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BUILDING- INSPECTOR RECOBD
<br />ID/SIG.COMMENTSSITE.WORK DATE
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loorVenVlnsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framino
<br />lnsulation/Eneroy
<br />Drywall
<br />Ext./lnt. Lath
<br />lvlasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certil.
<br />./-^/.,..4
<br />FINAL qflz{w
<br />Certificate ol Occupancy /
<br />Notes, Remarks, Etc
<br />OWNEI BUILDNR DEI.CARATION
<br />I trcby arm unLr Fndly ol F,l,ry rhd t e .eq, fmh rh. c(,rrktn' Lffi Lr tur rlE rolrrml G.s,D {S.t.7).,1.r.
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<br />h tlE Fovlsio of llE Cu Bd t Lm..rl L.* (Chrlid 9. C(llrmNu! q h ser'n ?@o of D'rlri,. I or rrE Btr.ft( ,J
<br />PNLsxrn\ CaL) d rhi rE r ft Lr .rcq,r lfidraion nl llE b6u fo. trr .lLsql .(t9,. Any volrbnofSert'.7011:l bret
<br />r|'plud ror . Fml iut'J..lr rh. .fitl(!n! ro . (rv,l Fn.]r y o, Dr mE lhs trv. hllndt JorLn (timr.
<br />-1.
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<br />ol $n{,L1nn. thc owrcr Bu rlcr will hM (tE ttrnLn fFovins lhal lr or thc JiJ Bn to,U N n{roE rlE F)Fr, fDi rtr lorF* of
<br />-1,
<br />\ .wffi .r rh. !n'Fn y, rr .rclurlv.ly ohr-rn3 *irh li.tnc'l .onr4n,n t, con{rulr
<br />'rE |r)icd (Sa. 7044 4o,m(
<br />!d hr!1u c{rL: Tnt Contrrr!tr. Lt.n!. t,w.nE dn Trly k, o uukr.rr^{tny *ho hu[tr or mprov.s llEr.on.
<br />and eh6 ddmkl luh F,j.\h w hrconhck(o lsncd nlrrurr brkconr*r(-r L{.n. L.*).
<br />_l .r.sF unLr SerM-
<br />lloaarlstglurENsal&!
<br />DECIISAD',N
<br />LEEhy rtnrmrn&r Fnlxy or FrJu.! or I rlE,olbwr! J\.-l,tr$n!
<br />I h.vc !n *rllmlnrm r Ccdlrtuc.r cl'n€ n, ScltlFur tur k'rtd! i'.{xni!l trr !r Frtrlcd rd by sel irtr ]?& ol rh.
<br />ljh, Oic.lor rh. Floruc of rh. Mr* Lr whth rh. Fmir s isu.J
<br />-l hrv. ! l w'll udrrn work.s rofl,Pctr\ar('n 'n{mnt..3s rcqutr.d hy S.crlrn r7(Xlol rlr l-!h r a(xj.. hr rh. P.norinrnL.r'r
<br />r( r*Rl My wo'k.^' .onf.n\ar(,n 'n{trrn.(L.E (se)N(E,F€,L9,LLC
<br />A I<UJA 813\Ao1 lo. 3l'?ol-o
<br />I .rrilfy lh.l h rlE F.fo.tuL. of rh. polt f( whah lhr p.rn r 6tEtl, I rn B .npby r, IEl6 o rv lME
<br />$ (robclm l*it ro lrr s*6 .nd?.t!dor hw! or Cdiflm. r,n lsB rh{ [ I !rso! tEm $6i{r ro rlE
<br />hlt6 .iqErslMplorn.ro,S.d@ lTcrordEtihrCa.l, l {rll. tnhw{hsrt yvttlnEFDvii6
<br />WARNINC: F.rr ro :re krl6 drrrf.nqrrr oE3c ! rnh*tu|. .,n $.I rlt'Fd d dpktF to dErl IErrF rJrl
<br />cr rEr up ft, (E hhlr.,l rrbrq,n doIB (tl@.o@)- in rlJr$n h rh. .o{ of (snitMrbr d! !6 B liovil6l td rlF
<br />Sdr[n.1076olrlf, Lh*Gt., hrcr.(.nJ r orr'rfes
<br />lz.t1 . t MAc.Bje-s - c-, A). flzr0eLLL(
<br />LICENSEI,) CONTN,T('TOR
<br />IECI.AEAIIQ!
<br />I hcrchylllirn! crFnrlrydlFrulyrhlIlnrlur$'ltndsln,vst'nnl(turtctr)(uD,tuR,n3whSetion7OO0)olD'vtrR:l
<br />ol rhc Aurincs d fnncs$n\(itri.. lrl myltcnsc s htull n)(. {rl cll..r
<br />B
<br />MAc Btes-z-.ur Dpr0ac LV-
<br />CONSTNIJC-TION LENDING A(;f I'{C'I
<br />I h.r.6y.rm ufil. Ffllry ol lEr,lry rh.r rh.r ir.onrlulrn tBlnr r!d, n{ th Frliru! (" rlr qrt tu rn h rh! Fmr !
<br />Irtulcrr Addrcs:
<br />-
<br />_l ddy rh.r rh. LJd.l E uLiinr Es&ld8 sb..tor rcmy.i e fttr .I'lix.hl. b rh( lh FI
<br />I dfy th.r I htE rri rh. q,tl..r M .,n <1.r. lh.r llE .hrE 'rturii[i 8 ((mr. I .!E ro ot{r, *in .I Cnv .tn C.unr,
<br />iilruN! .,n Sr.rc tr*t Gltll! to bru4 on(Mrrr .rl lE!.h, rurlbM FFr .lrt! o, rh! Cny .,n Cd.lv ltr cntd qr$ I
<br />{rN nEntFrd I'NFny ld mlFrrn ltrF!<.
<br />ADpli.anr o. As.rr Sirnalue
<br />Az Y
<br />z.la.n
<br />tz-l
<br />21'dV/lLt-
<br />Brown Coat
<br />Drr.: offi-
<br />o..,-1?]9--1IL c"or*r".
<br />r{k'J rS( :r(n7. (iv ( l
<br />lrnJ.ir Nrm
<br />AIIIIjjAIfDECI.dAAIIA!
<br />I llcby.fim un&, Fmlry ol txrjlty dN ol rtE lnuo*ing Jshfurons
<br />D.frnnon P.rmns rhc(or Norf'(.rk'n t.Jchl Reularrns ('IirL&1. Pd6)
<br />R.aruuc! L.trcr ol Mrlfrrrrf
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