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BUILDING- INSPECTOR RECORD <br />SITE.WORK DATE tD/stG.COMMENTS <br />Set Backs <br />Forms/Steel/Holdowns <br />Erection Pads <br />UFER Ground <br />SLAB Floor <br />Subf loor/Venvlnsulation I <br />Roof Shealhinq i/ '.'>//hy /V4nt.,.rt <br />Shear Wall <br />Framing <br />ln s u lation/E ne rgy <br />Drywall <br />Exl./lnt. Lath <br />Brown Coat <br />Ivlasonry <br />Pool Fence <br />T-Bar <br />H andicap Req. <br />Deputy Final Report <br />Engineer Final Report <br />Flood Zone Certif . <br />FINAL ilslzt Dft,t oa L*b1 <br />Certiticate ol Occupancy [l <br />Notes, Remarks, Etc <br />oWNEA BIIILDI:R DELCARATTON <br />I lErby dfrn !flj.. FEhy,'f ,'r!!r,- rhd I m.r.qll frcm rlr (nnrah lararl,$lorrh.nrlkruinek$nISGTrllI <br />Itu\incr\ { L\olc$i,'n Cqlc) Ary Ciry or Counry *[ih rcquircr ! Fnnii k, onnrud. ,116, inl0tuvc. d.tuhh nr EIun my <br />{ocr!r. Finro ir( n{!u.. ale rcqur.\ rlE rydimr nn such Fmi t' fih ' {eftd {,kft.' rh.r h. or \h. is licoq{ rruh!.n' <br />k, rlF lmvriJni oltE Co.k(lor'r Lions.d lae rchrl,r.r 9. Conrmrin3 *ilh Sccri'tr 7(m ol Dirilion I ofrh. Bu\i6.$ rnd <br />Infc$i.N Codc) or thrrlEt, rlE r crcn{,t !h.Efi.m lnd rh. erils nr th€ llLscn.rerr{'rhn any virhrx,nolsNrr,nrl,ll t ht.ny <br />ryplicrnr tor a Fnnir lubFk rtr rppli..nr t, . cir il ntulry ot dn m)m rh.n lir. hurircd d.ll,r I1ffi, <br />-_1. rr .*'Er ol rlr IroF.i y. .r ny cfly'k,yN. *irh *l3.\ &\ r&u g,k cotr{tnq i6. r ill do rlr *(rk rd rh. {rLrm ir n <br />drnl.d or nfI.Rd for !L ( Sd 7N,{. BuriE$ rnd t\$fcis{,nr ( dc TtE (i'.lrrdor\ L.cnr tr* ddr kn llldy r, !n o*Nr .l <br />rh.Frdy *h. hild! or inlr!6 rha(4 rn *h) dB \uh {nrt hinBllor lxr€llnr rtuouen fiir.r ltr orn.ftpk,y.c'. <br />pn)ridcd th.r su(h lnrrlEmnls N n'l mrcrxtn o, ofirEn ntr s! ll h,sik, rlt hritli.B or i'qntwnEnt ir &rld wihitr m ytu <br />oadnrikrbn. tlE()*ftr Builkr *illh.w rlr hnLfl of FVDS rh, lr or \h dn n, tuikl or inFoE tlE F{Ely lB rL I!rFE oa <br />l.i\ourrolrh.p',)|f,ny.rm.rrlur\.lycoftrdn[rtrhl'r.h.n.,n'rttr\r,.oi{'!.inrtn!]..rrScc7(g.l.l1'n.s <br />rkl lh \uflC,rk ThcConr,r(nr'r t.lcnr I-r* (l,r{ ni a|pl\ t' !now'{ or [oI( ytrlr,hu,t\orn p .\rh(.rn. <br />troJ qho ronlrrhntr\uchpnl}.rr\triha(nnrn'.b(\rli.cnsrlptr,\urnrt,rh.(in ru.ntr'\Lr.trelis) <br />.._l amcrcnrpl utr<lcr S$ri.n-.ll { l'( itrrh'\krv,, <br />rllaf,l:85_glltEdtartlt! <br />IECIJAA.III'! <br />I lrr.+y amrm unikr rxMhr.fF.,u,y.x nfrh. rhlh*iI3 iL(h,.'Fnl <br />IL{tr" - *r, ,-,,... ,tn,rrlk ur c nEnr k' s.r!rnsur. tor f,rl,k(r coryEner.,n. .r I'Dvd.d ritr by sdrirn l?rr) oi trE <br />Lbo (iir. rir rlF Frlomn. olrlE $ rlI'n*ht'hrlrFn r ^\u.d <br />., 'ur. snd *iilnrsrnr"m s. cc comnctrrarx,n ihrran-.f. a\ rcqutrd h) SNrk lTOr.frh.tlt^tr(i!rc-!,trrhcnrfinnumcof <br />rlr rnrk i, *hihrht p.rnir is n\un My*ort6 (,mFnsrkr in\ornrkr.eicru Fnav nun$cr a. <br />-- 51q1" {v4L ilu lzL,',n*,*, 16ln a35- <br />-lrcnrlirh.t <br />inrh. n rrortrsrc.lttE *ork lrtr *hrh rhr{ lrn t n r\u.{.I rhlllfrr.mll,} liy Frv)n in rny tunmr <br />!, Nt,lBn'm {bFr hrhc soAdicnnFnsrion ln*\orCanrimD. lrn asrct rh ,fl {rult, tE onr \u$Fr hrlr <br />uort.^.om|Enlriunfmvsirn(!fSfttr'nl7(r)olrh.tjtlr.(i(lc.l!Ell.ronhtrirh(ouply*irhrh,{poviri,n! <br />WARNINi: llitua n) w!r. *orkr6' L1,ryxndn)n m!cr!!. r\ utrLl$fxl. Md \h!ll 5uhF1 .n cnDkDlr t' tinin,lFtlrr !'xi <br />riril l_'nc! up k, urc hun]lcJ rhous'rl d.lle^ (Sloo.mu. in idninr h rh..oi ol .omFnern'n- dlD8c\ rs pRriil.d ld rl't <br />',7'.. ,rrr r !'.r L//27 . rr.'.{ r 'J rri'x!' l!r\ <br />/z? ,oo,- lJalQh{i 4 Cqbrerq I <br />Lt( t\sllr ( o\ ra\( t()R <br />DTILJ.B,J.IIAT <br />I h.rhy afil''n dfllU F uhy nl Frury rhrr I a'n li<inhl u'xl$ Fuvai,,. ol ( h.l'rc. ', (. umrEin8 silh S(rinr 7flt)r of l )ivni)n l <br />of rh( Busims lnl l'rDlcsi(,ns ('odc. od nyliccn{ is in rull r,nr NnctlNr <br />i"'-;7ffi t ,"",J <br />(ao <br />o uqi85 <br />TD.*6dcr1v...,*,,,.\IC <br />lllillrBlllJM.L[Bllli$.AGl;!(r <br />I hcqhy dllrn un&r lrnJlrlollcrruryrh3r lhcrc n o $n(ru.liotr Lndins aSch-y nn rht nsronEkc oarhc woll lor {hth lhis Pcrni n <br />srkJ lse 1097, Ci! C ) <br />APILI$TfITSJBAIIA! <br />l,rd'y minnutrd.r prnilry or Frjury orc ollhc loln,*inr dsltrrariflr: <br />t\m,li!.n P.rn ! A!h.{or N.Lrtrlthn lrLrrl Rcgu Lrrrn. (Tnk {). P3n6, <br />R.qu ftrl L.trd of llt{af.ltbt <br />-l <br />rd rly ttu! r lf, fciLral lr8Uuii'n\ k8ardin8 d\h.!o\ ftBr il u. nn rnr tlhL h' rh8 l)(rNl(l&n'ryrhdlhl\crrlrhnlrTlalrk,nllldn!r.rhJrrhcltrrcrntunDronrtund Iigreh..q,lt$ hrllCnt, (iDnr! <br />rh{c nrnrrnhl nn)Fny l{n 'n\ <br />.rppt.sni or \!cnr SiANruR <br />,--..,r"",,u41 4bvcra R <br />/zrP-