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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
<br />I h.n6! rnnm unld FMriy r'( Fjury lhd I 6 crryi iitrm rll C.trrB1ir' lx.r t w tu rrr fou)vm8 E&!n (&..7011.5
<br />Bu,nc$ {n Prcf.rrin c(rLl Any Crr, or Counry whrn ErluEr r Fm h Llnrtu'. .lls. rn{nw. &BnBh or FF{ my
<br />{d(u.. Fr" lo ni irswc, r(o r.qut.s th. rplli.a tu iuch Fmir t, ,lh ' lisftd .r.md lh{ & or nr s U.cnrd I'uNul
<br />r' rlE F)ysrrs ol rlr Conrr-l[ r Latnsl L,w lch:trd 9. Co,mNn8 *nh S.rrim 70(t) ol OrvitFn .! of rll Butirs .d,
<br />PDf.lri,nr Cdc) ,r rhtr L M sL 6 .kmfl rts.tiom .il rlE lE!6 f rlE .lk8dj .rd{ oi. Any v.hrbn o, S.d.n 70.1 ! t bt .n,
<br />rml,ri tur i Fmi! slhFrkrhc !firl(rnrkr r c,vil Fnrhy of nol B)rc rh.n frvc huntjEd Llollar ($5m)
<br />l. s o*F ol rlE FlFnr, or my.mplorar wlrh w.sd u il.n $L 6rp.Mi,.. f, l & th. wrt.d llE rlulE ! flr
<br />inr.Bl.J o oltir.d r'or nlc (Se 70,1.{, Suims sd Ptur.sirnr CdL: Tt Co.tB.trt l-E.f,s L3v d€! not +?ly ro in o*M oI
<br />rrE F)rdy pls hill! r irF'E! oBa .tn *ll' &E {h *xt hdrlr or h..Elf or rtmldt hr d h.r om (r{'klyer,
<br />tnrviial th.r rEh lrFrtrdr c En ddllal q .f,oB, lr, q].. l( h'EE rlE hd&tt or rFtld i! n! ward iB tdor$ipLrbn,r,EO*8.Bu.rrIhr€rtEtuJ.noIFovh,lhdlEor{Edil ntu l q dl,ot IE pr.fd, rd rtl l,,IrEoI
<br />L a5 dwfrJ ol rh( Iruplny. rm .rclunFly .ontri( r u3 w h l!.n\a] (ont&('n b (nntur rlr !n'r( r (Se. 1X;1, Bu\tr$
<br />ri Etrcsrn Ci c:'lhcConk(ttr \ l-ir.nsc t-rw 'l(f,\ tr(r lptlyt' rnoun.r., ln'Ii.rlywhr) burld\ nrinpn)vcs rhcr&n.
<br />($rhk r( sEh rn'a!s vnh. G)nlRk(r) lr.ns.j nururir rorh. Codrf,nn\ IatnE tiw){LSsrDr-j
<br />IESAAAIIAN
<br />I tf,r.l,y rnirn un&r rE lrv or n ,jury oE of rh. nn!'*ru &rkrri'n\
<br />Ihav.. wrll rrornrrr r Ccn rltarc ., Ci,nrnr r' Scl,:Inntr. litr roltc^' (nrFnsir ktrr, rr ln'vklcd nn hy Seron .rTlD ol rk
<br />uhtr C,rlc.l,tr rhc ll(rlomR. olthc *o* li]. wh'rh rh. l.rml ( i$kJ
<br />_ I hrv. ,'rl s 'll runi.'n so*$ ronFnsrrk,n hruraa c, J1 rcquudJ by S.(rn)n .r7tu .l rh. trtrn Gil., n, rh. Fnttuk ol
<br />rlk sork ntrwhrhrhN lltm r askd MywortcF romlEn\rrDn msn.ncc.rrE ![] Irnry nt,hh.r -.1
<br />Pol., Nunhd:_
<br />I c.nrfy th.r in rh. nyturoNc of rtE *oik (tr BhEh rhtr F tur R ^'u.rl,I sh.ll n cr{'hy.nyIE(,n m.ny mdFr
<br />v, Ito tt$nr rubr.rr b rh. wod6s conqEnerr)n Lws oicrli'omi., ud rrEc rtll ill xtr)uu trrom sbirt n' rh.
<br />k"td. .rhFMrrnr novrr,ru ol ssrrr ln$ol rlE LrhrGr]..l rldl, fMhe h.od{ yw hrn'sFDrni'n!
<br />WARNIN(; F.rtuE k, E@ Htrkc6 on{.Nri,n .$v.ni. ( unLqtul.0l sh.ll suhr.l .n mrhF i{' wl rmlii: ul
<br />o ok hun'lkrl rl'ou\rn(l ,lollrrs (lllxl.txl()r. aJJnhtr n, rhc !'^r I .,,nltlY:rls!3s s rn'v',rc,r .rtr rh.
<br />CdL, hr.r.{ rnJ,oDmt r rar
<br />?4 l'7 r
<br />DECIASAIITN
<br />I h.rchy r]I,m ln.lr pcmlry or tErjury rh.r I m !!.n{n ud., F)vl\x)o .r ch.nrd 9 (conmE mE * h Serln 7uD) ol lrvarn .t
<br />dI rhc Bu{r$ .n'.1 Pn,Lsii'ns Cod.. s,rl my licn\c ii in lou ,nr. &i crcct
<br />Dtr. _ ('dl*rE
<br />CABiIBUCtro&IEDAC.AGEIS
<br />I &Elry rrfrn unLr Fn ryoiIErIrythd rt* !. LsdelDn l'nnt.!By for ili Fir'l'lgh. otilE uxt for st hlhEF !
<br />nskn lS(, 1097. Cit C )
<br />ATSLISANI.DECBEAT!8
<br />I hdtn, ,niD ur]., Fmxy or Frj!ry om ur tE r,,llt'w,n8 ddLr.li.r
<br />ttmrili,n P.rdrlArtEnoi NolifE.rir l.lj.nl R.rlLri,N (Tirk,l0, PM6)
<br />-Rc{uftd
<br />L.n.r or N* ...r[n
<br />_l ..n'ry rhi rtr lcl(Jrl (slhrrtu E3r.lin! (hcsros rcm'rrl & r{ .,IlluhL lo Lt! |jnrFl
<br />lecn'lyih,r lharrn ih'\ rltl'. otrrnJ n crlri rhc trh)vc rtrntrm .n Nsrc.r l,3rrb(omtly* hellCiytrtrJCounry
<br />onloatu.s.,rj Sl.l. ti*srhrry r,, huillry r.ni EnltxEs oi rhF cir y lnl c
<br />rh)vc mnrF)k1l lKrpdyitr Drp(riro
<br />Ar,trli.Hnl or Atml Sl|ltrrlu
<br />er&tr inl lrFby.ulrE .rrc
<br />,- ,- f,/?
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Sublloor/VenVlnsulation
<br />Roof Sheathino
<br />Shear Wall
<br />Framing a.rt -rl t*rv/h.
<br />lnsulation/Energy
<br />Drywall 't -4.u \ktMlt
<br />Exl./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 t-zt-zl JJ.J;fn(?D
<br />Certilicate of Occupancy
<br />Notes, Remarks, Etc.
<br />t
<br />Ll r.a e
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