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BUILDING- INSPECTOR RECOBD
<br />SITE.WORK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsulation
<br />Roof Sheathinq /-2 ? - t-t
<br />Shear Wall
<br />Framing
<br />lnsulationi Enerqy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Ir/ aso n ry
<br />Pool Fence
<br />T-Bar
<br />Handi cap Req.
<br />Deputy Final Report
<br />E ineer Final Report
<br />I
<br />FINAL .,/zorhD ,N14;)
<br />Certiticate of Occu pancy '/
<br />Notes Remarks, Etc
<br />OWNtiR IlUlt,lrliR DIjLCAR/\'I l()N
<br />I h.(by afiirm rnd.r Fiahy of rrrjury rhat I M.r.hpr fnm rhe Contracrn' Licn* L:q f(n rh. nrkrwin8 r.a$n lsc 7oll.5
<br />Btrrin.s and Pn,fesioi CGl.): Af,y Ciry or Coumy which rcqun r a n rmir ro coDntoci. alr.r, imphv., d.mlhh .r EI'rn any
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<br />n' rhc Iln)visioni of rlt conracroir Lic.n:.d l-rr (chrprer 9, comm.mins sirh s.crirn Trxx) ol Divhi,n:l ofrh. Busin.$.nd
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<br />rnd $ho .oirtuci.rsu.hF.j&r(wirh!cDnrmr,ni)li.n*d pu.suanroilEc.nrdtr s Lic.ne L,r)
<br />li (r.rnpr urd.r S(non ,B &l'C nrrhisrea!,n
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<br />DLcL -BAl.to!
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<br />cJrrr t]1>.l<F_,,r
<br />.aLh "?f "l tL I h lZ-14
<br />lc.nifyrhar inrh. p.rfo'n nc.0trh.warkforwhichrhnFennir is i\sued.l shrll nor .mtlDy iny n ^on ii.nynriiicr
<br />q, isr) h.c.m \ubFc( r, rh. wD*.n c.mp.nsaDn ld*( of('!lrf,)mr lnd agEe ihar ill \houkl trcom shFd t, rlr
<br />w rl. crrnlcn$oonnn'!ni,,i\.ts.cri.i 37(x)ofrhe Llhr Gxi.,l \hrll. itrrhulhc.nrnlyeirhrh.e tBvisio.s
<br />}VARNING: liaiiur. b r.re R,k.r co'np.n*trn,n ..v.ris. n !nh$tu|. xnd \hall $bj(r m .q,bls ro niminil Fmktl md
<br />ciil line\ up ro nn. hundr.d rhousn,l doJlrs ($p.n\ n)n. danlse\ N pr)ridcd ntr (he
<br />s..rtr ' n,76 or,h< Iihn (*, thzlz'?
<br />I h.EhytrtImtrnl.r nenalty fnrjuryrharl,m,ftns€Juid.rpn,viri{'nofCirr(.r9(co Encing*irhSecrioD7(xX,)orDivhi.n:l
<br />.l rhc Busin.sand Phf.$i n. Cel...nd my li.cn{ is in fullturce ind clfEr
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<br />I z e-l-). D R'v41
<br />I lEfthy iffifln unJer ll€n.hy olFriury r krliry.B.n.yturrh.Fnnnnrn.eoIrheuorkntr*hiclrhi\|inni n
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<br />L.nd.ir N,mc: _
<br />AIIIICAN:LIIig.AAAIIAN
<br />I h.r.ty.trm und.r p.nrliy ofFrlury on. olrh.fdlo*ii8 dcclir.ri('ns:
<br />D.'n)lirion P.mns A\hnos N.rili.dhi F.d.ralR.8ul i'n\ lTirle40. Pdr6)
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<br />rc nor afpli.rhl. r. (ln{ pn
<br />bcomply*nh all Cny aid Colnry
<br />frhis Ciryand Courryio.n(d nI-n rlE
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<br />.urhrrc,.f,r.\cDr&v.s.
<br />fiev 08-07-2015
<br />Flood Zone Certif .
<br />0t3
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