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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE tDlrlbI.COMMENTS
<br />Set Backs r-
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathing
<br />Framinq
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif
<br />F|NAL q//3/4 rh € toV
<br />Certificate of Occupancy
<br />Notes, Remarks, Elc
<br />(,WNFI BUILDER DELCARATION , >
<br />I t6c|,. lmm u.dd !o.x, of !.rjory lhd I rD.rmfl fioE thc Codn loR Lka& ljw lo,lh. fnllo*rn! rmn (56.7llll t
<br />[tBo6. ait Profdi.i (.od.) ny ( ily or ( oud] $ hth E!un6 . Fna lo con!tud. aho, inpmvc, &nollh or rqf,n My
<br />stud@. Fir ro nr isue.. .L. Grun6 rlr 4dkd for $.h Fnn lo fih ! 3!n.d sd.lml rhd li or JE i! lkd!.d I'rMirn
<br />lo rh. Fo\ahN or rE ( onr&1c r Lidkd lju (ouFd 9. comntri.s silh s<16n 7ffxl of Dvthn I orlh. tlurind Dd
<br />Psf.si,N Cod.)oi rh{ & d 3h. ir ddd lhd.6om lrl rlE tist aot l,E allcedl.rdnFioi Any rhLlhnofsldbn 70lll hv u)
<br />rrtliclnt tn . rEmil ut rli rrE ,rpli.tm ro . .i\ il Foh ) ol d mr. rh!. fir. fiund.d &lla (t500)
<br />I. 6 o*G of rtE FoFnt, d ml. mploy6 sirh trt86 6ltEir $L mnFBdbn. dl.t' r er* rd i. riarc i d
<br />indi.d d ofidrd aor r& (Sc 7oa,r. B.!iB lld PmfgioB Co&: Ttt Colffn s LioE lr* &c d +d, lo - o*F of
<br />rh.FFty rrb buna itFrc lndq td sho dE ixt trr,L hin*ltor lE*lld 6mu8h hir tr h- onr.drtr',G
<br />Foiin rhd rucfi inFo\dcb e or irdrLd d dH for slc lt hotrhd. rlE hildi'E or itqlrld . sld qih'r G )t
<br />ololplai4 E ().lc EoiEs srll h.r! ilE h,rldr.r F!\iIB fii lE m tt (M N hlld c in!..\. ln. F.Fi, *t lll F,FE ot
<br />L e.* E of rlE ForEr,. d.rdurn cly.odrdinri sth lk.6.d coftr16 ro oBM lll Fni€l (S< 7ola. Baans
<br />.d h sii ( Nl. Ih. Conrs.i! l.i..M t$ &6 Nl qrlt to D o*rd orFoFiy { lr tril& or inpro\6 rhdof,.
<br />rnd *lE ont'rl3 fq $ch Foj.(r rnh. corrrxb(ll ltdE d Fdld ro rlE (..trndtr. Ltle l^)
<br />I ds.\.rtrpl und6 sNr$n
<br />Drre ()trnd
<br />tQBlirBllgutlillllru!ll!(lA8arpN
<br />I hd$yamnn trnds FnnlrvolFj,tr!.n.ofrhe nn[Nifl3 drlaralnns
<br />I h!( md $ ill m.inrain i ( .n rncil. ot(i,nsr ln s.ll- lnsut aor \ror k6 co'nFe' nr.. N Pft'rid.d ntr hy sN i,'n r Tur ot ln.
<br />tabor ( od. ntr r hc rEtumre. o I lhr r o* tor shicn lh. Fnir ig issucd
<br />I hr\ . ind s ill m nriii tr or !6' comr.n$rion iNuran(., s r.qun.rt h! sdi.n :r 700 ol !n€ I itxn ( id.. ao! th. Ftonne. ol
<br />.",.'.'A
<br />r shich lh$ p.ro Lr 6s.d My$orln comrdlsion i6urd..atrit ald Brltl nu'nhn s.
<br />WVtAhZuytLh
<br />n,.,'., ^,,.,*
<br />Wu So 46O l3 illaIItcl
<br />I c.nil,i rhd
<br />'n
<br />ttt rEf.ruE orlh. sort fm s'hkh lhn Ff,ir i. isu.d I Julltul dnDlot mt llsn i..nt l6F
<br />b 6 b b..or $hrd ro lh. wrl6 onF6riin Ltr of Cnifomi. rd isc rhd if I tlhuld lK.ft $ti.!l r. ilE
<br />*.rtd onFdhn F.\aiodof S.dion l7lloof rhc bn c6d4I ttu. tonhlnh @np! qnh lbt FrBioB
<br />wAnllNC: F.iluE lo g@ $!rtd onTtuirn 01618. it unhstol. tn rh.ll rt .n d dqlot( ro 6inin l F.l6 nd
<br />chrl li.6 un t'.n. hufttd rhoulext Litlls (lloo.m,fi. cor ot co6FNlr.. d,n+6 s ltorl&{ ft)r rh.
<br />DECIISAIIOT
<br />I hq.tl amrm un&t Frh of Fjln'\ rh.l I dn lica<tt un{kr Ft\ ilion of ( 1,fl6 q lcomffiins tr i sdrn 7r)i,o).rl)nnion r
<br />ot rh. tlu.r6r rnd PnrfanoN ('od.. Erd m) nc.e Lr ii full foR dd.fr(1.
<br />( tt)
<br />;.i"y1zZ1vq
<br />r.i(.n<.NunrE ql2JSL
<br />V:VLnt 9olq r
<br />(l)l[rallcrl(2nullulci(itrllr
<br />I he.oL rllirn, und6 l. ih! of Firrr lhal rh6. 13 ! conslo.ri,n lddirB almy for rh.lafDiinan...lthc(nk litr (h(h rhir O<.mi n
<br />isyEtlsc( r0tl?. (.,\ (.1
<br />APPLICANT DECt-ARATION
<br />I Ellq .tror und.r Fn!x, of Fjur' om ot th. rolhvinB d..ld.ri.ns:
<br />D.mh ion Pmir!-Aihdr6r Nor rfkr! i.. F.rtdll R.3ub nft ( In b 40, Pd6 )
<br />R.qurei lnlq ott*iifadi'.
<br />I cqr,t rh, rhc fdl.r.l r.BULr irB Eardi$ stird mral E. ml qdi,bk
<br />'o
<br />rhir FoF
<br />l.diarrhdIn\.r.odrn6 rhr iE.t{rc infornti.. k.6d I 4G 10 smd! $ nh .ll ( U !.d ( .unr)
<br />,, J r.n\(\.trrr \r.r. l.,r\id lEdD 6urbrn. EF*.lrn6 otlhs ( ilv dd (-oui) lo 6 d
<br />'4Fn
<br />rlr
<br />\pl'li(rnlor {so,r Sis r
<br />pern,i,enrmcr,in,): E lr z1/c/cltt 4,rp
<br />71i a// ?
<br />,
<br />Forms/Steel/Holdowns
<br />Shear Wall
<br />Brown Coat
<br />::srutY:
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