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BUILDING. INSPECTOR RECORD <br />SITE-WORK ID/SIG.COMMENTS <br />Set Backs <br />Forms/Steel/Holdowns <br />UFER Ground <br />SLAB Floor <br />Subf loor/VenVl nsulation <br />Roof Sheathino q/" /rt .t@/o> <br />Shear Wall <br />Framing <br />lnsu lation/Energy <br />Drywall <br />Ext./lnt. Lath <br />Brown Coat <br />tYMason <br />Pool Fence <br />T-Bar <br />Handicap Req <br />Deputy Final Report <br />Engineer Final Report <br />FINAL Q/rq/ts ;Btvtoa <br />Certificate ot Occupancy <br />Notes, Remarks , Etc. <br />OWNEI AU|I,DER DELCAIANON <br />I h.Eb, I"n udLr FMxy or Fril, rld t o &iti lhln rh. (idturn' LimE tis for l& nnb*ina dsn ls.. m.!l 5 <br />Ituqmr !n Pml6ra'n C.n I A.y Cny or G{ t shth rqurcr r Fni ln olErEl. rt6. iith!., d.mhh or r.Fn -yntute. FI, h iri ti6Lt. rl$ r{uircr rh. +?li"nr ror tuh Fmr ro fik e riSEd <rd.'Hr rhd rE o. {E ! liqsn Frun <br />ro rlr rFyihns or E Conl'(lc ! Lie.en Lw (Chrprd 9, ConmEins *nh Sdrio. 7m) or Oivni,n .l of rlE B*iEs rnd <br />Pn,rcsi'n! Cnd.) ff rlur h. ( rlE n dc,!'r rlEclrofr lrd rlr tEtir li, rh. .llcs.n.&n!rbn. A.y vhhlirnolSdhn 7011.5by!try <br />spplio nn.Ilcmir{bj<krlE !p icrnr ro ! civil rEMlry 6l d Btrcrhd nvc hlndr.d dollas I l5m) <br />-1. <br />r! owmr of lh.IxoFnt. {tr mr.dphyc$ *ilrr *aBcs !r lh.t i,L co8Fnqion, will do rh. w,rl !n rh. (dm n ml <br />inr.nLrl ,roficnn fttr e].(Se 71144, Aurik$..d Pnrrnsi.n. ('od. 1'h. G,.lr.doi< Lilns Llw dc. mr Otly ro rn o*ftr of <br />rh. nn'Irny *b lnius r lqrcB lltEn ud *hn &s uh kri hnnt.ltrr lrRltor rtuDUen ht o. rEr owi.nphy.ci. <br />|,ivrlcd rhd .Eh inprsEmdr ft n, ar.nd.d orofrdtd n, !k ll lt rE. rh. tuililirE.r irFErd i. r'llt sirhin ft )d <br />ordnrnl{t n. rlr O*r. Builtr will lbr rlr hnd of F.riry $r lr d {k dn d hilC d inqrw ilr Fr6y 6r EF FEof <br />L at o*mr orthc tmpdy, rn.r.tuliEly.o.rdin8 wnh lft.<d $drdn !,.oNM rlE lr.rd lS( 7(}l.l, B6il6 <br />.nl ln,tsir Cod. Th. Conr6x,i l,i.cnc l,r* &Es mr .r'nly ro !n o*F of pmFn y sts hu ildt ot impmwi lhdmn. <br />.hl wtr d'nrndr tor such pmFt eirh r conhtudi r lh.nrd trrrud n'rlEGntrucloar Lian€ llw) <br />-l <br />m.x.m/ undcr S(lion-, B &PC hrlhi.rcr$n <br />lr.r. ()-mr <br />Itaf,xEl5tir&lfElsAlr)! <br />IECI.ASAIOd <br />I hc..ny .mrn u.d.r rrMllt of Fjur, oE ol llr Llttsis &d&' iB <br />-lh.E.d*illmi.h.Ccniar.r.orConrnrroS.ll.lnoEftrlqtsro.tEtr!.ri' <br />ar Dlrvilrd for by Sftra'. 17m ol rlr <br />brxf, Gdq tu rlE Frfl)lrlic 6l rlr wi td sti.h rlt Fnh k ir.Ed <br />Poli.y NumtEi:- <br />I Ndirr rhi a, rh. FnorBr of rh. *orl ftr whih rhii Fnn ir rikrl. I $.ll mr.rthy.ny FMn in tny lME <br />s .((, tEta,m.ubir' ro rh. qrtn'mfirnqrir Lsr of CtrrLmi. .,n .rG lfir if I {Dutd lEad oh;n <br />'o <br />rlt <br />* r\dl, lTnFn{r nn fmt nnni .f s(rmn l) rof bhor (iik.I\h,ll. nfhtr[h $rrl) * hrh,<pnrrpn' <br />\l \R\l\(; I Jltrr. r) !1ur. s( 'l.r (trqrr\tr @t68c i unl'elul, rnd rh.ll lubFr & .npt'F. l. mmul FElis rnd <br />rnrl fitu\ utr io oft hlndRd rlk)uqrl dollnF r .fl)O). in alilni)n (, !h. .o{ of con{Ensrion- d!DI( .r pmvil.d for rlE <br />\.\rtrtr, rr,76olrhc Lnhtr(i{. (.{ <br />'"'"'///i - / ?Rl+Pa-t lJeta[a-..,<? <br />Ilirrh' xllnr u'rhr r.mhroft{lur) rlL lx lmnrn F i*,n or(tufld s (Nnmtrr8 uih Sdr)n ?(xr)r oaDnhion.l <br />ol t,F DunBs tfll Prcrcsri'nr C,xL. rn nry la.oE is h aull nra,i.fld1 <br />/ooZV.L,//v /7 <br />I h-'rfiy rllt utrds FmliyolFUr'r rtur <br />i\{nl lS.. (D7.Civ C) <br />kndmS ns.my n, rh. Flornurcc ofllE rork li, *hrh rhi\ p.rnn is <br />ATIITIINI.IEIIJAIIIQ! <br />I ltittryrnim uBLr Fmhy of Fr,try or 6trh. rolk'eing d.cbE!l,nr <br />D.nnilnrn PcrmillArtEslff M'liarllion !.n nlRquLrion{ IT L 4). P!n6, <br />-Rcq!ircd <br />L.rrs of Norifi carion <br />fcd.hlESuhrkin{rc3e nrtr\tE{..rcnntr{lt rc ftn rfl'li.hb rorfi pn,}rr <br />I aFr r. N.rpl <br />turhr,. r.F.dr'ie6 of rtuCn <br />I <br />H rh,. <br />han,.ad rhi\rpdf,rrxr l{!rcrhd rhcrtl^r 'n(y rnh.I Cny rn Comry <br />y .d (nmly ro cnls orEn lh.Srarc ljssrhriryh hdillnr! ron<B1irtr rrx, tEr.n) <br />cz_ <br />r?ite/l <br />tJ <br />€/s1r/lL <br />DATE <br />Erection Pads <br />Flood Zone Certil. <br />I hlr unl s ill msinrain *o.kcra con'Irnvn nn irru6me. a\ rcqun d hy Sc.r i,n .r 7m trr rh. tjh.r ( dl.. l(r rh. ,l.rfnmm of <br />rh. sorl at,*hichrhi\ p.rnir ir krkl My *ork6s cotrqf,n\urn'n i'nuni(.crni.r drl Frlf,ynumh.r r. <br /><3./ <br />l,i.ld r Arbs: <br />-