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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS
<br />Set Backs ,,..)
<br />Forms/Steel/Holdowns l.A '€.-o,)
<br />Erection Pads \0.,( l'' \ dl
<br />UFER Ground ,/\
<br />\
<br />SLAB Floor
<br />Roof Sheathinq )
<br />Shear Wall I /n-
<br />Framing rYwt,iw
<br />lnsulation/Energy sl ,&1i rc ./
<br />Drywall S/lo
<br />>/,{
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif.
<br />FINAL tL 1 'Lo lfiL,*: >fl- 5 A?rN
<br />Certificate of Occupancy
<br />Noles, Remarks, Etc
<br />ok-;v/r;,21
<br />o/<
<br />@qQr
<br />OWNER BUII,DER DELCAlr^'IION
<br />I h6.br amn und6 po.lry of Frur} rh, I &n .r.nu 6om !h. Cotrlr!.tt' LicoF lr\ tor rh. folh"q l@n (SE 70lll !
<br />&rs,n6r and Pror6io. ( Rl.): An, Cnr or ( ounl' r'hf,fi r.qwd . Fmn tu codrud. ahs. inpioE, donolirh or r@n M,
<br />srtucrd., Fior ro irs irsuMc...ls r.qun6 th. lppl'canr i(t su.h p(mi lD fi|.. sirn.d stdml lh h.or sh. is licds.d pun6t
<br />b rn. Fornn'6 .r th. ( ont.Mlois t,ic.nsd Liw (Cnaprn q, ( onnoci.s {ilh sqin,n 7u}0 .t Dnision I of rt. Bsiffi ud
<br />Prof*bB Co.!.| d lh.l lE o, sl'. it .r.nF rh6.ton ..d lh. hdB fo. rlr all+d .rdflirn. Any !i6r.ri!n of sdhn 7ol1.5 b) uy
<br />aprlicnnrfortnflnilsubldErhclppli.tniro!.irilpcuhyofnortutr.lhdnvchon&aittolldslJSoo)
<br />-1.
<br />as o$ 6 oflh. FtlFn!. or nrr dndoyG $ilh $'ar6 s thd en. .omFs io.. n
<br />'ll
<br />do rlt $o{ and th. rnr1E 6 en
<br />inrdrLd d ofl6.1 tor sL (Sr ?(!J. BGi.s ed ProfGn'E Ct r Thc co ,rdoas L'(@ tn$ .I'6 mr q, y ln o o$trd ol
<br />rh. FNlEry stur hild! or mtnrvs rh6eq arui sho dr6 tuch *rr( hrns.lfoi h(.lf or rhiou-qh hh or h.r d$t ont1oy.6,
<br />pror id.! rhar $ch inFovc,ffi c n r n6rlal.r oficql li'r $L li. ho\6q,
<br />'hc
<br />hilrins or imr$6rh' G $tl snhi. !n. )d
<br />ofo'npkrbn. lh. orE ll{ilk Nll ha* th. t!(b ol|,ou* lht h. o. sh. da ml hrild or in{m. $r F.F|I for tlE l{,!(rs of
<br />-
<br />l. s o\Ta ofrlE F.Frr. @ .i(lusn.ly comr.dinr Nnh licds.d $ntBloR ro .onlMr rh. rNj..l lsd. ?O&. &6hB
<br />d ProlisM (nd. ih. (odrdoi, l-icd* l.s* (io6 Nr !ppl) lo & o$ nd .f proFnt \ ho huilds or inPnn 6 lhqo
<br />atri \ho $furtsntr !'.h ptulds {dh. (i)niracro(q)lr.o$dt Nnuani t
<br />;:':?i[iu-
<br />-l
<br />ha\. ald qill mi.lan , cdili.srr of (.ongr lo S.ll-l6uE ror sorldt .onPens.lnnr s For (l.d fo, b, litr io. l7C{ of lhc
<br />tab, Cod€. t rh. Ffom'M. 6f lh. *{t rq shtn fi. Fnir i! is!.d
<br />-l lh!. .nd will Brif,rrin *o!k.B (ompssal kJn iEuair.. s r.quitd b) S(r ion I701) ol Ihc t rboi Codc, ntr rh. psnrnnuc. ot
<br />lE \ul for $ lri.h lhis D.nnil is is!.d M! $d t6 comp6sr'o.
<br />'NU'
<br />n.. ir td lFlict nuita e:
<br />I hd(l\ ifinn nd.r porlr! ofp{Ilo on(olrlt n)lhNd!d.rli,rr(nN
<br />$ARNIN(; I xLltrr. n) eaur $orlos .fn,|E.srnn r.r.'rle
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<br />trtr],\rful.
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<br />ccnirylhrr ir thc polomd.. ofrh. sork lttr *hich rhis tslnit R issu.n, I rhallnor (nrloy 0ny tE$n ii iny oenq
<br />$ B b 6.om subjd! k' lI. qo.l6 mrFrsotion l$ s of ( ahloms, md dcE rhd 't I lhourd h.{o'ic subjet k' th.
<br />$orts omFrerion l'ff,lsnc of s..tD. t7(x] dfrhc t.L,i ('o{.. I slEll. Lnh\ irh.ondy \ nh rlxl* ForBNns
<br />Drl(:g
<br />i. o* hu r!,crr rhotr\rtrLt J.llr\ rll00rrrrl n trLlJrknr rr l
<br />i076 oarh. titr (-od.. inracsr ud Mrry
<br />lrrar u €trplo)r t' !, ninalFFlr6 aid
<br />rF.Nxon. &r4.s er pft,vid.1j lor (h.
<br />I hn.h) dm nondd pen.lrtoapt'luD lhd I dn l[c6{d undd pr.\$t)nof( lryr( qlrontrnd.in8 \ihSdk,n7([)Ol.lL!!'<hn I
<br />or rhc BciasMd PfulLisbm(i,dc. uj
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<br />lircN i! ii lulllo'( .filcr
<br />(!)liIA.lJ(IraNrr:NDING]llil;ldI
<br />I h6.b aflim und.r pdahtorp.rjuD rh, rhctLamnslEdbn b
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<br />asd.! rorlhc Flom !ollh.\drl lor $lich thi! Fm.t s
<br />isuql l**. 101)r. Civ C )
<br />l-end.is Nrn,!
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<br />L.iJ.r . Ad(ll6s
<br />AffLl(}trLDl0rlA3]]q!
<br />I h.dry ltIm u.ds Falrl of Fjur, on. ol r hc follon rry dr,.tra' o.s
<br />D.nolition P.,n s Asb6rt'r Nol ificd ion lial60l R.rul ionslr ttl)- Pan6)
<br />-R.qutc,
<br />ldrdof Mnin(dirn
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<br />cdify rhll !h. tddol r.sulalio.s rcsrdins sbGrosrdorala. hol aptlic.blc k lhB !toj..r.
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<br />(di6 $d I lsv. ian, rhis +plicrlon ad 3l!lc thn lh. .tFt i.forurion ir corEl I .Ar lo @nPly s nh , ( il} .td Coul!
<br />o fin(6andshrr t2Nsr.L{in! kl
<br />rtr,\. tr.n!(!'.(l |I rndr r,r
<br />,\pDli(rnl or rqenl Sittrrrn
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<br />Subf loor/VenVl nsulation
<br />rzl/4 F/ot
<br />Vz//4 Ftot2,
<br />Ext./lnt. Lath '/]? lt{
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<br />L* rt tttBrJabiC
<br />lz|l lb
<br />l-,rcnsc ('lrs
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