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BUILDING. INSPECTOR RECOBD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNER AUILT}EA DEl,(-ARATION
<br />I h.rchy.lltn ufrL, FEhy (n Frru.y rh, I m.rcn{'r litn rh. (ir rcror'l-ktn{ lis tur rh.li'lli'sh! r.rqm (S.c70M
<br />Bolmrt .rn Pin.(D. CqL): A.y Cny $r Crd, *hrh ..noftr r Fd b !.nier. .lrs, mPflr{, .L"mlsh q EFE o,
<br />(urr, tntr lo t srtr&r. ne, rqumr tlE .IPrr.ni n, rEh Fm[ !, arlc r r{El {d.m.! rh.r h. or rlE ! ltr.nRl pu{er
<br />b rh. ,n,vs$.! ol rrs Conlr&ntr ! l-rcnrd lis lch.nr( 9, ConftNinS wilh Selhn 7Ul) or Drvrrrr I ol tlE Butims uJ
<br />Pnfcclnr Cde).rrh.r lrorrh. s.r.n0r rh.r.lnE,rl ltE has! ntrih..lks.J cktlri,n Any vshtr', ol Sdrrn 'r0.r I thy ,
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<br />l. rs owncr ol rhc lrl,Fny. or .ry cntn)y..\ wi h wi!.( ,r rhcr q)k .ompcnid [n, hll Jo rlr $trt arxl rlr srnlE s rx
<br />dcrLl orolttnll qk (5(.7(|44. Aunms nl hnc(o.! Col. r h. (l,nrrror'r l-{.nk I iw &xs tn {tdy h .n nwftr oi
<br />rh. FlFdy *tI tr lk sr rtn,ks tt.tn. rn ltrl trr. rh ur.I hmMl, or lfr{lr.r rh^'uth htr d h.r oh.iikryc.i.
<br />pn,yrhdrh.t rEh rwoEftn\sd or.nl.l ororldtl l,i {h Ii. h'Krs. rlE ln uBdrlFrtmd r1 $n$momrn
<br />or.a,qrLh,r ln. Oskr Bulr]., srll h.E rlr hhLn or pnMlr rha h( or \h. drl n, hrU or E{n,rc rh€ tn]Fny l(tr ttr IUlF)s.l
<br />,. !\ o*rr .f rtt rt{Eny. .m c r.lunr.lv rodr&r mr wnh lf,.nql od! &ir6 n' (rn{Br rlr ln)Fr ( s.. r(lr4. Bu.rs
<br />ml lh,t (NC, . lh.ct,itr(!tr'sL(c rlrw(|l$nnlpplylornorndorPnrFnywhohurlj\orrntn*tirntd,.,
<br />rnd who contn( ! \ ntr suc[ pnlj..( wirh { coik&1o(9 lf,.nscd l}uFumr lo I hc (i,i,,.tr'\ l-'(nsc Lrw).
<br />I r .r.md utrlcr Sd1.n . B lt PC f,trrh E $n
<br />)rlt86!8s:.C{1!lfL!sallo!lE(].al r10N
<br />I lrElry rlrtrnurd.r p.Mh! ol Fr,tln dtu ur rh. ltrll,B'nt !k!la.rr'.\
<br />I h.vc rnl will mmrru a (cn,lur. of c! {tr.nr b s.ll-lNurc hn *ork.rs' ..hp.nsrdn. * F)vded htr hy Secr ('n l7(x} of rlf,
<br />lr!tr C,ri., ror lh. Fno'Il5[_..c .l rlI k,* i(r *hrh ttr Fm 6 6rkl
<br />I lur. rRl w,ll n!
<br />'ni
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<br />* dc.. .on{xo\rr n,n u\ursE. r! rqutr.J hy S& I k'. 1]{Xl ol rh. I -irtr (irL, i,tr th. Irrlolrrfrc ol
<br />rltr *ork tu wtuchlhNllcrm rs r1\uc'1. My wo*.,s' (,mp.n\rrxri ru.jtr$.Mrr nl lrlli.y humh.r -c:
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<br />I'l,l[y Nu ,hcr
<br />l..n v rh, h ilr Frfumr. rrf rlr eork ktr uhrh rhtr Fnn ! smti. l rndl r .qrl,y rny Ftsr o rnt tunF
<br />{! at k! tr{rm s!6r1r tr ih. *{tsi laE{Enui Dn h*! .I Ctl'fohn. .il .3N rh! I rhnull ttom {hFi r.llr
<br />ur.*.n' (dmFnqr k'n pnrvrDn! ol Ser!,n 17(X, or rh. lrh, Cdlc. I !h.I. tunhq t $qjy *'rh I hos lrnrvNlrs
<br />WARNINCT Fa'lu( t, scm w.rkcF omF.n$rion cov.r.s. i! unb*lul .il rhlll subi\t a .npl)y.r k ml ,rDlil .d
<br />.fi1 lrEl !, tu oE hldlRl r}xrqll Jollu( lilm,lrxD. r .I]n!n n, rlI co{ of.ohPcnr.rnn. d:tu3.r I F.va.d itr llr
<br />Sari,n 1076ofrlE Ulr* Cdrc, d.rc{ Ixt rt'Ey'r l(1
<br />De.r'
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<br />anellol:-
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<br />laga8AlratIh.EnyrltununLrIEBlryor|xqtrrrhzrI!n'ldna{o.rF!}"k'.olClufl(0(ooftro{wnhSek'n?(lx))otD,vrKmI
<br />ot th. 8uiitus Mtl Pnna$ren\ C,ic, lrj $y ltrcnr R u ruI nnt ,i .flaci
<br />Drt..- (' l lor:-
<br />c0l[laljclIali.l.}]Nllltc-d{i[Na
<br />I hc(hy {,1(m undcr Fnnlryol lirlu.yrhlr rh.r n s ronntu.rr)n Lnltr!.8.ncy ntr rh. pcrlnrentc ofrhc w.rl ib! whrh riN ncnnr L\
<br />trsEd(sd.Ir97.cr c,
<br />l.ndcrs Ad&cs:
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<br />A88L&:ABIl)EClJlArrq!
<br />I hsrbydlimu lcr Fnelry ofFrJUrt oft rl th.lolhehS dcrl,ruri,nr
<br />rxm,lniri P.rmnrAihc(or MnrlEdk,n F.d.trl R*rl,rr)nr (Tnl. d{r, Pan6)
<br />R.1rus.n lJ(( ol Nrrrx{rr
<br />r.,pnLr.'hh n' rh^ I',,r! L I
<br />,r r.omr! I .8ft ro. trply *ri rll Cn! .nl (-ody
<br />tr,. rcr.\.nrlrrc! ol rhr c,r, i (
<br />Oh
<br />I
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/Eneroy
<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 />-.-')
<br />FINAL 4 /L7l/,)-/./-//t '-Zth-)
<br />Certiticate ol Occupancy
<br />Notes, Remarks, Etc
<br />L*cn\.Chs:
<br />UFER Ground
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