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BUILDING- INSPECTOR RECORD SITE-WORK DATE ID/SIG.COMMENTS OWNER BUILDER DEL(NRATION I hs.q d[m undd Flry of pdjury rhr I m datpl liof, rh. Co,rrtclm Lic.u t w for llE followins la$n (ta 701 I 5 A6iB En Prof@n Co&): &y Cn, or Cqd, rhih r.quiE r Fni to o.rtlrl. rna. i'nprofc &tElilh ot lF.ir &t no.iu.. Firr ro r't isusq .ho rcqln6 th. +plkor for s!.h FEil lo ik.3i3.cd {atul $d & or tlE ir lic$.d Pujrle lo th. Fovtioro otllE Cort.clm! Li.Gn*n kw (ChlFa 9. Comm.ing *nh Sdion 70(x) ofDivisio. t of6. BBi.6 Dd Prcf{.6 Cod.) or rhtr lE 6 dE n daq, theflm id rlE h6! tu th..lLg.d <aFb. Aryli)ldboofs<tb.7011, bte, q?li(d for . Fnh sqd! rlE @licd ro . ovil p. hyof mr mclh& t^. h@d.d do[,B ($m) -1. s o{E otrh. FoFr}, or ny dploy6 sth ois6 6 rh.t 5k 6ryssio.. Rilldo tlE "ut d tlE,irle ir hr ida&l d 6rfa.d lor -L (Sd 7014. AulB Dd PNldi'6 (-od.: Tt co,rrldd r l.a.d t w dB d +pl! io x osE of rh. Fotqry vlb hrild u iiFnr6 rlEa ad *lN &6 rf,h srd hrell o. h.ell or rlEowh hn m lE orr .niph) c Fovid.d rhlr su.h impmv@r! E tul iroidcd or olH for sl.. l( nowM, llr tlrur! or inFo\â‚¬lM n $E withr oE )B oaon0lri.o, t o*E &rildd wil IEE rlE h!&! of Fori,u thi lE or $. dil rDr hdd r iiqFe. th. FDFty 6r E D4,porof -1. s ow ot lh. pmpEly. m qcluiv.ly cofiri(1t8 wnh L.da.d ..nr.doN io .odtud th. p.q.cl (Se. 70.14. Bdm6 Ji Plrisid Co&: Th. Co.lrr.loi ! Li.cM L.w do6 nol lroly to D o*os or proDdry who b{ild! 6r imp.ola thson. .d *'ho oddl. lor Mh F.F! { nh. Codo(3) lid!.d pol:d h rlE codr.dd , LtlE t s} _l an crrftpr undd sdrion l).re Oin.r ]Lru&:-(lrrrrJuua!!trg,Aaara!Iho. rlfifln utrdo pc@l(rf lFjur) oh. orrh.li,ll(N'n! ddhrrrntB -l h.r. d *'ill ruinr.in . Csrit d. of CoBar ro s.lr ltuc t@ *uldr' ofrp.uxDn, s p.trr'd.d for by S<cliod 17(l() of lh. l,bo. Code for lhc Ffo,ru.c ollhc wo* lor {trkh lhc parn n isu.{t -l hsr !d \ ill n.id.ir m*o cooF6.lbtr ilryee 6 ,lqdEd b, s-lbD l7o0 of tlt t lo. co&. for tlE Fflillry.of dE $qt for whth rhi pdon ir ie.d My wla o,q6rir illlro. ffiir -d Flty .urbd G Polic, N6bd:L&pi6 I c6ii& lh.l in lh. psfomuc. of th. \o,t lor wfith thi3 Fmn n ieni. I drll mr onplo, uy tEer in ey m'le s d ro b.<.d lbj.tl ro tlE so.t6' mnFdion h*: orcd'aomi sn .Br lhi if I iruld haod $titl ro rlE m.ld FmFMr. Folllirc of Sdi.n l7m of tlE l,bor Co.:ic I srdl ronnq nh sdpl) I'nh rh* pr.riiirN WARNING Flilur. to su. srt6' composarion covdas. n unhwfll dit sh.lllohjdl n dploys to ainiul Fuhi6 dd civil ,in6 up ro oE huffl,.d rlFus.d doll6 (llrxJ.Oool, ir .ddilhn io ih. or oa.onFsrion. d3!*6 a rovd.d for lh.:"j\xfiK1 DECIIIAIIO! I hc.t', lrm url.r rErX) o f Fjury rhi I m liaid und.r Fn\ iio. of (tupi6 9 (mffiins s ib Salion 7000) of Dri!i,. l oa th. BNina md Pbfdiod Cod.. ad my lic* ts in full nrrcc dd.lId S I .-t\\ \\r.1rq colirf,IlcrlaNr[luu!-dcEl(I I i@by rrm u.d6 FEty o f Fjury lhn lh4 ir ! otrrrud bn ladEs .sdy for llE Frolffi.. of rhc *nrt 6r $tih lhi! FLil it i$*<l (sa 1097, ( iv c) AIfJ.ICAILDIIOIAATAB I hdtby .JI,n uftL{ Fnahy of Fjury on. of llE aollo*inB .L(lJ.l nrns Dqehsn P@ne^{Elror Nor'lior ion Fn rir Rcguld ba { l nk {o. Pd6l _R.quiEd Inl6 of ttuifi cibn I cariry rhr 0E &.1 rqaLrbE tlrrdi,B Bt nd lmrd {. 'Er a{,lac.tL lo rhi Fojer -l cdriry rh,l I h&. rdd thi! epli.ation ari r|,t. thd ft. !bov. infomdion is c6cl. I rgra 1o comrly wnh .I Cilt ed Colnry ordiMncd turd Sral.litrs Ghl ro bildir{ &'rntudnri! rd E-r* iurhorn. r.FMrdir6 of lhir ( il yed (i,unr) o drd ult n rh. rbo\. nEllir..d prop.ny for a"*.1\^(tr {.4\" Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor Roof Sheathing Shear Wall ,/A Framing 12-td -l{kltLrcl lnsulation/Energy Drpvall Ext./lnt. Lath Brown Coat Masonry Pool Fence T-Bar Handicap Req Deputy Final Report Engineer Final Report Flood Zone Certif. /n\ FINAL t-lE-11 \t,W1Ll Certificate of Occupancy v Notes, Remarks, Etc Subfloor/VenVl nsulation I