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BUILDING- INSPECTOR RECORD SITE.WORK DATE COMMENTS OWNER AUILDER DEI.TCARATION I h@by lmrm undd p.6lry ot pajlry thn I @ .r.hpt &os thc Conlr..lon Lictu lrw tor lhc hlhwhs '.e. {sd 7031.5 BBi.s .d P.ofai.n Co&) Any Cny or Coltny whth r.qu6 i Fnir lo @arod, 6. inFove &mllsh or q.r Dy rbdcF$hn! &.d,.Lo r.qriE rlE +pla&r forMhFmnlo 6k.3i8!.d fidral lhr lEordr a li.dt d FEd ro rlE FolairN of th Contdoi! Li...rd uw (Ct4rs 9. Comdins *nh Scrb. 70@ of Diva.n 1 of tn BB'B rtl Pmle6nt Cod.) or lhd lE or rh. is qdpr rhq.froi erd rh. b66 tor th. dLg.d ddp(ion. Any vhLlion of SErbr 701 I t b! &y .pplicanl for s Fmil subjcc lhc .pplic&r lo i civil ll.ulry of nol sorc rhd liv. hun&.d doller (35001. - - l. 6 dsE of ds F!F!t. n my .rpk 16 snh *rC6 ! dEn $E onFErF( *dl & llE *dt trl tlr tuR i mt da'.Ld m olt tld tor ql. l1ia.?Or!, B6iB Ed A!fa!.n6 Cod. Tl* coffiol! Li@ try &€ .Dl Foly lo e o$G of rh. FoFry wl[ hril&or lt{rcv6tlEE rn who &Eshwfi lti@ltor lt*laorrlhl*h hir orhaom dpbyd, provid.d rhlr su.h imFoEftd! @ mr int6d.d o. o,tu lor rl.. l[ hw6, tlE hlilji'g o, imtrow@n n &ld wnhi. o.. t oa@,plci... E O{G &ilb wil lEw llE hala of FDu!'s $d lE d,lE dd rl hild or imFow lh. FDFIy tur lh. Frpc of l. s osF of rh. Fopqry, h .rluiv.ly .otnncuE *nh h..a.d co tuoN to oMrud llE Projcl (Sc. 7044, &!i'r 'nd Pl!i*!bn Cod.: Th. C.nretor\ Li...t. Lrw do6 nnl .pply lo m own6 olpropcny *ho build! o. improva lh66n. rnd $ho ontBcrs tor luch Etrjrnr wirh ! Co ddo(,lic6s.d pu6ol loin Contr&:ltr i Licw Llu) I s.xmpr u,rd6 SdEr -- -.8ltPC fotth!l6n uaa5!8!:.caMlElsArro[DEgtaallo! I h6.5y .mm un(k parlr! ol Fjury or oarh. lollo$1.s rL.Lr.rirB: -,I hayc ,nl srll mi .n! . Carincd. of CoMr b S.lf.lEor. for w.t6 smrssdion. d Fvilal for bt sGrion 1700 of th. ht r Cod.. tn rh. pdaomocc of rh. solt fo, wnich th. pdmn it i$ucd ^Uro,"e<4r\ I'zrlctY l1';-l, "aa6cqz6 )1q?7 6/r lzozo I callt rld in lh. Ffoffi of lh. solt tor $hah rhn Ftu i. iao.n- I rndl ml dplo, uy F&n n ey @E F B lo b..od. tubjer ro lh. elt6 omFBrion LE oa('.li6mi{ &d .*r lhn ill $ou&l b<om. lobal lo lh. wo*6' conF.srion prcvnioB ol Sario. 1700 of rhc trt r Codc InEll, lonhwnh cornpl' vi$ thos ptoritioN. w nNrNC l.ilu. to su. hrl6' omF(ior co!6.s. n unL*tuI. ltd dEll $tiixl u mdo)d to diaiEl F!ti..d ciril am6 !p ro oE hun&ol tlbEd dolle! (t10O.000). i! lddnio.lo rhc f,FMrion. d.Mts6 6 Forrl.{ for rh. ode ! sd lnd .rlo,rE ir rd DECIJAAIIq! I h6$, .llm !fl,r Frny of Fiuy tlr I m [.d ur& Fvilio. .tch.prd 9 (@nE *i(n Scrbn 7000) ot DivLih ] of lhc Bqic. od Prcl6i.E Cod.. !d a, lkc i h tull f.r ed .lI6t. (cs., tr. b,.c tzlq/e zorQ \ CANflf,I(:IIQIIENDIIO.ACEICI I ficby .ffm undq FrXy of Fiury rh.r rhd. n r sinMln. hd,B 4dy tor llE Ff.lrrlec of llE wit t" s'lth rhi! Fn. a 6ru.d lsc 1097, C C.) lrn<t i Nm. I!d6 s A&lc ATTUCAILTECIJSAIIA! I h...by .trn u<16 F.hy of Fiury orc of t,E folbwiry daLdio6 D.mohion PmiE-Asbdor Notiicltio. F.d6.l R.8ul.l ioB {TnE 40. Pd6) -_ Rcqui..d Lara ofNd,i.cirtr E t csr'ry thd fi. &dd.l EsulrioN r.s!.{ns s!<tor .Err.l e d lpeltlbL ro rh! p'!jcr. .z\I cd'fyrhd I h6.radrh!.rpl(rriondtrd.rhd tn !bv. infomlion L corrEl. I .gc lo comgly wnh lll Cil, d Coltny ik;,lc &d s|'r. Lrs ELila ro hlildDS codtudiotr rn ha.b, uhoria EFedriB of 0B Cny."d Coui rlo ata opo. ttE .bo!r t6lbEd FlFlr. I App[..r] or A*drl Sign.t r(rz/t/re Set Backs Forms/Steel/Holdowns Erectron Pads UFER Ground SLAB Floor Subf loor/VenVlnsulation Roof Sheathing Shear Wall Framinq lnsulation/Enerqy Drywall Ext./lnt. Lath Brown Coat Masonry Pool Fence Handicap Req. Deputy Final Report Engineer Final Report Flood Zone Certif FINAL lldlne 7tq"'*fl.yq) Certificate of Occu n Notes, Remarks, Etc ID/SIG. h!r. ed rill Mi"tlin Eort6 cohFutior iMe a ..quiEd b, scrion 3700 olrlE lrhor aod.. fo. th. FfollMc ot $di ,tr *hth lnir FEn ir isld My *ortd onpdBibn n!lJ]n. .air dd Fli, nmbs r.: .*,..",".f T-Bar