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BUILDING- INSPECTOR RECORD
<br />MENTSDATEID/SIG.
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<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 />Enqineer Final Report
<br />Flood Zone Ceflif .
<br />rl
<br />FINAL I I
<br />Certificate of Occupancy I
<br />Notes Remarks Etc.
<br />OWNER AUILDET DEI,CARATION
<br />I &r.rr.nnm ud., Fnnry or F.rr.y rhir I m.kn{'r ,rD rlr Cotur(x' tirM Lw lnr th. hllowhg rc&'n (SG.7011.j
<br />Itunrcs rnl Pnf.$Dn Co.L): Any C y or Coun'y wh.h Equft3 , Fmn k, ! nrul. .lrn. mp!M, &mnfh or ,!Fr my
<br />ntutu., fn,tu ! L$um.. rl$ Eluft. rh. +tlrsr ftn lkh Fmr tu lik! r8rrl rd.md rhrlEordr6lr.nsrl Frsd
<br />n' rh. F vni,n! of rlE Conueltr r Li.cns,i L.* tchr s e. Conftn-inr wilt SRrirtr ?(xI) ol rrivron I of lhc Busincs dtul
<br />ftotc on, C*1.) u thar tE or.h. n.xcq{ rlEctom.nl rh. hckr fo. rtr rlL8.J ckmFon Any vitLrirn of Sdrrn 7u.ll J hydy
<br />.pll(rd lM r Fmr bFi3 rlE rl?ldnr k' ! c'v'l p.Mhy of dn mr rM. liv. hlnl,td Jrrli' (S10)
<br />_1,rsowr,olrtEFoF.ry.or6,.nploye*hwrrcs!!rlrrllclannneiEo,$.1,rlruri.nrtrd&rftEBi
<br />i"rcdrl o. oocFl rq dc isa.701,1, BusiF r .n! Prnc$i,N C,r&: TIE Q'nra.k,.s Lirre l,* Ll&r dn {Tly rd d o*Er or
<br />rhr pn'trdy wh' h'Lls or 'ryn,8 r,rdr. ,,n *h L,(K st k,t h,B.lr or h.Bll or rtn,urn tu q lrr ou .n!Ohre!,
<br />Ir.vrloj rh.r 5Eh lryFrwdr G n d.filal ,r ofldttl ti, sk ll h'*8, tlr t! lllrg ,i ltthErd ir s'Ll wrlin ,xE Fu
<br />ol $r{'LtrE lh. OrEr au d.rwllhNrh.hu .n oI Fovsg rhri h. or .n Jrl ,hu d E{n)E 0E F{6y nr lh. Fl4rEd
<br />L$o*rcrnf rh. Irofdy. rm.ktunEly.o .rrmss hlr.^<J( raln(,srtrtur rh. FrFl (Sd.7(x4.Ilur6
<br />.nl l\nG(M (itL: Th. Cont*loir l-f,.ns L.* &E. ml.rtly lo .n oemr orlrt,Fny who burlds nr mlhv..lh.r.oo.
<br />rnd who (.nro(k ft* rd(h I'I,J.cls *rrh i conlr".n'n, lf,cns.n ,'ununr ro rlE o'nlEnr'r l-aoe lr* )
<br />_l rhc\.nfl utul.r Sc(rtr,
<br />lllXIilIS:ll2lII}]IlirlIlQI
<br />!4CI]$AIIO!
<br />Ih.r.hya,ltrDtrnJ.r ncDlry., r^-.'t"ry,trtr r rhd rrlL'e[! t].(lrdr,\
<br />_l h.vc dl.l * l miDr.u r CcnrlEcl. ol Cons.nr ro S.lClniurc lor u)rtqr clmFtrstr,n, $ In vrlal l ny Saron lr0o ol E
<br />Ilh, Cd. nn rM Ff{lllls. ol rlE hrt lq *trl' r& tEnn n srEd
<br />l$6.*.t *'u .-"-, *,trlcF' (ur{rntrrbn 'Nu,rr.. ( Ertu,.r h, serir rmo orrlE Ltr, cdL. r(, rlE Fnillm. ot
<br />rh. krt hf,rhrhrhBrrtu ! BqEl My*dlda (tnscuri'n rElllu.(5s.ni lr,li) nun Ere.
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<br />'sru.1.l,I
<br />rh.ll .nr ry.., Frhn n.ny mnE
<br />y, .r trr h.$ft flhAr k, rh. url6 .onqrrer$n ,rui ol(ilifttu. r 1lgft rh.r it I shrnu t rom tuhirr b rlE
<br />*oltc6' .oml.nslrur F,vrr)nr nf S.cr ion lnxl or rh. lrhtr (irlc, I dEll, l('lhv h .r,mply lrh 'h's tmvfi,ni
<br />IV.{RNIIG: !.rtuE t' su. Rrtcr' LurEnsrirn .r,E rac r{ unL*rul. . nlll $hrrl m .npt,r!r ir di.ul rt lB.rn
<br />.nrl lDc. up t' om hurJEl lh'usn! dollm (tloo,ux)). in dlJ'rn'n I' rhc .oxl or.oEp(nsion, (]ItuBrr $ r'rDv cd nr rlE
<br />bhr Grk inr.d rrl .trlrmv! tH' ./2
<br />1,tr U1,12 A(*lJ
<br />IECIdAAIIAN
<br />I h(rr$, rrlnn uB].r liMlry ol Frrury rtur I rn lErn*l unLr FovsrD or Ctufls 9 ( mmml 'n! w h 5(rrr 7u l)) ol D'vN$n .l
<br />ol rh.Irurrr* rnJ Pnncsnn\ C(xi.. url
<br />'ny
<br />l(cn!. tr in Inll nm. ul.llcrr
<br />.***.,,.., 8 , L-Ld oLlG\U
<br />}A Y"*J..".. k,..u.a
<br />califlaucrlQNt [tiudc.AiiEBfl
<br />I lErl'y rfiunrunlcr Fndry.rrrrr) rh.l lhs. N r.ln(rurli,n L,,lnl.s urch-.y I(tr lhc p.rli,nruB-c o, ihc *ork nn *hrhrhr rmn !
<br />,i$al (Sa. .lG,?, Civ. C.)
<br />tJLtr'sNe:-
<br />_l (.n , Er ilr f.Jcr.l rcruLn'N E3.ili.3 alsr rcBtr.l E d rrplubL ro rt! nnFr
<br />IlL!d,ryrhd r hd* rc.r,hr rffr*;dul&.i ml St.r. tr*r rLruu r' tor
<br />x,n drl r.r. th.t th. rh'v. rftrmrbn r.m(r l.E a h.drrlly * h.U Crr.trl Counr,
<br />ri^ lrl ki.6y.urhrro. .cFckdrt rv.s drrhN C,ly.n! Cou y
<br />,h-vc mr rnf,.l pn,p.ny lor m\p.cron
<br />Applic.nl or Alctrt SiEtrslu(c-(r ''t-L\"iD
<br />tEE1llu
<br />SITE.WORK
<br />AIILIIANLDEILAEATA!
<br />I hotlry.rr-m rnL. Fa.lrt of FIlr, or or !& rnb*ms J.{&.rnn(:
<br />lxm)llnn Pcrmh'Artstx Noxli.zrDn r$!r.l R.Buhir)n! (T'rk.r0. Pra6r
<br />R.qurcli t trcrol f{rfsrrr
<br />Erection Pads
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