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BUILDING- INSPECTOR RECORD <br />SITE-WORK tD/slG.COMMENTS <br />Set Backs <br />Forms/Steel/Holdowns <br />Erection Pads <br />UFER Ground <br />SLAB Floor <br />Roof Sheathing 7l,l,q &;;v? t*, <br />Shear Wall <br />Framing <br />lnsulation/Energy <br />Drywall <br />Ext./lnt. Lath <br />Brown Coat <br />Iv'lasonry <br />T-Bar <br />Handicap Req. <br />Deputy Final Report <br />Enqineer Final Report <br />Flood Zone Certil <br />,TA <br />FINAL 1-E-x,t&iy' <br />Certiticate ol Occu n <br />Notes Remarks <br />-f <br />OWNER AU!LDFI DEI-CARATION <br />I rErchy .,frn unj.. Ful, ,n Il rr, rhr I u .rcq, 6m rlt Gxr,arG' tr.k l:* rur rh. rolhrh! E.ih (Sa 70tl 5 <br />Bunnrss i Pnrt.sn,n Grlc): Any Cny or Counry whkh rcquB 1 Fnr n) q,nnrud. .Iq. rt,rck, Lkml$h or EFrn sy <br />(rudurc. Frtr t. ns !.ue!, s Btuc rlE.I'plrur ri, .uh iEmr r' . r iarn {rr.mnr rh, rr or {x u ltc.EJ InNur <br />t! rrE F,vnilnr or lh. Conr*rr r l-.rnsrl llu (chrFd 9. (-i,mftEr! D h Saru 7(rl0 of D'llrbn I or rh. Eutirs rd <br />Pn'lc$nrnx Codc) or ihrr lE or thc r ci.hpr rhdlrohmJrhc h.n\ lir rh. ilk!.d.r.mrrkrn A.y vrn.lio.oiSdrnn'7011.5 hrmy <br />1|r?lf,ad nn r pemr lubFlt rtE lpdxd tr r .,vil txEh y oi { mE rh.n liyc huftlr.J,lollss il5m). <br />l,.so*Nroirh.DmFdy,ormy.npbyc$whwrS.s!srhctrsLco.{xisartr)n.wrll&'rtEwo*.Bl0rnurwsn,r <br />ur.dti or o[cr.! k, eL r Sd 70,U. au5fts rnti Pn,l.$r,m ( ,i. Tlx Conka tr'( Lrcn€ L.w ,lx! ft rfi'ly ri' u "wr "lrh. F)Irdv wlx, ho'Ut o. !qr)E\ rh.Nr r *hil.uhqnthm(lr r h.rclf or r th,uSh h,r ,n h.r o*n .!r{by..r, <br />pn,vrlcd ih.r ruch mrln,rnrnlrN nn mrc cioron.rcJ hr Blc ll,h,Fvr,rLttu hS nr mpn,tmhl ^ r'! wirhin "m F{ <br />ol onpkrln. rti Owtur BultLr w l hr!. rh. h{nLn ot tm)sp rhi lr or cJ, nr hldl or nIn,E tlI I[IEry ttrrt flrIDeot <br />_1, ( o*Mr of rlr F)tEdy, rm .klu{hly cadBrhs rih lr.ncd $dr&!oF n, !.n(ur rll F,Fi (Sd 704,1, Buitr* <br />.rn hoasm CoL TlE ci'dr*lor'! l.r.nk llw Ja mt .nrly ro u o* r ot F{Eny *lb bu,ld. o. ihpmEr lha@n. <br />dJ *lx' codhck ror such lxor.rB wirh a (i'nrdo(n lt.nd tuBurn' to lh. (t.rr.dir ! l-rcn!. l,w) <br />I sc(nll{ ud.. h(!'n .lt &P(-lrtrrhrrc,$n <br />worxrffi <br />oEctdSauia <br />I h.rchy allrh ondcr Fnah y ot lxrrlr, om otrh.ldlosht tLcUi.ions: <br />_ I ha\t :'i rnl trudam : ( .n'f{:r. o, Con(nt k, S.ll- lnsur. 1,, Mrt.c' conVrndon, .\ Frvki.J lq ht S(ri,n l7(,O ol ! h. <br />IitrtrGrlc. rnrrtultrromN. of rh. *ort lnr whi(h rh. pcdir ! B\!cJ <br />- <br />I hr\ c lnl *rll mrunlr *orl.^' rohti nvifn m\rrrl c. as ,lnrmi hy S\_r [n t7(x) .l I h. L.li{ (iic. ntr ih. p.rlomh. ol <br />rlr wo ntr*hrhihr pcmni,\ trru.d My work.B'co lPcn\itr'n ur\urlRc(n*r uri Fr(yNnrhtrdc.*. ' Str.leq21z z1 <br />I d.dilyrhlr 'nrh. !.rlormkrntthc wolk,'tr whrhrhs p.fln( F N!u.rj.l !h.ll norcht[ry inyn Mn <br />'n <br />rny mdnN! <br />$ blE{.rsuhF.thrlEkxt..orqf,.qrsnh*!oacll,LrnE-rnl.IRrhrrdI{DUllb.tomohr{ln'rlr <br />*o'I.r' onFnei Dn lrDvnlns ot S\-l on lrt,0 ol rh. bhtr Grk, I nElL lMhur h conply *rh rh'f, pov!$tr! <br />WARNIN(;: F.ilur. t' kurc Mrkcii' .onrn ndion corcBtc ! unliwlul, {ol rhall suhjc(r in 6tk,ttr t, ffnrl FMirt r"n <br />.rvn fmr un Lr.E hu.dEJ llx,usd &nL^ lll0l.,.(xn). r .,.! nn n' dr r <br />S6ii,n 1116 of rlr l,hr Oll.. i,n.Er r'n drEy'r ret\ lzltq <br />lrlr]]l-8tr!1^ <br />I llEhy .rrrm uBhr FElry ol Frjury rha l.m llrnsJ uBkr F,viss. ol Chltscr g (onfttuD! <br />ol rtr BorG.!.d Pmf.'iEN Cdi., !n oy l!.n* 6 r tuU lllN .d.lldr. <br />,-.""*."..' C-3? <br />'",,' 4 )Zltct conrn(,or <br />oqzztu) <br />fYl r$g <br />carsrallJtqN.LENla$-a{iENcr <br />I h.rhy rrrum unlc JE..ky dr Frun rh.t rlrE Lr r $nnurir Ln lss rr.ry nn rM Fdn'*-..1'lE $f,r lor shrhrhis F"m'r ! <br />nt!.rl rse {197, C'r C ) <br />ATILII:ANI.IEIIdEAIIA! <br />I tr y.trm u,rlcr J'.n.!y ol pcrrury oE ol rh. ftnb*tr! J(lurri'is: <br />D.fr,lnFn P.rmdtArl'.(or Ndd'ilri,n Fcn.rd Rc3uLru\ (l L:lO. Pdt6) <br />R.qu r.n L.trs ol |ld'f*dDtr <br />_l cd y rh, tll r.rhnlr8llzroB ErrdrnS .$6tx mv.l e d {lt|lNl . k, rt6InoFr <br />DIl."nn, ,* , t* ., ,nn lpplI.r i,n ad (.r. rhlr rh. .h,r mtnEri,n ii coftd I .grd ro smply wlh rll c y . l cou.ry <br />oriDB6rdl Sr .lis{ EEin3 t' hu J'nt (,ndtur$n.41h.:urhtrr. EF.*d{ rv.. .r lhr Crry .rn Coud y t, .dd uF,n rtr <br />ah'v. ftntkrxd nn{'.ny nx oit'.clpn <br />\pplnrnl or \senr SirBtuF <br />L+z- <br />lt <br />I <br />DATE <br />0ft=ln <br />Irnd..r Adt.s. _ <br />Subf loor/VenUlnsu lation <br />Pool Fence <br />Etc.