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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNEN BUIDER DELCARATION
<br />I h.rby rru6 utui.. !.nalry or Frjury rh, I a.Ery{ from rlE Co r-rE Lro- Lrw ld rh. n,u.vnt Eaon (s.c.mll 5
<br />BuiEs. .ni I'oLishn C,rL): Any Cily or Cd , *h.n Erur6 . rffi !' (Msrru.'. llrcr- 'n9!'t.. &mltrh or EFn u,
<br />nturu.. F* n' nr f$rc, .lsr r.q!G rlE .pf'lk.nr itr su.h Frmr n, ih s {3ftr1 na.mnr rhd tr or ar a h{r{ Fr$.nr
<br />n' 0x FIvRhns .l rlr Conr,r.ttr ! L&nrJ liw (OuFr.r e. CnntrRln.3 *nh Strr'n ?(r)0 or Div'!i,n I or rh. Bunmlr .nd
<br />l\rt sK,nsC .)orrhrrh.orJERcr.n{ ltftlin)m.tn rlE h. lilr rh. rllcscd.i.rqrnn Any ri,llin ol Sd nn 7)11.5 by.ny
<br />rr,0liunr [, r Frmir s!hj.!k rh. .flrL.n o r ovir l'.Mhy of fr, frn lh.n fiv. luntjEJ dollB ( i5l)0,
<br />-1,
<br />t! o*E ol rtE FrFlry. ,, mr .nplor..! wtrh v6sci { lh.tr $L (onFnslDn, r &,dEkth.rll}*d,lfu6d
<br />i,rc .l i, on r.{ n, sk 1sd.1x4, Burmss dd Pr}f.ssx,B C,r.l: Th. C'oeah . tisr bv .Ix. mr mly ro x ohr ol
<br />rh. F'rFiy wh' t!'lls ,r r{nrhr rid@ drl wh, &Er sh utrt hinru or lErrll or rteueh hr d rs om.flploy..r,
<br />prclrld $.r iuch mFrwn's c d ,r. lal or 066l nx eL. lf. lntlG, ttE hqn&! d BItNnd k $x wihr m Fr
<br />ol $mllhxE l,r Owrcr BuilkJ *iI haE dE hd.. ol t&urs lhr lr d {E drl u* hitt tt D!n'E l]E ,nT6y lm tlE trlFE or
<br />-
<br />L {\ owNr ol rtx F,'tEdy, .n (r( lu$vcly .odrsl nf * h i!.n!.J L onf"ck,6 k, co {rud rlE F)rcl (Sa 701.{. lu{m*
<br />! At*rurGii.: Thc Conlrkl,r'! l-'(.nsc li, J,f,! nor atply b rn.vkr orFnrtrny whr I'ur!! u ihlrrv.! rh.r.on.
<br />.nJ *lx, !l,dE.kntrnknl,UFrrw hrc(rnE ,nI l(cnsd Iu^Mr n' rlr Codrkk*'r li.nc IrD)
<br />_lrmcrcn unJr SR1trrt .tl &tC ntrrhNr.rv'n
<br />TABf,ESS..COUTE$AIq!lllcldaarlll!
<br />I lrr.by.lltm unLr JEBhy ol F,l'ry om ol rh. i'll,rquf J&lMtons
<br />_I h.r rn sill mhr.6. Ccnif..rc orco6cnr b S.lal.:@ for ktrr6 .!'n{rN.rrB. B tFlild tu,6] Sdr&n]7U) of rh.
<br />trlu Ccjc, ld rlr Fi]| H of ttc srt fd ani.n 0E tEtul a sE!.
<br />I hrrc wnlm{'nr[nworkcrr(,r{f,nirKrrsufun..$r.!u!.dhyS&t'nl1x,olrh.Ii&trC,.,,,rrhcFrl,mum.or
<br />6 ssbl My *Mtda (ur{En rr rnsuntuc €mr rd li)l G
<br />_l Gn 'ly rhrr !n lhc p(rlormkc oi rh. uo* Lr *hEi rhi\ r.rm ns\utrl.lih:llR cmJ'k,y .ny Pcr$,n !n iny mann.r
<br />v, K b tr.ro,R subF_r to rlr *ork!6' $n{Endbn bss ol C.lilDmr,.rl.tN rh{ (I rl$ultj lrLom nrbF-rk' rlE
<br />workcN' omFNrllr pnrv(hns ol Seri,n l1X, ol trE Lh, C,ri., I \hall, ( dhwfh (q)ly w h rlnrc pNrN[n\
<br />TVAININ(; lrrnurc t, r.urc vtrl.^ (,mpcn\rri,n .!,rcritc A trnlrw lnd dEIl rutr(r u cr9h}{r ro l:mir.l Imlts rdt
<br />(Ml lims un 1,,.8 hurnrcd rh,uu,rl Joller ltl(x).Ux)),n. &tuBc\ r! Itn'lrl.J ntr rh.
<br />IECI4MITAA
<br />I h.rchy .l,tm unLr rEnally ol rErnty rh6r I u litn<a! !nr.. FtryBFn ot Ch.r,rd e (.r,ltmEB8 q h Sccri)n 7000) or P'viion l
<br />oi lrE Burtrr.. Pn'f.rsonr Cdc.. ny k.n!. 6 o tull roN o{ .ll .r
<br />CONSTRUCTIOIi I T\DINC CFN(I
<br />I hrd)y rlalm u,rLr Ftuhyol tEr}lD rhd rh.rc B r.o.(uri,n kujuS.S.B-y ntr rh. Frfom^.'. or rlr utk tur rhth lhr{ Fmir n
<br />,su.J rSN.' V})7 Civ C )
<br />kndcr'! A&.!rcai:
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<br />AIIT.ICANLIECIABAITAN
<br />I lEd'y .trh uftLr p.n.I y or l.rruy or da rlr ftnhart d.rL li,.r:
<br />D.mlari). P.rmle^$.nor Mr,t dm Fcls.l RquLli'n! (Tirk lo, P.n6)
<br />-R.qu!.d
<br />tru.r ol Ndrtrrii.
<br />-t!gt,ry rhn rhc rcddn rcrd.t&ns E8s.ljn8 rislo' rcmrd s. e, rJ! .rhb ro rh! l!DF!.
<br />E rdily rhir I tutc rcsl rlut +tlicri,n .Ll ,r.rc ln.r i!. .tbw ntomlbn r r(,Rl. I {re lo strqly wnh rI cly .rt Coudy
<br />ordmtucs ri{ Sr4. llerELl!r3lotE
<br />rh'v. G*miffJ F.IEny ia in.F.rrn
<br />AIIli.2 l or,1B.nl Sirnrluft ;":a;Ei'"
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Rool Sheathinq
<br />Shear Wall
<br />Framino
<br />lnsulation/Enerqy
<br />Drywall
<br />Ext./lnt. Lalh
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif .
<br />It
<br />FINAL h\20\7 \>H*gt
<br />Certiticate ot Occupancy I
<br />Notes, Remarks, Etc.
<br />l, lzt1
<br />'D
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