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BUILDING. INSPECTOR RECOHD
<br />SITE-WORK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />Erection Pads
<br />SLAB Floor
<br />Sublloor/VenVl nsulation
<br />Roof Sheathino
<br />Shear Wall
<br />Framino
<br />lnsulation/Enerqy
<br />Drywall
<br />Brown Coat
<br />l\ilasonry
<br />T-Bar
<br />Handicap Beq
<br />Deputy Final Report
<br />Engineer Final Report
<br />I
<br />FINAL \
<br />Certif icate of Occupancy I
<br />Notes, Remarks, Etc
<br />OWNER BTJILDER DELCATATI(}N
<br />I ltrh, .rm od., Fn lry of Frn, th, I 6 .r.npr 60( rE Cffid Lile t w lor llE follo*ra lwn 156 701,.J
<br />BlraEs !d Prefd.bn C.d.): Ary Ciry or Cody *hah GtuiB a Fnr ro oiiid, rrs. irprD!,.. &mlnh d EFn ey
<br />rrMtuc. rir ro irs iise.. rI$ EqoiFi rh. oprlkrnl for ruch pcmir io rib . .i8n d (ncnmr lh.l h. or rlE i! lk.nsd plmel
<br />h rtE ltlvirD6 of rlE Conrr.rm! Li.ut d be (Clqia 9. Conftain! wirt Scrhn 7m of Divlio. , of tlE SuiEs .rd
<br />PmLsD.r Cod.) c rn.l lr 6 {. ir.r.npr rhfrfttrii.d tlr h.!ir fd rE rih.i.Ererbo. Ary virhriln ofsdrs Toll.t by ay
<br />lPpli.! lor . Fmi .ubldls llE tppltant lo . civil p.Mhy of ml mE rhe fivc hoidtn dollxft (troo,
<br />_1. rs .*E ot rlt tFFny. d ny .npl,j6 Dnn *r!B a rlEn iE 6r!m{on. *ill 6 dr qrt rn dE d'-w i! 'Dl,rorbl or o,Icrn n sb (S€.71X4. BuliB! ud Prof6*,6 C..L: TIE C.,rr.ro Lisi t *.lE d .!ply ro e {rffi of
<br />rh. I,DrEry who hild. or nrrE. tlEmtr !n vho dH *h q,t hic.lf or lErlf or llEu$ nn a hd den.q,loFd,
<br />pruvil.d lh.r srh iqrc@.rt & ft{ idord.d m of.rsl for d. lf, hor€t, 0E tqiUilE tr irrlrffinr L s! wtti. ft ,w
<br />ol onpElm rlE OeE Bui!.! qiu LE rrE h!&n of Fovi'Ia 0c lE G ili dn 'd hui! d i!|* tl! FnFi, fq 0i FlrF4 of
<br />l, I oqk of rh. Fltdy, rm cr.lsihly oddir8 wilh liencn onMm ro orddcl llE Fo,er lse 7(x4. BuriEr
<br />&d hrasi, Cod.: Th. C. dor'r La.nr l,* d... mr gplr ro D owE ol pmFny who tui6 or nryret! tns@..
<br />. wh. @ot rr ror sh FDjNrs *nh r CoM.,(, lit.r.n prMr ro
<br />'rE
<br />Codddt t-L.E L.w)
<br />_l m.rmt un&r Sdio
<br />lrcle {r|n.r
<br />wonxr'q-s coltpl s,lrloi
<br />lr[ljLaBAllrltt
<br />I r.rchyrtttrrudrrlt rlrlolF,ru^ o'xolrlEloftutrtdfl[rrrinl
<br />I hor ud qill nEintcD a C.n iaEarc of ConEnt ro ScltlnsN nn worlcs .uqxner i(,., * Fividdl ror hySelbn 1700 orth.
<br />llbor C.&. rM rtr En(mN ol rlE wrt lor rh.n th( mr F su.db
<br />ItPuk !d e'rl tu'Nxn wr*.h snp.r\rrn. rNUr.Nc, B 'rtu'Ed b, S*ibn 17(x) of llE t tir Cod., fnr tlE Frfirnffc of
<br />4nc wrl nrwhrh rhhn rmr ri nru6d M) utrtsl {rl{{n{bnn hiullm(uir!dF ltynumhn N
<br />T|ZA-//trLil1s
<br />a lD
<br />_l enrry rlEr in
<br />'lE FlmrE. ol E sd for whth
<br />'hi! Fnl ir issi.4 I nEI [l1 .npby rn, F$. in ey mB
<br />s, s to bcenm shjccr ro rlE *oit6l q,rlcEtd,on L*r ol Crlifofrn, .nd 18@ rh.l ir I rbuld h.coe $tj.cr io df,
<br />wlt6 ortrBrion thvilioB or SErirn 1700 of rlE 146. C.<,.. I tulL nihlilh onply wnn lh. pmviliB.
<br />WAtliINe FailuE ro s@ wtss mqEMb. oq$ is unL*tul. .rn {Ell ahixi d orpbF ro diniMl FdB !,n
<br />ro oE hundEn 'hwd (r)lLE {!l(rj.lxr)), in .ddirbn ro r,r .on oa.(,qrmrion. dm8.r ( FUwr.d for (h.'::,iVi|rffi)
<br />DECrJSAIIq!
<br />I hrby .Irm u.rkr Fnrlr, ol Fr,ry lhr I M &a!d ui.ld Flrliotr of Clq,ra 9 (o,EmiE eil,h S<rb. 7(m) of Divi.t ! ,
<br />of dE AoriEs rn EofGsi,B Cod., .d ny liie it h tull loc ,n.llcr
<br />c)o SJavzq
<br />,,,,,, tt@ {24a
<br />gNslaucll(xualDtlli.AtiBll
<br />I rErby rmm rn r FElry of Frjury da rlEE t . onrMion hnins .s!ry fu tl! Frfolrle. 6f rlr rdk for *,t!rh $n Fsi' h
<br />isscd (sc -1097, civ. c ).
<br />AItLI TNI.OEIIAMIIO!
<br />I hdriydfm un&r pcnrlty of Fllryoft ol rlE folb*int d(hnri'ns
<br />I).n$liri,n lknneA\h.nos Ndifurliotr I-cJdNl R.3u llr bns tTirlc 40. P:n6r
<br />_R.qur!d tdrd of lldjrirh.
<br />_l carif, rh, dE f.n d E8!hl@ GSrdhg st cG ltmvi G ml q{ bbL ro lhn pmFr
<br />_l .diry lh t I lIr ud tni +plirrlrn.rn nrl. rh{ dE rt E llordbnn.drEl.ItirLotrplysthrll Clyrld Cou{,
<br />ukhnlm< ifll Srol.lrwr Elllil{ nr huildirS..n(trl hcr.hyiurhonT.'.tir.rnrd'v.\
<br />rhrc nrnri(.nrJ pr)Fn, lix in\p.nntr
<br />Arrni(o|.r E6lSi*mluF
<br />T/Llt)
<br />-::':;{;ffi'
<br />IAlNW;tiflt
<br />Rev. 08'07 2015
<br />Forms/Steel/Holdowns
<br />UFER Ground
<br />Ext./lnt. Lath
<br />Pool Fence
<br />Flood Zone Certil.
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