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BUILDING- INSPECTOB RECORD <br />SITE.WORK DATE tD/stG.COMMENTS <br />Set Backs <br />Forms/Steel/Holdowns <br />Erection Pads <br />UFER Ground <br />SLAB Floor <br />Subf loor/VenUlnsulation <br />Rool Sheathino <br />Shear Wall <br />Framing <br />lnsulation/Enerqy <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 />Enqrneer Final Report <br />Flood Zone Certil. <br />FINAL E-?n4 0-c_,t: <br />Certilicate of Occupancy <br />Notes, Remarks, Etc. <br />OWNER BUILDER DELCATATION <br />I lrri, .lfrm u .r |EMlry dl lElury rhri I u cr.q, tuft rh. G)nrrkJo^ ti.ns k* ttr rh. ldb*D3 E.$. lS.. tu-1l.rr <br />,ltrrEs {rl P,oli\ru GiL) /by Cr, or Cdnr, vhrh EluG . Fd t, (on!er. .ltq. !qmt- &tul[n or EI-r e, <br />(rudurc, Fu lo rrr Esum., !lv, ,.1+Gi $. 'mlrur r,r soch,Em! t, ,lL. !€md n.!.8.' rhd lr or nE ! ln!trrn !u$.d <br />b rh. pmvri,N o, rlE Conrk(r'r Lt.i$d tle (Chil'tcr 9, C mmncin! qilh S.(li,'n ?(DO ot Ditisnt :l or rh. Aori&s $d <br />P$r.rsbnr ('dL) ,{ th.r h. d r& ! cr.n$ rtftnom.nl llE har! ntr E.lLs.J.rcqi,n ArytpLrbnorsdrDnT0ll tbymyl <br />.n9lt.nr n)r . Fmr tut FB rh. qrlit"i tr . Lrv FMx, or n'r n,. rhrn nv. hu lEd d.lhs ( t5m) <br />l. .s ouEr of lh. J,n,I.ny. or ny chpk y..s wirh rrsc! 6 lh.ir sk r!n[Ens$on. * l do tE e*t !r] th. ,rlw ( a'l <br />dslj.rl or oficrn l( sL lsa TO.r4- AutEs mJ Pnn6srtr Crk Ttx Conr*ld.. Lr.n€ f.w dB mr .ntiy to { orE ot <br />rh.F'Fny vhr holu.q !rF)KIs!'n. [l *b 6 skh srt hmsltdr tFr.l,or rlNuehh!,t tr. om.q,,.rFr. <br />trl)vl].d rh.r slch ml,nEEnrr n mr ,rcdal n offcr.rl fo sL. 11, h,9t6, rt huilin! or urqnirrnr n $U qrhh om }!a <br />ol $ny'Lrr4 rtE olre. Bu[r.r *il] lvE rlt htr&o o, FovDe ih, lr Lr slE !n d bui! or lqmE lh. tnrqly lir tE |rrFe oI <br />l, ir.wErotrh. |n'Fily, rn.tlurvcly.onrr'.luB wirh li!.h\cJ cohtu(,u tt conirulr rlE F,Fd lsc. ?04t.liu\m$ <br />ul lhrslr,n Col.: 'l'h( Conte(r's t-'(. \. trw J,rr nn .ptly t, an oqn r ol pNFn y *hl) hu il ,l or impnk! rhcrcon. <br />rtul w,i, o.hr lt, skh F0FB vnh. Codr{ronn ll.n6l Fruni n! rh. G, rrid r tx.M tlq) <br />_I rmc$mpt unLr Scdion-, B. & P.c, lq $n EN,n, <br />l).b Or|Ir <br />la8f,E8li:clrurENtalxl! <br />DECLAEAIP! <br />I hcrchy rlttm hJs Fnahy.fIrrFryorc or rh. nnk,e!,3 Jdldrri,ns: <br />_l hrE In will nhrrtr r C-.n'fr.r. or CoEnr b Scrln@ lq k to' .l'qf,Mrr,n. a F,v{al for try S(r6n l?m .l E <br />l$or (irL, for Ihc FrfomRc oflh. hrt lq Bnah rlE Fmir n isudl <br /> l h& r l will tuoum k,1.6' .orFN{xr lgrtu , & E1w.J by Sdlm -1?u) of llE L,txs Gic. tu rrE Ffol1rs. o( <br />rh. k*t rtr *hrh <br />'hs Fm' ! !rEl. My wt6 ct'ds.ErF. Ell:N..16 rd r,lly.umlFr e: <br />N,,"*", ltLbJqCtl lA lt _E pcr:t0 ?l <br />ell.cnrly rh,r in rrr pcnnrElc ol rlr *orl tnr *h(h rh6 Jrrmn $ rsu.d, I rh.llnor.ntby oy lf,ron in rn, Mrcr <br />{,21btirom (hFr ro rh. s,rlGi ($nFn{ts. Lur.lc.llfom, aDl{rrh.i I st$ul.l ,^qoft subF! brtr <br />q|l*cr.on{Ererinrl^rv [nt o{Selhn.lnxlol rrE l2nn C,rL. ! rrEll.l(ffhuh uon0ly vtrh rhi. F$vsinr <br />WARNINC: !a urc r, s.ur vodc6 conFnr,oon.ovcr,E. ,\ ntrlNwtul, ,nd shau sub<t u.nl'l,,rr n) onhllFD[i.r od <br />qvil lnrr un nr oF hunJrcJ rhouqd Jolld; (SltD.ux,), n alJnkrn h rrE .o{ ol compcnslur. ,LN3c\ {! rm!i.1.,1 |,tr rh. <br />lih,Ork. [lurd rd (xny \ krr <br />LI <br />[r!!r&u!!^ <br />I h.nhyr,lnhu,rLr Fnrlry (r Frjury rh:r I !n<rl ud.r F'hu ol (tuFs 9 (.rlrllrfro8 wnh Sdbn 1llJ, or DFrhn l <br />ol r,'.lrLtrNr r n l,r!'1.\{o,r\ (i ..drlnrylr.tr\.!rlllllltrrRlclk\r <br />CrO .+936'3c) <br />sru.J (S.<. .r{lrr. civ. c ) <br />AIILICANLDICI4BAI!]B <br />Ilrd'y imtrBlcr lrcnrlryol p.rluryon. rl (h. f.lhw[3d.!l.r.L trs: <br />D.ml{i P.rmr}AllEsor r{tr Earx,n lni.al Rqul,ri,ns fink.r}. Pad6) <br />(.!rtr.J l.rr., ol Nor'lir[r <br />Z{l (d,ry rhd rll lar.r.l E8!hr$N ESdrB rstErr.t rcm)y, r. mr lpd.d,lc lo rhtr t'ojdr <br />Zl..nrlyrhJrIhry.krJrh^aml'.rrtrrfir{rr.ifu(ln!h)\r l"rnuriflF(,,r&r.Iirr.!n,.onrlywhrllcyrnl(irtry <br />dnlmrn(.r rn'l Srarc liw\ r.Lx4 ro hu iLh8 .onitud ()n. ul h.r.hylurhtrrc rcltc{nrrrvc! Ilhr\ CrryrBlContrryrrctrr( u0,nrh. <br />rh)vc mnrr)mJ lxoF-ny ll, n\nc(r$npu <br />*,. t ln lz,I I <br />W <br />.,.., oi:T\ PJta"?Lrc-. GeNcoA -