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COMMENTSSITE.WORK DATE ID/SIG.
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />UFER Ground
<br />SLAB Floor
<br />Subf loori Vent/lnsu lation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framing
<br />lns u latio n/E nerg y
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />o.w,l'-zzFINALt14llqTw
<br />Certilicate ol Occupancy U | \-'/'
<br />OWNl]R BUII,DEN Dfi -CARATION
<br />I h...hy srrm under rEmhy.l I{rlury rh'i I m.r.npr hum th. Conk&nrF Lt.ne L'* for rtr rolbwinS rc.sin (^*7t,.115
<br />Eusir$ ind t\orssi.n Cd.r Ary Cd, M CNdy *hth rcquirc{ . Fm. b G,n{u1. dr6. r,Ittro\t- d.mlnh or tF! ey
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<br />.pflrrd for. Fmn subj..k tlE ryli..nl ro !ciyiln dltolrn fr,E rhd fiv. hun,cd ttollar Il5([r
<br />-1.
<br />or osmr oi I h. pmFn y. ot ny.(pk,Ftq wirh str8.s !s rh.tr vnc conl|l.or0l ion. *ill do rlt *,il rl rh. etu1uE ir n't
<br />irrorldi or oltcEd for sL ( Sd 7044. Au.iEs .nd Ptofrsbn! Cnd. Th. G)d'rroa. l-ad* tlr &E nol o0nly i{' u orr, ol
<br />rhc |r{6y wh)l['E d rtIUB E({. .rn *h, tlB sh rtrt hm<.lr or lrmlf or rl[,u3i hn or ts orn.'r?lo)*t,
<br />pn,vrLd rhl ru h niymEmrr! m , ur.i&d r ofid.d fn qk lf, tssoq. rh ho lm8 r iqh.'Enr ir:,U *ihin om r{
<br />uf.orplril.,lh. O*nn BuiLk will hlvc llttod.trof F,vinS rhr h. or .diln.rt ili or inIPmE lhc rnFny tu rk pofl)t oi
<br />L nr o*mr ol th. nr'ltdt. ,c(lunv.ly.ontr&li,,g*irhlr.n..lc.in r{.r,."tr{rxd iL F,!..r lsd 7rlll llu{E$
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<br />atui Bh) cot!.r(io\uchooF(hsirhnContr?.ntr(\rlf,.nlalpu^uritr'rh.Cotr(rrrntr\la.n\.ljtr)
<br />I cm cr.mfl !nd.r SNiftr
<br />rl,8li[&!:s.[ltlriarl0r
<br />DE(Jrt&|Jlaf
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<br />I hrv. d pill mim.b . C.n iar& of Collar lo S.lt lN!r. r., krl@r' $mF$.I{n. s\,rtrtil.d for by scrbn l?tI, of lh.
<br />trh, ('dL. rd rlE Ffoffi of rlt xrt fG *tth lE Fn'i i iirEd
<br />I lrr. rtrd lill nuirrrir *o'tcri .on{rtr\rri(tr, i'aurin.c \r.quircd hy S.crion :17{r) or rhc hrn, Cddc, ln rh. nslotm
<br />,n inrurrN..Mir rd F,liy.unrhd e:** tl,lt
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<br />,r,.rn,.*, 13LLIJffi
<br />-lc.diayrh,r 'n
<br />th. p.rfttrnrm ol tlr uotk tu shthrhnF n tr r\udl, I \h.ll fr .n{'hJ rny lrrsn in rny mnftt
<br />s' 0\r()tE onr ruhrd ro rhc,odcF conqFnkrion ltrw. or Crlir(rtur, and 0gEc lharill \h,tld i$flm ruhid lolh.
<br />m*.r' con{tnsr ion poisi.nr of sNrion .17(}) ur rh. tjhtr cd.. I rhlll. llnhsnt co,rpl, wirh !h,{ Pmvnir.i
<br />WARNINC F!'br ro lll:m *rts'd,,{End$. c.E ac r u.hrful. lntl rhrll !uhF1 !n dt'lots lo aoinrl rmlh {n
<br />.iil lnr\ up t' ok huidr.d rhouqn, dollor ltl(xr.(
<br />1<
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<br />t [Ilirll!!!u&\rxl8
<br />Notes, Remarks" Etq"
<br />DEgIJEAIO!
<br />I lEEl'y rmrm u s lEelryof F+ryrhl I dm liftn<n und.r FovNhn of Ch.prd9icomftinS wilh Sation 7(xD) or Dilnion l
<br />. of rlr Bri6r .rn PDlc!.ioB C.d.. dn my la.re i( h tull ft'r dn.fl(rr
<br />-,*k. -B ;#(,i1b{ |
<br />'3/t n-D'aac 7""-
<br />coNslnuc_noN I rNDItl: a(:ENtlt
<br />I lrEhy arrn unLr FMn y or Firy $!l ih6. n . on{ocrbn LdhS t!.rl for rh Fnolrffic of rtE rs* litr $hrt lh6 Fni ir
<br />nsu.d tsa 1097. civ c )
<br />IIILIIAITL!}:IT,ABA.II!]B
<br />I td!h, dlm uftld Fn'hyor Frlry,m orrhc anlt'sin8 &.br.ri(]r\
<br />D.nx'llnn Psnrirr AstEsro! NdirrrrKrn ]$doilR.8!hrbB ( liL {). Prntr
<br />-R.qrind
<br />I rrr.rof Ndif$tion
<br />-l
<br />.d ify rh.r tlE Ldcnl Exul,rirn! r3ndin8 rh.nos rcmr al .r. mt .ptlt$h b rhN ptuj.t
<br />-l.dirrrbli
<br />I hlrc ead rhkrprlt.ri()nr ov.otunnrtrDn.otu.r ldrrehconDlywirhlll(iryrnl(ounly
<br />rrruhyruthri,c (prc{nrrrrc' ('irhn ( nv d Counrt k,.nrd uFn' rrrorJiM .ralnSl'r.l,ssrbrtrB
<br />rbor. nEnrirftd lln{Eny fr mi
<br />Aopli.nnl or ,\trtrl Sitn0xr Cr"-:^,*
<br />q /r /rr
<br />BUILDING. INSPECTOR RECORD
<br />Erection Pads
<br />Flood Zone Certif .
<br />.r.onFNti.n. drma.r 'i frDvii.J f.r rh.
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