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BUILDING. INSPECTOR BECOBD <br />SITE.WORK DATE ID/SIG.COMMENTS OWNEi BUILDEN DELCARATION <br />I h.rct'y rffrn urkr FElry ol Frjury ih.r I m .r.nlfn tDn rlE cl)nrEclon' l,rctrr L* f(tr rlE lollowin8 E.q,n (S.. ?011.5 <br />BuriE( .d ProL(m Cql.) A.t C y or Gtul , *firh Eqoftr ! Fd nr !$Btrud, .t(, iqmE. &d)lnh or mFr y <br />nfldu., rr{ ro (1 $!ec. .lq' rcqur! rh. .I'?lunr tu rEh Fmr ro riL . nsEl nnftfl lhrr rE or tlE ! ltrtnBj pc(ur <br />n, rnc !ov!x,n\ ol rh. Contektr ! L...kd llw (Ch.flrr 9, Conmcnch8 ,(h Serir '7(X)0 ol Drvtron I .r rhc ausinc$ a l <br />Pn,Ltsrnr ('{ik) or rhl h. or dE n.r.npr rtmlrDh &J rlE b.$r tin i lE .ltr.J .kmflr,n Any vrirrhnofsdr.n 70.t15 6y uy <br />lPt r.nr |,tr . Fm lubF.ts !h. rJrrlf,rnr h . .,v,1 ,.Dht of dn h,E rhs l[. hu r.J d,lla! ( r5m) <br />_1,.c .wmr olth. ln)ltny.,tr nycnl)I,'r!c! * h wrr.r.r rlEn $k u,,{Enrsri,n, v (rl tlr qn( orl lh. ntur@ s n <br />urcdar {r oliiEJ nn d. (Sd.7O+1. Busmi rnJ Prrr.$,nr GrL: I'lF Gdturoi! lr.ns Lr* &E\ n rprly ro s owr. ol <br />rh.Imldy vbb{ lr r nF,r! rrEs4:Jrl wtn &s !*-.-h q)lt h'n{lf or h.Rtr ot rlm'o3h hn tt lE. os.npl',y..l. <br />!tuvll.J rhtr ch nlFrEGdt e mr hr.d.l u olTcr.tl litr eL tr. hrM. rrE lI D! .r u,tn*ftd n su wlhn oE F{ <br />ol $i{rLrnn. tb. Ow..r Eudlr e hav. tlE hurJ.n ofFivtrB rh, h. or rh. dil d ln joruq'NE *ln,lElytulltPuqDt.1 <br />_,1, trs .wftr ot rh. lln,tfd!, .m . rrllrvc ly .onr.!ro3 w( h lccn(d rdnrr!(io^ n, .ondtud rll F,l.( r ( s$ 7({,{. lluw( <br />id Pnr.\r)nC,rL lh.Conrr&rtr s l-i!cn\.l,*d{f,r norrppl,t, own.r.ltn)Fc y wh) burldsor rmnovcr ihcrd,n, <br />rh,.o tult l,r \uh F)trB wfh. (irrr*rln{ l(.nrd luru.r t)!h. Conrrertr t l-R.nt l:*| <br />l.m.t.md un&r SRlk,n . F & PC nn rhn Er(.. <br />llOBf,[8S:(OIlfEN.lAII0r] <br />DECI.ASAIIT,N <br />I h..chy rlltrm un'l.r p.nrhyor tcrlury on. olrh.lnlk'w'nE Jcrlu trtrN: <br />-l <br />h:!. .rl srll ddrr r C.dfr.r. ol (i rd b S.lf-Ihrrc li, k,rt6 .anIE.drn, I FDvrLJ rt, by Sdt'.lrfl)oflE <br />Iibq Cfti., tu tlE Frfolrr&t or 'lt hlt{ (r wh.h rh. p.rmr 6 !.u.J <br />I h.\c lnl u,ll hr! !n w.rt.npcntiri,n hsur.E.. .< EquFl hy Str nn .l?U) .l rh. lrhtr (i{.. ld rh. P.rlnN-. .l <br />. My *irts' ruqEn{rr,n m\urnt (a$ lil F)l., nunb.r e <br />1q()I <br />,..n'1y rhrr <br />'n <br />rh. FrlrrnB (. Dlrhc qort I'n qh'.h iln\ Brnri L\ A{'.d. I ltrnl nrr .n'pl!'y <br />r, 8 (, tEu'm .ubrtr lo tlE Mrt6! .rhrE{lftr b*r <br />k"t6' cdn{E.{t'n |n)yni,N or SaIi,n l7tIJ ol rlr I <br />rh{ rfl rh'uld tBonr $tj.rr rortr <br />.n!*'Fl ro dh$l IIBIB .rn <br />$n, d1m8.s .r F,vrtcd n, rhc <br />krtcr' conFnr.rirn u <br />rhr)uldd doll.r (S100,fi <br />I h.rbr.llinodd Futryol FrJury rh, l.m Lcntl ud.r F)v$r,n of Ch|Fq 9 ka'1ERBS wrh Sarbn ?(x)) of D'vr[n ] <br />Pn{.$x,n. Cok, rrn.ry l..M tr 6 lull ftn(. eil .lier <br />t 0 <br />I h.Fhy n,lirm Dtui.r Fialryof !.rjrry lhnl rh( s. c$drud$n L.dnS lSch.'y nn rh. Il.lorn1*..l rh. work rr, $'i'ch rh,! Fn Lt <br />trsoeJlsc. .1097,Crv C.) <br />A@ICANLD&SJAAIIA! <br />I H!, it6 und., Fn.hyor Frrury oE.l rh.folhrln8 &cldi'n!: <br />Dcm,ln!'n PcrhniAlh.dor Noxluron F.d.nl RcSubrn)nr (Tul. r&), P.n6) <br />_R.qu!.d l!r.r ol Urr'fsrnn <br />I(.tr'lrrh dk.l.'leril'.!tri, rtr\r.!rklrsr\h({!\n' <br />I.d r ihd I hak F,trrtm.r I laN io ($rry } *ih.ll <br />!trJn Nc\,trkl sr3n l_r*\ r.Lr tutyr{.nrrrc\ ol rhA Ci!. <br />rlx)vc h-ntxnal |m p(ny I'tr <br />F <br />:It{ r)N r <br />t o\4 ((/ <br />w <br />Set Backs <br />Forms/Steel/Holdowns <br />Erection Pads <br />UFEB Ground <br />SLAB Floor <br />Sublloor/VenVlnsulation <br />Roof Sheathinq <br />Shear Wall <br />Framinq <br />lnsu latio n/En erq 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 />Flood Zone Certif. , <br />17 9&"-- ,J77--/*--*?.17,rQ Ec zjz <br />FINAL *-//,/q ,Zcza <br />Certilicate ol Occupancy <br />Notes, Remarks, Etc. <br />*,.rn"*,,1Ar[