .It!!tui! rrrl Pn'r.(ion Cd]".) An, Ciry or Counry *hrh Eq fts r |f,rhi to q'n(ruc|, !lr.r. irDnrv., d.erl[h,a Rn tr uvl <br />{turu, Frb n. isuer, rL$ r.numl !h..0!1.$r f .uh Frr loliL.rl3rtt<rmr rh,lEor tr s l@t&l lqld <br />n, rlE FrvlnN of rr, Cont*rn'r LEnEd L.* lahF.. 9, Conmei.S w h Salrr 7(XD of Drvdlh .] or rtE Burars rn <br />Pble*rlnr Cod.) or th.l lE ff rhc it .r.i9r rha.Itrn (d thc hslr r,tr rrr .U.rcd cicnlin,n Ary vNLt,onotscrirn 7011 5 by.ny <br />.!r u tu.Fmr subFk!k {rlunr h..'v'lt!.Elly.l Nr d'E r,un nv. hunlRrl d lar lt50o) <br />-1, <br />( owre. or rh. lh,trri,. or my cq,loFr *irfi *r!.r $ rh., rn..omn nirri'n. *ill do rlr *rk,rl rlr srurw is dn <br />d.il.l ofi.rn lG sk ( S€ 70,L. BliIBs .rd Prr6rDnr CaL: ]1E Co'r.xrd'l IriE L.w dxt Brt +dy n' { owr ol <br />rh. Folkny vhrb r.r lqmB rlEE)...d *h' B 'hk,.t hmr.lf.r lErclf r rhFUSh hr d h.r own .rrhyar. <br />nrl vid.J rhlr ru.h mtftEm.lr N fl itrkd.lr or olliBl li, qL lll h)kB, rh. h{tlJhs Lr lqNEr.r E sll eirhin r* Fd <br />ol diilrlcrDr rtl ()gEr au&r wrU h& tlE h\Ln ol Frw{ tllrl lr (, rlr drl Bi t! or UIFE lrE F)tdy fd rh. tulrE of <br />-I. <br />ar.wol rlr Frrny. m.rrhnFlyofrrms *{h l..n*J !.dh-tn h drntur ilE frr.tl (Se. ?{lrL- lrBu6 <br />ri hr6tst,n Grt : Th. ConrBttr ! La.nrc Lr* ,18t ftn .r,ily tr rn DlH of I'NFny eho hrid! or trl,oE. rfi.Brn, <br />dnd w,n) u,nrE ls ntr luch In jdrl wnh . Co.ln.ltrl, ll.ncd punud nr rh. Cdntkroi s l.$nc trw). <br />I h c rcmpr unj.r SNrr <br />laa6EEs:lloluENsArq! <br />ITECI.ABAUq! <br />I lErct'y.rlm,BLr F.d'y orFlury oE.rrtE ntlb*D3 &alJ.r$n!: <br />I luv. ud e,ll mmrs'n ! Ccndtrlc ol (irscnl 1,, S.ll-nNurc nn workdr $nlvcnsatron.,t i'nrvd.J li,r by S.crr,n lrlxl orrh. <br />Iihx (inc, t,tr lh. Frl(|l.a__. of rh. b& n{ whrh rh. Fn( s rsucJ <br />I hrvcxnJ *,ll nEnrr work.lr ( mp.nsrrtr,n untrrrnrc. <br />rlr H ntr *hrh rhtr lEnn r rrxd Mv*.rkcr'()tr{f,n <br />rr rc+KJhySc(ii'nl?lxr l rhc lr6or (i,Jc, lrtr lh. ncrft,nMmc .i <br />qli'n r.u,n...nf,r bl F'liv nudxrd <br />h vt <br />.cniltrh,rorhcF.rmft.,ntlE*..ttuwhahrhtrlf,m,rtrtr\kJ.lih.llftn.n0l'yrnytin'ni.rnymerr <br />ro h.om luhF.r h rh. ult6 @rlp.hdo. hB of cruoru..rn r:E rh.t Lf 1.h..! tR.m sbF-l ro rlE <br />*o*cr $mp.tr(r trr pr)vr[n! ol Sccrx,n l7(x] l rli Lxhr (irlc.l rhrll. n,nhw n$nflywnhrlk)sI)n'vistr,nr <br />WARNINC FIlurc 6 (!E kf,kc('lrmFnsd|'n..r.n!.! unl,MuL $d .h.ll iubitr e qqibF h duEl IE <br />.N fmr o, ro or tudr.J rhduq,rl ,lolL^ (ll(I 0L Jrm8.i .r FDYn.J <br />llt !!.!8tll!l] <br />I tEr.l'y .irm unLr Fuly or F!r, lnr I .m lra.'l u[l.. I'trvi\rn orch.ti6 9 (!r,ll1mor *rt S&r!n 7(m) or lrYrm .l <br />ol th. Busm( .nd PNf.sn,nr Co&, ttl my lic. c r h tull tore uri .lli{r <br />l1 <br />I h.Eby ltm uLt r IEn.[ y ot n<rJtry rhar rhe i r conrturr)n LnluS rrny ntr rh. Frfdmc of rh. vo* nr *nth rhr Fmn . <br />APTILICANT T'FCI,ARAAION <br />I Hry dtim unr.r F.rXy ol lErrory om ot rh. ti,ll,*,n3 &rl,r{itns <br />D.fr'hr)n P.rn l^lbdor NoolrriDn r.i.r.l R.luhri,nr lrilc,l0. Pd6) <br />_R.q!mn lJrrdof t{{ .!tr <br />z(rd lyrhd rlE lt.l< lr.subrrri EsiJnS r<hc{ <br />Z *nur,*, r ** .^,n! rmrr i,nlrr{.r.rhir <br />u. nor ,rflklhlc k' rhKnn*cl <br />li,rmr$o N (re-! I r8r hc.mply <br />!innrR.\xnJ Sl, e I]Bs r.lir13 n) l['lll'n! <br />rhr. mni x'rEl !'n,Fny n{ orIE! <br />Applics lorAA. lSiEnilun <br />!trrh.nz. ktrc\r rJrtrc\ dr rltr\ Cny !Dd <br />/?I <br />gzr@ltmilR <br />I <br />DATE <br />nrucJ (S.c .1097, C,v C ) <br />lrtrld'r N.r <br />lrnleir A!.1,!$