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BUILDING- INSPECTOR BECORD
<br />SITE.WORK ID/SIG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFEB Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Bool Sheathinq l2Jtll7e N-t8
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />l\,4asonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />FINAL 111174 b**\1
<br />Certili cate ol Occupancy I
<br />Notes, Remarks, Etc
<br />I lErcby rlirm und.r Fnrlty of n riry thd I m cxcnpl fmm llE Conl,.dou LtcnE lrw aor llt folhshr tten (Se.?oll 5^
<br />a!rin..r rd Ptuf.i.ion C L). Any Chy o. Coux, r'hrh rqdB r Ffri ro tfid. .ld. irrrcE, dmllh d RIrn -yii.EiN. In, & n! i3tu,N. do ,qrir! rh. radiur for lEh Fnn b fiE r !ig..d {.rcMr rh.t h. or sll i la.cnsd pe Er
<br />h rhc tmvtioN of rlE Contrerr'r LtcnEn Lr* (cltrlis 9. Colftfti.3 wrh S6rhn rcq) of Divnion I of tlE BuiEit .rd
<br />Pmf.rr.ni C'od. ) n rhl ll or {E B.kqr rlE flm.rn rlE b.rir for irE dLg.n rr6$io. Ary vnLlion of Sdhn 70ll5by6l
<br />lpFlkrnr r.r r Fnnir ahjdk th. +0licer rD r civil l.ulry of mr tud $,n liv. huftnqi dollar (lr{D)
<br />_1, 8 o*Er orrlE F,Fny. r my cnptrFis eilh *!8n $ rlln ob onlpcndion. *il (lll 0E wct !i lrE sr**tE ! mr
<br />inrerjd or oficrd rft sL tS6.7044, Bnricar ad Ptor*ii6 Cod. TIE Coorr.rd! lift tr] <La mr .@ry io o orF oa
<br />rlEFlFdy who hrildt a,Fre tlE6tr sd *ho dB sxn K* hi,rlf or lERlf m dmu8n hir tr lE own..i{,I'y.6.
<br />[ovid.n$d tuch inF!@nrlEdi.nd.drotltd6rrrL.lllbw,rh.tlrEkB inlftwd ir iB wathm r@
<br />o, corrlrb( tli Cr,E SuiEa ei[ llE dE hdo of FoviB lhr lE r .lE did mi hiB or irprw dE FlFry nr 0E F,pos ol
<br />L a\ olxr of rh. prrpcdy. rn.rctu\iRlt mnh$n8 eirh liccn{J .onta.k,^ h consrdd rh. ln,F r (SN 7{}lJ. Buid$
<br />ad Pn'lcl\rnCdJc I1t(',)ntrroil l,icn\cl2r'Jcs ftn apnlyn, rnormr ofpr)Fnyrtl, hu ildl or impnlc! rh.ron
<br />d *lx' conrBctr Iff \uct Ir,+ck *irh r o,ntr4ktn \) l.cn\.dI)Unur r t,rhccoflracln s I i.cn\c ljlr
<br />I rn.rcmDl u.&r S6ltun
<br />o", t l= 1-'Lo "",,furfuiat(L? utazr/' ll()arE8s_c(xtrEsarrc!
<br />agcldBArlll!
<br />I hcrcl'y rmrm undd Fnlhy oI Frrury oft of
<br />'lE
<br />rollosin8 &.Lrdnnt:
<br />Ihnru *illtun rin E C.n ifi(dc ol Conrnr b S.lf l irur. n, w*d r ctrqxndbn. rs Fl,vxLd nn h, S(r ntr ll7(xj oI rh.
<br />litu Grl., t{r rhc p.rftrtuE ol
<br />',E
<br />*od lor *hit rtr Fnil s G{u.d
<br />_l h.tr .nd *rll midri. mrt6 otrp.M!6n rNur.. ai GNir.d by S(rirn lrul or llE Lkr C.&, fd llE F fdrlltr. of
<br />rlE solt lulhEhlhnp.rmil ix hrEi M, wnkdl $n{Enerk,n insllm.sirdnFl.y numlE c
<br />Poliy Nunb.r
<br />-
<br />-l..niry
<br />dsl in rL Fformr ollll ed fc *nih thn Frd n irsu.{ I slEll ml.nphyu, Ilen in my nuE
<br />s sl.h..om hF[o th. *di6 6rqEn$r.n L*3 of Cdifomn. .nd rEG thd rt l nmld hdr rl,Ft ro rlEfrrl6 oiFMlionFo$b6ors.rli{ l?00ofrlE L.to.Cod..I t ll. tdhwirh@q,, wlri tbr pDvisionr.
<br />I'VARNINGT F{lur. ro Bm w k ..n{Endion svd.g. ii unh*rDl, .rn sh.ll subFr o dq,k'Fr ro ffiml FEIir rn
<br />.inl fiEr u! ro oE hud,.d rhou..,n doia (tlm.m)). h ddnrr h r (N nr.onp.NlioE dtmSs c Fovii.n for lh
<br />(N,km 10T6 ol rh. l rtq C!d.. ntcE{ i ldttrEy rfer (
<br />b,",,//' ?2, ^*,-^l2anza./ZrrL,EraiED coNTtlc.Tot
<br />DECIISADO!
<br />I lrESy .mm ud.r Fdhy of Frrury lhd I !m lau:d lnl.r FDvni,n of Ch.ds 9 (@.tmEirs wnh sa]li,n 700ll o, Divirio. l
<br />or rtE BuliBr.,n Proti$io.. CdL, dI my la.M is i. nil roN ..d.fiet.
<br />Liee CLsr-I icrn\c Nu $.r
<br />coNsftllcfloai Ll}{ttlilc acn(a
<br />I ffiy rtrrn u,rds Fnllry of Isiur, rhrr tlEE L ! mnrtodhn Ending lrlry f( rh. Ff.,r'!d ol rlE mrt ro, rtih lhn ,tJri a
<br />i!*d (sd 1097, civ. c).
<br />AIILISIII.DECIJAdIT}!
<br />I hy.Lm uti.r r6rhy oa Isrury oE of lh. followint .L(ltEtions:
<br />Dcmltn'n Pcrmit. AsbcrtN Nolificlrhn tu rrlRquldn.rtItL40, Pln6)
<br />Rcqtr'rcd lxtr.ruf N,{'lf,irrtr,
<br />I(.n'lirl r rlr linflrl'r!rlirn,tr\ r'N ltr'! n\lrno\rrnrtrrlirr I Jtflkrhlr i,rl,^ t)1,'j(tr
<br />_l cdify rh{ I hrrcEan thn applaarn,n srxl rar. r
<br />unliMne\ rrn Shr.lrwr EhmSh hoild'n8c.nrtu
<br />rt{E rnriomd porEny an hslErhn tunoer -
<br />hd rc .bvc informr on N.on.d. I d8r*
<br />'o
<br />otrnly *ilh rll Ci' y rnd Counry
<br />ri,tr !n hd'y .dhtrn. EF€IoliB of lhir Cil, r,n County lo 616 upon tlE
<br />L D,-t4tt /12 /t -Q -<-o@si)^ra,-'*^-,w-.4 l| tl- t A,.^**w* 41q i,' /
<br />86v.08-07.2015
<br />DATE
<br />Flood Zone Certif .
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