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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNER BUII-DER DELCARATION
<br />I hcrby uflnn unjq Fnrlry tn Fdury rh, I m .kml'l lioh th. Conlr,.nE Lictrr Lrs rd, rhc rolnrvinS rc$n (Se.?orl.i
<br />Bu!,,-\ rd Prol.shn car.) A,y C y or O{ y whih En!!.! r Fr r, todtur, .,1d. nqf,ov.. &mlut qin uy
<br />srBiR. tEr ro rr! ssudr- rLe, R]!6 tlE {'t .! ror ruh Fmi lo r'! . ssrt! {{.nh hr lr or .lE 6 lk.nrtl lxr$.d
<br />ro rh. F,$fN ol rlr Conlti.lri t l-.cnsJ b* (Cr,:ll.,9, Ci.ltm*..nt qih Salrr ?lID of D'trnn I orrtr Bx,rs oJ
<br />Prorc$!'ns Code) ot rhdr h. or shc i! cr.q)r rhd.hom rnd lhc b.nr nn lnc rlhscrl .khflnrn Any vxn(lon ol Sat$n ,0J L5 by .try
<br />rpplMnr lbr.!'.m rubr..k rh. .ptltur h . !rv,l n Eltr or n.r mE lh.n t"'v. huBjl.n doUrr (Stoo).
<br />-LrsolErotrlrFrFny,dny.trpbycru'rh,r!6rrlE.oLomFnd@vlll(l)llE*qtrnlltditrft!rdd.nLil or ofi.E! fir !L (Se ?044, trurirc$ .n.l Pilr.srkB C,rLr Th. o,dr..nr's LicM t * tttr nd qill, k $ o*rr ol
<br />rht ptuFny uh.! to [r .r in{NE3 rtso. .d vl$ LtB tuh q)d( hims.lf .r h.rclf.r llB)uth his q hq o*n .hlk rcc.,
<br />prov!.J rh'r skh lqn'wdr e hcrlal or o6.Gl rq * It hokE. rtE tlirllB d ltIIM'H B a'! *dhr iE Fa
<br />ofNqidn0ro\rErBullla*llt(r,rhrLLnolF.vrBrlu,E{3lEdndhi!.rrqbtUrrtrd,rddrF,FErf
<br />_L es dwmr ol ihc pn'Fny, rm cllhtrrEly co r.dd8 with li(ns.l conrrfih l. .unrd.l llr r!!j.{l (Ss ?044, BuiFs
<br />.,n thr.rsh CdL: Th. Conlr&nn ! LEcn{ U* JtB tur lt1lly lo d orrcr ol FoIEn y rho h{illt or elltrv.s rh.r.on.
<br />tnJ etr otrBh tr sulr F,Fr! w hr Grdr4r(Kt l.m<J l{!gd hi,rG,rrsrd'r tr'.N tr*}.
<br />I .n cr.ry,r undcr Sr.'rnu-, B. & l) c nr lhis rcrrr
<br />IIOAf,E&EI;{IIIIENIAII9T
<br />DECI./IEAI!qIi
<br />I hcr.hy rlltrmun.l.r It Mlry of pcrrur, onc oarlr l(,llowr! tl(l|[ri('.s:
<br />-I
<br />h.w .,n rrll DDl.h . C.niL.r. of CoE h S.U-lEu. r k rdi.r'ftFNli,n. .r Fuv{.tl nl b, Strrtn lnD or rlE
<br />bhr cirl., fq rlE Fflru. or rlr q'n fq Utrn dr Fnr 6 drEl
<br />l hir rn't srll n,rdrn work.r\ !!rlr.n\/rnr rurn(c. r\ r.qurcl hyS.rr()n-lTlrOolrh.lrbor (-,rlt. r'trth. Frlolmrfrc ol
<br />rhc utrl nn ehr[ rl'tr Fnni '\ trnkrl My workcr \ (.mp.trrd lnr n\ur3r--c urf,r rn] F)lr y nuNtrY r.
<br />I1ftrc.
<br />_l(n yrh.r inrrE lE.turdrr {l rlE*o.k ntr *t.[rl$ Fml6 tihl,I rldl ft cr{'l', u, rnn ( rny Mrr
<br />$ s lo lE$m tunF.-1 ro tlE kni6'oqENrir LB orc.,'roru. rn {d rh,r it I rlr,uLl h.1$r ruhFr lo llE
<br />s,rl6 lrnFBll)n M,nsbhr ot Sdhn r?m or llE Ltrtr ciiic, I sh,[. nnh* h e'ml y *nh rhos Ftrvspni
<br />WAXNING: FiiluE tr scm krlcE (omlEnsln,n loErtc i! !nl,*tuI, rnJ rh.ll luhr.rr .n ct{ {t!r ro simiNl F&lri.r rnd
<br />.Ml l-Dcs ut ro or huBl@l llhur&l JollG (s|(u.lXl]). m rnjn$. h rh..oi ofd,mFnqrior, drdg.r x pn'lalJ ftt rh.
<br />Ssrli (176 of rtE tln, Cdi.. mrftr .rn ,t'my i f6
<br />4DDlkrnl:-
<br />IICEMEIL@MAACIAA
<br />PECI4EAI(A
<br />I h.86, rtrlm uhrc, Frdy or Fr,l,ry rh.t I m l6ql ud.r rNtBs. or ChFd 9 (ffi8m3 tnh S61ion 7lrD) or rr'v'r$h l
<br />oI rlr BUE$ 8l Pnfcskr! C,'t. .,rl hy lrG B tr tull ruN .d.fi&1
<br />qaluaucuaMJNDBc-ariBq
<br />I lEr.by .lfsn rnLr ldlry o, Fqu,, rh, ltEn B r oN&r$n td& .s.m, n 0. lFn(llrm! or rlE qit foi *hrh lha F.n !
<br />trnrnrsd.1097.c'v c.)
<br />knrkir N.ft:-
<br />trhlrii Adtlrcs
<br />AIILICANU}ITCIJ,BAIIO!
<br />I tfth] dltim unls Irnrlry olrrj'{y orc of rtu blkiqds d(hrdo.s:
<br />fJ.m,l Dn P.rh s^rh.nor Nornf,.i$n li&r.l R(luLlhn! (T l.&), Prn6l
<br />R(aur.J ljiicr I Nrfr:ti,n
<br />!(.drlyrlkrrlrl .rrlrcgnl.rk)n\ r.3r'l'nt ^lrno\k r'!rl .F lttlf,rhlDL)ihann,l!r
<br />-l!dyrhdIh.wErlthB.p?lr.trn!nrl.klnd{r.ln*rrotuhna.i)|Bil.8rtortq,r'rhrllCynlC-o!,otlirB-'.r .nl sr.r. hpr El{4 ro ttrrldus rondddr4 ,n hcr.6y .urh.rE ..Fd.th. .1 lhrr C y .nl Caury b .nro lpon
<br />'IEibk m.ri)mJ Jr ipcny ritr i Flnn pnrpoei
<br />Applionl.r \g.nrSiEtulu
<br />P.n k mrorlno:
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation ri
<br />Root Sheathing l0-l-?d sJJIly)l
<br />Shear Wall UY)
<br />Framinq
<br />lnsu lation/Enerqy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Ceflif .
<br />A\
<br />FINAL 0-5-2-o x )l"I\t)'
<br />Certiticate ol Occu anc
<br />Notes, Remarks, Elc.
<br />Pool Fence
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