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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsulation
<br />Roof Sheathing t2-2"u14 Gcz'7
<br />Shear Wall
<br />Framing
<br />lrculation/Energy
<br />D rywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />FINAL /-'7. /cl 2(,t*'rao:(Ah )
<br />Certificate of Occupan cy
<br />Notes , Remarks, Etc.
<br />z-2a-
<br />{
<br />O1TITER BUILDEA DELCARAI'ION
<br />I &t .ltm urd6 FrXy of Fi@ rhi I r daDF 6!E rlE Co'irrcrm U..u l* lor rlE followiqs l@tr (Sa.mll.t
<br />Buird ind Plofsio. ( odc): Any Cir, or Counly which r.quir6 ! panil rD oturruc1. !h6. inprcvc. &ftnbh o ipot 6y
<br />lr'Erue FiJr lo il] illlee.L rcquiB fi. eplaEr fo, Mh Fnh lo 6L. riscd riffir rh, h. o. Cr . li.o!.d Faa!
<br />lo lh. Fovilioa ol tlE Co.r.dq r ti*ied Lrw {Cn!$s 9. Comn*in8 $ hn Sdion ?00o of Divnio. 1 or $. Burns &d
<br />PDfsn'.r Cod.) or thll h. or ihc i. ddF tc.&on dd rh. b.si for thc dLB.d qdFion. A.y viobrion of Sc.lio. ?01 I t by &y
<br />.pplicer lor . Fon $t!ai' 1lI: .!?lad ro ! cir il FMx, oamr mE rh., fir. h,frnal rblld {l5m)
<br />-1.
<br />a orE ollhc pmFly, or my.mplo)E *ilh w.Bd a th.n v'h comF@ir( will.L tlE *ort !,rl llE i.Elr i. flrl
<br />idold.d d oltd.d lG sl. (Sa 7Or4. &silB ed Pr!t668 Co& Th. Codr.dd i liw I ^ &6 mr eply ro m o$c ol
<br />rh.FDrEl, *ho hrill o. imFo\! $@G rd *ho d6 $n kll llilBlf or lEslf or rlmu3n hi! ot h6 o*! mploye
<br />,roviJ.rl rhli luch nnF.r'odt c mr h€rLd or ollaqi t r sL. l[ b*66, th. hrild!'e or in9roldEi i! $ld *i'hi. oft trofotrpli@ tlE Osc &ilb wi! lrw $. h,&r olFD\iq rlli ,E tudA d hildor in+.$!dEFrFry 6rfic F,po*ol
<br />l. a.$E.lrh. FoFlr, m 6chrnc!.odtttru viri lidBql conF.d6 b oldnrd rrE F.J<.l (sc 7or-l, 46j,6
<br />nd ib,srh Cod. Ifi. ( bnrocr6. r Lrc.M L,s &,6 nor !p?ly ro u own6 olproFn v q ho buil& or i6FovB tho6n.
<br />rnd sho .ontEc6 for roch prljars *ith ! Cbnt6cro(s) licdts d puNu!,[ lo lhc Conkdor. LkN trnl
<br />I m.r6pr u.da Sdt
<br />l!l}4f,!8s:(aufI8tArl0!
<br />D[Ct AEAIIQX
<br />I h6.h, lilm rn.kr Fdiy of tEJUry oN of lh. fdhs Iu drLrdirB
<br />I h.r c r.d s ill ii6'nl.'n a C61 ii.d. or (i8dr lo Sclt-lNurc lor sukdt conD.n.rnon, s Brvid.d fo, by Ssr io. I700 6r rhc
<br />llbor (irL- lor lh. psfotMc of lh. * o* lm *nah llE Fmn k is.d
<br />I tuv.sndwillm6i rin sork..r conFB.rio. inrurdnc., I r<u r.d by sdnon :1700 of rh. lrhor (\&, for rh. p6fommc. .a
<br />it b isEd My w(kdt co,U.rndion iNure..mir dn Fliy numha r.
<br />e
<br />2-
<br />-l
<br />c-lify thd in lh. Ff.rmm.oflh. wort for !hi.h thn Fmn ir Lru.d.l dEllml dphy my parn h my nmE
<br />$ 6 ro brom }tid to rh. hn6'omFdirn brr or( .l,fo a rd !s6 lni lll rrbuB b..od sti$ hrlr
<br />*ort6' conpa$l ion |'.rilioN of S.rtirn 1700 of rh. I$o. ( bdc, t .h!ll. aonhwnh .omply s irh rho* I,DvisioB.\,tAR INc, Fille to B@ sortd o6Fadi.n oralr. G unL*ful. rtrl 3lEll tubi{ e ddors lo aitlel Fdb aid
<br />ciil li.6 up to 66 hunn.d tho6r.d &1116 (ll00,O0O), in lddtion ro rh. cor of conFc.rlor &E s6 6 Forld fo rh.
<br />s(tion rc76 otrh. lrlrr ( od.. IlIldBl dd rnofty . ac
<br />v O
<br />IECIJAAIIo!
<br />Lrd.6, .,I@ uirb Fuiy of Fjury rh. I m li€E d u<ls Forirhn of Cn.pr6 9 (offiinl *ih Serbn 7000) of hqilio. I
<br />ot llE Buiod ed PDldio CD<k, Ed ny liccw ir ir tull fo@ ad.fiRt.
<br />)3Ltolz--
<br />(a>rtnQ C.o
<br />colilaugrc!.rfdDllc.AlilBt}
<br />I h6!5y .frm o.dd F.h, of Frjury th, rhd. ir r .odto.l.. ldd6s lsft) lor rh. IEfiro.. oarh. q6rt tu trnih rhir Fnir i!
<br />ne!.d(sd 1097.(iv.C)
<br />Lnd.r'r Nm. _
<br />AfILICAILDECIAEAIIO!
<br />I hdltt .fm unda pa.ky oa Fjuy oG of $. hlloeins &clririod:
<br />Darclibn PnnlA3b<nor Norafrcnion f<tcil RcsuLr ioB (T hk 10, Pd6)
<br />-R.q!B.d
<br />Lrlld of Norifi.di{
<br />f!, "o,,ry ,t ,n ,*d .*obrioB rcrddi.g sbdld Enoval u. ior lDFli.lbh ro rhn ptujc(l
<br />lLfu1'ttt'nttu.td l.iB 4pltnbrin rd.rhi rlE ltnE br.tuion s..rd I.srsro.6od,snh cirrud(-oury
<br />ordndcG .tSlfll. l,*sr.hlinsrol,ui
<br />ah,t€ mdrion.n l'on ny nn i6F{hn
<br />hd.b, .orh.riz rqnMrdivB o I lhk Ci'r and Counry lo ors ulon th.
<br /> pIlic.nl or Agol Slgtrrhrrc
<br />I'cmirNnrm.(prino: ?(.olr'ALl
<br />,,,,"/2'/7'/ I
<br />I
<br />Erection Pads
<br />T-Bar
<br />Flood Zone Certif.
<br />--**-,E%PJ'2o-O
<br />II ,,",,..,.r
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