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DATE COMMENTSSITE-WORK ID/SIG. Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor tlSubfloor/VenUl nsulation Roof Sheathing Shear Wall Framing ln sula tion/E nergy Drywall Ext./lnt. Lath Brown Coat Masonry Pool Fence T-Bar Handicap Req Deputy Final Report Enqineer Final Report Flood Zone Certif . I I FINAL il rq r+ Certificate of Occupancy I Notes, Remarks, Etc 1 OWNER BUILDEN D6LCARATION I hq+ .tfm ui.rr Frny of Fiury il'i I m ddF tlE rlt Corrl.6' Lkdg Llw for lh. loll'wire l6n (S.t ?0! I 5 86i.s lrl Prnftsion Co&lr Any Cny or Courny trhih c{uir6 . pdhn ro o'drucl, .hd. imF.E tbmlth n lw.n d\ llrudw, rbr h n! isud... dlo r.qun6 rh. +plior aor ruch Fmn b frL . lisn.d ndad lhn lE or 3h. i li.osd Pu uml to rlE FsvbbN of rlE Cootrrtd! Lro..d L,$ {clw(d 9, (offiins $irh Sc.rD. 7000 .f Divitbn ! ot $. AGmd ..d Prcf6irc Co&, or rhd lE d slE i a.n'pl th6.6om rd rh. b6i tor rh. lllq.d aonFion. Ary vi'l{bn of sdion 70:t1., bv m) rppli..nt for a pcmit subjd! thc lpplicDr ro . cilil p@hy o f nor mor. rhd fivc hun&.d dollrr (1500). l. s o{€ ofrh. FoFy, s my duplo}6 $ith *.s6 s rh.i $L msFEr6n. ull & or*(t !d rlr dndr i N i d'&j orolI6.d lor El.Is{ 7or4. Bu]ind Md Pmid.ioro Co<L: Tt Co r&roi.l-k*hwd6mlip9lyrodo"mol rh. FlFry *lh hoil& o. htFE lhd@tr nrd wtb d.6 uh *od fiirolf or t@lf or rhmuBh hi. or nq ovn dPlo)6. F6\ ij.d th, kh 8q!ffi c d irod.d d ofiqld ft, $t l[ h.!t€. tlr hlililis d insltsd ir $ld rihin d ]r orcorq'ldi4 rtr ()$E glilt6 *iI hrE tlE hd6 ol Forlt $r lr o llE did bl hild ot dr9.!tt tlE FoFry to, 0t F,F* ol l. B o*s ol rh. FrFr). m.rcl6!.1! .odnciitts r nh lrq!.d (oddc ro otdrucr lti lrFl (sd 70'r'1. AGilr .id Frnto nn Co&, Ttc Conrtrloa.I-icru lr* do6 ml eply l. u o*nd ofFopd, wh. bsildi or ihrorG fid{n. sd who &nrr*ls for r!.h F!i61r sirh r ( ontuo{r) li(qB.d puMl lo lhc Conlr.croa. Le.M L.w) I m.ldfl u.& SEI'o. EABTiES,S-(AUITdSALI0! DISdAAIION I hfthy.mm unJd p.Mlly of pqurv onc ol lh. follo*int d(l&ahonr I hr* nd $nl rhrh ! C6rifEd. of Coen lo Sdqllc lir mrt6' .otrlFErEn. B FoliLd for bt Sdbn 1700 orltl tlbq Cod., for rh. Ff(ffi. of lh. mrt for which lh. Ftn b isual Inr!..d*illn.i .h mrl6 cor{6!nn il!ff4 6 r.quir.d br Sdio.17@ ofllE t Lor<o&.torllEF rlE w tu uhEhlh! Fni . stod M) sn6' o.pdsion i,Ell]m c!fu rn Flq nmba E.* . Slalg Pur..l o p.ri"yN,.b-, r n:\Lao'?- *,*,. lZ-11!.1 t]- I .d!'! thd in tlr Fforttm. of rh. trort fr *'hkh lhn psh n irsu.4 I rhdl m' aPhy lny Fei r -y neF s s ro taoR $tr€r ro lh. sdd omFlnhn li$. nlcrlilomia dd cr lhn 'al .rhuld h...m lbi€l lo ltt wo*6' compserion prDvi.io6 ofsdio.l7o0 ofth.l,.t r Code I3,!ll, fonhwnh compt wnh lhoc pNvnioB wARNlNc: Farlu.. ro su. wrl6 compodion .o'6.s. n unh*6r1. .rd dt ll rubjtt m !6 b aihiul llqqhB dd cftrl nn6 up r. orc hur&.d lhoNn<l ([.lla.ltlm.mo). Sernn 1076 ofrh.l,bor Cod.. Fr6d md nrorcy !lc ldidFn ro 'hc.oi or.o D....,l1-2-- \ -1- I haErry .rm unds FrXy or Fju r- thrll I o b..N.d und.r Fotnhn of C1'r?r6 9 {omnjfti.g lnh Slclbn 70001 n of trE B6iE !d ProfdioB Cod., ..d n, lE.@ i. 6 tull ftlR &d.ltdl qsc rcJ'>€- calsrBulllotrlllDlllilcEN.C I bd.!t rltrm undd FEIty of p<jury rhti Ihq. it . conntu(ion lnding a8try lor lh. pdh.,lee of ltE worl tor trtrh this pdnn n is.d {56 1097, ( iv C ) Ldxld'r Nm. AIILT$trfIECI.AMIIOB I hdd'y rJrm nn td pa!h, of Fjury oE of lic follo*ins d..lr'.r ionr D.m.hhn PoTir!-Alb.ror Ndi6..'ion F.d6.l l'quhl hB I Tnk 40. Pd6l R.rrun.d ldld of Ndifi cdnn N I cdri rhd rn f.d.(l rgul,hB Fgrninrr sbd$ rmv.l i. d n'clt.bL r. rhu FoJ.d lc.nilrrhd I hr\. ran rh! ,pdi.d n!. Exl {.t. lhd lh.v. into@rio. n .old I uG to .o orry*nh rll Cilt.nd Cou r Cny &n codt ro al6 uFn lliruihom.EF.gdtr6of lh6odiffiB rnd Sr.i. ltus rlr,B ro f{ild'ry .odtuclio( <-t-qEb 'lttz-1-v- IT,IIIE BUILDING. INSPECTOR RECORD -<-e-9_-e?- Set Backs I +n t34