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BUILDING- INSPECTOR RECORD SITE.WORK DATE ID/SIG.COMMENTS oWNER BUII-DER DEII'ARATION - l hd.by .mfln nnd6 Foohy ol psjury rhsl I m c\.'npl 60B lh. Contido* Li.ffi l.iq for rh. a.llotine r6$n(SE70ll5 Ilunns d P'of*irn (n&) nr (nr or (i'!dr \rhich r.rtui6 i Frril lo conno{1. tlr6. mpr.v.. rknrli.h or lF.n uy ,ruduc Ftur. irr isutr.. &o rcwndlllcellicsl rq ruch Fnn b 6h, liE dndffi rhd lEor i'. a h.dBd FNd ro rh. rm\ilioN of rr (_ontrt{. tk6r{ l.{ (Clul{d e. (tnltE{'ns trnh s.di.n Tlro of Dnnirr I of th. Il6iB dd FR,f(rh.s C.dc I or lhal lt or th. i .\dpr rhqcfton ed th. t sii tor rh. .ll.s.d .rmd i,n Ant virl ionors.nhn 7u:rI5 b, an) lmlta.tforaFnnilubje(rh..Fplic.nll..civilp..atyornotmor.lhm,ll.huftj..dd.ll&s(l5Llol l.6 o$ffi oarh. FoFn!. or ml.r{,hr6 rnh r'!s6 d rh.n hl. con{ErnrF.. $ill & E$st lrl ErMr@ i tur iddrl.d G oltF.d tor slc (S( 7N4. BdiB 6d hofBi'd ( odc llE (nfrdd s l.i.M l:w &6 nrr {plt b u orG .a rh. rniFry wrh tril&.r mFov6 EaMil f,ho rh6 sh $ut hiN.llor hE*laor rnmush hi. or hd o$n 6dolc. pi.vid.rl rhd 3 ch mrormd3 N d hrorlGl.t olEr.d ror EL. la, hou6s,lh. ttrilnu or impd.11M i. rld wnhi. oN ta of cdr$l'iiotr rlt o{c B.ritt $ill lE!. rlE hrddr ofF.r.s thd lE c ,r drl ml tlild or ,nFN ih. tmFy for iE F,FIE .t l. s o$ n6 o r rh. lhird!, m .r(lusn.b (oilralins tr nh I'co€d co ndonio mnstud rlE lrojd (S( 7(,1.1. &{'ner snd hltsbn (i{.: , hc C..r0ch . l-ic.nr. La*d.d ndt ryrlt !o .n o*n6 oaDrorEn y sho buil!t!.r i'nptoltsthdarn. .tu1 sho conrad! lor ru.h F\rr.ds u ir h ! ( odr.clo(, ltnrd pudtrr n, rh. (-.nteloir l-i..e 1,tr ) I m.rcm trnl( S<hon "^'" 6/zL\ /rI I h(.h\ llfinn u.d6 FBlrr nf I hrv. .nd $ill mtunrain s cd iliMr. oaco.sr ro S.la-lmtrr. n'r tr or ld co'npn$rin. a Fovid.d aor br Sel (,tr 17tx) o f lh. ljht co3..lor 'hc p6rolrr@..f rh.\io* nv {hkh rhc Fnn b isu.d I h,r..nd sill mmrif, *ort6 cor{RrrFn i,ffiG. ! r.qurcd h} s<dit. 17(l) of rh. trbor Co&. for tlE Ffi{fu. ol rh. *.rI for $hrh rhn D.mil t is*d. My * 0116 ompostion 'mure. c&rit drt polty nunbd r.: I cdirylhrr i6 rh. pdlorrun.. ofrh. $ork aor shict rhi. rcmir is isual. l3h!lln.r mploy a.y F$n in !.y muin $ s ro beoiE 3ubjar Io rhc "r)116'codrterio.li{. ofcilifomi.. and.{E rh.! ilI ould h.co@ tuhjd lorh. earl6 mmFsrion provarB !f S<ri6n 1?m ot rh. r,tw ( .d.. I {dL fodhu ilh corol} u'ilh lhos grovbhB. wARNlNc: taluE ro suE uott6'frnFdnn ora.n. n urhstul- rid rh.ll .ut d M alFhF lo siniul Frl6 tnd .n nn6 up to nm hundr.d thou$td &lld {t100.0o0). 'n .ddnFn 6 rh. .or oa.omFdion. d.h!s6 a Forxt d lor ih. sdlhn 1l)76.lrh.l lhn (nJ. inr /,^--arT{Y7rl u(llr1'_(\r!!1!r.l! I hs.by aflim und6 rE ahl ofpsJury I I m lic6E d undn FU\iri.. of( h.p(q 9 (coD,mciry trrlh Sdih 700trl ofl)n Bion l ol rh.llusinBs tu Prof6si.ns( odc. sd myl'cors. is in li,llfttr(c drlldI ra!5lB.l"(ll9li-Ll:llllNclcrlcr I na.br a,nm ud( F,alry o f FJ(,- rhd rh6. i! ! odrudirn ktolins lsacJ_ for lh. Frnii@. of rh. $ oil 6. u hrh ln6 Fn'l ! istrdl(s( l0{7, ( i! (-). I cnJ6 r \M. a.Etuga.ur.lr[clasalax I hoil-l lrrf, un&' F.xr of talury oE ot lhc lollosin8 &Llri' ioN D6sld iotl PmnlAsb6lor Nor'fe! i[ F.+ol R.suk.B I I nL ,l0, I'd6 ) R.quir.d Lnra.rNlrifi .dm thd rhc lcd6a I r.*r lal Fn3 ,.".,',\ , r/-.r,*.",*J.ir6 Md \/r a".rch!.x r' ih". ndtrr.J^Fn\ rry mrnAl noou-' -./*-,.n-.* ml,h (rhdilCi\ rnJ ( trnr\ Cir) i d ( rnr! t' or( ur)nrh. Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor Subf loor/VenVlnsulation '-t9., Roof Sheathing Tltq 1k4 lr.nW Shear Wall u I Framinq lns u latio n/Energ y Drywall Ext./lnt. Lath Brown Coat Masonry Pool Fence T-Bar Handicap Req. Deputy Final Report Engineer Final Report FINAL tLt lte W ld> Certificate of Occupancy Notes, Remarks, Etc Flood Zone Certif.