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BUILDING. INSPECTOB RECORD
<br />SITE.WORK DATE rD/sr6.. COMMENTS OWNER AUILDFI DEI,CARATION
<br />I hcr.hy rlirnu .r Fukyl'r perjury lh, I u.$r'I,t lom rlE C{,dratF tr6€ ti* ror rrE rtnb*h! Frq,. (Sd.70}15
<br />auuRr\ Dl Ptuf.srD Cdl.) Any Cry or Counr, ehrh Elurcr r Fmr k' ..nnEll. !lrs, inprpv., &frnl{h dr Ep{tr sy
<br />nru.tuc. Inr r!' nt Lr\urB.. .t5 r.ltuis rlr .I'l'li.ur itr rNh Fmr b lik r !{rJ {drm.r rh! h. or rh. ! ll6rd Inro..t
<br />o (h. lhvnrns or rrE Contfrl r LEnscJ tlw (ahlplcr 9. Commncins wilh S..xon 7m0 or Div(b. 1 of rlE Butm( &d
<br />PFr.sirt C.Jc, n rh.r lE trnr !r.r.n{i rhsdr)n rrl rlt hr$ ror rrx !lk!.J.r.qrD. Ary v$Lr$nolSd[n 70]15 hyrn,
<br />,tpl'cn.r i,ra0.m subjdtrh..pph rk,lovrll). lryornormrcrhr rrv. hu r,j,joll{r(s5@)
<br />_l.aro*m,orrh.F)Fdy,(,6y.mfk,Frwhwr!.ia\(h."ok..qxnelrr.*illitrrll*rt.drlt{ditrisdn
<br />d.nldt (f, off.rJ ft, qL ( Sr ,Ol1l- Au.E* u.t Pn,rcsi)nr Cd. Th. Conk rois l-rcn* l:w lltEs nor .mly .{' r o*mr ol
<br />rh.In,trnr ehr hiild! or ntnrwr tlrF)...rn vb &E( (Eh s)lt tuhr.lfo' h.Mli orrhtuulh htr d h.r .*n .rpl'y..t.
<br />pn,vlrdl rh.r su(h mr.reEmnt e r n.ni.tl or ofi.ntl ln st l( h,sffi, rlE h{,Ur8 q rryn'Er is $li wiho ok ]tt
<br />ol(),r9Lrir[ rh.Oetur Bud.r w hrE $. ton].n orF,m8lhi rEG.lE!n rr tri! or itrFrE r,t Fidynf,ttl FnFEor
<br />L r! trumr .l rtE I'n,IEny. 2m . trluikly .onkkr m! *nh h.cn\.d $nt!.ntr t' . n(d.t rtF pn'r.r (Scc. ?(,4:1. Bu\ft$
<br />!,rl Ph,f6rrrc(xl. l h. ci)ntr&htr'r Lr..€ L.- &8 r{ {'nlv o .n o*mr ot nnlr.ty *lr) horlltl or mDn'vc! lh.rd'n.
<br />.tr'l *lrr .r'dn!r. ntr n(h lrl+tk * h:Conrru.n,nr)hcnscJlu6u,nrn,rhr(i,ntark'(l-rc.nscL.*).
<br />l.m.r.mF uftlcr S(ll'n-. B &PC ntrrhtrrc.r,n
<br />!taf,&85:raufl:N$rIa!p&clrl8Arlg!
<br />I h.Ehy llltrnunJcr Fmly of Fior, or olrh. k,llormt !k{Lr.rr!n(:
<br />-l
<br />hrk .rn will Euis r C.nrfsr. .f Con. ft' S.ll-ln\uE fd qrt6 o.rIENa,n..r Imvrldl frtr b, Sd..lrfi)or E
<br />lrtrtr An.. tu lh. Frfomm. o, rht k,* d *i(h rh. p.fr n $u.J
<br />I hrv. and wrll mrot.m *o*.F compcnrlri,n hsurrnc.. .i r.1r!iEd hy S.rron .1700 of rh. llhtr Gxt., tor rh. IErii,ruc o(
<br />rlE srt for whrh rha Ftu B snEl. My *dtdr' 6r!En{$n bru,B!.|mr:El lDl., nutr'h.r e
<br />*,.+b/r"*,"u.,,*"., P5f 5xYo p.a a1
<br />-l
<br />.cnray rh.r !. rlE Frft,tuni of rlr worl fu ehrh rhtr Fm r Frkd. I .hrll mt .mnl,y .ny FR,tr u rny mmxr
<br />a) as t! t[{1)m :xbJ.cr ro rh. w)*dr conlEns(it,n kwt ol C.lilomir, .ul lsr rhrr if I rh'ull rt{oE luhj.d l. tlE
<br />k!rt6' .rrniFnda. Ftrqrnn..l Snrhn :lTmotrrE tirr Ccl., I rbll. aodh*nh ohllt * h rbe Pt vsan!.
<br />WARNINC: Fr uE k' wu. *ork coryxnirrtrD.rrv.n!. s u.hwrul. .,rl sh.ll suhFl u dnpbF ro filim, FM|B,rl
<br />!N'l lm.r up b om hunlrcJ rh)usnl dollr\ (lll xrr. tr' .'JJ nni r' rlr (!N !n lonDcn\rrk,,. JrnL'3.\ r\ I,rr'dnl ktr rh
<br />t/z-,t / r o
<br />I
<br />t)tl l \R\ r,\
<br />I h.Eby .rlt6 unt r p.riry ol Frrtr, rhd I d ll(rnGl ! k, ,!ftrv.k). ol Ch.Fd 9 (LlllmNrn3 *ri Scru 70fi)) o, D'vrio. J
<br />ol ih. Burft$ r Pnn.(Ms (iiL. laj ny li..nE !r u tuI n,N .d .lrd
<br />,,-^"a"'.9
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<br />(.OITSTRIJ("TION LENDIIT{G AGENC-V
<br />I rrEh, Irn trolr Fuhy oi Fr,ll.y rhd lh.E ir . co.nBr r,n lfll[s rscfty tu rn. p.rrorl]1B. or rrE * r* tu whln $tr Fmir t
<br />trru.d (S.c. t09?. Civ. C ).
<br />AIILTSANLDECIJ8AIIO!
<br />I hdt, rtrm !fti.r p.n y of p.rrury oE or rh. rollo*D8 del,ntirr:
<br />Dc rh{n P..nulAslE{or Nd'f$rbn Rd.r.l R.8uLrrmt(Tak 40. Pd6)
<br />-R.qun
<br />d k(., o, fidifrrlsn
<br />_I ..niry !h.r rlE f.&d Esrld!,ns nsr{ms .h.sror ftm)vd e m' .|'t|h.hL lll rhi! FrFl
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<br />cnd, rh,r I h.k rrl rh. +ph.rnn .d (dc rh.r rh. .hM 'nfomdrr ! .rEd I rlc ro .-nt y wah .ll Cr, rrl Coldy
<br />.[r.\ ol rhA Cir. rl( liunrt r).nrcr trF,nnr
<br />.h)r. mnrhm! pn{.dy 1,,
<br />'\ pDli{nl .r ,\!cnl Sisul
<br />Set Backs
<br />Formsi Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Rool Sheathing
<br />Shear Wall
<br />Framing
<br />lnsu latio n/E nergy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />/r\
<br />FINAL tc-s- t7 ),V-'tt)
<br />Certilicate ol Occupancy v
<br />Notes, Remarks, Etc.
<br />T-Bar
<br />'n" 4uf 'q
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