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BUILDING- INSPECTOR RECORD <br />SITE.WORK DATE I <br />Set Backs <br />Forms/Steeli Holdowns <br />Erection Pads <br />UFER Ground <br />SLAB Floor <br />Subf loor/VenVlnsulation <br />Roof Sheathinq <br />Shear Wall.A <br />Framing \trdUJ 6-l).1"t <br />lns u lation/ En erg y <br />Drywall <br />Ext./lnt. Lath <br />Brown Coat <br />Masonry <br />Pool Fence <br />T-Bar <br />Handicap Req. <br />Depuly Final Report <br />Engineer Final Report <br />Flood Zone Certil. <br />n <br />FINAL /, -K - l',l\.VIJrl <br />Certif icate ol Occu n <br />Notes, Remarks, Etc <br />OWNER AUILDER DELCARATION <br />I hcrctw afltm undc. riMhy,'| Friury rhd I d .r.mpr ,n,m t& Cohr*kd' l..tn€ L* tur rh. t h*ina dahn lsd 70ll.t <br />Busfts :d Prn.rr&n clri.): Any Cry or Cdnry rh.h Fquft. . Fml t' (u{tur, rlrd. 't!k)E, &m,l6h.r rFt ry' <br />nturE. Fttr n, r Nt!:E.... rl$ rcquB rlr .lI .{r fitr tEh IEml l{ fik t lSEn {tkmr rh.r lr or slE ! la6€!J tNN.ri <br />n' rh. Imvsrr. .l rlE Q)nrr-tn'r l-...6t Lw (Ct F.r 9. Commko! w(h Sdrir ?lxD trl D,vrnn .l ot rh. Bu<mn lrl <br />Pn,acsDnr c(rl. ) ., rh.r lr o. rlE ! .r.r{r tHron lll E b.!rs r,tr llx .lLs.J . rr{ru Any v.hr$nofSel$n ?0.!l.5bv.nv <br />.I)plf,: ntr: Fmr !!hFr rlE .f{ir.nt l'). crvrlFEhyof Bn fr'rc rhr iv. huiihl .,nl,i tl5m) <br />_1.,s *mr {l rh. Ir,rtdy. ,* mt .n?hFr vnh y.Ad .1h.! q'k d'mn nsr,n. sll d! rlt qrt lrl rlr qrrE s E* <br />d.nldl t{oliimn fttr skrs(.?lx.t. Butrsr rol Pml.r\pns Orl.: TIEQ'nr.(*'r llo< U*drrn {tll,t,uowrrol <br />rh. Inlrn, wh, l. l5 or tn,El rh.Rn.r Bb (tEr uh *l* hrmkll or h.rcll or rhn!!!h htr..lEr ow..qtuy..r. <br />F)vrl.J rhrr.kh oF)Etrd!e nn dcah{ dofldd nrqb Il hrE6. rh.l[ n3oru\hwmd rr *rh6cFt <br />of coryhri,n. rh. Owmr BurLtd * l h,k rlr t(nL. ol !r,vn{ rhr lr or rh. dd nn lllrll or uitnt rh. l( Fny fd ilE I!4Dc of <br />I.rsown.rDlrh.thltf,dr.i,c(htrtrclyconn&rneqnhl(.trkrl(d.lr,(in\n,(.tr{nkrrlrIn,'|.riS.. ?(r{. lnxNr <br />rnJ $l$ ..d'rr\nn{'r[tr,+(r\wihr(initu(rl\)h(.'r!df'0r{rr.rr'rll(itr 'r(itr\lr.n\.1-rw) <br />-l <br />3tr,.rn,pr utrJ.r S..rrr, <br />lrartrE85:t:aufE$allq! <br />UECIJAAIIO! <br />I lrRhy,lttrh utol.r linrlr, or ,E!!ry.m ol rh. hrlklvh3 6_lar.ri'ni: <br />-lh.kr <br />w'llmdtn r C.d,f..r. ol Cirn€ b S.lf-lNrc tu kfi(r' lrrFtrtrrn, x Frvrral fitr hy Snirn .l'7(Xr orlx <br />Lilrr c(rl.. nx rh. Frlolrls. of rlr k*t (tr whrh rh. Fmn . .u.J <br />I h.r. rhl e rll md.o r..t.rr r.q'.n\irn hsunft.. !r nrqutr.J h! iE_rrt r7(l) oi rh. lrrin (ixL. litr rlr lxrfiItllmt dl <br />tlE *trk fd whrhrh! Irrhd r! Nrhl My *ort(r ('r{rrdnn h!!re.(r.r !n F'l.ynuhl'.. a <br />,(.nrlvrhrtr'rh.|t'rtrnk.olrh.so'kl!tsh'(hrl'^BrrinA(Nll.llnln,i.n\r!'yrnyt^_I$n'irfynrMNr <br />s.rrDn ]orn, rlr 1,&tr (,il. d.r.{ Jtr,lrirtrri! \ l(.\ <br />ADrllol:- <br />U(EISEILCANIAAS!,8 <br />DECTINATrcN <br />I lEEhy .llrm un!.r r'.Bny ol F+ry rh! l .m LdnQl ult r ln,$r,n ol (tE rq e l.omm u3 *.h s.rr rr 7m0) of Drvrrn I <br />of rlIBusmt\. 1lrnrL\I'n. CuL..tn my l..nc n u fullLN rni.rldr <br />l,EnsCL(:- <br />l) ._ (-. ftror <br />E(INSTRUCTION LFNDIN(I A(;TN(-I <br />t\n'cd rs.c. \{rir?. (iv ( ) <br />ASEIISANLIIECI,ASAIIA! <br />I,rtt{'yrflimunkr !.i.krol t rjurydk ol |tr r'em8d.(l,rari,nr: <br />D.mntrr,n P.rm!!AitE{o! Nd,litrk)n Rd.rrlR.!xhr$hr (T k 4r). Pd6) <br />R.qurcd l.ncro! *rdtrtrr <br />_l .cd <br />'ry <br />r hd rh. (.J.hl..8uliirn. ESailu! .+c(ot rcm,ytl e n q! rrl . t' rh6 F'Fd <br />I ldlfy thll l h.v. r.i rhr $ollJnn ln nl. rha lh. rb\t 'ntu|fliin n nmr I .!G ro onlply wih .ll Cry ri Counlv <br />onlEBcr.nd Sr.l. L.*t rhtr! ro ho,Lto8 $nntu!ir.nl h.Ftyruthru. EF.Enr.r,r.!.l rhrt C!y.nl G)u ylo..r(uF).rlI <br />ahok mnrKm.l F{f,ny r h.Frnr ,nrF)sr. <br />,\ppli.dnl or ,\q.hl SiIn{rIn <br />3E: <br />triDt <br />COMMENTS