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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />S u bf loorA/eaUlrnu lation
<br />-ReetSheathinq I 12/t ,, tc 1\ffiShea)tqtatt'
<br />Framing lt ho /it 1a(4.
<br />lnsulation/Energy
<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 />Flood Zone Certif
<br />-)
<br />FINAL ,//z4/.A &a
<br />Certificate of Occupancy 7 __7 2
<br />Notes, Remarks, Etc
<br />OWNER BUILDER DElCAR TION
<br />I ha.tr .rm urd6 Frdry of lclury thd I m adpr fFm th. Conr..roB lr..E liw tor iE folbsLe lE'. (sc 701L5
<br />Bcin* .rn Profdion Co<h): Any Cny or Couny *hah r.qun6 . Fm, lo @dtur. .td. iDFolc dsmlih or lFu &y
<br />nnr<rd. p(d lo tu il!le., .bo rcqut6 ft. lppli.el for {.h Fnir lo 6L. rig..d itdaBl $r lt or.{E i licd!.d F rd
<br />ro rh. FDrthB olr,E Conlricrd! Lr6r.n Llw (Ct+rs e. Com.Rins wnh Sdibn TOOO of Di!i.i6r ) of rl. &riB xd
<br />PDt sK6 Cod.) or rhd lE or rn i! cinpr rh6.frod dd rh€ h4s lor th..!.sci qardion Ant liolrbnofsaib! 7011 t brey
<br />rtpltd aor.Frn lutids rhc rrpli.6r ro . civil p..rlty o ano! oor. Uw 6v. hundrd d.)ll$ ($m)
<br />l. s o$G ofll'. FDFI', m ny mplolE wnh $.s6 B lh.n $k oopq&lion. sill & tlE *at trl lh. r,rrtr i! Dr
<br />i'rott d ororfa.d fr, {t tsc 704.t. BGi,B md Pmf6tuB Co&: Tn Cont.croar Liae l,$ d.d nor lpply lo, ow or
<br />th. FoFry s b nd(l q n+or6 dE6tr rd $h. d6 ldr *oll himxlt or nc*lf d l$ugh h,t or hd oM mploy6.
<br />pror idal rn r sh lrFlrqdr c lDl -r6d.d dotutd ir 6t l[ hosaq. th. buildiB d lrp..rdErl ir &B vnhm oi. ]6
<br />oaconplaili, tll O*G adldd
<br />"iX
<br />ME tlr hr&r olFt A [i lE d CE dd tbl t ild d inp.or! th. Frrdy 6r
<br />'lE
<br />F posof
<br />-t.
<br />E .*nd oarh. For6y. m crclNir.ly contrxti.s $ ith licdu.d conrru.lo6 ro drdtud rrE Ftj.< ( sa ?04r. A6i!B
<br />! hlkq Codc: nE Conrdoi r Li.orc l-.w do6 .or +pl, to e own6 oap.oFly sho hildr or ihproG lhcFtr
<br />sd *ho onud. ltr kh Fi(3 $ nh ! (s) hcdEd puBu t lo thc ( ohtr.lor3 l-t.@ ti* )
<br />_l m.rmt{ !flt6 S.dirItta:L I
<br />DtslldSalxt!
<br />t hd.by ,mon u.d6 Fry of p6!r, oe otth. follo$ trU n(l&diod'
<br />-l
<br />t$r nd *ill uiflri,! r carifrd. of CoNd to S.ia-lElE for wlar @mr..srio\ B pror iddl for b, Sdio. l7m of llE
<br />Lbor Codc fd $. Ffoffi of rh. $!d for $,iah th. p6fti n i!!cd
<br />I h.!. ..d $ ill mhrrin u*6a congdE hi iMmqB rcqun.d br s<hn:1700 nlrhc |lbor(_od., aor lh. Ffomm. ol
<br />th. woll aor whth lhn Fmil i! Ls.d My eqtdr' NmrEsdbn iritr. ffi tn F,lk} numts e
<br />tolicy Nunbs:-Erpn6:
<br />-I cdit rhd in rlE Ffolrrffi. of th. mrt for *hkh thi! Fnn it issu.( l shaU hr ddoyoy Fsn in uy nEH
<br />s 6 ro h(onc sber ro lri Nrt6 onpaltlbn hr! ofcrlifotu'!, &d .sr $d if I sh.uld h.co'E rubjat Io th.
<br />s,l6' otrlpoarioi Fiv*rG ol !f,<iirn 1700 of rh. t ho, cqle I cEll. frnhwhh sndy wnh rhor povirioN
<br />i. onb$ful &d shdl tubF o @tlnln to .mi.nlFqhi6 d
<br />.ivil fin.! op lo oe hundrqj lhoB.nd (hlL^ (ll(in rddnio. ro rh..oe ofcompaa.r'on, d@s6 tr Fovid.d aor rh.
<br />sdrion 1076.frh.Irhor coi.. inrsd ud.ltdrEy r
<br />,,., - \L- l'JtF,, n0,,,-L
<br />I hcrby d&n uldi Flty of Fjur, rhr I e licaBd u.d6 Fnvtio. of (1!,rE e (con:ro.h{ wilh S6lb, 7000) of oirBioo l
<br />oa lh. EsiK Dd Pmr6iE Codc. tn ny li.G n n! tun foc rrd.fitl.
<br />co!slarcll0!LD!!t!clct!(:
<br />I h*6y afim untn Fslry o t Fju4 lh, thd! b ! odtuctnn k,rlng tgtuy f$ lic Ffome. of th. *{t l fo. * hich dn Finir i!
<br />igu.d (SE. 1097. Civ C.).
<br />L.nda't Nrm.
<br />-
<br />AEfA&AILDECUAAII9tr
<br />I ha*,.tr ! u.da p@.t, ol pajur, @ of ilE aollo$in8 d6lrdbn.
<br />Od&hion PdirlAlbdor Noril'qrio. F.ddrl R.suldiou (Thlc 40. Pd6)
<br />-R.qui,!d
<br />l.rroof Noifr cdio.
<br />I .dify ihd th. fcd6.l rcSuLrioN Esedins &lb.io! rdmr sl eG rcl afi'liubL lo rht Fdd
<br />-lcorib
<br />lh, lh.rc@drha non dnd rd. ihll ihc rh,v. mromdion a con.<l I allre lo .!'nplr" n nh dl Cny and (\,u.r)
<br />o,di]b.6 un Slltcliu.rcla ro h'ldi.8.olrntu.lol! dd hd.by rurbtr. EF.driv6 oflhl! Cny ed ( ounry ro on6 qFn 0r
<br />ltFr. tmlioEd FoFn' for
<br />,.,, lL't7'1?rIIlir{trt.r \s0t \i!trrl
<br />UFER Ground
<br />SLAB Floor
<br />_l ilcNumbd
<br />aA {-A€-L r'ru[LrLo
<br />f-------T------
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