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BUILDING. INSPECTOR RECORD SITE-WORK DATE ID/SIG. Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor Subf loor/VenVl nsulation tl Roof Sheathing u DWil Shear Wall \ Framinq lnsulation/Energy Drywall Ext./lnt. Lath Brown Coat Masonry T-Bar Handicap Req Deputy Final Report Engineer Final Report Flood Zone Certif. t.t - ^ r( -FINAL u Certificate of Occupancy I Notes, Remarks, Etc OWNER BUILDEA DETTARATION I lE*, rlfm u.dd pa.ny oa Fjury thr t a *oB nln tlE Cotu-oE Li.r bp for tlE aollowila tetr(Sd.roll., Brin6r !,ri Proldion Cod.) Ary Cily or Cou y *hth r.qun6 . Fdn $ .oGrrud, dt6, io!&vc damlah or Gr.r e, llrucluc Firr ro it Bueq .Lro r.quir6 $c r+tpltid lor sch Fmir ro 6L. rui.d scclFr th! lE or CE ir li.or.d ps4d ro E FvirbB of dE CorE-rd r Li.E*d Lrv lclEprs 9, Collllkus wnh Sdli,. 7000 of Dlvatb! I of lh. 86!8 .od PNfdioN co&) o. Uul h.or.lr i! 6dp lhd.6onatd th. b.!i! fo. E.ll.8.d.x@Fion Ary vblrli,r of serbn 701! tbyo, .ppli6t f.r . p@i rubjal! th. arpli..rt ro I civil p.Glty of not oorc $& tr. humtr.d dous (J500). _l, a oucof thc FoFrr. or ny dplo,6 *nh *rs6 6 rho $k.ompaldon. vin d. E6tnrldEiMr! mt intai.d or oftdld lor rd. lsa ?04!, BEind &d Pmf*iod Cod.r TIE CotrllEroai Ltou Lrw &E rot prly lo M om6 of E FoFry *h. hrild! or in4m6 tlEstr rn $ h. d6 *h sd hirellor h*ll o. rhh+h hi. or lE om mpldy6, FoviLd lh.r $ch oFoluErlEd i,nqd.duotu tusL.l[ hoEs. dE hlldins d lsoaEEr i'$ld*ihin*]c of o"pldblr iE ('G Addc *ill h.B tlE h!dd! of Foi.B thd lE d lhc dn mt hild or irp..E lb. FFty &r $. F Feof i,WEF+ I h6.by amnn unda t ndlyolFjuryon.ofth. iollowins drlsdioE -llErGDdwiudi dtr r Cdi6..r. of ColEr ro Sdt-lM 6r mrtd @meslrbr . lEviLd for by Scrb! 1700 of rh. Lrbo! Cod., aor tt pffolrr@. of tlE mrt tor wnich lh. Fmn ir i!.u.d I cdiry $,r in rh. Ffo,rje. of rh. *ort lor { hrh th! Fnn L! isq! I srdl mr anpk'y iy Fhf, ir uy Il,llE e Gto b6om $Ud lo th. mltc'comrddion ltB of Cniaomia &1.*r lhr if I shouE baom ruuel lo llE wort6' compssalion povnioN oascclion l?00oathc L!bo. Cod..l $all, lor wnh @nply wnh lho* pNvaioB. w^Rxrxc Frilu ro s@ srt@' @hFB{rn @ro.s. a @h*tuI. @d rhrll objc' e odotr ro qimind Fdi. &d .r fr6 up ro oE hu.dcd rho{si rlolla! (!l@.0@). in additi6n io E.or ol omFMion. drEB6 B FoliH for th. sdrion 1076 ofrh.li&)r Cotla mr.6 ed 03 7 ?- I horby llIm urrr Fdy of Fiury rhd I d lnrt!.d u(b Fvirbi of Cllclc a (6lt]lrftr.s *ni Sdtbi 7000) ofDirilbn ] ol $. Auirc !d PrefdioE Code.d ny lic@ ir h tull for !n.fi6r I trr \. \u ,1.' coNsTf, ucrloN LENnlnc acr{cY I hs.by iflm unda F.dhy of Dsjury lhil rh6. ! i codrruclioi loldinr a8ocy for fi. p6fol1@c. of rh. Mrt for s,lfth rnb Fmir b iu.d (Sd 109?, Civ. C.).taid'r Ntm AIILICAILDECTAIAIIO! I hdey !trm unda podly olFjury orc of lhc following {t .lalrios: Dsm&io. P@ie^rt dd Ndifrnio. F.dd.l R€uhi,N (ThL,O. Pd6) R.quircd t 16 ofNotificnnrtr _l c<tt tt'i tlE toda.l r.guldi!6 i*.rdios i.t'd6 ,furd E ar {plirbl. to 6t For.{. I cqriry rhc I t*. @d llii .pplic.ri.n Ed nar. lld dE rtor i.aomrion i' conal. I .er lo onply witt .l! Cny ]d Counly ndi.ft6 rrd s'd. t $i Elrug ro b(ild .otui.tr -d lE.b, drb.ie r.!.dnn-6 of ltB Ci y !n Coun) ro dr6 uFn tlE .E,v. nuxon d FnFry lor rpplicanr or 1lcnr siAn,lurr ffi/dsf"=/ il!f|,Alrfrl COMMENTS 7 't I Pool Fence t ., l. a ow ofllE Fopsry, m qclBivclr corrr-rrB snh lico!.d co.lrarc ro mreuci rlr FDill (Ss. 7olt. t.aiB &l PBk i.n Cod. Tn. Co Btol3l-i..M lto do6 mr.pplyto s o$ns oapbFly who boil& or ihprov6 $amn, dd *ho o.t' .1r for such prin! wnh ! Co,u&1o(s) ltou.d pucudn ro 0E Co rrror'r L(og tr*) I lEr. rd wiu inl.i. s.t6 conp.lElion ilEffc B EquiEtl by S<cls. 17@ otllE t lor Cotl. fo, th. Ffol]fu. ol llE Nrt t( *nih thi! Fmn ii i.&.d My wGl6 rcaDdEni,n iNuMc 6it td Flay n@b6 &: I