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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
<br />I h.Eby .rrn uBlcr Fn lty ol FrJury rh.r I m .r.ntr frcn tlr Cn rnm' Lsr U* ntr ilF tolLd*o8 er$. (S& ?011.1
<br />Burtr3\ rn PDGSF n Ccl)r A., Ciy or 6unry *hrh Equftr r Frh. k, orntu. .lrd, rntmE, d.m 6h or EFr t
<br />do.rue. trir b rr1 nru1N.. rlq, rcqutr hc lprl*d fnfl(h Fmt h liL! tqn tl rr.r.mnr rhrr lEor rlE ! ln nktl plNfr
<br />n, 'lx rmvFi,n! of rlE Conlruntr i Liec.*j bw lcn Bcr 9, Comftturf * h Sdrrrn 7000 ol Drvubn ! of rlE Burirc$ lrn
<br />Pn'Lr\snr ( nl.) ., rh,r lE o. rlE ! .k.t, rMtum lrt rlr hesn li, rtE rlLlrd cr.tinr. Ary v)LiFn of SdrEn 70.! I a by ry
<br />qrl'!orr., rFm tuhFr!'lE rn lk.nrt'r.r"rlFnrnyolE fr'Erhu lr". hunrr.,l.L'ul' lt!n,
<br />d0l{.**,,,*.,,*nr. or n,.tr{*,y!., }r,h wrFr n,h., q,u 6r{rns,bn. w r.,' rr w*.,n 0E nBrE 6 B,
<br />dorlnl or ofi*d ld qk rsd.?(xa, BBm( od Pn,r6qtm CdL: Tlr Co.rdq ! hffi trw &Er d rrrly ro o o*rr or
<br />ih. Fsp.ny wh) lrilllr u\n,F rlEd[ .il who drr tuh k,l h'ni.U or h.rull or lhnruSh htr or lEr o*n crDhr..\,
<br />F)vi!.d rtur \u.h mpmvcm,r! E r, i drkd orollqsi fin el ll h,*ckr, r& h(i!!B or uqnrEmd 6 $lj w hin nm y.s
<br />ol $nplir{ rh. o*Er Buiikr *Jt h.E ltt b{nLn ol F,vrE rrd lE !r nE Jn d hdr or ltprok rt! ln{dty tu tlE FIFE of
<br />1..\owRr.r lhc pnr{ny. oqrlu{iv.lyNdr{rbr *nh li..nr.,l conk&t)^ b ondrud ih. Jhrc( (Sc.. 7l)44. Bulucs
<br />rnl Ptutr.rnCui. Ih.Co futtr-r L..n\. hwdif,rft{.f.flyt'.noumrnltrl,Fny*lr) hurll"or m!mh. rhrn'n.
<br />.ftj Dh d,dtur.ntrrEhln)i\r B hl(tr Rr.n\Il.cnsJ r!)rh. Cont:!itr'i Lf,.n\c I:u)
<br />xion-, B
<br />?(
<br />It[cIASAUll!
<br />I h.r.$y rllrm un&, n ulyol Frury or ol rlE n,ll('*83 &rllrrrrff:
<br />_l hi!. 4l *' ll mrmrfln r C.n 'l'urc ol (i,N.nr tu S.lr-lnsuft l, tr *ffkch $nlP.ns nn.a( pn,r .d li)r6ySc.rrn lTlX)olrh.
<br />ljlxtrC,rlc.lrtrlhc F.lorllr c ot rh. *ffl.{, whihrh. Ilmi s xrucJ
<br />I hrv.:nl *'ll m,inrln *ork.'! (onFhlrrtr,n r\urrRc. at R.quRrl hv S(rn. !71x) I rh. l:lxn (irl.. l,tr rh. F.lomtu. or
<br />rlr eork l,tr*htrhrhr F-r6n 'r r{.d MywDrkcA con$iqrDn $urrfrc lrtrrr ol lilltrynumtxrsc
<br />c1...,,".,u rh. Frt(mr. ol rlr wo lrwhrhrhNFhr n 6sud,I rh.ll n{ .r?loy ..y F rEo.ny'rgF
<br />$ rl td tronr rubF( r k, rlE s"t$r onDcnrdi,n l.w( IC.lriomtr. ni +rcrhrr 'l I {h,uB tEom subj(t r,rlr
<br />wo*cr' (,nrFhs.rk,n nbrsnnr dl s.cron 171x) ol th( litd Cir.. , shlll. nfihriih .onl,'ly wnh rlr,c pbvrr,n\
<br />\ \ 11\ l\ l,,"d;ry**.rH"#;il.Nrl i ! up t' om huBlBl rhrrral &,ll{\ (!ltx}.irrr). h
<br />tri.k\! rn,l,Irnmy'\ l(.\
<br />v
<br />DEC-LANATION
<br />I lrftby 1ltumldkr p.idry or F+rr lhd I m [{nsl unt r FNt$n ol Ch.F69(oltwruu *[i S&ri,n TIXD)ol DrvBsr I
<br />ol llE Buta$ rn PnLsDn! Cii., rnl n, li.e n h niu tnN d.fl.r'
<br />!:alEra!.lc[aNlEDllti-atiE!!f,
<br />I h.Eby .ffrn ud.r tEMiy of p.rli.y lh, llEE ir . .rn(Blbn lcdos .ScE, fd rh. Fnr,M. of rh. srt fttr *hrh rt! Ft[t !
<br />trru.d (S.c. 1097, Crv C.).
<br />ATTIIIANIDEUJEAIIOIi
<br />I Hry iXim und.r rnrl, o, Frrury ok olrh. n)ll,w'h8 JelriUn\
<br />l).nrnilir Pchnls-Ashc\los M rlrron tii.r'l R.luhr trms ( l lc40.P.n6l
<br />R.quu.J l.ii.r.t Mrf.dln
<br />y wrh rll Ciy.nl Counl,
<br />lccdrlyrhd rh.l.d.rrl rcfuld[ns Fluijn3.sh.rrn rcn,vrl (. d {t xll,L ro rhr poirt
<br />2
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathi ng
<br />Shear Wall
<br />Framing
<br />lns u lation/ Energ 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 />,t
<br />FINAL +/*//,A/NY 'A--,--Certif icate ol Occupancy '/ 7
<br />Noles, Remarks, Etc.
<br />onl'iah.s ml Sr{.lrs\ mhrmr l') hurldor
<br />!hr. nfnrnr.n PruIr.nv nn m\rrdxxr
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