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BUILDING- INSPECTOR RECORD SITE.WORK DATE ID/SIG.COMMENTS OWNER EtJIt,DF,R Df, TT(-ARATION Ihd.trdrmr.d.rpfrh!.fFjuo_'hdIm.rqnflfro.rrnCoradosLr.GlluInth.folk,*iosrRen(St7(rlla Bus'n$ md Profsion Cod.) A.y(n!'.r (nudt *h(h r.qun6 a Fmn ro.odrud, rld, mFo\q d.rnnld or qEtr &) itucts( Fnrh it3 isumc. dlo Equr6 r h. qrlf,d aor su.h Fni !o fi!. r srgrkd nd.tmr rhd lE.t trh. it lir.!.! p{mer lo llE Flviio6 oatlE Conrtroii l-i.nrd L{ (clillrF 9- Comnsins qnh s<t.r 7(m or lrnsk n 1 oI !h. llB$B lnd Prefahnt Co&) or thll lEorrn ir cr6l'l lha.fiom.nd rh. bd6 tor rh. rlkr.d dmFi.n An) lFl.rnnofsdio.T0rl lt\ in! rppli.. for aFnir.ut'Jd. rlE 'lrl'.ut kr.$rln Mt!of m! mErho fi\. hu.<t.d &lldt ( tiur) L a o"n of rh. Fopdtr. or m) nDkr)B r in trts6 6 rh.ir sk otrpcdion. trill do tlE {rI !d rlE rnl(le ! Nr unod.d s oE6.d fG xL {Sc 7c , BuilB md PunBioB Co<L Th. Co't r'or'! L..q le {b6 m qrr\ 'o & otrE ol 'n lropdy *ho trrkh or inprorgtlE6tr.n |b d(E xh $o,t hi,Mlf or lEElf orrhmush hn G hd osn mrhr6. Forid.<t ihn eu.h iErm!ffir e mi irdrj.l or.liad tur sL lf. lb*6d. $. t ilddB or rFro!tui ! r'*l wdhn o.. ffi or@mpkntr ltE O{E Builla *ill h!v. !h. h,&r of rori4 rhd lE o, 3h. dd d hnB or nlFroE U!. FDFry fr'. tli FrrrE or l. a osn6 of th. propdy. dn crclGi!.ly ..nrad inll r h li.oscd conradoh ro $nsrrud rh. FrJ.cl (S( 7(r.l.l.llNn6r .nd PlDfsih Cod.: rh.Cont.cktrrl.r. r.l.!\ dodnot aprly to d osn6 oirroF.ny {ho buildr imrov6lh(..n. and *ho contracls fo. such rrojcls qilh r ( ont.ck)(s) li.di.n puBMr tofi.( o.trdois l-ir.Ll.lr\ ) I a'n cremfl undo S6xon raaf,lalut,lsAlla! DICI.daAIION I hatbt tmm unds FuI,of pqu.,-,om olrt follo*ing Lk(LrltirB I h.!r !n {ill minl.i. r CdirEdc ol(-onsr r. s.lt l@G f uvt6' @dFudion. a Fo\ il.d for b sdrEh 1700.rrh. llhor Coda for lh. Faolrum. oalh. eoil f shahtl4arn i! isu.d I htt ltd *ill mrinu'n *! 6 comp.Mr.n rB!le., a Equrd !) s<ri)n l7m of rh.l$or co&. fdr rlt Ffdirm...l rh. Nfi f( *hah lhL Ftril 6 i$.d My *0116 comFMirn i.!llJe. crid en Flky .uhb.r i. Pol'cyNunb6l I cd,alrhar in rhcFromunc.of rh. trork ft. *hi.h rhf n(mn is i]sNd.l shall nor mplo! rn] pde)n rn rn] mMn6 $ 6 to b.om. subjar ro rhc *. G R,mrErrq io. list of ( sl'tomf. and led rhn ra l rhould tE(on. sbjd h thc *dd6 coopdelion pNrisionr.f Sdi.n 170o ol rhr lrhtr (ixL. I slMll. ionh* irh .onpll s irh rlhk fnJ$i.ni WARNINC: F ilur. ro kor. $o.km Lomrds.rion cov@a. is unl.stul- ud shall rubjrt drpl.)s n' rim'nil Frlti6 nni cril lin.s up lo on. hundrcn rhous{nd d.llsn l$10o.0o0)- r ldditun to rhr.osl ofc.npcdraln,n. dAntr6 ar o\dd tu rh( slcl'on:]076 oflhc ljhor (o'le. inl(61ind inoraoi.liB Dt;clIAAIIqN I Eqra rlrm und6 pqdly or Fjlry fin I m lieN.n u.do Fnv itin.a(1rp16 e (.omm.i.* sirh sr{bn 7(xx})ef l)i\hhn i of rh. Buin6 ud PDfGioB Co&, &d mr lic.B i h full lorc dl.Ifd ,--*.h L {uL= qlllla.uq al.E8DlrclcE!(r I hclt y ilrm ud( FEn) of Fiury lhd llE. i! . odMio. laii.s rsd, ftr th. Ffoltffi. of r h. *orl lttr r hich rhi! Frnir ir isu.dlse. 1097. Civ C ). lodr ! Ad&s: PPL!('AN DII'LAII"ATION lhdatrafimundr po.lly olpsjury onc olln. nn['sins JdlaBrions Dc,rclition Pdmits-Arbdror Norincdnrn l,.i6rl Rqulahns ( I irlc 40. ran6) R.qut d kr6olNdincdion I cdiry th.t lh. f.ddd r.*uhrn'B rcledin* nrh.lros rn)ral6c nor 4'plraN. to rhB pml.d I.diry $,I ha.rcd rtn.gpli.rrFi,n trd.!hd th.ltr\. i.fomrion k cond. , 4re io .onl'lr" $nh rll ('n!. (tlnrt ordm6 sd Srar. l^! Elr i,* ro toild,{. cotrrrud.( !n hd.$! adh..iz EF.ddn 6 ofrhi! ('d, ,nd ('oo.rr" ro 6rd {F)n E ah\c morion d FoFnJ f,r iBllql'.n n{rF6 ^pp,i..n,orAsd,siroru( A v.. fpg V \e$Ca Pmllft mm. (prlnr): Set Backs Forms/Steel/Holdowns Erection Pads SLAB Floor Subf loor/VenVlnsulation Roof Sheathing Shear Wall Framing lnsulation/Energy D all Ext./lnt. Lath Brown Coat Masonry Pool Fence T-Bar Handica R Deputy Final Report Engineer Final Report '/t/+ 9.'.D l;i*-n{'di, FINAL lollt lri /,/i4/.7) Certificate of Occupan cy v Notes Remarks, Etc \_ UFER Ground I I I Flood Zone Certif.:C,i-/,R- 10/