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BUILDING. INSPECTOR RECORD <br />SITE.WORK DATE ID/SIG.COMMENTS OWNEi BUILDER DELCARATION <br />I hcrchy rfftrn und.r F hy or F jury th.t I q .rcrg nom rlE (.drxr6 LicB Lr* ror rlx lolhrint ler (s...mll t <br />BlriB. arn Eo(.$ioi Codc) Atry Cny or Co! y whi.n r.qut ! . Frtu b .$nqrud. r[d. i,rprcvc, d.mlnh or rcFr My <br />i!dw. Fir ro ik i.surN, rko EquiB th. .''plicrr for ruch Fmn h fi!. r s'!En llilcrnl lhrl |t o, nr i! li.cnsd pu anl <br />ro rh. Fovnhnr or [E Comrsror'! Lirn!.d t * (CrDpld 9. C.nmBina rih Serhn tGJo of Divirbn ] oa llE BuriEi. .!n <br />t\sr.shnsCod.)orrhlrtEnrrh.ir.rchplfi@nDmrndlhch€sirforlh€rllcs.deicnPrio.4.,vitbl6nofscilbn7011.5by y <br />q,r n. tur.IEdir shFr!rL q,pltd ro.cirilp.Bhyof B mk th{ llv. hurdftl dollr3 (iJoO) <br />_1. a3 ord or <br />'tE FFnr, d my .n{,k y.g *nh {!8ct I th.n sb conyEnrd io.. will do lh. vol 'ti dE shcm n br <br />irrr..d.d q off.rcd fs * ( Sd 7&4. BrliE( .nd Pr.fdkrN Co&: Th. Colfurtr! Litc lrw d,.. 6r .pPly to d o*ffi of <br />rlE rxDFny wlE hi&lt or nr{'mEs Etun,.rd whr &Effhkd hin€lr or h.elf or ttmu8h hi or lEr o*n ctrploltca. <br />pmvilcd rhi 3Eh i"proffire d idarldl coftld fd xl..lf.lsM. ft hli!i.8 r rFotr LDIdeithhorct@ <br />oloipLrioc llE O*mr Buil&r ,ill h.r lrt hd., ol FDvins tlEr lr or {r did br boill d inv.os 0E FbFiy fq 0E FrFr of <br />-1, <br />uso*Er of rh. Ilr,pdy, ancrcloiwlyconbdins wath lkcn*d contrero roodtud (h.FrdlS(.7(}44. BBB <br />rn hd6rin Cod. Th. ConrEror'r Li...c rjs d6 mr rl'pl, !o.. o*E or poFny lho bu'lds or impnrr rhcr6.. <br />!.d wtn .onlBcls for such pn'Flr *ill' d Cor ronr li..nsd l,u6ui tuilrO, R1or'\ l-i.ha Lru) <br />I m d.npr ud.r Serioo-Q,,A*a." gC1O.9-1 3L ,2.. <br />DTII"J],IIIIA <br />I lrr.hy lmrm undcr n nrlr, of Fr!r, oft of thc folL'win8 dNLr{b6 <br />_l h&.n *ill tuinidn r C-dirsr. orconsr b S.lr-lBW rd rtrt6 onFr..lbn, ur rrDvild ro, by Sdidn 3700 orrhc <br />ljhtr Codc. for rlE Frfo,rldc ot tlt wt lor whkh rlE Fmii a irsu.d. <br />_l tulc a,rr *iU roinr.'n eorkc^ .on{Fnuri,n in!!rad.. :s r.it!".n hr sar b. l70O or rlE ljhn an . tu rlx F,fvruNc or <br />rh. eorl fttr *h*hrhn pcmtr rs n{.d My workcrc' .onf.nsrion osur!rcc rricr un poli(ynuFhq u <br />_l.diryrhd m rh. FtolmB. of th. eort rd ehrh rhls Ftm' is i.tEn, I sh.ll not.rnhy any lEnon in !., mt. <br />s 6lo h.sm rubFt lo llE @ltss conFnsalbn lrws ofcrliromir stn 38r lhd itI.n,uE lE<tm bF otlE <br />mrt6' .onlEnslon tmvnioN .r Scciion l?m of lhc Lrhor C.od.. I slEll tunh,irh d,6ply wirh rt * pmvilhN. <br />WARNINC liiluE ro s@ rqt n @rFndbn @E r*c is unL*tuL r,n thd flbFr .n .npkrFr ro omjfll FEtii &d <br />.,vil rlnc\ up r,, oDc hurncJ ltou\MJ 100.0(x)). in sddirbn b irE .on or.on{Enerion. d.d8cr a FDvild for llE <br />h\rirtr .ll]?6 ol rlt lrls CdL, ini.ftd r.d <br />n6/oa /Lr L <br />D&CIJBAUO! <br />I lxrby .lrun !n<l.r Fn !y ol Fr,lr, rhi I ro lhir.d u..r.r FovraJn ol Ch{,ts 9 icoltmrinr *ilh S.d ion 7m0) of Dirhion l <br />ol lll Burim$.rd PrcLsi,B Co<L, !d dy ltctrr n in tuU toc an.fi6r <br />colsr3lcuo!.tEgDBciiiEdgr <br />I lrrby !,Irm udcr FMhy or,Frrury rhd rtd. i..6n{Mbn Edi.8 r,.fty for rlE IEdrdEc of lh. *orl for *hich lhn rmn n <br />irsucd (s( :r097. civ. c.) <br />AIILIIAiLDECI.A8.trIP! <br />I }Etlry rrmn un.t r l.nrlry or l.riu, ox or rlE rouo* ing d..lar.l io l <br />Dcmliri,n !..trih Arr.nos Norii.rrion }id.tuI R.Suluri,ns (Tnlc.l{). Ptrd6) <br />Rcnu,(d lrnd ul Norff,oti,n <br />-l <br />cqrify rhc rlr fc&trl r&Lli,N E8!th8 .rb.rro! Emtrl e d {Dlt.bL b lhn Foj.s. <br />lszl drry rhr I lIE Ed rhir +plirbn rn {n. thd 0r llloE into.Etbn i! .drBr. ! .8rE ro 6tply snh Cny .rn Counry <br />6dirrEc! .id Sldc Liw! ELlslt ro blildds @nqnEri:lrln lEGb, .lridiz GF.s.riB of lhir City ..d CMly lo .dr I+.n dE <br />rbE don d prDrEry rd EtrErptrvrtoa - tz <br />^ror-r* ^r ,"ur({c'fi' ^-- ---4 **,o0 /rtQ / zt <br />n^,*- ,,rn^,,X., Anttnru - Zcglc' <br />Set Backs <br />Formsi Sleel/Holdowns <br />Erection Pads <br />UFER Ground <br />Subf loor/VenVlnsulation <br />Roof Sheathing <br />Framinq <br />lnsulation/Enerqy <br />Drywall <br />Ext./lnt. Lath <br />Brown Coat <br />lvlasonry <br />T-Bar <br />Handicap Req <br />Deputy Final Report <br />Engineer Final Report <br />Flood Zone Certil. <br />t/^ <br />FINAL 7/r/2/T.am ,v <br />Certificate of Occupancy <br />Notes, Remarks, Etc. <br />SLAB Floor <br />Shear Wall <br />Pool Fence <br />a <br />I