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BUILDING- INSPECTOR RECORD SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILDER DEL('AIAT(IN I hd.tJt afim u'rd6 Fuh] of Fiun 'hd I n qcm/ film rlE Codrer@ l-ttr lrw for rh. lollosns ,ffin (S€ 7011 I aurins dd P,ofdion Co<l.I A.! Cirt or Coumy etrth rcqun6 ! Fnn ro olrrucl. .Is. imForc (bmlih .r rcFn e) rtudc Fir to nr inom...L r.qui6 rh. @ltan tor lch Frul io fiL r !{.i.d intur rhn Ir or dr a li.nE d p!,ur ro ih. Fori3ioB of E ( onlr..lr'r l.icdrd L!* (Cterd 9, ( omncins q nh S.dion 70oO of Division ! ot llE Blt'tKl t.d Pret*ioa Cod.) or rbd lE or lrE a d.nF 'lH.6om rnd rh. b6n t6r tu nEt.n.ldFFn Ary ril,rio. ol Sdion 70tl ! tt mt S?lica.l for . Fnil $bJ6l3 rlE Ef'lic6l lo . ciril FMt! oa mr mr. 'ho n!. iundr.n &[6 (t50o) 1.6 o*rdofrh.FiFdy,or my.mIkrr6 *irh $rA66lh.t Fk Nmp.nrsrnn. \rilldoth.srt {dlh.nnf,lr.6 n{ nn6'dcd oior6.d for sl.{Sc 7i}1.1. Burin*Md ProadioB C.<t Ih.(n.radoi. Li.d lr\! &6 nol rpply toMo{nd ol rh. tioFq who hl'l&or inlFor6 rhd66. tu}l who &B such *o* hm:.lf or hdvlf or rhmoSh h$ or h6 o*n frrkJ'.d, provid.d rhtl such iml()!E6rr ,. tul iardd.d u oll6.d lor et lL tn $ 6s. rh. h'ildin* .r i,iqilvmol is sld rirhm oa. tw orcotrpl.lior thc()\!6 Buildg *illUv.lh. hlldcnofFoling 'hd h.or sh. did { trild or imr,lv. thc Fopdy 6r lhc ruB)s or l. cohs oflh. F.n-i,, m.(lBnclyco mto! wilh li.orn ..itr..bB t' codtud !h. pmi..l (56 7044, BuiB un Pbtsih C.d. Th. C6ntrldr'. t '.6r. lrs d.c mr ,t{'l} ro D ou nq .I lrnldry s h. blildi o' idpror 6 rhd6h. dd qho mimr fd su(n rmj.rlr *nh ! (-o dons)li..ft.d puM tu rh. (-.n'r(oas l-kc ts) lMc\mrr und6 Sdi'n .B &P( forrhure.n D.t. (rmn '\r oRxrns, ( o t[i\aAiror D[ClA8AIlll! I hd.b afiim n.d6 Fnrhy ofFJUBd..orik rollos irs d(lertiod I h.r. ed s ill n.inrlin a ( !d ilior. of ( oIMr to Sclf-l6ur. f.r $ orh6' conlE r.r io[ &r rror d.d for b] S<ri.n 170( of rh. l.ahor Codc lor lhc Ffommc o t th. \ o* ror s hkh lhc pqnil i if,su.d rlt\.rlldshi.hrhnlf,,n,ir'\'snL.d]!lv*r'l!rs'con$.n$ tr(ltxn,.\ trtrmhrrrrc I cslifj_ rtd hrh.p6ro,Mr.of 'lE f,ort for$hkhihisFmn i sdl.l $rllmr arrrLr rnvFer ir u) D,llE s ato baoc htilr r. rh< $.rt6 ohF*rnn hu: of C.ttomi! rd,ar'hd irI rrruld lFom sutid !o rrE $! 6 .onpddionF\ilirBof sdion !7mof lh. t bor C6<|. l lrull fodhenhRtmd! $ihtlbrF!\i!i.B WARNINC: Fnlm lo su. trqt6 onqEE hn mr6rs. k url,s ful. rd !h,ll shj.rl e dnpkrE lo qimiol rEuhE d cril li.6 up lo orc hun&.d rhouu.l &llsR (!100.in o{dnion to tlE corl or.onrEtrlion. darurd as I'oldd nn rhc s€lion 10?6 otlhc llhY(ode inr(d I hftby rflrm undd Frn!.iF6l y Ilr n fn., ( I',,t!o,(\otrrtr'cn(nr(\ 1,S..rit{ rt)1ri))!ll)'\trxrr I .f rh. Bnsins and ln,fdinrB (iid.. and my hcoF is in tull forc. ind .flirr I haltry rnrn on& Frny o t Frrlry thi rl'd! i! . otEMibn l@diig .Bftt tu th. Ffolffi olrlE rut tu trnkh lhi Fnn it asid (Sc.1097, Civ C.) Atfi.rcarlDeg.aS^llad I hc*ryaflmund6 rEn.hy otFjury on. olth. aollowiD8 ddle nr.r Ixnolilion Pmitl^shcror Norific.rhn l.{.r.1 R.SuldioB {'Ink 40, Pd6) R.qut.d Ldtd of Ndi6cdhh I .drb lh, th. f<j.r.l r.SUhthB Elid,ng abBroe r@\ al &r nn ryfllf,rllk ro rhs l,.j<t {dren rn n.rr 'hd th. 'tr)\. mloturn 6 c.trd1 I llrtjh*.oNtudioc dd hd.t! iurtnnz. rcFrsd Fl'5 Frc+vt .tR ro orply *irh !I Cn, .rd Colnrv n6 of lhir Cny nd Coudy lo dlq urFn llE Ihl.: 9O Set Backs Forms/Steel/Holdowns UFER Ground SLAB Floor Subf loor/VenUl nsulation Roof Sheathing Shear Wall Framing lnsulation/Energy Drywall Ext./lnt. Lath Brown Coat lr,4asonry Pool Fence T-Bar Handicap Req Deputy Final Report Engineer Final Report Flood Zone Certif . FINAL 7-7-/7,JJ.S:t7 dD Certificate of Occu pancy Notes, Remarks, Etc v4W- "^,*uryl:_ Erection Pads I I I I