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BUILOING- INSPECTOR RECORD <br />SITE-WORK DATE ID/SIG.COMMENTS <br />Set Backs <br />Forms/Steel/Holdowns <br />Erection Pads <br />UFER Ground <br />SLAB Floor <br />Subfloor/VenVlnsulation <br />Roof Sheathing <br />Shear Wall fJFraming P '44-l t2-]g 10 V"utlc) <br />lnsulation/Energy Y\J <br />Drywall <br />Ext./lnt. Lath <br />Brown Coat <br />Masonry <br />Pool Fence K\ <br />T-Bar l)-27-r V,\L{}0 <br />Handicap Req <br />Deputy Final Report <br />Engineer Final Report <br />Flood Zone Certif <br />I I -a>,FINAL I ,[.b,,tW n(N <br />Certificate of Occu pancy I <br />Notes, Remarks, Etc \ <br />lo -2s-11:?1aW tt \7 <br />OWNEN BUILDER DI:II'ARATION <br />-I IElFr* rrm un<tn Flelry or pGjury rhn I @ ddrt hm rh. (ir.radon- Lica!. lrw nr !h. aollowinr r.Mn (tr .lpl I 5 <br />ltu3iGs i Profdhn Cod.) Any ( ir' or ('ou y {hi(h !.q!n6 ! trnn kr coNnd. alrs. imrovc. &molnh o' l.P.n r, <br />{ru.iu( ,rD. ro ilt smq .ho r.guE lhc epladl fo. ach rEnrl lo frL ! rtn d naffil lhd lt or CE 6 lic6&d p!6u.!{ <br />to rh. IillirbN ol llr (.nttrlo.3 l-tdr{ l,s (('i.rrd e, ( omcinr *irh Sdio. nxn of l)ivishn I .r lh. B$il6 6d <br />It f4ion! Cod.) .. th,l lE or da t .rdpt rh6.tom d rtE h.sn for rh. ,lL*.d .rdifl'on Any \ iohrFn ol Sdio. T0l l 5 tr rny <br />ipp[c.d ror a pmil JUbjRl! lbc apnli.6.r k, . .iv il p.mlrt ol.ot frtr. rho li!. hundraj rhlln llJ00 ) <br />l. 6 o{c Dlrh. l,.F), or m, oDlo}6 eih *rs6 a rh.ir sl. NnFadhn, }ill & rh. sort dd rh. nME. i nor <br />id.'.bi .r oltcrsl lc eL {Sc.rol,l. B{ind Dd ftlrBioB Co&r rrE (-onrd( t tnG l'$ d6 tul+rrr lo .*id ol <br />rh. pordy *t tun& or uiFor6 tlEqn md $'b &6 sh so* hirelf or hGklfor lhrol8h h!.r h6 ou drrJoy6. <br />pror d.d rl$r ech mFn\g6r! e d ilndd.d or oflftd tu rrL ll lDr'66. th. t{ildiry or imF$rdEr ir bldtanin G rd <br />oforPldhc rlE ()m6 Bu da siu h.r. E hrddr ofForiry rhi h. or ri. drd ml hild or in4i.r. $. pinpci, tur rh. FaD.x of <br />L a osn6 o I rh. !tup6ty. m .rclusiv.lv conr&rirB " irh licd!.d r.itradoR ro codtucl tlE roF ISc 7o,rl. Brah6 <br />ul hrEmr' ('od€ 'l h. ( o.l,rl.ir Llcde Liv do6 ml .p,llr. kr s o$ trq o I Fopolt $ ho build3 or idpror6 lhdon. <br />,.d {ho onE<rifd.*hFoFr$nh!Conb*1.'li)ltos<dplBurirorh.(o.rdtr'rLtdr.taJ <br />lrm.\.nrd unrl.r SrrNi <br />I)rr. ()rnd <br />.!!4.$:ax)ltf[ltArlorDrga&\rcr <br />I lka.b riirmrnds tdr.lttol I,GIlo.n(ol rh. li,ll,,sn! dccldalrnB <br />I h.* !n *ill mintdin. (6lifdc oacolgr b Sdf-lM. ad rntd NmFdhn. ! F.vt.d tu by S.nDr 1700 of lh. <br />l$o. ( ode for rh. psfol11]4. otlh. $rn lm *nkh llE Fmn ir ie.d <br />t h.r. dntt u!llmrinrrin uo'ld' cofrr.Garnn rnsmtr.. $ rqtNr.J by Sdri.n tTlD of rh.l-0t$r C{dq for rh. Flinllre.of''"" "'KE'', <br />Ail <br />r,,h.\\umrd Lt SB <br />Mr trorld'omlfui'n' u,m.. 16 &ilbltr! nu <br />T0€lS..bllq tc 3_I ccn,ty rhal in lh. p.rfomncc.alh. u,orl tor qnah rfin pamir i3 irq.,1 I !h!llfr{ 6rpn,r <br />s a ro b...'n. rubjd ro rh. Mrt(6' compoldbn l,w! or ( .li[o i& md.scrhd ill lrhuld h..oft !!bj6t totlE <br />$! 6 om!.Mion ,m\ isi\B of sdir. l70o of rh. trh{ c.de I sh,ll, fonh* nh ..nply wirh lhor polnioB <br />WARNIN(; Fdluc lo s@ uwtaj snrElrnn cot6r8. i! ulls tu!. t d !h!ll tubrcl e @phF to siditl rEun6 dnd <br />nd'.d rhotrq &,lla,r Itl(nrxxrl in klJ k.n rh. $r ofcomFreircn. dan[!6 6 p(rnlcd fu rh. <br />i I (,id.. (,$rn Llnnlrnr\ \ rc.\ <br />D <br />I hsErD lmm und< pq!l, orpcrjury lhal I m halqj undn Irl.vnbn of(-lErlq 9 (comnrftinr silh Sslirn 7dl0) ofl)irilioo r <br />ot rh. lluind dJ Fr.adrioB ( od., &yl mr lk* i! in tuI nr.c dd .lTGr. <br />qq <br />(AdiItrU(IIATl.ENDIN(i.l1Ij!!(I <br />I hRhy.a[um und.r FElr) of Fjur_ rhd rlE. at r oGrrucrion l.ndns lBft! tu !h. Fn'manc. of rh.snr for snrh lhn tEnir ir <br />Lsrudl(S< .1097.( 'r ( ) <br />| .nJd r \an'.' <br />AITIISAILDECIJAAIIA! <br />I h.d, .trm un& Frhy of Fiury oE or dE aoltr*ing &.hrb6 <br />D.mlilio. P@nlArbdo. r,l6ti6..rion F.d..l Rcgubrba (Tirh.(). Pal6) <br />i.qoir.d tdrs ot l*rili(iio. <br />I c6i it] rhar rlE l.ddil rcsuhthB ,+rdin8 atEros im\.| {. mr {t lt,bk ro rh6 lroFr <br />I.drb rhdr I hnv. rad th$n'irn][r 's(r".ar lr!'( L, (onln\ <br />V,,J,q <br />odiMn(d r.d stdr. tr{: EkmB !o rurhotr.ict .srd^6.f rhis ( [! <br />.ho\. nmrdn d FoFnt <br />\r'r'hL,nn r, \(rtrr \i!trrrn KS Ar|"/QlS6 AoE..tr <br />:;:""iq0F