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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE IDiSIG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathino
<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 Beq
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif .
<br />q,\V'2o 2t tzc 2 ,
<br />FINAL ?.zo'zt IL C6,t4A3'zt7
<br />Certilicate ol Occupancy
<br />Notes, Remarks, Etc
<br />OWNER B('ILDER I'ELCARATION
<br />I lEEl'y.iin !d.r Fn I, of Frllry tl[l I d.r.n{ nom rh. alnrrarm Li.Ie L.* for rL folb*lE tu$. (Sd.mll J
<br />BuriNs rnl Prnrds. Gd.I An, Cn, or Coury *hth EquiB ! Fnni ro @{nlr. s. urlioE. dcmlirh .r EFn x,
<br />(Nhr.. F roils ise, rls Eqlias dE qlrli..,r for uh Fmi ro nk.rign d n..lml rlrr lE.r rrr ir k..:d F sd
<br />lo lhc Ftrvision! of tlE Conlktoar LarnEd L.w (Ch.pl.r 9. C.nmB'n8 wi'h Sdlio. ?(m or Oivisbn 3 of ll! BusiEss od
<br />Pmi.ssbnr Crd.) or rhri lEo,nx Lr.r.,fr rtErcfron rd rlt t{rir to. rlE dL8.d crcmBin Ary obrirnofS..rbnr0l1.5byu,
<br />+olicr'it to. r psnir {hFrs rlE rm,lkur ro r civil p.En, of mr mE tho fir hudEd doll&r (tJ00,
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<br />as ovEr of E F IEny. or my .rph,€. pirh w.E6 a rlEi $b o.p.nBrt .. "rI do rrE ffik ,n dE {tLrft i er
<br />inlon d or oficEd 16r sb (56 7(l{4 Ausimss dd PDf6sions Codc TIE Cnrracror's Lk.nE lj* &.r tur q"ry ro M owE of
<br />rh. IIDpqrt *ln 1!il6tr ttr.lE tro( ad *lbde3exn qfi hirelf d lEelf -rhs!8ihis 6 t ow..nplrF*.
<br />pmtii.n lhd rGh irqlwtu c d -r.nLd olk d fd rL ll hoffi, rtl tliliB tr ,qmwi lr !o5 waih * JEofotrpLi@tlEOrErSuil&ru[hEl}thln.o[FdrgOnlEordEdddl ! q -qrm ttE Frrdty fd ttE F,po:ot
<br />L a\ o*E orttE Frpory, a.r.briwlr.odr.dinr vnh lanrn corr,rcro. r. olBn*l Ii FUF {S.{ 7Or4. Bussrd ffi.inC.d.: TIE Co rlorr Lirne Li* &E! mt rpoty ro u o*E olFoFlly *no t,oili q inpiori rh.@n..nd wtn .oM. rd Mt FJdr! *nh . Cn'rElon, lit.rd Flmln b dE Conrr!.r'r LtcE t v)
<br />lancx.'n und.r Sdrx,
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<br />OEr worxrrs cixrpgv.seii(N
<br />DECIdEAIION
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<br />"vse " r7@'rdE
<br />!n *iU rnr.in wrt 6' o,nFG.ri,n i6unE. s 'quiEd 6y Salb.l?m or dE L.tu C.d.. fd llE Ffdm of
<br />\ uE Et fr rhih thir F nl it isEd M, rat6 otrFtrer'. in.um. ce.. .rd Fi.y
<br />7- A/-/-.aJ
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<br />anily lhr in llE FrrorfrN of rrE mrk lor *hi.hrhis JErmil i. su.d, I ih.ll mt..l,li,y.ny FR,n in iy lME
<br />*, .\ io t8,tu dbJcd lo rll wqlqr' conrEnsdil,tr hws ot CrllomE ud !3rcc lhd if I sh d tBom !!bj$l lo th.
<br />qorLd' codtrNrion rDvirioB of Sdrb.:170() of rlE titor Codq I fill. fffhwnh onply sirh db. rDvi.im.WAI]$it(; tiibr ro sr Etal, orFrBdbn @Es. i unt$'tu1 .,n lhll st'Fr u atrloF ro simiMl rEdB,n
<br />.ivil ,ics !!
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<br />oE hunl,td rholin &,UB (llm.@r. h .dd[aon ro tL c(ld or.o'ri.ndio( d +.r a pn,*kd fo, rlE
<br />SNrrcn 10?6 ol rlE Lrhtr c,rh, inr.E{ .d andry\ r..(
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<br />DECIJSAIION
<br />I lrEbyamrm u.dcr F..lryofF4u,y rhd I !n tuc.sd unds pnrvnbn of Chrtrs 9(omrmins wnh Sdrbn 70qr) oaDieision lof rlE BuiiE$ rn Pnf.$bns Cod., .,n my li.tr- n in 6ill lonr .,n dTEr
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<br />IANIIf, TAI!],|iIINDIIT'IOI,NII
<br />I l.tnyrllnN undcr FfukyorFrluD rh!, rhcm i\ r.on{rucri,tr l. din! rsr'f,y l,n rhc r^-.rlo'numc olrh. *orl f{n *hrn rhi\ pcnnir \
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<br />I hodyntmli&r rE llly ol Filry oE of llE follo*i.I &.le.lhnr:
<br />D.mlnion P.rmhsAstrsror Notificoli,n Frdcrl Rrgul,lion. (Tirl. 40, Pan6)
<br />Rcquftd tdrd of Ndifdbn
<br />I.cdifyrhrr rh. fLdcrel rc8lhrn,n\ rcgud,ng r\tx{o\ rcm)lrl nr. ftn +flf,rhk ro rhn lnl}li
<br />c.nify rt t I h.!c rcd rhl\ {rlsriu .,n rlrc lhrl dE !t-vc inloirEl bn ii ontcl I .3r to.oqrly *nh Ci, rd Couly
<br />ordiBNr r,n Sd. Uwr Elri g 16 hr ildin8 .drni1btr d lErty.!lbE qrEr,taB olrh\ Chy arl CoD.y ro drn l4on tlE
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<br />Flev. 0B 07 2015
<br />797n^t/ t2-c-/1)
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