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BUILDING. INSPECTOB BECORD
<br />SITE.WOBK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />Subf loor/VenVlnsulation
<br />Roof Sheathino
<br />Framinq
<br />lnsulation/Energy
<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 Certil
<br /></tz/2,,J,At^
<br />Certificate of Occu pancy
<br />llotes, Remarks, Etc
<br />OWNER AULDN DELCARATION
<br />I tEEby.mfln unlc. FMh, o( Frrury rh,r I @.r.q,r fnnllE Grntrrro^ Li.ne L3wtorrt tolb*n'! Elsn (5...7031J
<br />Busincs !,n Pro,.siin Codc) Any Ci'y or Counry whih EquiEr . ,rrmir r. .oniMr, !k6, irq,roE dcmlish , EEn any
<br />\trucNrc. prio. ro i'! iliuua, olro EquiEs lh. rnrlitlnl lor such IEmi b fik t ri8rd nll.mnr lhrl lE or sh. ir li..n€d pUmant
<br />ro rhc Faliti,nr of lrE Co.tr*iitr r Litn*d tt* Ichpr.r 9. Commin8 wnh S..ra. 70m of Divirion I 6r rlE Buicas rrd
<br />Prof.sbns G,& r or rh'r rr {r it ! .r.fl'{,i rls.fnm rnd r,E t.rn for rlE a,Lscd crcqibn. Any virLrion of S..iion 7o.1 I 5 by rny
<br />{mlk d for r Fmil sbj.{k rlE lpnlflm ro. ovrlFMltyormr frrE rhn. fiv. h!.dEn do ,r {!tm)
<br />-1.
<br />!s owmrof !n I'oFny. or my.mpbF3 rirh *i!.r a\ OEir $k.onlxorrkrn, eill &, ttr killn dr sntre n mr
<br />inrcdLd or oflced fq ele (5€.70{4. lrurircs lrd Prtrl€$ionr CodG: TIE Conrroclols Li.nsr Llw &Er nol llply lo 0n o*Br or
<br />Itt pmFrry *1, hiLk or qn,s lllEn, a,n wb der uh srt hinglr{r h.rErf or lhrcu8h hn or lEr owncnpk,rftr,
<br />potir.d $d o.h iqmEmdr e d inGi,.d d olH I sI lt tn9.E, dE hi dnE 6 inFe'r. ir Fld ,nni. .E JqrorotpLlia rL o'*E BuiEs riu llE tlE h!d.n or Fow|8 U. lE d slE dn d hi! d in!.!E tlE FDFry tur rtE F,FE of
<br />SL)
<br />_1. rsotrtrc.ol rh. t ()Fnt, rhcr.lulv.ly.onr DI *nh I'r.nsJ ronta.kn\ k, .on(ru.r rll Ir,J..r (sN 7i}l]l- ll*trrr\
<br />Jrl Pn,,t\\rr (i .-lhcConrncr,tr'\l,iccD\cLlwdoc\n rrpllrnr {n.wNr oiproncnywho hurl(l\or impn'k\thcrc.n,
<br />rnd $ho . nrNrs fin \u.h ttroJ(r\$ihr Co rn h(\) liL.n{dlltr\tranrk)rh. (imrackr'\ l i..n{ ta*)
<br />I mc(nrpr undd SNrirn
<br />D,l. ()rn.r
<br />rl onxvtrv coirrurrs,rrror
<br />lrErta.B^lla!
<br />I ltrrh) rllnn urirr ncnrlryoitnrjurydr olrhc lnll()*nt (lc.ldrrL.tr\
<br />-l
<br />h.E.rnvill minr.h r C.nrfrd. {t CoMnr b S.ll-ln$E fds t6 onp.dirn. s FDvit d aor b, SErir.1700ltrlE
<br />L.rior Co&. ({
<br />'& IEf()|r:rm ol rlE rort ld wh.h rlr Ftu a B{Ed
<br />lffi,,a*,r-^,. *oaft conF*{ion inur-c. B EauiEd bys*rnn r7u)o.h. Lntr cbd.. ror rh. Frm,*or' rh. sorklur*hKhlhBp.m trMEl.Myhrt6 omFtrrrEn rBuffic cMtl ard lElry nunrbcr E.
<br />c*,9b,!ba.f
<br />PorryNumto EvvP,c a t5326 9 Eaoc\:9aIeE/A?-
<br />-l
<br />enilirh.r r rh. Frforme! of rh. worl ror *hth rni\ Fmi ir iiu.d. I \hdlm!.npk,ymy IE$. i. r, turr
<br />$ rq k, ta)ft subFr ro rh. hlls! otr{Ersrhn b*i olcllilomis, drd l8B lhrl ifl shorld lx.om lubFct lo'lr
<br />*ork ^' .omp.nrrion pbvisk,n\ of S6rion 37Oi) ol rh. l.&tr Codc, I \Mll. fonhwith cotrply wirh r,n,c pmviions.
<br />WARNINGT ts iluE 16 s@ ktrlor con{ENarhr oknac is unli,tul. dd rh.ll subFr u .nIIlhF, lo siminnl IEELis rnd
<br />.,vil fift! uf t, or tuiind rlbuqii dolhs tll(x).ffl)). in addni{ b rlE co( .( @trrlEn$inrn. d.BSrr .! Fovil.d for rlE
<br />Sdtnn |0T6olrlE L.br CorL. mr.E{ d dr(frr'r IEt
<br />o.n,o4/zz/z-t ,.oot:^r,A<.S1a PryE.lJ
<br />ucElttD-caNuaslltf,
<br />I}ESIAAIION
<br />I h.rby atlto udcr I.ulry ol'Frjllry rhar I m lianscd ud.r Fovisim of Ctuprd 9 (onmftin8 wnh Scrbn ,000) of Divixion .lof tlE Burirc( .tn Pmacsbnr CaL, .,n ny l.cnf, tr r tull roR .d .nftr
<br />r."-* cu* B/c to
<br />o,r,,otl/zz 1z- y
<br />LftM Numrr' I O L, L2--
<br />or'4agzt- C o ar.+y ao laLa
<br />/coBslxllJoNlaDtltilc&.cl
<br />I lEr.6y .ltrn unLr FEty of Fr.y tlIr dsE ir . oi.rudbn Etnjrg .rB, fo, tL Ff(llr]re ol tlE wi t{ *t!i.h rhir D6ni i
<br />n$cd (se 1o9?, crv c.,
<br />AIILI!:AdLDECIJSAIOS
<br />I holby .rfm undd lErhy or F ,lry or or rh rolb*io8 &{hni bn.
<br />D.mlirion Pdmrsasb.{os Ndificlti,. &ol Rcsulurbnr lTirlc .10. P!n6)
<br />-Rcquncd
<br />krrer or Nolifralion
<br />-l
<br />ccnity lhc rlE f.n r.l EslltlbB EBrdinS dElor Emvrl @ ml lppltrbk lo $n F!j.t
<br />fti:,ld rr, th.' I lrE 6d rhi! rpilrdDn !i r[r. rhd rh. .lDE irrontrr.n !r ffi. I .3r ro o,ply ei$ dl cn, ud C]buryvddbE .id sr.r. trwr Eho8 ro h,ildin8 @nsrrb'r ud llEny dthori& EF nrdih! of$it Chy.rn Cou,ry ro.nrq uron rlE
<br />*$vc mnrioftd tn)l.n, td in\Fcrb. pulxr*s
<br />AoDli.mt or Arcn( Sirrrlua bk oU/?-3z/Lt
<br />e..^rr* **,oa^|, 71. < <-,' /2-a7".n n.1
<br />I
<br />SLAB Floor
<br />Shear Wall
<br />FINAL
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