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BUILDING- INSPECTOR RECORD <br />COMMENTSSITE.WORK DATE tD/stG. <br />Set Backs <br />Forms/Steel/Holdowns <br />Erection Pads <br />UFER Ground <br />SLAB Floor <br />Subf loor/VenVlnsulation <br />Roof Sheathinq €//?//? P/4 wa?/()(/ <br />Shear Wall <br />Framing <br />lnsulationi Enerqy <br />Drywall <br />Ext./lnl. Lath <br />Brown Coat <br />Masonry <br />T-Bar <br />Handicap Req. <br />Deputy Final Report <br />Engineer Final Report <br />{//s/1FINAL S ' fl4/6./gL,Y <br />Certilicate ol Occupancy <br />Notes, Remarks, Etc <br />O$NI:t AtIIDER DEI-CATATION <br />I lrEr'y !fitn unLr ,En2lt, uf Fr,lry th.l I !m crri, ln'm rh. codt&1.r' l-tanc t4 ftr tlE Dlhlinr r.mi lsd 70ll 5 <br />Bulincs ond lrof.sinn Cod.) Any Ciry or Coxnry whkn rcquir.r . Frmir b 6n{rud. .hd. idr,mvc. d.mrlrh or E Eir v <br />(rucrne- rktr k! it issulmc. rl\o rcquirc\ rh.nptli. nr r,r .h lEnnn lo fihd rilnc{ sd.mnr rhtr lto, rhc n liccn€d pur dr <br />t, ttE nmvni'n\ ol rlE CDnrrtt, r l-i.cn*d Lsu lchlprcr q. Commein8 wilh serhn 7fixr or Divishn .l nr rh. Burimsr !trd <br />Pmfcsshnr cI'dc ) or rhd lr or .h. r crcrq rh.Eiion!d rlx trrir for r& rlLS.n cknprirn Anvvi'Uinnofseri'n7(rll5t'vrny <br />rmlic:nr for . Fm iuhFr th. rfir,tsnr r. r oril IEMht or mr mrc rhrn fir. hundr.n &'lus ltJll, <br />-1, <br />ai o$rcr ol rh. IrDlEny, d m,.r+lors *irh rra.a .a rh.n $h omPc.qri,n. rill.lo r*1*!dllttu1e ! mt <br />inrc h.roficEntusbtS(7044,B!{mtrandPnntliiont(ird.:Thc(i,nr&1oirl"t.nel,*&8mrlPplyr.!nn}hrof <br />thc pmpcdy ehrt ilk or in{,n'vc\ rlErn. uri uhJ il($ u.h $('* hnn\c ll .r h.sclf or rhmuSh hn or hcr own .r+hv.$. <br />pmrid.i rhrr ruch intmwnh e n i.lcid.d n otH lnr sk la h,wo(. rh. hilding ur iqn,hEnr i! erH eirhin oF F{ <br />oronphrbtr llE ()rmr Buitl., sill h.w rh!d.nofFnrrnslhdlri,rrEdr,n hild or i,tfrt! tE FIEry fd rli,lrFri or <br />l. n .wft. dl tlE Inrpcny, am .r(hlnfly co, r-n.3 rnh lkcn{d .ont&tm n} conitur ih. l)nlrd r Sc 70!. au5ift\1 <br />(rl Pn,6\rxr Cnlc thc Conrrlcnn r l,i.cnr. Li* d(Ei n rPPlylo .*n.toffioFny]ln hu'ld\or inPrnv.r rhc.con. <br />{nd wl.n' cr ra.rr li,r sD.h tm,F_l\ wiliaConlnct'(r)lir.n"t.l Nrsu0trr t,rh.Cnnh.d r l.iccnc L{!) <br />-l <br />ncr.nq'r to&r Sdrbn- <br />Drr.l <br />NAf,$:BIjIAUEEIiTAIAX <br />I!F('t AR,TTION <br />I hcrch, !lltrn unJcr F-nrhrol tulury oN ofth.li)ll,)rtr,!,l..lrrrri,rs <br />I brv. .rn lill roirrdn r cdifrd. of consd lo S.lf. lNUa ,u *rkda .onFnilthn tr F)vild for bv S*rirn .17{$ of rlr <br />L,hd C.,&, l rr. lErftu ot rlE n r fd *hth rlE Fmil ir kntn <br />I h.r. .fl| * rll lDntln *or\.F .,,mFnqhn i^$, rE.. s. Rnlt.d h, S(r pn ]7m ot rh. I lhor Codc- ,ot rlr F.f('lBN. of <br />rhc mrr xi whrhrhn Fm rl nird l!l\ *nrln. n,ryrndi,n mrurrrr (m.r rd Flt ] numhd !.V-.<tzLr\ <br />lY*,.,n,,*, qlasSS9- ,,0,,". vlll7'e <br />V <br />I c.n'D lhsr hrh Frfnrmn: ul rh. *ort fq *'hthrhiFrnir ir 6o.n. lrh.llmr diobr.nyFen inrnv mnrr <br />q, rr ro h.fl.m luhF-r t' !h. uoltsr, Fryrndim Ls\ of( rlifomt- !d.aN lhd if I stnuld tE om ruq.rr h tlI <br />trorlF.nnFnqr'o.DmvsnnrilS(rnn.l7fi'olrh.l:htr('rld.l\&11.fi'nh*homnly*hrh,YPdvni.nr <br />wAnNrNC' I'orlurc h <ur qrlc^ u,nrlrn$!i,'n s'8n3. is unlrwtul, lnd shlll s!bi\! un.mllorr ro oimiMllE lliL\ lnd <br />| .Nrl fimt un k, nE hunlrd rh,uqnd d.lrs rll(rr.lrx)r, in ddirion h rlE co{ n, con{E.qli,n. d.Es.! .r rovilcd lot ltE <br />$JrHBl <br />l,br cod.. i mtr o,i rrlmmr'r rdr <br />rcl <br />ul}:ritrlll]}"llu!.lQ3 <br />llliUrlXAuo! <br />I h.Eh, sfllnn!nd.r l.Mllyolpojuryrhar I am li(nq\d undd rovilion orchdplu e (commtihs *nh sstion ?(xro orDivision l <br />of lhc ,lu{ims rnd I'n .rshn( CGL. ari my liot n m tull f(tr c .ri cl!$r <br />v"." <br />8"" <br />e-94 <br />-l <br />LPlLl\"4_ <br />zfr I \1 <br />ATTLII'I\NLDECIJIAIIO! <br />I ndd'y rltm !ftkr Frhy ol Frrury ot ofulE rolk rn! d.tlr,lli'r3 <br />ocmlnio. P.rndr Arh.nor t*{iff,.li'n Hcnl Rcluli hn. llirL a0. Pun6r <br />rlr. nor arplrrhk ro rhk nn <br />1el <br />inlomDriotr r.,lld I rSra <br />1,? <br />.h!dhtrr. kt'.{nrattr. <br />5 <br />>.t Ltq, e <br />Pool Fence <br />Flood Zone Certil. <br />l,itN Nur*.r <br />qlBg&llllJtrLENDaluqEBla <br />I h(ny .rrm urn( Fflly of Flry rhd llEE i. . onrnxtio. l.di,8 .8dy lot lt FrM. ol llE *,1 for *hih lhis Fnl ir <br />irsEd rsd 1097. civ c r <br />L.nd..! !!.8 <br />-