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BUILDING. INSPECTOR BECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Ereclion Pads
<br />UFER Ground
<br />Subf loor/VenVlnsulation
<br />Rool Sheathinq
<br />Shear Wall
<br />Framing
<br />{fi6uld}oni Energy
<br />gQrywall
<br />Ext.,(fi\Lath //-zr.a rLcY,>_4
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />FINAL /'lr'zr /Z C. g^/gaaS c7t7
<br />Certificate of Occupancy
<br />, ,/-'?i
<br />-)
<br />+
<br />OWNET BTILDP-N DSLCAR TION
<br />I tmt, .rrn uniLr Fn lry .f Frtry 0d I u .r.npl from llE Conlr*lou Ltne L!* ror ttr rolowhs l!s. (Sa.mll.5
<br />BEiKt .rn Ptorcsri,. C.d.) Any Cny or Cqdy rhil' EqliB . F6nr ro cdqMr, a!o. irprow. &mlilh r eFn uy
<br />rlrdE. FBlo nr ntrle..to EquiEr llE i 'pltu forsxtFrnillof .. ri8ncd rr.r.ml Er ltornE k liansd [us&n
<br />to & IFvnDB of tlE CoEr-lr's Lilnr.d L.r (Chi.,tcr 9. Coltftxint wlh Salhn ?(xr ol Dittion I of l& Su.iEs rd
<br />PEL(io.i C.rlc)r rh.r lE or tr i!.rtr$ fta.fDdltn 0r b$b for rh. .]Lg.n .rat9rbn. Ary viollao. ofs.(rD.70.ll.t by y
<br />ippliclnr f.r . Fml sbFls lh .,l tul lo . civil p6Mlly of ml mE lh& fivc hurdrd dolles (l5m)
<br />-1.
<br />.i .*B ollL FoFny. or m, cryloFr *irh tas.s.r lh.n sL onlE.srion, *ill & d! qti {n tu r[rtrE b
<br />'Eri oi.d oro,Ic6d tu elc 158.7044. BusiEii. Piofcsi,s Ccb: Th. C.flEroi! Lto* l,s d.c! tul {FIrlo uffio,
<br />rlE thtEly rtb hilds or ioohB 0Eoc !n sh &n (h hrl hirelf 6 rEftlt d lnough hi. d tn o*n.qtutB.
<br />nmvidol ihd tkh imF6wrr! G d in.r.!.d orotr{,rd rd rE Ii lEkG, E hliBila d nFffin n 5B rihb w Fr
<br />ol conpl.!$n rlt OeE Blikri wit! lrc {i Urd.n ot tFvins dlr ll q tE dn d hiu ( lqrft U. Frfdty f6, 0E p(lFr of
<br />_1. $ owd or rlr IIIF ry, rncri,rikly odr-th3 r,irh ltcn.d onrdm b odr d rhc pEirr (Sd 7l)lt4. Butnrs
<br />.d Pida6i,Ctrd.r Tt Conrraior's Lic.* L.v &.! ml q,rlyro M ovEr ol plorEny *t6 burldr or implirEr th.@n,
<br />lnd *ln) Nnr,$ls lor $ch FoF.rr eith r C.nrEtods) litn*d lrur$u' rorh. CorrrErols Lt.N L.w).
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<br />dr.tcmfl und.r sel ion ,A &P.C rorrhkrc.en
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<br />wr rnxr ris. coirrurs,rrrix
<br />DISIAAIIITJLr,.h\ r,ln' udlc, ,rmlry,'fFrju'f!trr ofrh.lo1l,,u ins J(hrrri(rN
<br />I hrlr (n r ill mn uin r Ccnificcrc oI Con$nr ro S.ll l nuE li, *ort6 Lnn{Ens i'n. !. F)liLd f bySRlirn lr@of rfi.
<br />l,txn Cdc. to, rtE ndlornBne of tlt h ro. whrh llE rErrt F Bx!.n
<br />-l htt ! eill midlh srt.F orp.nsrio. iBrE., I rotuiEd by Sdlb, l7m ol llr t bd Cd., f( lh. Ff(llMc or
<br />rhc wrt f,{rhrhrhi\B.rmr r u{rd Mr *.rl€r .oGnsnn rn\ulu. cuir !n FliynumtEr e
<br />,*-, -' ?z/ihrr-ia ln< e-o
<br />._l icniryih in rh. F fortuN or lh. hrl fir *hich lhis Frmir is irsxd. I slIll d .nploy.ny Fs i. my nsE
<br />s $ l. b..oE oq..r lo rrE *.rta'6r+.ndion lnwi ol C,litonq rn .sE ln.t af I rlnuld b.om r$F.l to tlEhan' r$qrMrt'n rrDvnDB ofs.(rih l7m oarh bbor Grd.. I filL inhwirh oq y uu rrrE ,,Dvirir
<br />I{ARNING F.iluE tr sE sn ^ onFMan 6M!. i! !.1,*tu1. rd ndl lnb}ir o qrrlo)r, !. ai6i.rl Fuli.i atrl
<br />cinl fifr! up b oE nutnEd rhouot &lhB tll(x).fi
<br />s.dbn 1076 o( rlt Lrrv Cod., i .Er .rn drmy 3 f6
<br />D. in rJdilbn lo l,E cosl
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<br />DECIITA.IIO!
<br />I tErb, .fim und.r Ffl.h, ol F,l]ry thd I .m h.6ril rndd Fovti,. ot Ch.Fs I (o,@dnr sitn Sarbn l(mr oI Divqm
<br />of Ih. Busims ord PDf.sD.! C.d.. !n ny lt.tr€ ir in tult foE ,,n.fl€(l. tgr?7
<br />'/o'29-zo
<br />CONUf,I]CUONIIADIIC.Ai:ENCI
<br />I U.rl'y ufrrn uds |tDhy of Ft rry lhl rrEr is . shedbn hndina {.ry 16 rhc pqlorn4c ot th€ so for *hi.h lhis Frmir ir
<br />iss*n (s< :1097. Ci! C ).
<br />AI&II:INI.DECIJBAIIO!
<br />I hmtryrtuu ( F.lry ol Fjuryom of llE f.lr)*inl d.rb,rdn.
<br />D.mlitiotr P.rml$A\t rtc Ndifdhn F.derl R.g!!!| bnr (Tnk 41), Pma,
<br />,-Rcauir.d l.tr$ of Nd,fudbn
<br />-rcd'fo
<br />rtu' rlF trdmlrSulnri.,n! Fsldh8 It {o. Emv.lc mr.p?lrah rr rhh FEF
<br />CZI d'Iy lhd I h.E E d fiu .p?lErb. rd <rr. rlEt 0. llor infomrrbn E .arE! I l.r ro otrplt pi$ lll City rd ci,ury
<br />odliBBd &d Sr.r. LlB Elrir ro boildirg cdrc6i,( rn h.r.6y.uto.ia ,4.rct riE! ofrhi! Ciy.rn Cout, to otq upon rlt
<br />nhN rnrhBn pmFfly rd 'ryEdirn
<br />pup.s
<br />nrr,,.-, n. n**r a,*-,u* [
<br />I,rmfiensmlpri r: fC v\-ru
<br />Rev.08-07-2015
<br />SLAB Floor
<br />Flood Zone Certif .
<br />Notes, Remarks, Etc.
<br />,.t,"y^","*,' I I oo 9 4 I 10 2,.,,,,", - 8' /6' Znzl
<br />t .dqi N.d
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