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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNER BUILT'ER DEL('AR.'TION
<br />I hd.t, arrn onds Fuhy ,.f Fiury rht I m .raF nln th. Codrtdoi l.i.re l,s for th. tolbui* ds,i (st 701 1 , r
<br />Bu!i.6! aal Prof$on Cod.) Any ( ity or ( ounry *h'.h r.qui6 a ,6hit lo co.$tud, ah6. imtror.. &nolnh or EIrtr my
<br />srtudue r.ior h ns isuu.- rbo r.qu6 th. 4tlr,! Lt $(i Fni lo 6lc t riS..d ntlmt lhd rE or lrE n li..E d noBd
<br />lo rh. F,yki6nr of th. Conteror's Licos.d l,r' (Chrfld 9, ('.mnftr.a qnh S(t'on 70m of Di\kio. 1 of lhc BBin md'
<br />Pmldlions Cod.) or lhll lE or rh. it .rofl lhd.nom sd rh. b.rn tor lhc lll.sqt dopr ion Any ! iol.l io. ol stri.n 701 I J hy an) \
<br />rpph..r ,or . Fnn qhJd! rh. a'pl'crn! ro . cn il p.Mh y of Fr mr. ih6 6r. hlndr.d &rlls ( t5(D)
<br />l. s oqF of lhc Fopdty. or my onplot6 wnh *.*6 s lh.n sE comPcd io.. sill d' rhc \ot tod rh. nMR ir m!
<br />n drLd tr oll(.d aor nk lS< 70u. AutiB ud ProfdFB (ii. Ih. ('odrxro.t La.G I^ &E mr 4r[ lo o.\E of
<br />rh. rnrxny Elr hlil(h or imFov6ltEq,h, srl *h. d(E .u.h ss.l hihs.lf or nell d. ihoolh hi! m h( oun dthr 6
<br />Foviddt rhr! rud inFollmE m N hldn d ororlslil for 5k lL ho*6d. ttE tuiuing or itrprorffi i. r'ld qihin on. )@
<br />or@tr9Lrir( tlE (xffi Loilda Lill IEE rlE hrkn or lro$r ih, ri d sh. dn d rlnd or i'rrct! tl|c FoF!) nr. tlr F,IIE of
<br />l. d o$G of !h. Fot'd). o qclNir.lr.odrdirts r h lrdtd co.lr6o6 r. rotulI rlE FoFl (Sc ?orl. &Bffi
<br />d Pbfishn(\d.: lh.Conrxlor'r I (orc I 'v dod nol tptlyro o$ nG of prop6l) $ ho bur ld! or inpror6 lhsFn.
<br />d.d $h. co,{6crr ror $.h thld3 snh r (ttudo(r) licd<i pudd tu
<br />'h.(
<br />ontlclois l.icdr.lrr}
<br />^,|.-'7'ifri/17 -l,rhZlt-'
<br />, DECI,/IIIATION
<br />I hd.r, rmm und.r Frlty. ol Fjury .E ofrE r.lhs'ns ddh. $E
<br />I h6vc d * nl mid.in r ( dific.r. ol const to S.lt lNur. n r $.rtd:' olnrnt lion. G prn id.d tu hy s(lion :t?01r oih.
<br />litu ( odc tq lh. F r'.M. of
<br />'h.
<br />s. fo. trhahrh.Fnn 6 rtu.d
<br />I h^. md will m.inl,in uorl6 .oDt Mr io. iNUr@., s r.!un.d hy Sd ion 70o of rh.Ijhor cod., fo. th. pqaof]M.. of
<br />th. sut fr shth lht Fhn ! isFd My trqt6' sn4.Mirn iMltr. c.ro id Flk! .umb6 e:
<br />I cdit rhd in llrFfodtcolrh. $or( frtr chkh rhir Ddnr it itu.d. I rull m' dPlo) rny F$n 'n
<br />m) msffi
<br />$ d ro h<oe 3ub<r ro rh. sorl6' comFrd'on b*r or Calilomr el .*c th.l if I Jnuld b..om. tubd' ro lhc
<br />u orld' 6mFE tion FDvitn)N of S.nior 1700 of rh. lrb.r cod., I slEU. tonh*ill 6opl, tr irh ihoE Pro\ irioN
<br />\tAiNtNC Frtut ro -tft mrld mnpd ion o16rs. s unLstuL di ih.llsbicl o drrl4ld ro simi l FEIE.nd
<br />civil fin6 up k' onc hu(nci rf.usrd &lls (llo0.Oo0), in 3dd'lF. ro !h..on olcomF@l'on. dm.8d a Fo\il.d tu lh.
<br />Scrrcn 11076 orrh.lit r Coda inr66l sd .llo'Ey s fs
<br />".,,, tc/r4
<br />DECIISATIO!
<br />I h.r.by rilm unds p.uhy olFjury rhd I m ftds.d und- pr!\sion.r( i4!d q l.ommdcrn! *'lh Sc.rsn 70fir) ofDnrh. !
<br />Df rh. Achd ed Pmfsiotrr Cod.. &l n!" li.re ir h full forc. dd.ral
<br />CAIiIBUCIIANI,ENDItrG.6GII.(T
<br />I horl,r arm und6 Fuhy o t paiury rhnl lhq. i,t r conrruclio. l6ldin8 +ocy fo. th. psr(md.. .f rh. aorl 6r which lhB Fnr i!
<br />is!.d {sa. 1007. ci! c).
<br />APPLI(' NT DI('LTR TIO
<br />I hdttl .Fih o.ds porfty of o.rjur) oe of th. forlo$rn8 {k l[.l6ns
<br />D.mohion Pd6is-Aln<ros NorificarNn Id6!l Rcsulahd8 (1 irl. ltr, PM6)
<br />R.,-tuiral l.drd of fiixi6cnnn
<br />I cdii! rhi rb. ftn r.l rlsuhioB Essdiry 6!610r t@r.l o. mr .rfiiclbk lo lhB 9rnjd
<br />I.6riayrhdIh.v.rodlhnqrplicrrmnand3rri.rhdrh.!b.v.irlomalioniscorFrlaSr(tocomtly*ithrllCirt.6dConrr
<br />odilffic rd shi. t $. E]nru lo buiuins .odtu.ri.tr &n lEct! llnho.n! rqendn 6 of rhi! ( iry!d Counryro dd uF)n rlE
<br />,tnt. nhrhndt mdv fo. B6ioll!,.4
<br />^-#;ffi":*"ffi.'t,r 4*4 :- .y'rs/u
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUl nsulation
<br />Roof Sheathing ltj nLitt'l+ t4'
<br />Shear Wall
<br />Framing
<br />ln s u lation/Ene rgy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Frnal Report
<br />Enqineer Final Report
<br />Flood Zone Certif
<br />lr
<br />FINAL C1t-t?)kn&la-
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc.
<br />(c,{,rs
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