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BUILDING. INSPECTOR BECORD +tI,
<br />SITE.WORK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsulation
<br />Roof Sheathing
<br />Shear Wall
<br />t)^,,,rt-t lFraming,/)ft//41 D)
<br />lnsulationi Energy ur
<br />Drywall dttlq ltiv,".*ttJl *, -'itExt./lnt. Lath 6a
<br />Brown Coat
<br />Masonry
<br />rl
<br />L 74 I t4 ,ir,/ h,^,r*-rz.re-, o.l4--
<br />Handicap Req./,oU
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif .
<br />nc
<br />Not Remarks Etc
<br />Certif icate ot Occu
<br />(-
<br />C6-Orr' V b
<br />OWNFI BUILDEN DF,L(ARATION
<br />I h.chy rlfrn unLr rEhrh, ol lrlury rh, I d.r.mpr ftun rh. (i,itraloF' l-r.hr trw for rh. folbwmS E.$. (5&70115
<br />Businc$ rn Pn,lisi'n Cod.) Any City or Counly whrh rcquftr r Fflut lo Nnrtdd, illd, inll( rc. icBrilh or E[,.tr dy
<br />{rurtm. Frtr t, 'rr L$uer. !tl, Eqon.! rh. {'rlEr tur ruh Fmr trr lik ! sisrc! tllrctunr rh.r lE or (f, n !c.nka! pusur
<br />b rlE F vtri'n{ ol rlE Conrs-.lq ! l-rcncd L.s rch.Bcr 9, commmri *nh S.rrrn ?(m of Drvtrr'n ! or E Buritlr ul
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<br />rovrltri th.r rEh hnmmdr e r* rroJ.n n ofl.Etl nn sb ll. hrEs. r holtllE.r uqreErn ! i,ll *rlu (F Fs
<br />ol (orltlkt$tr rh. ()wftr au l.r rrl h.E rlE hhhr ol FrvlE 0d lr or rlr Jrl d t{lll triliuE ttE F{6, r!, tlE FrFx.{
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<br />rnd *h oderi ntr .u(h F*U r *rh . Codturo( t h.n{d Nnu h rlt C-,ldraroi 1 tr.tr* Iru)
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<br />,8.&PC ldrhnE.qr.
<br />t!])aI.ta:!0}tlll]-! tlorl]Iltn&ul!.:r
<br />I lE.$y rllmuBLr lrDliy oa Fr,llry oE o{rh. n,lb*[! iL.l{.tnn\
<br />_, h:x rnl rrll rutnr'in. C.nrlinc or Con(ni r,' S(ll.lnsurc !G krl6 .l,n'IItrdi,n. ri tr)vrl.d ln by Ser$n rTmol rh.
<br />llhtr Cdc. ntr rhc pcri,lmr of llE s'rl for *hrch rhc Fn n siu.d.
<br />I h.h rrt q rll mrmrrr wo.t..r .omFnser.n m\xdm.. .r rcq urtl h, Serbn lr00 ol ltE l:bor Cd.. ntr rh. Frlbrur ol
<br />rlr h* r,x whxh lhrs Ftu ! rBl My art n' &rrp.MiDn i.runBr .fEr {n F,hy nun$.r el
<br />C.mr:
<br />!\nki
<br />_l c.dily rh:r r rh. lfdrtrll1t. oi rh. wod nf, whrh ihtr Ffr N ltkrl, I .h.ll nn .rlJllry .ny Fe,n tr .ny lMmt
<br />$ s lo tE{,m ul*( lo l,r s,t6 $nFN.lhn hrr ol Crllloru r,n .tR lh.l d I r|i'ull lE1r qhjd ro rlE
<br />$rt.R' onFNl$n FovsDnr ol Selon l?fl)or lh. Ulr* CdL. I lrrll rdhv.n.ndt'ly *rh rr FsvEirtr!
<br />WARNINC: trbE ro sN k{l.r'onp.Ntr&n Lr,@3c is unlt*tu! rd slull ohj(r u dil9hF h q6d FEr:r ,rl
<br />.'!,1 ,lnrs W n' ok hun'lrcJ rlx'u\rn'l 'lollr\or .{mn srron. drruf.\ 4 phvdcd ntr rh.
<br />s.(rn,n lr76 0r rh. I_xLtr (n,l.. n
<br />D.l.:-
<br />MCLIATjIIU:
<br />I h.Elry drrh rsLr Fmlly ol tElury rh{ I m Lar.rrl u Lryni$rr ol (]EF.i 9 (.trnmhh8 ulh S.dp. ?(xl}r oI Dtnrh I
<br />ot rhc Bu{tr( !d Pof.siotri Con.. drl my licnr h in tull nrN sncrk(r
<br />lr.l.:-
<br />I lErhy alfln ullcr p.Mllyof Fryryrh{ tlER tr..$n{Mtsn knltr8 rt.Ny lor ilE Ff,,l1'lc. ol rlE vnt irtr wbrh rhr Ftu !
<br />(skd ts& .lo97,c'v c )
<br />AtSLll;AtI.DECtdEAUqts
<br />I hott, .lfm udc. Fn.!, of Frlrry oE of rh. lolt'*h! &.Lr.r i,.r
<br />D.frrlnsn P.mlG^rh.eoi t{drlf,dr'. FdL.rl R.luLtrr.(I k a0, Pd6)
<br />Rcqutred lrrr.r ol Mrrli(Jrr.
<br />I !.n',yrh:rih. Ld.nl rctlLii6 rctrJ'nt:\h(no\ rtfr,ral rk to {plf,.bk !' rhF p.'rcr
<br />rrJnntrtrhrr rh. rhtr '.nnd$n 6 .dtl I .!c b .$nd! *ih .ll Cry .d Coudy
<br />, rhtrr. r.I'.sd.LEr or rhri Cnr rd Coudr ro .'16 ul$n rtE
<br />lz
<br />Pool Fence
<br />xt**@T-Bar
<br />FINAL rAt2
<br />4
<br />L.otl.r's Addr*r _
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