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BUILDING. INSPECTOR BECORD <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/VenVlnsulation <br />Roof Sheathinq <br />Shear Wall <br />Framinq <br />lnsulatroni Enerqy <br />Drywall <br />Ext./lnt. Lalh <br />Brown Coat <br />Masonry <br />Pool Fence <br />Handicap Req <br />Deputy Final Report <br />Enoineer Final Report <br />Flood Zone Certif . <br />FINAL <br />Certif icate of Occupancy <br />Notes, Remarks, Etc. <br />OWNET AUILDER DEI,CARATION <br />t h.rchy rfrrn uEl.r p.nrtry,,r FrJlry rh.r t n.!i{r rn,m rlE G'dtut6' L4c L.s lor ill follNir! F.rn (St TOil 5 <br />Bh6r .rn PNt spn C.rL): A.y C y or Cirdy wh.h rcquEs . Frn lo (niocr. .116, rnpmv.. d.mlkh or EFr uy <br />dtucruR. I'rxr, r !{e., de Equrr llE.a{'lxu! turEhFmr n lik.s*Ftlntr.mnt lh.l lEq ir ! lr6<d Fmd <br />ro rlE rmv6$N ol rll ('Il,at,.r l-Mn.d ti* (Chrpl6 9. C.ttwEins *irh Str$n Tuxl ol DivN[n ] ol rL Bun*sr uJ <br />Pnrf.si,n3Co,ic)orrhrrrrorrh.r.r.mrrllwfFn.rJrh.bI!ntrlE.rk8al.r.rr{ron.,,hyvlirrntorStrm70rr5by.nt <br />rfltL.nrd!FmdrubFltllr.mlf,.nrro..1vilI'cMIyota drE rh.r r'vc hudFJ Jolhi (l5(xJ) <br />-1. <br />r! o$N otrlx FUFnt, r my..rplrFs *ih w,rc!.r lh.u $L wttnst,, uJl do lh. vrt.ul rlE dBrN. dn <br />d.nldl or otl.Ed fd ql. (Sc.?oat. Autin.s e,l Pnn.sk'nr c*t : TIE GDrNlrtri Lrttr< U* .t(t! n{ .!tiy ro s .*N of <br />rlI Fotdy *lx hrlr.h d 'qmB lh.Ga .,n *ho d6 *-..h qrl hiB(lf nr t6(lr or rhDu3h hir or lEr oM .rr{loyci, <br />provll.tl rh.r !u.h mtNkftd. m n, inrcnlGl urolirftl 1,, sL ll h,M, rlE b{r!u8 ,i "l$rokfnr ! 5l] rihr,E F{ <br />di.rrrpti rh, ih. 0*rr Bud.kr wil hrE rlr hrd.i d F v$3 ttd lE d rrr drr dl l[r! or !'rn'E tlE FoFny litr rtE lorFtt of <br />-1. <br />,\ owtur uf rhc Fnrtrdy. rm cr(lusvcly .onlr.rrus wrrh l..nql ronrk k!6 t, N.nruLl rh. Fl'Fr (Sd 71X4, B!!tr( <br />.r Err.*rhCii.: Th. Conkrntr i Lr.n( l:s Jdi { rrlly ro - d*xr .l nnrFn, *b buiur or nlllmvc\ rlrrcon. <br />.hJ who $nkaF t tr r&h lx$rlrr *!rh . Co.h.io(t lf,cni..! puFM! t, llE C. rdd t lroE urr <br />I m.r.nd unJcr S(rnn .B &PC torrhrr.nr <br />WOIKERs COATPENSArION <br />llEcld8dllo! <br />I h.Ehy .rrn un&r FMI y of F.irry or ot rlt lolL'*ilg l^Llrnrhn.: <br />I h2\r sl vrll nudro r (tn,,irrc ol Con{nr !,S.ll-ln\!r.lnr wnrkdr con{rn\rrk,n. i\ frvklcd l(trbySccr$n l7lx) ol rhc <br />Ijhor (-,iic. nrrh. lErlormBc olrh. *od nr rhrh rlt Fmr. ($.n <br />/,h.v.. *ill m.inr.rtr woi..d' c.mF..rlin mur.B.,.t E1u!.n b, Sd'rn lnD dr rlE Llxtr ctil., tu rlt FrfM. ol <br />*ork 1,tr *hrh rlmlrdur tr L.rhl. My Mrld ('nFnqri)n irurm!.drr rd Fn.y nunrh.t s. <br />5hle F.o,/, <br />P0hy Nu.rhcj::-1o( E )zz/ <br />-r.i*., <br />2-/ l-2o <br />I.tnltyrh.r m rh. rErlolms: oarlr worr lo.ehxhrhtrp.rmr trnsk!.Illullft .qr['y.ny Fra'n r ymurcr <br />v' r\ b tiaom rubirr tu ih. vur*m' om!.ner on L*{ ol C.hr,'du. Irl +ft !h{ rt I !$ull tEloE 3ubFr ro rlE <br />kd6 o'qn{rrn Ftrv($m ol Selrrn lr(r)o! rlr lrhn Cd..I a\rl lodhqirncohply *ilh rlx,* FrvBx,nt <br />W iNIN(; F.rltrrc t' Bur. mtrkcr' .ohll.nian.n .o\.n!. <br />(Nl I'N\ up h oN hurirn rh'uqrl Jollx r!l(rl.Ut,r. <br />'n <br />hj.rr drk,F t! (,Ml FdlB ui <br />ni.ri,h. d.mxct.( nlrvrl.J tu rh. <br />s.dhn 107fi olrrf, l.{htr Orll mr.r( rhlq <br />I h.Eb, rflt6 unLr JrMlry ol F,rr, rt', I !i lx.nil !frlt rov!.r'. ot Ch., cr 9 (qtn1mtir8 wilh S.alnn ?000) ot Drvnn'i l <br />ol rh. Bu{m*ud Pn,f.$k}ns Cirlc, lrl hr lE..E ( rlullloe!n.ff(t. <br />a 4C 9l)?.{ <br />I 2- 2-/ "t <br />(lttsrru(rloN LEltDlllc acEN(:t <br />I lrE6y drrm ud.r FnzI y or Frjrry rh{ th.F ir r on{ulln lcn'jos !s.ry tur !h. Frittrmkt orttu k'rk tu whxh rhs Fmr a <br />( At (sd..1097,crv. c.) <br />lrni.rs tul&€rt <br />- <br />APPLICAI\'T DE'I 4trATI(IN <br />I lIR'6y r1lim u'nLr tFnuhy.fp.qu.y nrc ol rh. i,lhwme ,j(Lr{ (,nr: <br />t)efr)lI !'i Pcrn r Alh.rnx Nd n f,{ r'. fqLr.l R.3ubr lnr iI nk .O. Pd6 ) <br />_Rcq!!.J lr(dol |{ifi1'n <br />I .cnrfy rh, rlE l.dcri tSll,i o.s E8aJn3 .{Ernt Emvrl & rur q'tlllhk t, rhB ItoF! <br />-l <br />(dlry rha I h.w r.rl rh6 .t'pl..lr,n .r! rhr. rhn rlE.h)k nlt)tui'n 6r{El I.sdroontl,wnh Cn,.dCou.ry <br />ordmr'rcr lnd Srzrc tjqralrlmX n' hdrll rurhruc EnrcEnl.riv.t otrtu C(y {rl CDury rocnld uFr rlt <br />rlilE mnrDmJ I'n,Fd, i( <br />Appll(rnl .. la.nt SirNlu E <br />I o tc <br />D.a-fi <br />I <br />T-Bar <br />=