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BUILDING. INSPECTOR BECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS
<br />Set Backs Ir
<br />Forms/Steel/Holdowns 7
<br />Erection Pads
<br />SLAB Floor
<br />Subf loor/VenVlnsulalion
<br />Roof Sheathinq
<br />Shear Wall rl
<br />Framing -(,77'w wt'5"1
<br />lnsulationi Energy
<br />Drywall
<br />Ext./lnt. Lath )t t 7
<br />Brown Coat L(
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Enoineer Final Report
<br />Flood Zone Certil.
<br />I
<br />FINAL v 1
<br />Certilicate of Occupancy t,
<br />Notes, Remarks, Etc
<br />OWNER BUII,DSR DELCARATION
<br />I lErhy rrtim unL, Frdry o, Frrry ihi I d .r.q{ i'm rlE co r(n' Lrs. Lle ntr rlr roll*03 Grgr (S..1OJl J
<br />Bunnc$ r Pofc$r'n Culc): Any Crry or Counly uhi.h Equm! ! rEmir i, .onnrud. rlrd, inlror. .i.n ah nr FFn lny
<br />nuiw. Inr t, n! !$8.. rl$ F$ft, rhc qlrl.d tu rEh Imr n, arlc ! n3EJ 'r.mr rh,r L d dr !r ,knFd pm.
<br />n, UE l,ovs'oN or tlr Conrrsck, s Lrc.rd Lr* (ChrFd 9, co.mrin8 w h Sel*r ,qr) ol Divni,n l or0r BunErs .nd
<br />Pn{.si,n. Cul.) r rht' lr or slE N .t.q, trErcrDh Md trE b.str tu lh. rllq.! cr.npr'on. Any vFhrun of Scrrn 70.1 L5 hy .n,
<br />lml,cr n*rF@r hj.ik rh. rmlf,rd k' . crvrl FM[y ot n{ BrE rh.n rrv. hu ralJolE.(S5{I))
<br />_1. .\ owE ol rh. FoFnr, or o, .6pkiFi w h *r!ri .' rtE! nk .uFNr@ $ll & tlE q .,n ll. xelF ! Bn
<br />mt.nlal or ofi.E{ rd rk (Se.7X4, B!3ircss and Pnr.ssmN Cixrc: TiE Contcr,x ! L.o* l,* &!. d +Ply nr a dw. nf
<br />rlr rnrd, whr hisr iqmE tt6s& lrl phi 'rE *h u* hinrlf d lEElro. rhdrn htr d lE omorFl,r6.
<br />tnrvilcd rhrr iwh htnrwft e mr i .Drql orollcEd ror 4L. tl hD*E, rli hrLInS or etr,Em,l ir $ll wifiin m Fs
<br />dr c.{rpLr-rr rrr O*d aulb *'[ h.r rlE hau.n of Fxi{ lllr lE d rlE Jrr o, tull r ,lrhE ,E F{6, tu rlE l,aF)s of
<br />L as owmr olrhc pn,rEny, Mcrclusv.ly.odr&rir8 *irh liurJ s,, r&in i' (6irud rlE rrFr (Sd. 7Gl4.8u.rs
<br />.rn }t $r ciii.: Th. C.nr.El,n r L'(.nE Lr ,lftt Dl rp4'ly h, rn owncr o, rolrn, wli, buius dr rhllrtv$ r hcrcon,
<br />s.d vho onr&k lor s!(h F,Fck virh r conr*bni) l..n*J pui.ud nr rtF C. r*rci LilM L.*)
<br />I in.tcnrpr undcr S(tr)n .ll &PC l,trrhNrc.q)n
<br />Iroxf,E&s-c0ltrrNrara!
<br />DECI.ABAIq!
<br />I h.r.hr,,nrm trnJ.r Fnalryol Frrury oR ol rhc l,'lnrw'nt J(lrrar(,hr:
<br />I hrv..,n *nl inrlrtr . C.n'frrlc ol Con$nr t' S.lllns!,. t{, ktrkh .1,qrnr.ii,n, I I'n'vrLd (tr by Setirn .l7uj or lh.
<br />L.hn (ii., n,0r rsil,mB. ol rlx k'* li{ *fi.h rll Fh r r.kJ
<br />_l h.E rll w l rud.tn *oddr..rry.ns.ri
<br />thc work lor which ltus n mr rs i$rual. Myw.r
<br />rcqu!.n hy SerDn :lnx) of ih. t2hr Ar!. n, rh. FrlorDN. ot
<br />lB coryrnvrEn '9luar.utr fil F,li.y nudh.rrcl4---e+Sk-tt--
<br />E- 7--z /,t*. s-L- Lf
<br />_l .cnify rhir in rlr Fr,o,rutu. ol rh. eorl ftr whih rhr timr s s\kd- I shu tur .r+by y,E.in r.ny MnE
<br />$ rs ro hdom .uhfrr nr rh. hrr6 .r,f,Fn{rhn lNr uf CrIlnmB, . .3rth rf l ih,uld }Bom xobFr lorh.
<br />strkcs NmrEnnrrr nDyiroN ilSalDn -r7lnol rh. l,htr C.iL. I adl nf h* h dqi, wrrh rh,* Frsrrs
<br />WARNING: !.ilur. l{ sur. q,kcr' conrEnsar[n .l'v.rarc ir onh,inl. rnd shrll sxhF(r ., .mph,tr b dimsl Folt$ rBl
<br />crrl inc{ up t, o'E hu Bl rh)uqal Jollr\ (lrm.ur,
<br />Sdon.ll)16olrhc Llh, C,rlc, rnr.r.n M,l r[,my s liyr
<br />r. rtr d.l k)n n, r .o{ of.o 'n, .lrm8.r rs Jr vd.d ntr rlE
<br />7- 11 -z\
<br />I trrby .lrnm utokr lxMtr! or JEr,try rh.r I .h lFnGl ud.r Frvbkr I Ch.Fd 9 (!llmh--hf * h Sdlnn 7Ul0) of Dfr$n .l
<br />rr ih. Busfts {i Pnni$i,nr CdL. .rl my li.cn€ s h tull nrr ltl crler
<br />(,(CV
<br />-12-?(
<br />I h.rt'y rl,im!frltr p.nrrryol lE,lury rh.r !h.r.6r odutrn Ltulh8 r8cfty tur $c FdntmBc,r lhc * ntr wh'.h rhB Fril it
<br />ilsucti iS.. .1197, Crv C )
<br />AI'PI iC NT DECI- TIATI(IN
<br />I h.dt .rm !.rl.r Fn.lry ol Frjury or oa thc folhwrt del@rhnr:
<br />DcBrlrx,, PdmreA,b.{os Ndirklsn Fa,lLl RcttlxrB (-Iilh 40. P.n6)
<br />Rquu.d L€trq ol *r'rrrlrh
<br />_l lEr fy rld rh ld.rn F8lllri,nr Esalo! dfi.ior cmfil ,. mr rrDlilbk b rhr I,Dr..1
<br />-l.Er!i,
<br />rhrr Ih& ctJ rlln.t,lll(.rbnrn rr.rhi tlE rhoE ofomrir uR'R1.I4rkrlsmd,w htllC ylnnO,o y
<br />orjin.B_cs .Bl SrrrcL3*s rcLrul3 ro hilling ,k! of rlnr C[y !n ('oudy ri otd ulDn ttE
<br />.nx mnr h)xJ pmp.ny !,,
<br />ADpli.trl or AFctrl Si!.olu rhr. Gt+- z I
<br />-1-
<br />1millDnz!Z'
<br />1X1r?)
<br />UFEB Ground
<br />.lL
<br />T,K?y
<br />,.1
<br />44
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