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BUILDING. INSPECTOR RECORD <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 Sheathing <br />Shear Wall <br />Framing <br />lnsulatron/Energy <br />Drylvall <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 />Itaubtt ttllt_",&-/e v.ufit)q <br />FINAL - lK -l"l Zl <br />Certificate of Occupancy <br />Notes, Remarks, Etc. <br />OWNf,R AUILDER DET-(ARATION <br />I h6.q .mm ui& tE lly of Fjury thd I m d pr 600 th. Conlr.dda Lic.^e L& for dE tolbwq l6n (Sd.7011 5 <br />B6i,E rd PiDld,on Co&): Any Cny.r ('lMy whah r.quiB ! FEn ro odM. nr6, inFoE &@lirt M rqu ey <br />.ruduq FDr to nr illl,r .to Equic llE +dt!'l for ruch Fnd ro 6k. lrsi.d scml thn lE or dE ir lic.6.n F!$ar <br />ro thc FnvirioN olrhc conrcldi Li@rr.d ttw (ch.pt6 9. conntrine with scion 7000 of Divilion I oflh. BBilB ud <br />PmEsioro (t'iL) or !h{ tE n iE ir ddpr ths.nDli &d ltt b4a lor rh. rlhcd .rmFion Any viohrio. olsdion 70:11.5 byay <br />rppl'cur lor, Fan oudt rlE +pli.d ro ..iril Foly otml mc ltd nr. h{idi.d.,oll&t {1500, <br />I. s oM6 oflh. Irwdln o. my mplorq wirn srs6 B th.ir sl. compdBlrNn. *i d. rh. *6t dld ln nidr n mr <br />iorst d or ofqql to. $L (Sd.r044. BBiro ud PDaBtioN Cod. Th. Codndd t Li.@ LlR dG ml ptly lo e olG oa <br />rlE FrFry $lD hild or irryDc dEor .d rtD &E sh 6n h'elf or lE*lf or llmugl' hn d hd om 6ployG. <br />FoliLd rhd Mh nnF.ralEt G d ino'Ld ( o6qqi ar sl. l( ho*66. trE hrilddB r tttr)ldld it mld vih6 oE )a <br />of.onplrid\ rlE ownd BuiEa will hlw tlE hnta ofFo\ru rlld lr or ir'. dd d trill or imFor. tn p.!Fy 61 0t F,Frof <br />-1. <br />6 ow olrr Fqdry. m.rchsiv.ly.offisg $ nh lc.Eal (o d6ro md,u<r rh. Foir! (Sc.7(xr. ttllilE <br />!d Prok in Co&r Tt. Conk.croi! Licd. Llw &'6 nor lpply ro o 0$.6 of proFly wh. blitd! or ioprov6 lh@tr <br />od *ho co.lJid! lor such Foj.d3 wilh. ( ontrto(r) licn*d prEMl lo th. ( onlEctol! Li.@ trw) <br />I h ddpr urds S<rbn- B &PC lorrh! 'an <br />D.r.: Oi!.. <br />la8ri!8ii:.CaluEdlarlo!DFClln.^floN <br />I lE*r olfim 6da pcuXy of Flury oE of rlE followm8 d.tLftrio6 <br />-lhrw!dwilloi <br />.in. Carifr.l.olco@r to S.lf-lM f.r wk6r @hp...rion, s Fovidcd for bySalion 1?00 oflh. <br />L.t r cod4 f6tlEFfffi. ot E*qth.*tthtt Fni ! E!.d <br />-l <br />ha!. and will nri.rai. *o*dt comp.N ior iM!nc., s Equn.d by S.dhn 1700 o f th. l,bor Codc. tor lh. FfollMcc ol <br />ieol My *orl.B comp.G.lioo i ur&.. .nit dd polhy .umb., re <br />U <br />-t <br />.dit rh4 in rh. FrotuG oarlE won fd *'hth ths Fmn s Bu.d. I iull rct @pby dy pdkn h xy mM <br />s 6ro bdoN 3uqd ro rh. w.td omFudion LM of Crlifomn. ind *c rhd rl| druld b.{oE tuh lo tll <br />{ortsl compdst'oi pi,visiotrolS..iion ll700oflh. tjhir Codc,lrlull, tonhwirh co <br />wdRNliic: Fdld. tJ K@ s$ 6 onFsrion cots.sc G unh*ful Md snd ophF ro oini.,l Fstk rfli <br />.ni! fnB Ip io oE hunH thoed dolld (tl n. drn s6 a Fotn.d for E <br />sdi.n 107t ofrlE llborro(L idqd lnd <br />-,.,'.tolrcl rt- a <br />{,.. <br />I <br />F.rlly of Fjury ihd I an li.6sd undd Forirn'n ol (.lupr6 9 (<omrfthg wilh S.dtun 70m) oa Drvision I <br />of rh. l,oin6 ed PoldioG Cod., ad my li.@ ie r tull lor.. dd .ildl <br />c te0 )Qq <br />lu <br />!.jrLtlrslrl.ltl]tl-tf,Dla.(i]lgj.t(r <br />I hdcly .llm unda FDlry ol Frury th{ llEc it r @ldruclion ladnls .s4y lor llE Ffotlffic of $. *dt 6r whah thn Fiil i <br />is!.d (S6 1097. Civ C). <br />ATTIJCAdIDECTJEAIIO! <br />I had', olrmn undcr polh y oa pdlury on. of lh. follo* ins deLulbnr: <br />ttholiion Pmil3-AltE o. Norifk.riod Frd.r.l Rquldn,N(Inl. 10.ltrn6) <br />-R.'tur.d <br />L.rl6 of tloii.dir <br />_! c6l ily rhn rh. fqrr.l r.t!hrbre r.tssdinr atGlor rmv4 <br />I cdr0 rhd I lEu. rcln rhi (otr.r I a8re tu.ompl) r(h lllC v and (irunrv <br />odinanc6 ind Srarc l,rvr rclllmB ro r.F.d iu6otrniClytud <br />+ffidDrc ,MrioEd po!.nv lor <br />t,tpplionr or &ar Shn.rur.t(a Cv(Sft1 <br />r( <br />DNflII <br />Flood Zone Certif.