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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE rD/src. i COMMENTS OWNN EUILDER DELCARATION
<br />I lErby rtlm odr.r FMxy Il F pry rhd I d .rr{i nsn rlE Grrft(E LIG Lr$ fo, ih. ro[owi.8 E.$n (Sd.70] l t
<br />Busms rd Pml6r'n C,!.) Any Cnt d Cdd, ,hih E{!6 r Frn trt (dRl. rnd, r{mE, d.Dlith or EIU Ey
<br />rtutu. Frx ro ,r! (ffi. .l$ Eri{6 rlr {?lr.,!r fU lrt F.tut ro nl r r{rrt dr.'rd
<br />'h.l
<br />lr d dr ! liQsl Frolr
<br />ro rlE Fovt.B ot llr G'nrrxtr'! l..rnsd Lrw (Ct{rd 9, ColrEBm8 rnt Ssl{h ,fio ol D'vtEtr I of rlE g!!a$ !n
<br />PmlcrrDn! Culc, d rh.r lE d .lE s .r.qr rlr,!6Dh .rn 0. b.ti3 lq rlr.ll.s.tl .!..!irD. Ary v.hmorserM ml[ 6y,,
<br />.p!ll.nr for r tEm'r rubF.i. tlr .J'rla: ro . dril llcn lr, 6t ft, mr. rhrn rrv. hunilfti &rlLrr (t5@)
<br />-1. ^ owEr of th. F)Fn y, or 6y cmployar *[h *.36 .e rh.r sk ohpcntrrN,n. w'll *, rtr 8\r* rnl ttE nBlE a d{
<br />dcnLd orod.rcd tn {L rSd 7(t44. nurms{n,l Pnn'Lirtr,ns Grl.: Th.Cirt&tr'r lr.nr Uv d(B iarTlyl.rovErof
<br />rhcll,tidy ehr hrLlr ni ryr,v.r rlrF,n. rnl wtr, UB $ch u)rk hrn\clf d h.'{ l{ nr rhn'u8h hL\ M lE, owh tn{ iy..r.
<br />pruvdeJ rhrt s!.h nnln'ktunk m n ur.nlcJ orofml ntr $k ll. ln)wcE. llr tDrlJoS or rgmRrcnr is v,U *irhm otu FU
<br />.lLoBplcrir ltr Owrcr ltuiLh wrllluw llE hr(l.n ol ptuvinr Lhd Ix ot slE Jri nn hniLl o rImrc thc pDFny lnrllx pury)$of
<br />-L
<br />as o*mr of th. F,tdy, rm .rrlrnEly odr&rru wilh li.cns! .onll{roE (' .r]n{dd rlE F,Fr (Se ?O44. Burtr*
<br />&l hdsir C'dc: Th. Co.rr-ttr r l...nr L.w tles r qriilt ro s ol".r oi 0trFny *ls h!'llls or int|n)Er rh.'a'n,
<br />rnd eho o Ir.k rd rr.n lft l.11i s h r Cidhch(, li.cncJ Flrul ro l,I Gdr.Lr{i ! Lro* Lvr
<br />_l h.r,B'r urld Sdrr- A & P.C. fd lh8 E s
<br />laaf,E&tsaufEtAllll!
<br />DECI.AEAIIIII
<br />I h.rcby.fltm und.t Fmlryor lrlury or orr& nnhrn! Jq!orr,.s:
<br />I h{vc .ll wr ll tu! .r r ( .nrl'rrrc .f (irxcnr b Sclaln\ur n, wollcn' ('hp.neri,n, .! ,toY cd 61 6y Sdrrn :l7r$ rl rh.
<br />Irhra(!.. turrhc pcrlnmftrol rhl u nnshtrhrhcl.rm N$!.d.
<br />rh. worl l(r wh( h rhis li.rm '\ hrtral MywnrkcN on['ctrsdn n Nurrnt.nn'.r n'r]tr,If,y truntqdc:
<br />Ien yrh.r 'nrlI rElu r.olrlErorttu*hrhrhrFmrr'..ud.lnrlml.n{lloy.nyDcenod,mnE.
<br />q' .' k' h.a$m iubFr i6 rlE k{td ri.lENr$n lrws ofc.l'fomr 8j rsd rhn I rlbuU hisr $brd lorlE
<br />hrt6' sf,tEn-lnn Jlnrv!.nr of Serpn l?m ol dE Lltor CoL, t ri.!|. tnh* h Nry y wnh llDs FtrB@
<br />WARNIIIC: frnurc l.' su. krrt6 d,mFNtri,n L$tn8. 6 unllvrul .il rldl {brd .n <rll'&'ytr ro llllml rnla r,n
<br />.Ml tEr up ro.E h!'nBl rlnrtel rlolle (!l(Il.uJo). 6 r.u!r'n I' llr ..tr ol.oIrFtr-rx]n, tlum8.r a Phvrl.J rd rtE
<br />Seiu 1076 or r& trhr CirL, or.(n nrl omy's fes
<br />D l.:- appl
<br />LLCE!$EUCOIIIIIIU8
<br />DECT.A R TION
<br />I hcrchy 0llirnrurlcr plnrlry ol p(rpr, (hrr I nm lrn*d uiJ.r lllrvNon ol( hiprq 9(romnrnrinS wih S&rr,n'7u)O) dll)rvr{sn I
<br />o, llE llurinc$ 3trJ l,rof.\(nN(irl.. rftl n,rl'r.tr* N in tull ntr(c !irll..r
<br />Licr CL$:-
<br />D.l.
<br />-
<br />c.nl*ld
<br />SqESIBIqIONIIIDIIG.ICEECT
<br />t lE,lby fm u,rLr FMlry ol F rrr, th, rfid.6 r NdMi,n hdr8 t!.8,Ii, llr Fiill1s. ortlE r Itd*hrhrhbF u
<br />6rkd (Se. 109r. Cr. C ).
<br />L.n lcr r N.tr:
<br />-
<br />ASILICANI.IECI.dEAIIO!
<br />I h$hy rltm trtujcr pcnrlryol pcrNry otrc of ihc Ii,l!,wing t|cldrhuns:
<br />D.m,lrn,n Pcrn lA\tEnos Nonlirrr ttd.rzl Rc3ul.rrns (T(1. tl{,. l'rd6)
<br />Rcquircd Grrs o, Nrd.fdlrn
<br />I .6 if, rh.t lh. f.lrrl rruLr[N E3&l'n3 rdErkx rcmv.l a nn ,,r'd..hL lo rhE FDFI
<br />-I
<br />(dif, fi{ I hrE Erj thr .prirdnn {n n.t. th, rL .hl I .8c lo dmpl, w'rt rI Cny .Lt Cou ,
<br />oRlBBc! aBl Slll. L,sr rLtn! k, trlllot odtur$tr .,n Er$y &ihnk t tErnr{k3 ot ths Cry .,rl Counl, lo orq uF n rlr
<br />0h rnirEJ Pnrtdy f<tr 6rFli,. FrFNt
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor 1
<br />Roof Sheathinq ,l.l,l,)il
<br />Shear Wall
<br />Framinq
<br />ln su lation/ Energ y
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Itrlasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif .
<br />I I
<br />FINAL ?',l A WYfr
<br />Certilicate ol Occupancy
<br />Notes, Remarks, Etc.
<br />Sublloor/VenVl nsulation
<br />2-Ll-21
<br />IrJxl.is AJlll.$l
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