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BUILDING. INSPECTOB RECOBD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNIiR BUII.DER D'I.('ARATION
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<br />1tll)nrnrntrrnn suhjels lhc !ml'(!!r b a.rv,l Ftulry ol n m*ctha livc huBlFld.ll{r (SsG)r
<br />_1. ri n*rr ol rlr In,Fnr.,* hycn{'bres *nh wa8$ r\ rh.r q$ rorrrltneion. w Jo rh.*od( lDJ rlr (Bia tr ,
<br />dnhl oroi$.,Il qk I SE.. 7O14, lttrsur.s lnt l'n)Lsn,ns Cql. 'l h. (-"nh.nt'\ I-&nrc I:* dtEr frn .ld, n! d orN ol
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<br />provrl.d rhrr \Bh hF)Ernt r r, dmJ.rl ornllird ,!, sL l,. h)q.\$, rlr h{,Lliry "r m{h,ErEnt r ()ll w hm.m Fr
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<br />-1,
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<br />uBl lto,6\rn C,rlc -l hc (i'nrrentr r l-f,.n\. IiP ,iGr !1ntlyt, ouffi.l llfflFn,rh, burLlr ormlrcEt(hd.on.
<br />,nti Bl$ sfirat l rkh IF)r(k w h . G)dr.l$r s) l..trEJ lxrsod r, rh. G,ntrlr'r lr.ne uwJ.
<br />l.mc\cmnrund.r SNtR'n ,B aPC r,{rhsrryr
<br />!aa6[xs.(augitsa]l{t!
<br />DECLITATI(JN
<br />I hcr.h! rllirr dnJ., p.uh v ol Jrlrry nk nl (h. inl[rwm+ Jc(lr,!tr trr
<br />I h.k .rn *ill dtnho r (-.n,l xzrc of con<nr tu stll-lnruR for s*6r .o.rf.nr.l rn. .{ I,lvrlcd lor b, Ser bn l7(l) of rhc
<br />t Irf, Ori., l,E rlr lEiixlie. ol llt urt l.i *hrh rh. lr.n s srodl
<br />I hrv. rnrl *rll mrrrJn wrrt.r! ( trI{r.qr nn nrurrtu. !r rcqum.l hv Scer rr rTrI) ol rhc I rhtr ( irl., l', rlr Jtin 'mur. .l
<br />.-". f-q\\
<br />tr liln A ^ntr,| I{v *!iko\ ronlrr\,r{r tr\tr'.trr. (,trn.r,trrl txnkr n0n'h.r r'.SL r\S -1
<br />,r,., n".*,, FLJ'oo()_o t-2-"L6
<br />2af(nny rh.t r lrE rsrordE. or rh. *o'r a*,hEt rhn pcmn i{ !ruJ.l rh.ll nol cmPl"y rny n Rn in rny murr
<br />a' I k' lis'm iuhrcr tr th. wolt.rs, Llnpcn$r &n llwr ol C.lnrmE. .nJ r3c rld lf I th.uL! heotr .uhr.l r. llE
<br />mrtc Lrn{Fnrari'n pnrvrDn! ol S(ron }7lDol llr Lrhr CirL.I {dl. (rh*(h !$rt y Eilh rhE F,ltionr
<br />WARNING: Fr u'. ro suk krr.n' urlEnsr$n orcn8. ir unLwlul. .ft1 lhil \ubirr d cf,t'loyft ro 6mh!l IrElrB arn
<br />.'v'l lrF\ un n' om hrrnncJ rhousrnd Jolhii I
<br />S\-.ri,n.ll)76 ol rhc lihtr C(rlc. mr.r{ rnJ r n
<br />r r, rl,l o' k) rlr. (r{.'l !,'n'F d.,!3.t .r Fovrl.! nr rlr
<br />s-.<
<br />!.tt!:!!-!Illa
<br />Itirchvatll'mu'rl.rFtrlryollrrjitryrhjrINlNnduhis|rl)vtrur.t(hrpr.r9lomnktun8*nhSe['n7(rxto,I)trpnI
<br />.l rh( Btr!trcs Md Pn'lc$!)n\ Collc. rnl hyl(.n\. '\ tr' Iull ld\.el.ll(r
<br />I hcRhy ilrum unJ.r Fn'lry ol Fiury rh{ rrEr 6. d,n{olJrr k'nhs .!ey r{tr rlt l!n(,rrle. (n rtr ufi Ini s'hti rhi\ rd'i i\
<br />trru.rl rsn vlJT (il ( l
<br />L.Elcrs Nrm
<br />-
<br />Atg.l(atrL!)l:lt aaIIQ!
<br />I lirhvrlin rrn,l.r rrrlrv ol t{rMv.n. or rhc nnI!*n'r.1.( l,tr.nnr\
<br />l,(trr,lin,tr P.'nnr\ A\lrio\ N,i'1tr. (r l.tl..'l RrttrlJrr,n\ r l n[.lo l', (']
<br />Requmd Ixrr.r,n NdrliclrDn
<br />_l.drrr rhd rlE l6kr tsrlrnn rErJDt {h({o\ rcfr'vrl e fr{ {rli.hL n, rtu! Iln,Fr
<br />I c.n y rhzr I hrE R&l ths .Ill(ari'n a,n d.r. rh. h( rh'E rntulmlr'n tr rfrr I .3N t, qrmdy * h rll Cii, .d C.unry
<br />.nlrMB.r !D.t Srd. LrD.Elrula ro to.(ru(rr)n. rn kr.hv rtrrhn rrnr\ , rhN cltrBlcotr !n,.trrcrrtn,rlr
<br />rh,v. nr.nrlr.l I)n{Eny Lr mr
<br />\mli(xnt o. ,\*cnr Sirnaltrr ./6'E-/?
<br />Set Backs ,{///r{/1 J)arua ? /d(w
<br />Erection Pads
<br />UFER Ground
<br />Subf loor/VenVl nsulation
<br />Rool Sheathinq
<br />Shear Wall
<br />Framino
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />I
<br />FINAL tzlt/kn 0b4/Wl 6fl
<br />Certilicate of Occupancy
<br />Notes, Remarks, Etc.
<br />,",1O'Y-l?
<br />trnJs r AJ&c$:
<br />Forms/Steeli Holdowns
<br />SLAB Floor
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