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BUILDING. INSPECTOR RECORD SITE-WORK DATE ID/SIG.COMMENTS 01?NER BU I LDf,R DEL('ARATION I h6or! imm !nd.r F.ahy of rsjub. rhat I m .rnpr frcm llE Contko6' l-icru l,w itr rhc nnhqins rdrn ls< 70!l 5 BNin6! rnd Protdon ( o<t) A., Cit or Coufly *hf,h r.qun6 a rmn to cont!ru<r. ihd imp.o\G. &nslbh .t EFn an! rdduqFrllo i (!e., tk rcquiB rh. t pli&l fo.eu.hFmnlo fiklr(n dndffir lhat lEot.h. E li..Md puedl h ihc F\!6ioN of rtE Conlrr.roar Li.o*d tlw (ClEPl6 9, Comftinl $irh Sdxon 7(Ixr nf Dili.hn :r ol lh' Burin'< rd Pmfdhn! ( o&l or rhri tr or 3h. i.tmp{ lhd.fioB &d lh. bdit lor rh..lks.{ croptFi An, vhhlion.tS.nhn 70ll 5 br !n) 4rlr. ro'!FnntrubFRth. qrlicel ro.orilFrtt.fnot mr.rne n]c hun&.d.Inl'r (t5(ro) l. s o*E.rrh. rnrd!. m m' dlph!6 *nh *.ed 6 d.ir ih comFE st" Lh'lE*vtndr,!rMrcumr inod.d r olrd.d fM sL ls< 7oa,i. tlsjlB ed PrDlGbB Cod. Th. CotuNd ! L@ l^ &6 mr 4'0lt lo i o\€ of rlE Frdr) *rn bilCr o. ,qro!- llEsq rd rh &Esrh$n hilMltor fid*lfor rtu u*n tn tr td o*narlpht6. Fo\dcl t, uch r.Forerde E d nodcd d oflad ft, $l ll ls$3q.llE lliunts r !rF.\!,d it nld unhs ok ta ofonpldhc llE OqE t\ids *iI t4t rlE hnldr ofForilB rhi lE oi !h. d'd N hild s tF.!t llE FFi' tu rL Fnp*.t l. 6 oum .lrh. FFty. m q(l6n.lr.offiin! q nh ka!.d colnrtcro^ ro od drlEFF (s< 7ol'1. &nilE !,n Fhtusio. Codc l h. ( onkrlo'r l-ic.G L.u do6 mt t ?lt r. M o*nd o l pmpdr) *ho t{ildr or inPm\ 6 rhasn. lnd qho c.nrr&1.lor ru<h Fq.dr *''lh . Codr&ron3, lkft.d p{Eu&i lo lh.C.ddt{'r li.* lrs) ldn.tdnpl undrsdr'o. l!o85E8A-C0[ltEXSArrA! DICLAAAIE! I hd.hy lmnn ond6 F..h, orFruryon.6a(h. f.llovi.8 dela.lioNl I h.v. ,i *ill minrrin 6 Ccnifior. 6l coMr ro s.lalNu. for Eorlsi .nmpcMlion, s Eovidcd fiY by SGr ion lrm .r rh. ljh.r Codq for rh. Faomuc€ o f lhc wort l.I ut'i.h rhe pdnir i! b$.d. I ha. and \rrll n!int!,n !.rtd' ..mp(Erion iBuffic. B ..qut d tl strion 17u)otth.Ittnr('od. forlrEFlollMc.or rh. *orl a.r {ni.h lhs Fnn ! sEl My sut6 coiF.didn iGu.m.. cMi6 sd F II(y.umbd r.: I cd!,ry rh.! in rh. Ftollu. ofrh. "orl fd *nih thi! FEn ! ({Ed- I rh.ll mr aPlo, .ny F$n r xv mdE $ B ro b.oE rhql lo tlE vdrc o,'Fuion hs! ofc.lihmii dd BE rlli 'a I lrbuE tEoE st .cl 'o rlE $.rt6'$trpdlrFnpo!.Bofsdrn!T00otllEL.borCod..lsh.ll.fontwntordywnhrho-PlvitFB$ RNING rol@ h s6. rodd' 66Fsion 6rdta. ir urhutuL td ttdr tubFl & drl,y.. ro aimi.ti Furb dd ciul fiBupto. fiurH lh.u!.d.lollj! (tlm.OOO). in.ddilion lo E.d of conFEron. drMe6 ! p.o\il.d lor rh. S.drn 1076 of rh. l.htr Cod.. 4r .d nqr._ r ft6. Apgddrl:-_- IICEIIILCaNItrAIIOf, OECIjAAIIO! I hslty ifllm u.dd Fn.ny oI pq!r, thd I d li.dE d u.&r Fn\ieion ofcnafld q (..mmin* snh s..lhn 7mO).rDni$oi I of th. trusulN lil PmfdnE Codc. ..d Ey licac i5 in tull forc. dd .lTc( LicmcNumhq: CONSTITUCIION LENDII\C ACTN(]V I h@by dmm !nd6 Fnalry o I Fjurt thd rh6. i! a a6lruclion lqd'ns tsd.y for lh. pqfolfuc. of !h. q orl bt *hah rh! Fmi i. is!.d (Sa lLr)7. ( iv (-l L..Jd r \.m. AITII(ANLDISABAIIA! I h6.t! lfm unJs rF.h y .f Fjlrr orc of lh. follo{ hs <k b,.r5N: Ihrml Dn P(nirr.ArtEr6 Ndrfi(dhn lc{k l Reuhlhnr (Til L .10, Pd6) R.qlrdl l6r( of t{d,ftdi.. I cgrri rtd rh. ftn6d r.suhFE r.std'ns 6b€ros rm\ !l -. ml q'rir.hk h rhit ImJ.ci I rd! ify rhd I h,r. rad rhE ,rtl(.r b. ai rn. rhd tn. !t \. infomt ion ii cold I +rE to Fdtily trdh lll Cnl- od c.rnrt ordmk6 i.d Str. t,q! Ekr 'r! t' txildms consd iotr rn lEcty ,orlhrit r.F*r dn 6 of ihir ( nv .d Courv lo drd urrn 'rE!lhr. nbrion d rrlFny fo, i.!9.(irn tdpos ^D)li..nl or Asol sknrn'rr Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor Subf loor/VenVlnsulation Roof Sheathing Shear Wall Framino lnsulation/Energy Drylvall Ext./lnt. Lath Brown Coat Masonry Pool Fence T-Bar Handicap Req Deputy Final Report Engineer Final Report Flood Zone Certif FINAL t2-{r-17 Y.V;A Certificate of Occupancy Notes, Remarks, Elc. I I I I I