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BUILDING. INSPECTOR RECORD SITE-WORK DATE ID/SIG.COMMENTS Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor Subfloor/VenUlnsulation Roof Sheathinq Shear Wall lt trLlnt c,4//z/ z,Framing lnsulatron/Energy D rY''lva ll xf Ssra(qu,ul &<t/4 Ext./lnt. Lath Brown Coat Masonry Pool Fence T-Bar Handicap Req Deputv Frnal Report Engineer Final Report Flood Zone Certif . I n N ES emarks tc. FINAL Certific of Occu ), OWNER BUILDER DEI,CARATION I lE.b) llErn uidd Fulry ol FJUry rhn I m .!mpt 6.h tlE cniE{lof L((e Lrw for rlE a.lhvhg ren lsd 70r I 5 B6dB ,nd kotur.n ('.&) An! Cnr or CM! rhrh EquG. Ff,t 'o mdM,.lta. iEFoE (bmlBh 6, q.it tt nBdu.. Fn ro iu isuec sLo rcqon6 rhc lppli.Mt lo. su(t Fnit lo fik ! risnGl (nono lhd tE or sh. ir licd.d puflar k\ fi. F!\kiiE ot E ConBrd r l.a!B.d L.* l(t Iid I, coffiir8 snh Sclion 7000 of Dvo.. I of E BBitB od Pol*ioNCod.)orthllh.o,$.n.,anfl{h6.fom.lih.b.tnforth.dk*.dddptioi.A.yviolio.ofs.dion70}I5bylny .rrgliet for . pdrir .ubrd. rh. .ppli.&r ro . oril F tyof ml mEfta nr. hutitcd{hlld(lJm) l. s orE oallE Flpciy. or my .rqhr€ *nh s.s6 c th.! $k mmFEdio( vill & tlE 6t -d E indE b ml uiod.d or ofi6.<l ad sL ( Sa 7044. AuilE &d PiDTBFE Cdd.: Th. codrdoir I aoe L.s' &6 rct +ty rd m otr of th. FnrEry vh. hrild.6r iqrDv6 tls6^ .rd wl[ do6 ruch s,t hiNclloi hdvlf or thftu8h tir or hd ou sl9loyG. rovrLd ihr e.h imFoEEr! @ hr ndd.d or oft rd 6r .l.. l[ lDsw, llE hlilditB .r nt $!E ! sld wiht m ]d of mn 16r[ rh. olrc Builda will ]6rc rn hfllor of F.vin8 dlr h. m $t. dii Dl hrk or o:ttlw th. FDFi, for llE FlrDr of L s o$nd.f rh. FoFly, o.rcluiv.lycorlr&1ins wnh i(d..d NixdoB ro codrud th. Flrel (Sc 7044. &aind In hlkin Co& Tt. C.nkdor'r Lic.N lrs d.'6 mr 4pU lo D orE olFopdry *h6 hul& or inprcv6 th6on. lnd who .ontd. aor s.h Fljdr pilh r C.nr*lo(r) ncdr.d pucud ro rh. Gfrscloit Lic.M taw) / r mc.ma unaa scrnnlu raf,f,[affQMtrltAllo! DESJAAII9! I @) lrm und6 F!nr, of Fju.y oft of th. folhvin* ddtt.lioB -l h.v. ni *ill mi b. CdrirE rc olcoMr ro S.lt'lM fd wla .of,pdahr r Fri,.d for E, Sdr6.l7m of [E llbor ( od., Ior U. p6lo'I@.. oith. srl for rhich thc Fmh t au.d I hrw r<t will nlruin *orld c.mFodio. iNulftq 6 ..+ftd by Selion 1700 of lh bbor Cod.. for th. Ff.llrld. ol rh. mrl for whrt fi! FE! r &.d My @rL@'@nrFMhn M.(es in pol.) nmbd r. cms ' Exe.pl ,-l cd,rylhJ 6 rh. Faolrffi. ofrlEuort lor *hkh lta Ftd n cr.{ I.nrllmr aryloy uy p.ren '. D) ,@E $ slo b..om. subjar ro rh. m*6'compdlsllioi bs or Cllifonu. Dd 'dr th'r ifIsh.uld bdon sbi..r rotfi. $ort@ corFMio. FovtioE of Sdion 1700 ol dr lrbo. c6&. I ddl fdhwnh comply wirh lho. FtvtbB WARNINC: fdlurc ro s.t* Ertd @mFB'lion cordg. t unhqtuL dd th.ll !ub*l u aPlo]€ to rinitul pqulir dd .ni! fn6 up ro oe ludrd lhocui doU. (t100.000). in.ddnion lo tlE.or 6f comF udion. &msB s lrovilal lor llE sdir 1076 orihc t,borcod4 i 6dn doq-- 5 f6 . PEIIdBAIIO! , ,h|#) .Ifm und6 F.d' of FJur) rhd I M Lc$.d u*ld Fr irsn of( tu ./%fh,. o*.* "'l r.r*mN('od.. sd myl(@ 6 '. rurr,.rc( dld.lId Fs 9 (oltllffiile rth SerbD 7000) of Diviriotr I .12/9/g?,-**.<Uz1e4vr &ulcUrs CONSTRUC'TION LFNNING AGE]tCY I nc*rydfm ur& Frun, ofFjury lhr 0E ir, o'dtudi,i t'iine ls*, for rlE Ffoffi of $. eon tlr stih rni! Fnil i! ilru.d(sc. 1097, cif c.). arluc llllEg.axaua! I hs*v lllm utdd pdtrlty . t Fj!ry o.. or rlE aollowirg d.clail ionr l).mhion P6miB- rb6lor Norificdion F.ds.l R.suhti.6 (Ti1.40, Prt6) Rqtut d t-drd Df Nolifi c.lion I cd'ry rhd th. t ddal rcsulatore Erdrdi.g db6roi r6ov.l sc nol lpplribl. ro I hn ptur.cl ? tl .dify rhd , lBt. Ed rnB lpplHtion &n nalc lhr lh. .bo\. 'nfotulon it cond I4cloNmpl,*nh Cny!.dCoui) .r!ina.c6 anil sr.'. ljws ElarinA to bur aurbriz. r.D.6.t!rd iv6 o I lhn Ciry Md ( ounry lo dro upon lh. itor. tEt$n d Fopqry for uup<l \pplic.nr or '\r$l Sifln.turr *uty tp/s/wq zf[r8t]mwz