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BUILDING. INSPECTOR RECORD
<br />DATE ID/SIG.COMMENTSSITE-WORK
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulalion
<br />Shear Wall
<br />allD
<br />Ext./lnt. Lath
<br />Brown Coat
<br />lvlason
<br />Pool Fence
<br />T-Bar
<br />Handica Re
<br />Final ReDeu rt
<br />En ineer Final Re rt
<br />Flood Zone Certif .
<br />FINAL -l J
<br />Certilicate ol Occu nc
<br />Notes Remarks Etc.
<br />OWNEi BUII,DER OELCARATION
<br />I lErchy raftrm r .r txMliy r)l p€rJ!ry rh,i I M .\.'r{rr rnn rh. (-ontrroF' Lr.n€ lrw lir rh..ftlhrry eron (S.c n)ll 5
<br />Bunh.i( dn Pn,cr\ion Orl.) Any C y or Codnry wh(h r.quF . Fmr n, con{drr. .lr( mlmrt &fr'luh 'x qEtr zn,
<br />{tururc. Fn ro t !surn., .lh rrquGr rL r{! .&r tot (xh Fmr b tiL. sl3ml (rr.md rhrr h. or rlE ir lic'ncd PBuer
<br />t' rhc 0n,vtr n! oi rrE O,nrracrtr's t-$nkJ trw (Chltrer 9- Con,ftturns *irh S.chn tuI) of Drvron I ol rlr Butfts md
<br />Pnnc\sUnr C(hIc ) or !h.r lr or dE . crn{ th.t.rDm{r rh. hanr ntr rh..lks.1l.t.n{t'n Ar, u'lrl5n or Serrm '70.1I 5 hv tnt
<br />.ml,cnnrntrrFm \ubj.rklrr rnnlLld n' !(,v,1ll.nllry"l Nn fr,.rhu Irvc hnndrcd doll&\ tttul,
<br />-
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<br />rh. Fordy *hl ho ls or d{h)E lh.mn, !n *hr J,- tuh h* hmscll or hcrcll M lhn,u8h hr or nd o*n cn rbv'.r.
<br />JtrovrLd rn t u(h nl{mmnh e n{ tll.nd.{ itoiErEl frr qL ll h)w. rlE h'!ry ir nqnEE.r tr qlll wahin r Ft
<br />oi rnphi,n, rh. ()wrcr Brilkr wil luE rh. hrLn o, ln,vD8 rhrr h. or,lE dil B l .i or ui4ior! (tE lmFnv fd rhr |lo,FE 'l
<br />-1,
<br />.\ ow orrM FnFny. n.rrh,nEly.odr&1n3 * fi h.n<rl.\lllr-t'F h s,.tul llr FojNr (Sa 7044, Burims
<br />.ii Pni.ssrxr Co,l.: Th. conltruloir l-ic.ns.l-.w dd< n.r lpPly t, u osffi.f|r.Fnv *ho h{rui or mnmtt rh'Nn.
<br />d *ho lr{rarr nr.Nh ln,jdk w h. G'nlturonn Ldhl r{Futt r,rh. (irM(or lx!n* b*}
<br />I rm .!.n0r unLr Sdr.n-. B. & P.C lir ih! E:sn
<br />]IOAf,ESSCAITEBSAIIAE
<br />DECLARATION
<br />I hcNhy !i trm u n&r Ftulry dl prlury oN ol rh. n,lk,*m8 Jeldrr$nr
<br />-I
<br />h,v. lrl *rll drnrlo . C.ditt.t. ol C{Nn! io Sclt lhttc r!tr Btt6' Lnr{Enqi hn. .. Fntrl.rl fd hy Sdlnr tm} 'f tlE
<br />l,h, cui.. rd trE ,Efim or rtE mll ln *nin rlr lonr n (sucd
<br />I h!v. rri *ill mrr.r wortcrr r.mF.tll rrn rur.B.. rs R quc,l h! S(r n'n ll7{x, trl rh. lrh.r CirJ., tur rh. lEriorroftc ol
<br />$c *o nn ehrh rhrncmn !s x\kJ MYwnl i .otr'{!n{(!n m{rB!.rn rn |r,hy.umh.r a
<br />l..ddy ilur rn rhc lrrlttrtuhc.l I *o fttr shrhrhnJrrm r
<br />!' i\r' lron. n'h,..r r,rlrtrorl.'t .otr,t tri'rr li*1 I()l'r,trn'r.l
<br />IruvnirB ol Sdli,. J71rolrh.lrtrt GrL, I
<br />, \.(tr'. wil(1s (.nrtrtr\rrntr, Lo!rrtr | trf
<br />116l rll)u{il ddlnn rSlu
<br />h\-'0
<br />IIECIJEAIjQN
<br />y tr! FrIft rhi I m I'aNrl tr ld |n,$inol(I,tr 0(eoolnrh-.ntg q h S.dDn ?l)(X|)ol Drvskr l
<br />\.tr\(itrlc. trnl nrv h(cn\c r $ ltrllnR. rnl c,
<br />33
<br />I hrFhy .,rrn unlar Fndry or
<br />tr\u.J (S.c r0)?. Crv. C )
<br />,Lrryr[r rlrrc a ] Lo nnkli lcnJ' U rlrtrr rh. FnornrnLc of rhc lorl i,tr whKh rhf lrfln rs
<br />lr .rs At,Jr.ri
<br />I lr^hy illtrnrurl.r Bl,rlr! ol Frtrtry.tr. ol rh.lr)lL,$trr!
<br />D.mn{r'n Pcrn$-ArlEsnn |drn(.r.n Fdkal R.8r
<br />Rcqtrtrcd lirs!'l I\]trnirrrr
<br />_I..ndy ih.i rh. LJ.r.l ESuLron. r3rJrnS
<br />lr.n'lyrhlr I hrE .c.d rhtr lpt'lrrr$n el nrr. I n r.otu..r I r!trY l. corply *nh
<br />.rnnl '..\ r Srxr.l.iw1!.Ln'nr i!{nrrn$ ol rhr C YrdC
<br />{rvc .mlr,rJ F,,Fnt l{r rirs--.'
<br />applicur or as.ni shDluF \o
<br />At.t'l,u \\r'r,E( 1.\RAlloN
<br />Roof Sheathinq
<br />Framinq
<br />ln su latio n/Ene roy
<br />.1
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