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BUILDING- INSPECTOR RECORD SITE.WORK DATE ID/SIG.COMMENTS Set Backs Forms/Steel/Holdowns Erection Pads SLAB Floor Subfloor/VenVl nsulation Roof Sheathinq Shear Wall Framinq lns u lation/Energ y Drywa ll Brown Coat Masonry Pool Fence T-Bar Handicap Req Deputy Final Report Engineer Final Report Flood Zone Certif FINAL 6-24 g-L Certificate of Occupancy Notes, Remarks, Etc. OWNfI AUILDAR DELCAR TION I ho.by lrm und.r poit! of Fiury fir I m cr.npl nom llt Co ldd! Litr t r for rh. folh*it{ l!&. (Id 70ll 5 Builld srd lrcr6sr Co<l.). Any Cny or Co!n, shth cqun6 ! Fhi lo odrucl. dls. inqroG dcblih or Ep.r oy nMr@. Fs to ilt i!ll.R. .ho Equi6 llE +pli&t for uh Fnn lo iL . .Bi.d rrmt rhi lE or tE ir li.qE d plrud ro lhc FDynhB of dE Cort.cr- r Li..tr!.d lrq l(Trprn e, coffiiu *nh sdnn 700(, ol Dirnbn I of 'h BuilB sd Pmfsios Cod.) or lhlr lE o JE L ddpl lha.fron ed rtr tsE tor rhc ilkrd 6oF'on Any rFhrrcfors.$ni TOll t by ey lpplicant lor r p.mil rubjd lh. .9plicsr ro ! civil pdalry of mr mor. thM fiv. tundr.d dollB (1t00) -1, s otrnr of rh. FDFny, or my mplorE $ ilh rls6 6 lh.n $b .omFBra.n, "ill do tlE *ct td tlE lr'ldw I tul idoi.d corqd fo. oL (Sa.70,L, BdilB ed PFf*ioc cdL: Ti. Conmld r l.ic.B li* &s.or +!ly h so*Gof ilE FDpalr $ho hill d irry!\€ t Eq rd *rn d(E *h wli lticlr or lE*lfot rluou3h his or lE oB .tptoy6, Forit d rhn *h imF\dlEt n d nd'd.n d orsd fr'r sL lf. horss. l,t hlildlt or in4rolld i sld wihn G ,t ofo.abioc rlr (xc BcildE *i[ hE tlr h,.ldr olFotiB fir lEor tE dil rx hiiu d iqoE in FDF! 6. dEF,rorol -1, so*E ofrh. FDF'. m.rclsivcly codr&1int snh licdBcd c.nrt(1o6ro oMtud rlr Fojal (Sr 7044.I16ri6 &d hDBlhn Co& Tn.( ontacroir Licms Lrw d.6 nn rfi,lyto motrnd olrrop.ny*ho build! or intmtd rhdo.. lnd who.onlncr!tu3uchFojcftwnh.ConrEdo(rlirc6.rtpuB@rtorh.('o.lr.cknrLicc6clrw). _l m dmF !n& S.dbn-, A &PC forrhi! ffin D.r.: Oi!6: t&aarllli.colaENralla! DECIJSAIIg! I rEr.b' .mm udd FuIy of Fjuy oE of llE nnhs D3 d<(t@riE I IEE arl s itl dinllitr . ( slificnc of Co6al xr s.llt6uG lD. wrk6t cdn,p..shdi, 6 For id.d for br' sarion I700 ofrn ribo. Cod., for lh. Faolffic o f th. *ort for *hah lh. p6hn i 6u.d I hav. ud * ill 'n!$r!in *.rk.rs .onp.ro.tio. nsumn... d r.qun.d b] s n'. r7()l) ofrh. rlb.r(bd.. for ttu l)610r !ne. of rhc worr lor uhnh rh! Fnn i! iscd My vorkdr 6,nFN.lion i6ure..Miq rrr F,li.y nunb.r sc -l.rP,6 -t cdiry rhir tr rlE lfhr1114. oa$. *ort lor *h.h rhk Fnn i5 isu.( I {6ll kr nplot .., D.Mn h uy nuE $ sro b..oe rubr.l lo rt m*6 @npq&lion h*:of cllifomr& ttrd tcR rhd if I rhould tEoft obj.tr torlE $!l(6' .omrEnslion pmvirioB of Sclior -1700 oa rlE L.tnr Codc. I srEll. aonhwnh .omPly wnh lhos ,rri.ioN WARNINC: F.ilurc ro 6@ *0116 6npaetb. covdg. is unlavtul, d shrll .ubj<r tu dPloF ro dinin.l p.n ltis ed .tril fin.s up t) n . htrnJr.d rhotrsed Jollan 1m.000). in lddnio. ro rh. .ost of .onF.Mrion. d,Ms€r B rtovidc{ lor {h. serion 1076 0frh.lrbr codq irrdd ed !lraB!lll)) I h.$;ry nlm uald F..ll) ol pqjuy thn I m s 0 (Nffiin{ silh S..r.i 70m} ol fi irion l or rh. B{ri.6 sri h'f6ioB Cod., s'd my lk.u ! h full f.rc. ,xr .rd! +2^ /fl@@ I hdlt , rllrn lLra Fdlt of Fju, thi t ia$.d (56 4097. Cir C) bn lddils ,sft,_ f6r tlE FfM. of th. *o* ror {lah rha Fnn ir l,.ntl.i! Addr6s -AllulllllDEcllsArlo! I har8.ff!Bu!d6 pd.lry ofFjury oEof E follo{in8 ddlrltiB: D.mhio! Pomnl^ibdd Noriliorb. rcdarl RcSoLli,N (ThL.l0. P!n6) -R.quicd lnls olf&r'tui, I .dit rhd rh. f.iLfll ..slLlioB r.a&drns BlEl.J rff\ !l e mr tpplt$L ro rhn pro].t]l io. ed siolc lnd th. ih,v. inronDahon n mrtr I .!rd I md(in'nryro.md uoonrh.ildins cofirudnrn. od h6lby aurhort. rcprGdtilir6 ol "-'qvl"4,a//g t?/,4./ !,z,l,l UFER Ground Ext./lnt. Lath I