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BUILDING. INSPECTOR BECORD
<br />DATE ID/SIG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUl nsulalion
<br />Rool Sheathinq
<br />Shear Wall
<br />Framing
<br />_hrsulation/Eneroy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Ivlasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enoineer Final Report
<br />Floo;j Z,one Certif ./-t Iurh,hXrl)h116 a///d/ry{)
<br />u tl I I
<br />FINAL ,fl70t t)
<br />Certilicate ol Occupancy
<br />Notes, Remarks, Elc.
<br />OWNEI BUILDEII DELCATATION
<br />I lEEby atltn uBlcr Fulry or p.rury rhri I d.r.olr ln,m rhc G).r.*n' llce b* ntr rtE tullo*h8 E.qr (S.a rOJl.5
<br />Busr.$ . ProLrs.n Cd.)r Any Cny or Cdnly whrh Eqler . Frtut !o (n"**r. rlrd. i8vok. &frtl8h or mF! s,
<br />sirurk. Frn b ik !&fr., .tv' Btoftr r,E {llarnr fitr ruh Fml lo 6k . .i!mn slrlcmnt lh.l h. u {r i lirtrsrj Inllet
<br />t' rtE lB,vsi,B of rlr Contrcdi La.nd t,w (Chrpt.r e, C.ME'nf r h Seli{ 7000 of Dirni.n I ol rlE Bulirs .nd
<br />Pn,Lsbns Co&) d lh.l lE or rtE ! .r.npl llE.tnh.rn llr Mt! tu rlt rlLS.rl.r.qro.. Ary vd.rDnofsetr mll.5 by.ny
<br />.t{'la. for . Fmr $hjd[ rlE .Il, ..nr !r . crvrl ncelr y .l fr'r dr. rhr rit. hunla.l dolrrs (l5m).
<br />_1.a owH oritE FoFny. d my.n9rrF3 e hpr8.rt,llrs $t orF(rl6n. *i[ &,1h. ei rn tu rerE s
<br />'Eror.trldl doff.ral rM d. (S&.70a4. aurlB.,rl P!r'r.$NCd.: Tt Cod,a'rq.r Lrte Llw&.!,Dr rftl, ro D.ld o,
<br />ilE FrFi, who hilk q !ltn16 tlErn ul *hl '16 uh $rt hmrlr.r tErr or ttEDli nii r l. oq.rpl'F!,
<br />Foy,lal lnr sh !,rmEGfte d tll.nldl tr o6.Gl tt ql l( hffi. dt to'rhB -lqrwlH ! Iyrn mFr
<br />ol ${r.rira tlr OwB Bullrq v ] lrr th hmr6 or F{r! rhr lE c dE drl fl'l hi! q ',qrE tlE F,Fry ni dE F4E ol
<br />L .s orE of llE FqEnr. m .rtusEly .o,r,il!u w,0, lf,$El rotdd n, (,ifui rrE Foiar (Sd. 7o{4, aM
<br />lrl Eots,ncur.: Tn ConrBroar l-r.M l.* tl*! r rp'lly h dowffi orF{,En, *ho bllldr n maroE llEs.
<br />rnd uho Ntklr lm frh Fudrt unh. C.drrrt lo lt.G.{ ,[riud b rtE Cotuar t lIr liv).
<br />_I rn.knpr unLr Ser-n
<br />IIII8f,EEI-STTfjIIAIITN
<br />DECIdE4U(A
<br />I h.r.h, rlaud !nJd Fn{lry of l.rrrr} ok o, rlr lolk,}rt ddlrr.rktr!\.
<br />I hrvc dxlvrll mrurrain a (cnrllrrrcol(ir{nr t) S.ll ln{h l! tr wortd ! on1ti tr{inon. N lln)v .dt}rhySc(rirlTln)o,rhc
<br />I,tr rh. p.rlonrnrc o I rhc worl ,or *hkh rhr l[rmn ,r n{Bl
<br />wrll m.,mdr r.rlcrr (rmp(nsrlrr Nur0tr(c kat'tr'.,1 h! S.(rk,, lTlx),n !'ryud,dn-*"'
<br />\"n-6
<br />l..n'ayrhr! rnrh. n orE'E.,n rh. *.,1n, ,hrn rhh Frh u..i, I shtll Rn cftploy.ny rErs'n h.ny mnmr
<br />o .s ro b.<om shj.\' k, th. hrt6 ..mFNl rr Lvr .l Cn &1 .!r rh.i
<br />'f I sbull b.r.m subFr !. rlr
<br />*ori6i (n{EN!rx,i InlvErrn\ o(S{r$n ]7lL.l r,E Llbt I \tDlL nnhrnh.Imply r hltsE
<br />I hcEby .tfm !nj.r IEB!y ol F l!ry rnll I .n h d 9r(mrmRrn3 *(h S&u,n 7(IIr).1 DNnir I
<br />of lh. Butm$ lrr tnn.(r,o! GrL. rnl m,q?3
<br />I b.Eby .tttn untl.r lEn.lry ol F4ury rh.r th.r !s .
<br />(su.d (S.r 1097. C,v C )
<br />auucaNuz[ltdEauqN
<br />l)mbya,limunJcr pcnrlry o, Friry.n. or rlk ,,)llo*'it (lcrhrrr)nr
<br />l)cm)lnnnrPcrmiNA!6c{.!N'irlurrnr lj(J.rrl R.!trlJrkn^l'l |c.&), l'h6)
<br />-R.quu.J
<br />hrr.roIMr(i.rrnn
<br />I (dilv rh:r rlE f.rLEl Erul,
<br />/ \l.d,fy $,' I h,E ft-l rtu .oDl
<br />qirfurd ml Shrc L.*! rhrrE i,
<br />rb.k\nnrnBi pruFny k{ aFl
<br />x rcB)vrl r. dn {'plr.hL tu thir I,tuFt.
<br />r l.Ere n)!1,ry1, trrh:llCny anl Counry
<br />A ppllsnr or AE.nl SiamluR
<br />1 t\
<br />L
<br />Ir
<br />ti!r1t4g,
<br />SITE-WOBK
<br />D.r. oeftr
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