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BUILDING- INSPECTOR RECORD
<br />DATE ID/SIG.COMMENTS OWNFI AU!LDER DI]LLARATION
<br />I h.chy lnhr uulcr n nall y ol rurtry rh.t I m crcqrl fmm rlE ConlrrdG Lirnc Lsw for ltE lollo*ins @str (Sc. ?(,:l 15
<br />Busincs {n Pnnarsion (irdc} Any Ciiy or Counly *hi(h Erlui,$ ! r{mi ro on{rrncr. dd, intmv.. &mlhh or ftFn oy
<br />u'uGpdab(r ntuN., rl$ rcq!ftr rIr .!!lrrd for ruch Fmi ro nt : i8n d (ilcmnr llEr lr or slE i lt.nrd llmMt
<br />rr lhc F'!ti.u ol lh. ('in ftl( r L.rnBl Lrw (Chq'rc. e, (i,nnErcin8 *it S6lbn'70(D of Dirishn I ofllE Busicsr !d
<br />Pnncrlir.i (ixL r or rhrr h. or rtE ir .x.Bqrr ih.Eliom rd rhc bl{r for rlE dkg.n cx.qi k,n. Any vioLt ion of Sc.li.n l0l l 5 by My
<br />aflh.rnr fd ! Frm {ht<kllr lltlic r ro !civill.ulryofR'r m)ft rhd fivc h!d6ddoll*! (J5m)
<br />l, !r uwEr ol rrE lrrFny. or 6, .ripk )B wnh vr8- r. r,Ei. 5L tunFrdb., will & rll ffit !d dr otfu k mr
<br />in'dd.d orofi.En tor rlc (Se 1X,{ AuliBr.d PDldti,tr! Gn IE cldrrru,t Lj.oEL,wdBD.relytodo}Eof
<br />l,E I'DFny *ln hiildr m !rF6llEEn !n yh {tH rxn q hrrelf d lEellm lhrcur! tis r h.r own clrployrd-
<br />prcvr&d ih, rEt !ryD!@.L! E ml ir.od.d moi&r.d fn rh l( the. t r hrrdi'ts m itrTown is rld *itii re Fr
<br />oiqrI,HD'! tli O$k Bui!.. *i[ ltE t E h!d.n or Fn { rlll lE c tr dn ri tliu c irFoE d. F!Fr,ld tli F Frof
<br />-L
<br />rso*Eol E FoFdt, M.r.lsiwlt.otudo, *irh Lc..n MidB b 6dM itE FDF {3.. 7044. eslB
<br />,n Msir Cd.: TIE (irnidolr Li&n* t * doct hr tt rl, !o o*E df pmFdy *t brild! or inpmE! dE6n.
<br />..d errt tutu.fd qn FF\ *irn I GrrBldrt) litnsd I,r{n ro rtEcon'rid! tilc tiw).
<br />rmr\cmfl unlr S(ru ,B &Pc forrhhrc:$n
<br />Drl. lrlmr
<br />lIoa6E8s:grltEBtana!Il[gJSArrllti
<br />I lEElry,lltrm unL, FMlrtolFrr!ry.r ol rlr I',lk*'i8 &i.l,r.rnn.
<br />IhrErdyill i.b.Cdifd.ofco'Enrrosdrl,mldx,t6'6rp.Mi'GaFoviLdldb,Sdirr7mol$.
<br />t tor c.d.. fd EFll|'moldr sod td *ti.n rh Fnir i i@.d
<br />L(6r rna *rrr mftin.orrtn o.p.Mhn,NU.R. ! 'quiEn by serbn lt(D or rlE L.hq c!d.. rc rh Frallft. of
<br />\ r& qil fr shEh rhtr Fnu F Brd M, wt6 onFd.n rNum ffEr !n eolry mn$a e'
<br />t:-
<br />{",n""n- IAT( A lLoO to1)) Ert,,ollo\Iee24
<br />_l enrly rlfl 6rh. Fnrrmm of rh. wo.k rr whrh rhir F nt n i..u.n, I sh.U d.irby M, pde. in uy lMFs .r lo bc@c obFr x, llE *6t6 c.,ttEMlan hwr ol Oliromn. r,i .er thd if I slDu! b.<or iubitl lo tlE
<br />wrrnr.oqrMii,nl,bvGioNots<rionlTu)o,rlELrErCodc.ltull.ft,nhwirhondy,nhth..p.virnd.
<br />WARMNC: liituE k, BUE xrk B strFtr{lion d'w8r ir unLwtul, r,n sh.ll slbFl u ditloF lo simiul F lis.d
<br />civil ,8, uI, k, DE hudEd rhourd (hllM (S!lD.fl)ot. h rddirhn ro lrE con.f.oqEnsiioE d.ms.s a Foid.d for rlE
<br />. sc/tui xr76fr rlr tr rtr (iNt , src,r{ rrlrrnrry. k\
<br />1",- i ; :;" ;; ;;,-* ;:: >e
<br />' U(I;N5IJ,ll.1NI&T(ru4
<br />u!4J.AaA.n!t!
<br />I lErciydtfiflnud.r Fnllryofttrju.y rhd I !n lntns.d und.! pn,vni,,nofChf,trd I (.ommi.,ng wilh S(kin 70{D) ofDivnirtr:l
<br />.l rhc IrFircs rfr, l']r.,.$i{rn Cod., drl
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<br />li.rN. i\ in lull tu(r n .fiLrr.
<br />/-"ct,* 1.9, c-3, L-Lt / Dttt
<br />( u". lgr Jll-l\ <.r-r..ao..
<br />1rlt,<l
<br />t>-lit La-- t O,-<*-c,h\ .-,
<br />(a$rutljll()ltrEdDllli-&ffl(I
<br />Iltrr6)rllnntrrkaFnhyorlr4ryrhirlrEi\r.on!ru.ri,nLrnli'qn3rryI{rrhcFrLnlrscofrh.*ortforrtrhrhtpcrnin
<br />^\uc,l lS( l 7,(ir ( )
<br />AI2IIqIILDECIJAAIIOd
<br />I hod'y .trm u..Lr rEndr, ol tE|lry oE ol rtE lol*,rin8 rb.Lnri,nr
<br />D.mhirn P.rni3.ArlErk\ t{dferaon l.ddrl R.s!Uionr tTnb /(), P.n6)
<br />-R.rtut
<br />al l4c. ol Mr ifr.li)n
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<br />dif] rh.r rlE &d E8!!riIr r.8rd!g GrH6 @vrl m 'ar .Fri.r,L h D6 FoF-
<br />j|A ddt du I rrE Erd rh! !CtlEr...,n rr. rhd rtE rE,E bforfli, ir.1JGr. I rSE ro 6.ply rth ![ Ctr.d Cody
<br />-drlin.l6.Jn slrl. L.r! Eldi,r ro bildlu ffibtr fn hd.6y .l,lni& t Flsrdl6 of rni! cl, !n cord, ro d'rs '4rnrlEahE cn'xxEn pNFny tu rq.di,n IEF)g
<br />,o*,lr?-te+t
<br />Set Backs
<br />bh4/z M//e t6
<br />Erection Pads
<br />UFEB Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathino
<br />Shear Wall
<br />Framino
<br />lnsulation/Eneroy
<br />Drywall
<br />Ext./lnt. Lalh
<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 />tl lt t lA
<br />FINAL lUr l u@//a18 frw
<br />Certilicate oI Occupancy I
<br />Notes, Remarks, Etc
<br />)
<br />Rev 0B 07 2015
<br />SITE-WORK
<br />Forms/Steel/Holdowns
<br />(L-t"s-()h'*z-
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