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LDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns llft.l/, *a\64
<br />Erection Pads
<br />SLAB Floor
<br />Roof Sheathinq
<br />Shear Wall
<br />Framing l?/4 /t.6 '^it
<br />lnsulation/Energy IUlAK th*<
<br />Drywall lz/t/lr 5Nf<
<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 Beport
<br />Flood Zone Certif .
<br />,r. n
<br />&lvVhFINALrilf/)//0 I /8.
<br />Certif icate ot Occupancy
<br />Notes Remarks, Etc
<br />_-l
<br />OWNEN BUILI'EN DELCARATION
<br />I t rcby.firm und., Fmll, r'l ltriur, rhd I m crq,r frnm 'lE Cnd,rn'G' Lr.ny lxl n, rlE rolbvmS rci$n rs.r roll 5
<br />BlriKs ln Prct6tiD C.d.) Aiy Ciry or Cddy *trkh rrtunG . Fd h con{M. .lrd. introE- dcmlkh o, EFi {y.
<br />(rucruc. ,ritr k' irs hiuamc. !M rcqln.i rlE lppltonr ror \u(h ,xmir t, lik r \tmd (rrcft.r rhd tE or rh. i haRd pumad
<br />o lhc Fnv'.hn! of rlE ContrtN t Lkcn€d L,! (Chtfl.r 9. (i,Nmrcms *ilh Sccri'n TUI| or Divhi,n I or lh. Blrims .nd
<br />Dor$sion. Cd.) or rh.] t. G nr i.rcrpr rlEEfron.rd rlE trrir lin rlI i,.rtrl cr.it{ioi AnyraLrbnolSdbn 7l)11 I by..y
<br />+tlk-i rd r Fmi ruhj.rB rrE 4pli..nr b r civil FMhy or n mrE rrEn rir. hunl,.i 'lollrll5m)
<br />-1.rso$rE,olrh.0n,Fly.{nm,.ttpkrFi$irh$rSc\x\rh.trw,konnl[nsriin.rrlltrrth.urltrlthtrrul@i(dnlnrc.i ororY.ftdli,{L.se7l}r-r,BuriE$ d Pror.<r,N cdr. Tlr Cudrrrd ( Lxcnc l,lE\ mr aptly ir, $ drm of
<br />rh.ImFny *b hi[h nr irrF,6 rkNr. el *h' J(rr s-h * hnN.lrorh.r{lfnrrhnruehhr(trh.r.*n.n{]hy..l.
<br />In,vidcd rhnr \!ch imlro\rmnh N mr inrcftlcn orollcnn lnr qk lr. tx,*dci rlx hdildin! r inrr*t'rd n qid wirhir or. ttu
<br />or q,npLrrr rhc O{ B Builkr rill haE rli tnflln or rov'ng rld lt or slr di 'x t il, .. miroE rh. lrrFy n, rhc IntrF'r of
<br />P*xr*,:r rmllcny, rm dclusilcly .onrrrr ins *irh liccnKl .ontdt,F r. .onitur rrr Fr,r!.:t (S( 7(144. Au\iNs!
<br />Th. ClrnrElof\ Lkcnc bf, &n mt r.Ifly !!r.oo*rcr of Eolr.ry rh. blilljs or imt(N' rh.rd,.,
<br />tr (y rh tft'F<s wirh r ('. Rr.nlrkiMd lllurk,rh.Contdr. Li<c.< t *)
<br />Ix .rinti unJ SNii{tri . I rr(' h,,r*r..,',,/- fi"---rt,-]rlrxliBLlr.Dutlr.uandlLttra\flo\
<br />tolaf rc
<br />I hcrcby !fllrm uft].r JEnlry.lFrury oE rl rh. (nt,ui.8 d..krir!.r
<br />-l
<br />hav. orlwill minlrir !(cnrficrlcolConscnrro Sclilnsur. lnr wort.n d)nlPentllnr $ pRrvilcdforhtScdrbn]7(rrofrh{
<br />Irhr C8L, tur !h. F.rn.mR ollhc $orl r,tr ehi.h rh. Fmil t nrucd
<br />- Ihdtc.frl*illmn irnwork.F C.mpcn\ i,n in\u'rNc. $ rcltutrcd hy S(i iln .l7rD oI I li trtttr Gxi.. ntr rh. I(rlortu(c oi
<br />rhu $ort n, $hthrhi!prn,ir i\ i{\ucJ Nlyunrkr^ roaru{rion 'n\urah_r.nrtr drl B,l(, nutr$er u.
<br />_l dfy rh{r in rlE FaolmL! of itI wrt fn whrh !1,\ p.rmn tr is.u.rl. I {h.ll mt .r{$y.ny FRrn in rny lMm
<br />sr $h trsrtr qbr.r ro rlE qrtdr otr{rnsriotr h*r nrcrli,o,ni.. aEl n3R rhd,rl rlr'llil lE om shi.rt lo rrt
<br />wo ql conqEnstiDn In,rnionr oa S6rii,n .1700 or rhc l,tnr Gnc, I {ElL rdhwilh comply wn h tlst pmvnha{
<br />WARNINC FnluF kr rE wnl.ln onF.{ri'n trrwne. ir unLstul. .'n rh.I !!nF u cq't,F ii, din@l F ia\
<br />rn'l l'ft\ uf !,.m hu lRrd rhrulrl dnlhr ril(t,.orrr. rn &{rnertr,., dr63.r r. Forrjcd lor tlr
<br />t4lc)
<br />J_
<br />DECIJAAIIIN
<br />I r*Ehy rm,m undd FMlryof F,rur,lhd I rn lianrd undcr FDviiior oaCh{trs 9lconmftine wirh s*rhtr 7(x!) olDirtbn:l
<br />of rlr 8!ri6r ,n Piofdii'm (-(xL. .d my la.n$ 6 o tull f(rc ad .nsr
<br />s,ltuf,rljluaJllDNtilt;lll.a
<br />I lrEby .lirm und.r F lly or Fr!r, rhj rtft ii r dnrndb. LdsS !B.my ftr tlE tE f(trlrsc ol rlE *dl fo. *hah rhir ldmr F
<br />isru.d(SF- lD7. Civ. C )
<br />atEl.lrAll.lrlgixarll]!
<br />I hcr.lry lfmr ud6 rEnrll y ol ErrJry oN ol rh fdkr*'ns d6hnr i,n\
<br />t)cnxnii('n l-mil(.A\hcstos Mrificolhn lcdciol Rqullln,ns (rit.{r, Pan6,
<br />-R.nun.d
<br />tI'rq of fhifriir
<br />r lr.n ) rhJrrhc lcdcrdF3ul0ri,.nt rcBrdrry r\tr{, \ rcmrvll r'. rti +Ntr'rhk n'lhF nmF
<br />9.-rr,a,*'" *r,n* rrr i'rrrrsrl {rrelhd rrr!h'!. 'nr'imrir tr(olN I rp(r,,o'r?ly *nh.I C y.,!d Counly
<br />hir Cny..d Colnry lo..rd ut[n llE
<br />_* .lofifro
<br />ndir$kr! nd sr!r! I j*\ (hrin8 n, ltuild rn8 )n{tucrr,n, url h.Ehy rurhorizc rcrc{ .xts ofl
<br />{h}rc nEnli,nxd prop.rly lor in\F{rn'n nurF
<br />nrrr..n, ". n*"r, a,*-,u* >(
<br />,".n,U*,.,,",rn,,,,4 &V t't(L
<br />I
<br />UFER Ground
<br />Subf loorVenVl nsu lation
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