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BUILDING- INSPECTOR RECORD <br />ID/SIG.COMMENTSSITE-WORK DATE <br />Set Backs <br />PForms/Steel/Holdowns lt /1 <br />Erection Pads <br />UFER Ground <br />SLAB Floor <br />Subf loor/VenUl nsulation <br />lfr0F,lb tg <br />Shear Wall <br />lnsulation/Ene <br />allD <br />/lnt. Lath , <br />l?-t?t4rown coat <br />Mason <br />Pool Fence <br />T-Bar <br />Handica <br />Final Re rlDeu <br />rtEnineer Final Re <br />Flood Zone Certif . <br />xFINAL <br />Certificate of Occu nc <br />Notes,emarks, Etc <br />dLNKL - <br />OWNIR BUILDER D'II'ABATTON <br />I hc.by fm unds Frly of FJdy rhr I m s.tsr too tlE Cotu-rs Ltdg Lr* for lh. folh*iB lm (S.(70ll.t. <br />ABi.6J ud Prcf6ion Cod.): Any Cny or Cou,ny qhkh r.qliE . Fnn l. @dM. Jlq !4ro\c dorclah or E .n hv <br />rrruclu., rin ro irs isuee .ko tqui6 lh. tppli(a f.r *h Fni to 6L . ri8!.d nndd lhd h. or rt i li..E d Pr&r.ln <br />lo rlE FlvtbB of tti Cbln rid r LaaE d L.* ((1r4id 9. CoffitrB unh Sdhtr ?000 of DivitEn I o, fi. Bdi6 -d <br />Pmtsionr Co&) or thll tE o ilE L amF lhoclrom ,.d rlE h.sit for lh. .il.i.d qoFi.n. Atv viohir of S.di,n 701 I 5 b, .trv <br />.pplicer lo.. Fmn $bjcr! llE qrlicst lo. dvil Fdhy ot@r @r.ll8 fiv. hundr.d &ll8r ($m) <br />-1. <br />s osc oath. FsFty. or my oPlols Pnfi qlsd s lh.t sl. onFndior sill & rlE t{trt nn ft ridE i m' <br />idqr&l o. ofis.<! aor sL lS- ?044. BBic. ud PrclditN Cod.: ltc C.irdd r Lt.e l.,.bd ft, Tplv ro u o$ffi ol <br />rlE Frpcty *,tn hil& ot i.rFo6 rlEEtr .n urb .hd i.h 6n hi,Mlf or h.t lf o tlmust hn d lE om @pl6'€. <br />Fovi:t d rhd .!.h imFlEEl! c @t -nsd.d m ofisld fot lrb ll holw.ll. hnB,B or rqlwaEr i $U {nhh w v- <br />;faipldb( llE O*c &ilb *ill hw llt hdln of Fovr8 $r h. ot tE drd et hild or iEF!E {E FlFiv 61 0E FiFG ol <br />I. s oM6 o f rh. !i!r'6ry. ur .r(lusiEl, contr&1ina {irfi l'.tu.n .ontra.loE h conntud rh€ Foicd <br />.ri hlks ( o&: Th. (-o.t-o.3 L(d* k{ do6 mt <br />.nd *ho .odndrfortuchFq..G$nh. <br />I D.rmF !Bi6 S.dion <br />tt"; <br />c &rl tr 'llro'nr.f . C.n'licn.or( ot6t t, Scll-l tc $0116 smFeion. B Imlii.d lor b, SclEr l70o of E <br />kbor Code rd lhc Ffoms.. of lh. Nd for *ti.h rh. Pcfril ir isu.d. <br />t h.r..!d *ill tultl.o w.rl6 onFslrn. iBulfte s ..quicd bt sdiln ]TOO olrlE l.hor Codc for llt Ffol'llft. of <br />$c wo ld vhan ihii pdnn n isEd My * t6 snPqlaioi is!ffi. .uid rd Flicv .unb6 e: <br />in llE Fibm(. or lh. wo* lq n hih thn FDh ir is!.d. I lhtll mr dplov ev F$n <br />rubjdrh rh.r{116 co'nt Nr(!n lausof( lli <br />$*a' cotrrp.,srbn Fo viiioE ol S.di1. I7m ofllE l,tnr C <br />WARNINC l;lilurc r. Km *0116 .onFE{ <br />.iril fin.s uD b onc hun&.d rhdusnd dollas dmis6 6 F.rid.n fnifi. <br />tsdh. 1076 oa rh. l,bor con4 intdtd o.d <br />of Ch.rr6 9tonn@in* *nfi S.dor TOOI) of Oirnbn lI hfthy rmm uod6 p.n6lry o f pdj!ry lul <br />ol rh. AEim.ri PrufsioN (o&, i mY I <br />c9ltrBucrlatrElltacAaE[(l <br />I hcby affrn ond6 Fn.lly oI pajliy rhd rhEc ir ! @slruclion Lndh{ !3d.v lor rh. psfomaac. otlhc *ort for whkh lha Fni ir <br />Lnu.d (Se 109?, Civ C ) <br />dIIIICAII.DECIAEAITO! <br />I hoq .6h onda Fndlr of FJ!t, oR of rlF follov'rs dahdioB <br />Dsnohio. PdieasiBtos NolificdFn Fcd.r.l Rcsulalio (Tnk40 Pe6, <br />_ t.quir.d lnr6 of I'loliicrM <br />K.old I ilra r,, Fdply *nh rll ( ny i.d (i,unrt <br />hort. r.FMriliv6 orrhL Cily md Counly ro 616 upof, tlE <br />?Antt,t -Roof Sheathinq <br />> l-ivl .tt,*k' <br />D Alin a -Framinq <br />*n rl <br />w),t*81 t <br />D.&nntlI <br />t,I <br />D.t.:_ <br />I i.ce Nuhbq <br />-