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BUILDING. INSPECTOR RECOBD
<br />SITE.WOBK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />Ereclion Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathino
<br />Shear Wall
<br />Qqrwall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enqineer Final Beport
<br />Flood Zone Certif
<br />FINAL 5-'LY'lq fi.Wi,,?)
<br />Certif icate of Occu pancy
<br />OWNER BUILDEX DELCARATION
<br />I ltElry .llrm un&r FMky or Frrrry itur I m crc.!, rmm rlr Codndo. L&nE li* for rlE rolb*hB @w,[ (s€'Ll I 1
<br />Eusinc$ a Pruf.s{on Cod.): Any Cily or Counry whi.h i.qut$ ! Fnnn r. .onrr c!. rlr(. iqtow, d.mlkh .r rcp.ir uy'
<br />rtue. Fi{ fi' nr iriu.E. tla i.quiEi llE tal,ltd for <Eh Fni t, fik r riSrn {d.rnr rhI rE or itE ir li!.t d l'urud
<br />ro rlE Foisnnr ol llE Co.rftrors Li...rd trw (Chrprs 9, c{'omkiit *iih S<rion 7lm of Daririo. It of tlE 3uri..( rnd
<br />Pror.sio.s Gxh) nrrh.r lE or shc h.rcryt rh.rcftom $d rrE tEsii for rrF llLg.d.rcmrrion Any virhio.olSdbnr(rll5 hyrny
<br />.rpla. ror . Fmir rubFk rh. rpplk.n o . .ivil p.Elry of mt mE lh.. firr tudEd dolle! tt5{x)).
<br />-1.
<br />t\ o*mr of rlE nmtEny. ,n my cryhyar *irh *sa.( .\ rh.ir r,h sntEn€r ioh. *illdo rh. wot dn E n.Elw i! ml
<br />id.trkri or off.Ed t qL rsd nllJ- Buliri\ rnd ttof.sibnr Cqj. Tlr (inrrcldi Lienc L.* dEr ft'l {,t'ly ro ,n n$B or
<br />thc I,IIf,ny uh) hoilrlt,tr in{'mrt llEG).. rld eh, &xs rkh k)* himrcifnr tEr*lfor lhtul8h hk or lxr oan.n{loF.r,
<br />pmvil.d rhri.u.h in{r,Emnt e mr hr. ldl orofl.rd rin qh ll tb*rF. rlE hoildin8.r inlmkr G$B*ihm"m)u
<br />otort'ldbtr !h. (hE. auiu.. rrllIEE rlr tlnhi nfFovinS rhd hnir-dii d t iB i, iqmw dr FIdy ft' rlr FqrEor
<br />_1. r\otrrc. II rh pnFn). rm.rclun\.1,.ohnrdin! $ih licak\l.odr nn io lrnrrdd rh. roF-r ISN 70.ll. Bu!fts
<br />and Pn,t\\i,n(ixtc'lh(Conrr!(,trsl.i.cnscL.a*tlNsfrnapflyn)!nosndofnroF !*h)build5orintnnc{rh.rc.tr.lod lho.onrD.rntr\uchlh)j.{(*irhDG,hrrdon\)li.cnrdpuru,nrh)rhr(i,nk!crr\l.i.n{litr}
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<br />rm.icmpr un<Lr Se..lion_
<br />w0RI(FrLS', ColUPFrtSlII()N
<br />llfllrtBAllo!
<br />I lErchy rmrm und.r FMXy of FIry oft of rlE f,,llo$!.3 dNl,"rh.(
<br />I hdvc rl s ill ,tun ai', a C.n ir-rarc ol ( i,.{ni b Sclf ln{rc h, sorkcn tmFn\lr ion. !\ r{nvil.J lirr hy Sc(rion .17(xr of rh.
<br />l:htr('xJ..nn rhcFrao,nBmcof thcro,Ii{rtrhEhrhcFmir F6\u.d
<br />_l hevcond uillmoinrlin worlctr .orqEnsllion inrurrn..,6 r.qun.d by S..rion lTln or rlx lrh.r (jd.. ln r hc Fsli'inErc. ol
<br />ItE *{ ror whth lhn lEsn is ncd M} rorrd. oqxn{'i,n in re. ffiy .,t ,rrrt nunb.r d
<br />I (diry rhi in ilt Ff mK of llt rod fm shth rhn Frmn r irsEd. l shll n,r cn{ ry.ny n i$n in rny lMrr
<br />s N tr lE<am ruhj.rr h rrE Frl6r oqE.sri'n hws of c.liromn, ,nd a8ft
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<br />rr I rhll(l h..oE rubF r. rrr
<br />hrkc6 comrEnqtion pmvthns orS.clhn l?u)orttE tlhtr Cod.,I rh,ll nflhwilhcomply *ilh ltnr pmvnhns
<br />rvAININ(;: I.rilurc (, {.urc $o,tcr .on{f,nerx orm8. is unL*tuI. .rn rull ruhFl u dlpbFr l{' riniDl Fuhi6 rn
<br />olil nn.\ op n, otu huftncd tlr'uqnd nolh^ ls )-(rr), n 0ddii.,n lo rh. cod {,fcor{xn{rion. d.mAg r\ prcvd.n r(, rlr,.r",,=*<-n4
<br />lrrl.LtB,rru]
<br />I lErct'y .rfi.n !ftld Foh, or Frlr.y 'h.r I,r^ak)nol( hrlrLi I kl)mnrr'ht r h S(rrnr 7(Xl,ol I)nri'.1
<br />of rhr llu\i,k\\r t,nnc\\i{in\(inlc_ nl nrvli..tr{. i\ h h,[ io.r rlicrn.r
<br />c/\,7 Cl <'-'lt ','1,/))v/
<br />2<'rt-t!
<br />I hcr.r't nlftrr trn&r trl,nlryoflt'rrl rh dnrri(,n lc d'n8rlrkyntrrhrt---rfor rn.colrhc*ork tursh(hrhr\Brtrn t
<br />tsu.n(S( lrl)7. Civ C )
<br />AITLICAILD};SIAAIII]!
<br />I Imu+ rflhn u.dd Jrn.ky of F,llryom orrlE r(nlrre &{bnrintr
<br />I).'r,lntr,n P.rnrir\ arhrdo\ Norificarirn I..dcral RcSuhrt)nr iTirlc !1r. Pan6)
<br />R.quircn l.($.f t*riff, drr
<br />y-,1"i,,'f"n"^,
<br />iir,}1r'/r r,,,. -,4 ,r'
<br />,d,Mto'G rnxtdc br(rta,h.m rdhri).h i
<br />E8ularbns EtsdinS rstEso. r.mrvll ft nur atnli..bk k) rhir nmr
<br />n apdidbn 3,n darc rhd rhcah,vc inlnrmtion i.orNr I rsc tl
<br />ringt,t iktint .on{tu.rhtr d hr.by 'urbrir. rcF.<nr'riv.l .f r
<br />comf lt siih.ll (-'ry rnd (nunry
<br />ht Ciry rnd C.un(yro cnrs ufn. tlr
<br />,n" zl-t1'/a
<br />SoA P>rArf't
<br />Forms/Steel/Holdowns
<br />Framinq
<br />lnsu lation/ Ene roy
<br />Itilasonry
<br />Notes, Remarks, Etc.
<br />-Z=--
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