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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subtioor/VenVlnsulation
<br />Rool Sheathino
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />T-Bar
<br />Handicap Req.\
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />n
<br />FINAL
<br />Certilicate of Occu
<br />Notes, Remarks, Etc
<br />OWNER BUILDEN DELCARATX)N
<br />I ls.by rmrm un&r Fmlry oa rErrury rh.r I m.icnpr {mm rlr Coirrrlm l-itM lrw f(, rrE tollosin8 Ersn (s..70-t1.5
<br />Buin.r rd Pturcisir Cdc): An, Cny or C d, shth r.qliRr ' t.mi ro onnrud. !lrd. i4)rovc. d..rnnh r EFn u,
<br />rlruclK, Fi" ro t irm.. ds Eriom! rlE .pdtr.' f.r sEh Fimir h fik. stEn lldcEnl rh.l h. or rh. i! lk.n*n po,r8r
<br />id llE F*kir.s or rh Conrftrd s Li(.cd tr* (Ch+r.r 9. Comn.ing eirh S.clion ?(xD of Divthn I olllr B$i8!.d
<br />Prcf.r.io.s Cod.) or rhd lE r .lE is .r.npr trErcarcn rnt rh. hi\ir lor rh. tlt8cd crcnvhn AtryvioLlionofscri,nT0ll5by.n,
<br />$plic.nl lor ! Fmh slbFlr llE lprlic.nl h a civil p.mlly of ml n$E rh.n fir. hu'n .n &rllt. ( t51x) I
<br />_1. .* d*E ol rrE F.Fny, 6. n, .oploF! wnh wr8.! r! rlEi $h onFndi{. si[ & dE ,qi td ! rtu i! mr
<br />id.ri.d mofr.rdlorrk(SE?o4.4.Burircrt.ndPn.tnoBCo&:TrEco rddrLi.rrebrdBrn!+,,l,bdowror
<br />!h. FoFny pl, hil& or nlm6 fi.E r rn eb &Es ch hlt hi@lf or lFrtlf or dmuSh hi3 lEr ou.tq,hys.
<br />prcvitn rh.r 3*h iqFltftir. G Di intcidcd dofrdrd t qL li h.}ffi.llE hrillilB inp.$w ir $E $inh m Jr
<br />orcffptiion, rtEOwE. Builtt wiu h.E th. &nL. ofp..vir'8Ir lE {E dil n, tliB n inFoE E FIEIy for lh. I,rlrEof
<br />-1.
<br />i! o*Er nlrh. rmll.ny. !n culusiEly co'!,rrhs eirh lic.nrd rodd,n ro 6n{M llx F.F (Sd 7o+1, lruw$
<br />rd P$arsh. Cor!.: Th. Conrturor'i Li...rc ti* &r. mr +fly r. u nB6 oflnoFny sno hrildr or inDmr\ rhc'sn.
<br />..d *lF odEcrr ror such pmrch *irh r (o.'re-lono lt.nEd porunr ro rlr Codrkrd s Lis€ 1r8,.
<br />I d .r.n,pr undcr SNrn)n_. B & P( nrrhn rgq{
<br />Ihl. O*re.
<br />n0f,$;85t(auf[dtAr[]N
<br />IEIIJXAII!}N
<br />I h.rchy aifinn und.r ncnulry ofllrrury nrc or rh. n'll,trn'r c_laroli)tr"
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<br />h.E.dwil! mi.'.in ! acnif.ltc of ConEnl loS.lf.lnsur aor *ort6 c,qEn{ci.n..t FDrijql fttr b, sdrio. .r7ln or rh.
<br />khor C.n . ror ih. Frforljec of rh. eo& for *hi.h rlE Fmn ir ircrd
<br />Yf;rv. rid will mliitair eort. coqrnsrrirn iNur.r.. tr rcquiEd t'y S6ri)n 17(l) or rlE trtu CBr., ror th. tlcrronEm or
<br />llE wrt for qhi.n lhn Fmil t nrEd My sorl(r corirEns.lhn in$rlNc cuir rn Flay mnh., ft:
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<br />xws, ss7 ,9
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<br />Z E.F. lo/ r /2otL
<br />_l cnifyrhur in r h. Il.r,i'nux. ol rtE $orl t, rhih ihn Frmi k nrud.l.hnll mr.n9l)y iny ptro. rn dny mnn.r
<br />$ trrb tE$m qlbFcr ro rtE rolrd..o.rfE.ohn Lwr or (:lifomi.. 0n! .8G lhd il I fi'ulr lEoc slbFr t, rlh
<br />wo*6.'cona.nqri'nl'mvnion!ofsdhn3ru)drh.tlFrC.d..It.nrn*,ihonllDriirrlirF*ibm..
<br />WARNINC foilu.c lo <r s,k n or{Endl,n dnmsc n u.h"tul. !d rhrll inhF! rn mpk,rlr t, 6i,ItEl FElhr lnd
<br />.ril lnr\ up ro om huRlr.,l lhouerl dolla( Itl(rl
<br />SNrtrr.ll)?6 olrh( llhn C, e. inrcr.( ri rrordr'\
<br />.fn ul !!trtrtr.iff rlrn tl\.st,L^,lr,lntrr[c
<br />(or"'slsA+
<br />^I hcEhy unirmufltr lEmlry.rFrrry th.t I an ritn(l F$risihof(fup|.. q (.nnrnn.inI *irh Sslion 7fiX)) nrl)ivhi,n:1
<br />of rh. AuriE( ..d Pl.f6rhnr Cod.. .rd my la6€ i( in tull for. ml cft(r
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<br />\"" q/</rr.-?w,/?/
<br />.-,,*,*. Fn* ho rrd- S, {n Gtguy-
<br />gMrallcu0NrEauNilliEx.Cr
<br />I hcrby olrtrm und.r IEMlry ol n lury rh.l llm n ! on{uri'n ln'jing !3.r, ir rh€ Fform'rc ol rh. *ork l,t r hrh rhrl rEmn i{
<br />rsucd rsc( :10'17. Civ C I
<br />trhd.i\ Na t
<br />AIELICANLIII&I,A8AITQ!
<br />I hnriy.trm !ndd p.n0hy orFrruryon..lrhc aollo!in8 &cLrllirq
<br />D.m)liri,. P.rmnrAtb.{oi Norifkrli lid.[l R.*uLrrri (Tnkilt). Pd6)
<br />-R.qut.r,
<br />t .r of NdifErtrn
<br />y snh oll Cny!frlCounly
<br />y{ d (i'unry t' cnrs ulnn rh.
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<br />ccnir, th3r rlE tcd.rl EllLrhB Esrdh! NtE rot Emr.l E mr lgrlt$L n, rhn F.F.t
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<br />"-rr,-, t* *r,*+plur.n.,rl {d.rh4 rh. dsE '^lt,'trrln n(ffi l.sNrosidHmm 'r,'d s'dc t ut Elt,rg Lr,,'ldi4 --*-1.d h.rby.uhoM EF*d.uB olthr (ir
<br />,hk mnrnE{pEncny l o\F<t6n prs*. / /,2--1
<br />1pe*o.A.6,sko,u. ltd[ {Y "n. ->, D.,.
<br />p.mr'c n.,p.rtrr,:- -,l!(a& Barvro-1 . . .
<br />s/41.
<br />AIEFA
<br />Set Backs
<br />Pool Fence
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