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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loorA/enUlnsulation A
<br />Roof Sheathing F 6'1Y V,W\l,l /^tPi- ch+b ro
<br />Shear Wall ?l1A!L ru?/1,ul)
<br />Framinq
<br />ln sulatio n/E ne rgy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Ivlasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />FINAL
<br />Certificate of Occu nc
<br />Noles, Remarks, Etct,n! tuzv bt*l€-/t 4
<br />,
<br />OWNER BTIILDEN DIL('ARATI(}N
<br />I hd.t^ rIIm unLr Fn.lr\ of FJu^ lhd I m G\mpl fi.m rh. Codrsl6 Lr(e t $ for llE ,olhsins rasn (s( Tor l !l
<br />uGin6! od Phr*io. (ild.): An, (iryo.(ou y shrch r.rtutr6 ! Fni ro cotr<dcl..116. rmFov., &molirh or EIFn 5ny
<br />sltu.lu., t'hr lo il, LnuMC.. de r<{utr6 rh. tppli.r' ror 3u.h IE mil !o fi1.0 sisn.n tlalool rhd h. or nhc ii li.4s.d p!,sul
<br />b ih. Fo\6ir6 of rlE Conrdor ! I 'c6s.{t l.n' (Cl$F6 9. ( onm*_'.s snh SdK. 7(ix) of Dnlro .r oa !h. BsrlKr .nd
<br />PrefsoN Cod.) or lhlr h.or si.6.rmpt ihfr<nofl md rhct ss fo h. tll.sd .ldpton Antyioh!tr,roasdrE70ll5l'y )a
<br />appli.r ntrap6.isubjaulh..pplic.ntlo!cirilp.nallyofnorhorcrh nr.hon&.ddollsi(15@l
<br />L ai o*nd . f rh. Forrny. .r m, mtlolG wnh $ ill6 s th.tr el. NnFlrdion. $nl & rlE trrrl an rh. lrrBrr. 5 Nl
<br />inraxlcl or ollc.d lN el. lsd.7ol,1. ll6i.s md PNrd'ons c.d. Th. ( onlridoi! L(oE I is d.5 nol ,pPly lo d owns ol
<br />rt FtrFrv utulul&oriryn\6rlEotr.nlqlhdBkhuo hrmslf or hGlf or lhmuSh hB or td .{n dtl,\6.
<br />Forid.d lhd s(h mtm\.,rEi! e En d.rl6l tr oll6.d for sL ll lD]6t rh. hlkliE omrm\.:rd ir eld I ihn oF !6
<br />ofcompkff. tfi. ( )\rns &!l&r will ha\ c lh. tsdo or provms rhd h. or sh. did mr bdild or ior$c rh. Ft l.ty fo. E FnPos ol
<br />I.6otrn6ofrh.rspdy. .\(lNn cly .ont.clrq *nh lk.B.d.ont&1o6 ro.iirnrcl llE pmjdi (s( 701..|tui.<
<br />utl [\.t3i, coJ. Th. (rinhcroi r t.ic6s. hw do6 nol aDrlt ro .n o*nr oaF.Ptnt sh. bu il& or improvd lh66n,
<br />Md qh. odndt lo ruch Fnjcll snh r (t d6(r) rrde<l F6d k, rlE O,,nrcl(t I rok Lu)
<br />I m.r pl unds Sclinn
<br />!945!:Bl-glu.E[!lalrax
<br />DECL SAIp!
<br />I lE t4 rmm !n&r FulD orFjuD oni olih. (nh{
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<br />I hdv. id q ill nuinllin . ( slificilc or Cordt to s.lr lGur. lor work6 .o,npf,t lion. s F ovid.d lor hy s(rlon 1700 o r rh.
<br />L,bm (-od.. fm th. rsIffic of lh. s$d for uith ih. Fnn ir (u.d
<br />I h.!. lnd will n.i.rain *otk6 conp.Mrion iBur.n... .s r.<lurcd 6y s<r io. 17m of th. I lbo. Ord.. for th. lElonM(. oa
<br />llrlr[nt{' i \trstri N\ \ 'rd\ ! tr,trNn,{,^,ni
<br />ha,+e, fu^dq1Dtoq6
<br />c. cffii6 rld policy n!'nbs .
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<br />I c.nilyliat in lh. Fft,manc.olrh. worl aor \hkh rhi3 rnmn i issud.l3hallnol oploy iny pd$. in
<br />'mnnn6$ &r !. h.<om rubFr to rh. $.rtd' onFullion h*! of C"lin'ma .!d +G ih, if I rholld ttLom shi..l to lL
<br />$rdd.orpddsnF.ritrcofSdbn!700orlh.l.torCnl.-Iddl.fonh$nh.ompltsnhdlo=FviFd
<br />WARNING: rlilur. ro cuc *!rk6 .onFuhn (o!dg. 6 unL*tu|. dd slllll rubjer o dnpLrd r. aitiBl Fuhd ,nd
<br />cnil [n6 up k, orc hun.!.d rhou$fit &llar (1100 ), in .ddition lo lh. cosl oa.omp.ern,n. d.m.86.s rovidd ror lh.
<br />S(ri)n rl176 orrh.ljbr (iiL.
<br />'nrdd lldd
<br />.ctllS/11
<br />IECIAf,AIIO!
<br />I h@tD dmm und6 pqr.hyofp.rjuryrhd Ie licdldl und6 Frnion of('hdpl6 9 (.oftno('ns w'lh s.di). r0 DofDirnnnl
<br />of rh. Bsi,B.nJ Pmfdi.N Cod., dd my lic6g ir tr tull forcc &d.r.d '
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<br />(al$a!(IoMlaDl $.AGE!(I
<br />I hg.l,y ifim uftl6 Fnaht olp.rjUry rhd rhd. n. oNtudiJn kxting rstry for lh. Fforlle. of th. snrl nn trnrch lhir rcnn ir
<br />isucd (S( l0)7, Civ. C ).
<br />ATII(:ANLDEC'JAAIIA!
<br />I hddry.lIm uodq p.rally.atdjury nnc ofrh. rolb*in3 dchrdion!:
<br />D.mlni,n Pmrr-Asb6r6 Nolifi(don F<ldl R.ruLrFd(TnL.ll), Pd6l
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