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BUILDING. INSPECTOR RECORD <br />SITE.WORK DATE ID/SIG.COMMENTS <br />Set Backs <br />Forms/Steel/Holdowns <br />UFER Ground <br />SLAB Floor <br />Subf loor/VenVl nsulation <br />Rool Sheathing <br />Shear Wall <br />Framing <br />lnsulation/Enerqy <br />Drywall <br />Ext./lnt. Lath <br />Brown Coal <br />lvlasonry <br />T-Bar <br />Handicap Req. <br />Deputy Final Report <br />Engineer Final Report <br />Flood Zone Certif <br />,./l <br />12-6 V <br />Certificate ol Occupancy T---\7 <br />Notes, Be,rnarks, Etc <br />tl <br />OWNER BUILDDT DEI.CARATIoN <br />I lErchy .lf,m undd FMhy or F.JUrv th.l I m .rcqn tu,m rlr Connrrr6 Lrire rr* rii iE nnk'ri4 rc0hn (S<-x,.!l 5 <br />Bt\im( !d ttot\sir C.do any Cny or Counr, rhih rcqlnci e Fnr to d,nirud, !116. iiIIIoE. d.nslnh o, qrn &+ <br />{rucr!rc. Itritrro ir\ trurr€, al$ dtun.rlhc ,Ipli.$r f(* skh ttrnir h lih r siamJ (arcmnr lhar h. or rh. ( li:cn{d NFud <br />b rlr Fovni'.! ol E (mkertri Lianrrj t * ICn s s. (immEin! *irh s..!b. 7fin.r o'vnhn I oftlE Eurinc.r.nd <br />Pnfc(hm Cixt ) or thlr lt or al. n .&trr{ rrxrcfrcn {nd rlr r!!it fttr rrE rlk8.d .r.iin'tn. A.y vnbri"ttf Sdri'. ?ol I t hy rny <br />atfli.ud lord n mrir suhl..k lhc cmlila.l h' d.ivil!.nuhyrlno' noElh6n Iivc hundrcd douu{ (S5{r)) <br />_1. I o*F ofrhc F,Fny. q ny cr?L,F{ *itli er3cr.j ih.i, r,Lrrtinerrn. *ill do lh. s(t.rn rll. rnrift k r <br />'nr.d.n q uflcrcd for sk (Se.70l.l. Bunm$ and Phr.sions cl . Th. (l,ntEcl,tr \ Liens li* d.cs nor q,ply h 3n orB ol <br />rlEI'n'Fny $n,hri \ o. iqre\ fl rlr'mn. ml rtr dlB uh snl iins.lf or htRlf or rhrduSh hn or hrr own cnqi,'Fcs. <br />pro\dqlrhd ru.h inF,w ien{ -rorLd orofi..rd fnsE ll tn*tw. tlr t!filn8 or iqnJKmd t$U r.hmdtu Er <br />ofdrqftrin llt Olm Aui[.r wJl h.\! rh. bni.n or F,in! rtr, h. .r slE dil m! tlitl ,tr irFN rhe Fr'rEry tor rlt purFx ol <br />l. <br />'5 <br />nrN of rlF F,Fdy, .m .r(lu!v.ly conk*hnt r nh lacn(d codrelnn nr drn{tur rh. I'l,jrrr ( SN 70r,.r. Bu(rs <br />lnJ l\otssrn(('dc'lhc(i,nrn.ntr\l-iccntrl-a*dn.\ft smlyio nnoskr ofnr{'.dysFrr hlildso. irtrovcr rh.'co., <br />r uh..otrrE.r!ldsuchIn,j.rlssirh!(b racn(\rlt.n{d I'uFunr k) rhc (i,nrra.kn \ l.iccn{ liw) <br />-l.mcrcnrnr <br />udc, Scri <br />Dl.( I tR\ r)\ <br />I tt n$y trI1trtr, trtricr Fnrlrv of Ii.' <br />-l <br />h.rr !n * ill mint.in r C.nirtlr. ol Conrnr x, Scll lnsur. in rsrld' oqEnqran. I Fnvir.d (tr hy SNrx,n ]7m or rh <br />tjntr codc. nn lhc Fn'ormncc nllhc sort ntr Bhich lhc n rmil n nsucd <br />_l h.E.d wrll minr,in *1116 conlFn\.rim i.\urrrc. ar Rr!,tl hy sdtitn.lTllr or rlr lll.r C.rk- ror rlF Frdmh or <br />rhc *olt rot *hahrhn Frmir ir F\nn My *nrkcr' dnnlf,nqrt'n inrurdr..artr rftl lDltt nuftq u. <br />I (nify rhnr <br />'n <br />rlf, Flomrc orrh. rolt fd *h.h rhis Frm[ r Nq.U. I ch.ll.r, cq)l)] 'n] Frwl 'n.ny m'nmr <br />s, ,\ r' tr$r {rhf<r r' rh. wdcF omp.nrrrhn ldwr o(C{lil'rniu. and nlN rhnr rfl rhoulti tionE $nFl n' rtr <br />*o 6(.onw.ationF,vtiotrsolS(lionllTlx)olrhclilry(irl..ldulltunhsnh.umrlywirhihocp('rirhns <br />wAtNlNC hilur. r, ts rmls\ on!{ndion .orr'3r ir lnhrtul, rnd rh:ll .uhFl M ctq*'ylr ro sinuMl ,rnIi. rd <br />rn'l fims up n, om hurn.n rlx,oqnd dolh^ ((I).lirlr. in rdJnrn h rh. co(t ol con{xnsrion. dnmgcs ,\ t(,silrd f(, th. <br />s..rr)r r07(,.llld lrltn (i{!.. r1.,rq n {lr!!l <br />!r!l,.IB,tuL!: <br />I lErch) ar"m u'dcr rculrt ot F:!]rtrfi.ir I in lien uhd.rlr rinol('hrnts9l(onrmRlnstrirhSrri,nTlxr)rolDrN)n I <br />ol rrr Bu{tr\( ind Pnra.r.i.nr Cn&. nl my li.cnc n in tull nr.! nl clr..r <br />raNiralcua$tElllBtiltilltr <br />IhcrhyaflirmuftlctFmlr}orFrjlr,rhnrh.rnamt(.ri,nhnlin8.8.8,lnrh.FrfomurKofrh.$1 nr rhith rhi Fnnir ir <br />nrEJrsd rm7 cir c r <br />AIEUQINLIIEIIJf,AITO! <br />lhodt rllm unLr FMhyotFjoryor of rh. tulbrin8 &{hrtrnn.: <br />D.'rnii.n Pcrhik Art{nos Ndifi.rrirn Fd,chlRcBUbrklns (Tirk 40. PM6) <br />-Rcaun.n <br />krlcr o, f*rifrlli0n <br />t.cnilt rl'rr rh. ridrrnlr+uhrr)tr\ r8&lrtrt r\h.no\ rcnktrrl r n"r rt,t,l'.rhl. r, rh^ p','ir. r <br />-$#'I luv. rc.d rhi lllpli.rion rd lrrrc rhd rlr rlr*t ihfodrrn s ffi I larar'on{,ly$ hrllC.yrdCounry <br />iryd,nnn.'nn. r hocfiyrurhtri,.rcF.<nr nc\or ihi\Cnf .nd Counryt' cnid uF)nrrr <br />t{Cr",c,5^ ) r,.',^ u-,., <br />avtwlIt <br />Erection Pads <br />Pool Fence <br />FINAL