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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 />SLAB Floor
<br />Subf loor/VenVl nsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drylvall
<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 //z?h,
<br />Certificate of Occupancy
<br />No s Remarks Etc
<br />C
<br />c (-
<br />t"
<br />1,4/
<br />O1lNER BUILDER DEI,('ARATION
<br />I lE .b altirm und6 p.Elt) ol FJury rh, I .r@rr h6 rh. ( o'nrarm' Lk.# L,$ aor rlE follo$iu r6*n (S( 70! 1.5
<br />lius'n$ s,rl Profdbn Cod.) Atry C'ry or Coudy \hah i{uc . Fmi h codtud, .ha. hrro\.. &nolirn o qsn u)jto(r. pmr k{r! nrum... atlo Eqor6 lh. ipplksr f.r such Fni ro lik ! tun d rrtul lhi lE.r JE ir li..rbal l{ed
<br />ro thc I'!6'ons ofrh. Conr6toas l-icfl*d Ir$ (Ch,Fd L C.mnrn.i,! snh S(lhn 70{O otDr\nnn I ofrh. B$in* lnd
<br />Pr.rshN (-od.).rrhd h. or shc sddpl !h6.6om r.d th. bsn for lhc sll.r.d.rdgion Any vioktun olsdion ?0!M! tr)
<br />.+FlE6.l for a Fmt tubjds th. lrplic.nl to . cn rl po.h y o f not morc lna fir. hund(d dolld! ( tJ00l
<br />l. 6 orF of th. F!D.ny. o dy oq,l,olc tr nh $rsd d rh.ir $1. omFdion. $ill6lhc trst Etd rh. nMr ! Rn
<br />idddal or .lta.d for sL (Se 7044. tluriK Md P,oaBbN ( qL l lk ( oddoat Lacg L$ d(E d 40ly io u orm of
<br />rt Frp.'i) $t$ hrl.l or irnFnr6 rh.6( !.d who d6.u.h srt hiMlf or hotlf or thrcu8t hi! d fid o$n mpl6vG.
<br />F.riLd rlln $ch mFrld!ftdr i di.d ororEEd lnr sL ll lF$s6. rlE hr dinn or in{h\t6 n$E$nhmw!6
<br />ofmnlpldhtr tlr O.G &d& uilt l$! llE t!td6 ofFniis llu lt o, ih. dil ml tnlld or imF.lt ih. FiF!! irr !h. psrDos (r
<br />l. s o{F of rh. Iln,,qty. m crclurr.ly (Dnk..r,.s \ilh lic.ne.rl mntdoE t' .onsltu( 'L Fid ( 5< 7(lr4, &6rns
<br />&i hnasi- co& Tt. (-ontkoi! ti.oi. L.u &6 nor lDply to u 0116 or Dn pdy who buitds or imrrovd rhqon.
<br />6.d trtF odE(e nrr 3*h F!j.tr. w(h, ( o dortr lraa.d pr,td rorlE Conlr.cioa! Li.ac ltu)
<br />I en.r.nfl und6 Seriin
<br />D.re oin6
<br />trttruirlts' t ottrtls,tl lttti
<br />DIgrl&lI]Ol
<br />I h6.1,\ alfi nund- tEn.lr) of IBN!. on. ol rh. ldnNnrt d(l.randns
<br />I h,\t &l $ill n.int.in. cdifr.r. olcolMr b sf.lMr. for rsk6 snF6 ron.6 Fr'vi:t d for $t sdron !?(lo orrhc
<br />ljtar Code for r tu Ffolrr@. ol rh. $ orl f.r $nth rlr pdmn it isuGl
<br />I h.r. !.d { ill nimr,n $ 0*6 conrEEllron rNlr!rcc. s r.quEd hy s<r o. 1700 of lh. l-.b.r Cod.. fot th. pslorrre. o,
<br />ih. $o.t lor $hkh rhB Fmn b isld My rorld omFadEn iBurr.. mi6 ,n Fncy nuntd e
<br />I cgriry thrr i. rhc Faotri@. olrh.y.rr for {h.h rhk Fnh . isu.n,I .ll ml orh}..y F$n in,ny me.d
<br />$ s ro b<{orc sbjd i. th. s. d' comp.anlion LE ofcdit,mn. and tsft rhd il I shluld h.toft lbicl lo rlt
<br />tr(*6 smpqurt i.n [svilion] ol s.('on l?00 of rhc Irbor ( odc I srull. fonh"nh mnply tr'ilh tbo. Fovi.i.Bw nnINc lr,lruri ro sd. $ort6 mmp.Mirn mrdB. n u.hqr!!. tud !h!lt rubjd m mpk)!6 io anriml FrhE &d
<br />.nil nn6 up to oF huktal rlrrH.d rhllB (tl0o.00o). in aidirion ro rh. (.$ of..mFnsr dam.lcs ds p(\'dcd fin ih.
<br />sdlon :1076 oarh. lltn ('dle inldcd ..d nlolB.s aG
<br />+lt+]_t+
<br />DECIAIAIIO!
<br />I I'dby rmo undd Ftsh, of Fiury lhd I m li..!s.d !rd6 Fllltion of (ll{lis c (@ffii.r *ith sarnn 7m0) .r l)n BFn !
<br />or lh. Buirc ud P,of*DB Co&. d n, li.N a in 6rll fora,n dldi
<br />ia/t-r /11-
<br />CA!$tr!CIO!I.E!DI!C.AGE!!}
<br />I hd.b, lrm u.dd p.noly of p6ju.y lh!! ln@ ! . codtudio. knding .!my aot lh. Flotu. .ar lE *ort tu *hkh lht Fnil it
<br />isrd (lia 10c7. ('i C )
<br />l.nda'r Nm.
<br />AIIIIIAILIECIJAAIIAN
<br />I hE*, ntrEr urd6 pallty or tEjury on. ol rh. rolh'*inrr d..lxd nrd
<br />Dqmhirtr Pdrits-Ashgror Norificar n n Fcdqal R.sukriotuI,Ink40, Pd6)
<br />R.qut d L.1t6 of f,Iorificnm
<br />I .dirf, rhd $. fat ful r.ruLrioN r.*&dins Bt'dor r.m\ !l r. nol qpl(.hk h th6 pnildr
<br />I cdi^ tld I h6v. rad lh6 .pplrdnn d $ .thnlh.ahrr.'ni)mdnJni!cond l.*relocomply$ilhallCietndcou.tr
<br />ordiMftd u! Sr.l. u$clJil{ro tlild'tr* co.irudr( rd h6q!_ ,urh.n,. Epr.5.'n 6 ol rhi! ( ityr Counry
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<br />drd uF h rrF
<br />ab\. mdron.d p6p.ni_ aor intx(hn
<br />,rppll.rnr or ,t*dr Si*n ur.,,.,,t6/ts /tv
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<br />IUFER Ground
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