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BUILDING. INSPECTOR RECORD SITE.WORK DATE ID/SIG.COMMENTS OWNER B!II,DEN Df, ICARA']ION I hoctry amm urds p@lry of pojury rhar t d .xmrx aron rh. (onk..lon' l-i..ffi kw tu rh. tollo$int r.mn (".L 70ll 5 ucin6! od Prca6rio. C.d.): A.J cirt or Coud' *hth kqun6 . Fnni ro srddd, !h6. imFor.. &rmlbh or qln ur. srudE4 Fitr b ns Nuc.. .L rcqd6 rh. {rlEo' tor $ch Fm b 6L. !(n d.liqE lht & or srt a lidsd FE4d ro rh. Forl.h6 6aOE contrim-! l.k6sd trw lorpt( 9, ( ommfti.8 $nh serion 7(D0 of Dirilrn I o,lh. Blr'nBt lod Pma.ssionr (-o&) or rhat h. or shc 6.tspr rh6c&on &d rfic l8ir for rhc lllcscd c\dprion a.yvioh('on.tSdionT0ll5tyany spph(lnr for.Fftir tubjdsrh. rfiili.ant ro !.ivrlp.naltyof.or mor. rhd fir. hun&.d ddlle! (1500) I.so"kofrlEForEl).trnymrbc$nhq.B6srlE $L mnFeirn. uill dr llE usl !d !l! indd. i! L{ ddddj or ors.d ror ek {Sc 701-1, asilB d PisfdrcB (\{.: ft. conrdor'. Lte la 66 d q,plr lo d o*ffi or lh.pmFny sho hil& or inq!!6 rh@n, edql$ d.6srch *o hift.lf or h6Flf or lhmuth his or hs om drloy.6. trovd.d rhrr tuch i'nF .ffi3 c n dâ‚¬rldl $.lla.n 6r -k ll h.$6d, rh. h{ildi4 or lqr .ffi i $ld within on. Jw otconpl.rFtr llE (xE &ilds *illh.\!rE hsd, orFolitE rhi lE or !h. drl nn hnld c inFn. E FoF$ 6r llE F,Fx oa l, 6 own6 otrhc pmpsly. M .rclurivcly codilclms rnh lic6B.d .ofta.rors b .oneod rhc Fojel (Sa 7044, B6m* dnd Phisin Co&: Th. ( onrdo.r l-i.ru t.* &J6 nor.a4rly h u oun6 ofpropqly\ho hoikis or inpNv6 $66.. sd uth oltrr ao. srh p.ordlr trnh r Co.rr&ronr) lkasd p{tsuar ro rh. ('o'dr&ror. lt.e Ir$) I m.tmpt u.d6 Sdion r}!taDEl.g)!lfr!sArl!t! o&clJa rlo! I hs.!y.mm unda pd.IyotpqurydE ofrh. follo* ina drhr.rioN I hov. sd $ ill dirlain . Cslrlictl. of CoMl l,' s.lf- lNu,. r{r trlrl6' NmF.dion. .s For i(H lor h, Sdion .r 7(rr of lh. tlhor ('o.k. for lh. FfolM! orl,E q!.t fm *nih rh. Fmn a isu.d. I havr .nd * rll m.mr.in $ 0116 comrEN.rion iBurak.. s r.qut.d by Sal nn lt?00 or lh. l,hor cod., ror rh. pafonM.. o f lhc uort tor snkh lfiis pcnnil is isucd. My wo*6 .omp.Ml ion iBu,m. cdi6 dd rFli., nunbd E .* . Zrrrdc h rorcrNuo*l SCV SO kDloc>t,*,"* r\[rtt-? I cdifyrhd i.rh.FlolM..of th. wo* for shkhrhisFhi i! i$u.d.lrll,lr not @phy tny tEsn in.n) naF $ 6lo bqlE$ti61ro rh!rqt6 onFE io. h6 of Crliromtr. xd +r lhr if I shsld hcoft $ba-llo rrE *olrd conF6ni.n F$io6 of sldi.n lTm of E llboi (-.d., r Cdl. ftnh$ nh ontPly tr nh rbr pr$ iFd wARNlNc: F.ilu. ro sm *mtd conp.Bllion or6sc i Unh*tuL ud $.ll tbjd d dplotr l. ainiMl Fuhi6 dd .ril fitrc\ trp lo ok hrtrnRl rhotrn dloll.rslilolr.olr0).iniklllik,nl!rhr.fior$ lks drflrr\ i( l,r\ihl n lhe SEI irn 1076 of thc I jhy Code inls.3 ud dlonEt'l .,o 4_lq9lr_1 DICIII^IION I hft6, .ftm un<r6 FEh, oa Fjur, rhd I m |i..trâ‚¬l un& Frlbhn oaaluda I (com,ns *ilh Sdrin 7fi)0) . r Dn ti.n 1 ol rh. DuuB ..d PrfdE6 Cqj., rd dy li.(e 6 in tull f.r.. rn.fid C \a -.,-"#' rIl)-35d og1()t l!T\\ WE-- collrBucuotr-LrNDlacdi!!(r I bort y iflm u,*kr F&lr, ol Fjory thd (h@ ir . olgtudion lddnB .e*r for llE psfotrlft. of lh. *drk n, "'hih rhn Finil b isrd lSE. 1097. Cn C It rid ! N.m. AISII(ANLDI(,JAAIA! I h.!tt rrm undd pd.h y Df pajur, .rc of (h. f.llosins d..hrdnrm D.mlirio. Pmirs-A!tBros Norincarioi Fcddrl R.suhrionr (Tnl. 40, P!n6) R.qurcd Ldl6 of ]'h'frdis I (drfy rhd rh. fqtd.l r.eul{ioN ..Bediry 6tsk*.m\!ldr. nor srplicrhlc lo rhis Foi.n Set Backs Erection Pads UFER Ground SLAB Floor Subfloor/VenUlnsulation /RoofSheathing </ fl lft t.a vrlL(iN 6I Shear Wall Framing lnsulation/Enerqy Drywall Ext./lnt. Lath Brown Coat Masonry Pool Fence T-Bar Handicap Req. Deputy Final Report Engineer Final Report Flood Zone Certif. -t I I ) FINAL Xhq lt?.rffi1 U Certificate of Occu an Notes, Remarks, Etc. l.diI! rhd I ha.'..Jrh'! ord0.fr6 a.d Srarcl?sr ,tFv. m6ti,n d lr.pdrv tor Forms/Steel/Holdowns I I I I I I I