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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUl nsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing ,lttlt4 Tu 2/
<br />lnsulation/Eneroy l(
<br />Drylvall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />I
<br />FINAL +14 lt4 t )-oz )
<br />Certificate of Occupancy I \
<br />\t\ulII
<br />OWNTTN BU!LD[R DELCARATION
<br />I h6.tly amrn undr Full, of pajury rhd I s .rdpl 6on lh. Conrr..ldr Lic.nr Le' for llE tolhtroS ,4-. (St 701L
<br />aBiB !d Prof6irtr Co&): A,r cn' or coltry rhth r.quc . Fni !o codtud. 6. i,,9rove ddmlih or l9.i Dv
<br />tlMueFtubtu iMq lho r.quiG ltE @lid f6r sh FDn b frE r risi.d iro,En rltdlEortlEitlt6.d Fridr
<br />lo rh. prlvaD6 oa $c conlrElr! L'en&d t w (ch.F( 9. com@in! wnh sElior 7000 o( I)'vition I of th. BcilB dd
<br />Pmf*ioB Co&) or thd ll ,lE is crdpr lhaEfron dld rlE b..i aor lh..tL8.d udplioi AnyrioLrionofs.nho?0115byo,
<br />.ptlkd for . Fhn rbjc$ ttE .ppllcer lo . civil p.ony of ml mE lho fiv. hurd.d dol4! {tt00)
<br />-1.
<br />E o*n6 of rh. FDIEry, or ny dpkty6 virh wrsd s thd sL onFdrion. will d, dE 6t lrd dE *lrl@ a 6t
<br />idod.d or ors.d for slc (Se 7014. aqilB dd PmfBioB ( od.: I'c cot t.cln't Lice Lrw &rd rcl tpPly lo u omd of
<br />th.Fpary wlh hild o. itrIFlG rk@ -d *lr dE sh N,t hiMlr or r6dlor rtuouah hL ot lE om 6np!,tq
<br />Foritcd rhd sb i4.trLE$ E m ndd.d c olH &,r d. l[ hoM, fi. hildiB r -lFoqd i 5ld wihid * !d
<br />ofcurpldi\ rtE (rE B{iBd wi! hrE EhrrlaofFoviryfirttor]lI.dndbnd flp.o\EdEFnFly fi, rltF F..or
<br />-1,
<br />!()*G dltlE FDF,. 6 dduir.ly.omxlins rah lGrdl.offioB lo @'un.l llE FDttr lsd ?0'&. b'!tB
<br />!n ftokin ( o&: TrE co.lr.doi3 l-kru t $ doa ml Fply lo & 0*6 of FoF, $lb b{ild! or 6Fo\s rhson.
<br />od qho codr.cls fM $ch FDjar! w'rh . Co'tncio(, lio!.d Fsud h lh. Codt..ltr't Lk.e l!w).
<br />I d.rdd u.ddsdbn .B &PC fDrrhul@n
<br />D.r. (rrnr:
<br />wollxtts trnrpmsr']rott
<br />DE('I-AE TION
<br />I h.r.6e .mr m !n&. IEnah t or pqj!ry oe uf rh. rolh$ ns {k<lr.to6
<br />-lhalrdd$rllminr.inrColific.olcoMltosdf-lNu.formrtsronrp.nd
<br />n,s Fovidal for bys.dnn U00ofrh.
<br />tilFr Cod.. fo rh. Faforu(. o f th. wolt for which thc pqni i iau.d
<br />-l h!r. $a *ill uinr.in worr@ conFGd6. iMe.. a n+iEd bt Sari.n lTm.frlE t bor (-od.. for ln Ffm. or
<br />rh. sort for *hth rhn pqrn ! isLd My wdk onFsnion iNum. sis &r, Flky nunb( r.:
<br />-l
<br />c.niryth if, lh. Ffolmm. ot lh. *ork lor *hth ihk Fnn is isu.d. L'rll nol dploy m, F$. in &y noE
<br />{ 6 ro bEld $bjdt ro rlE {sha'omFsio. LB ol Cdifodir ,!d .eE rht if I isuld tcod stir lo rlE
<br />sod6 @n4turonFoli.bdof Salhl lrmort tior Co<l. l JtlL fonhf,nh 6n ly rilh ltss pr.!i!i,E
<br />waRNlNG: rlilurc to sw erld cohFtsllion o!6r*. ! unhu'tuI. drd 3hll sbjd u dphys lo osnd FEnid od
<br />(nil nn6 trp r' on€ hun,jr.J ihduend doll6 t u),mo), in .djiri,n ro rh. coc oaconposion. d&nas6 a p.o\idcd aor lh.
<br />s(rbn 1076 ot th. libor ( sL, im.d ..d
<br />a LZ.Q.'/t
<br />Ihc*y.frduida!a,ofpdrurrthrIhli€..dui<ttForitb.of(tuFc9(offiiis*irhsdi.nTmllolDirnb.ll
<br />of rt BuiB rd PtlrdioB Coda -a ny lkoB ir in 6ill fod dn.Itcl
<br />Lr'.-a../a?-/
<br />I rI'9!'a .Itm !,id Fullt of FJUrl lhi
<br />is.d(Sr 1097, Civ C )
<br />u . sdtudio. lailts rsdy h, $. Flontlff. olllE wort hr *lrh rhis Fni a
<br />afrlll;ANl.lecll8all0!
<br />I ha{+ rfiin unls FEhy of Fjuy ot of tlt folheins d.rl,nhN:
<br />Dsnohio. P@tu-&tEror Ndifi.dnrn F.(krl RquLl iJd (Tnb {0. Pd6)
<br />_R.qui,.d ldta of Norilkllion
<br />y trirh.ll cnydd ('oor,
<br />y !d Counly ro drd upon tlE
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<br />cdr6 rht E f.ds.l E!urJ66 Eard43 Etdcramr.t!( d +?ltr!l.b 'hs FoJGt
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<br />, ,/.* *" l1prt.ron {d sr!,. rhd ,h. arl!. ml\mdion 6 cotrd. r is'c,o Nnel
<br />odus6ma\!ra. t q r Ehls
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<br />hildrs tudduc! @ in EFbr .dbru. ,q6rd(6 or rhn ci
<br />rbo\c lMrnJdleFr) rd ED<tb. pl,!o'6. { ,/ -
<br />accu.,*.ir-,srryn,* ,/q b'=/ -- D.r.
<br />P lr( dr. (edrl
<br />)(- p€ 7L-t< t> O
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<br />II
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<br />Notes, Remarks, Etc.-----=\
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