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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OIVNER BUILDER DF-L(-A RATION
<br />I hqd, llTm udd porh, of Fjrr] $r I e .raq, tDn tlr Codrrl6' Iiw I^' for lh. hlh*ilB ,an l* mr I t
<br />Bsr6! dn PDfGion Co<L): .y Cny or Couny which r.qun6 I Fnil to orsrucl. th6. i4mve damlbh or ,!p{'r ':r
<br />nddEe rrio, ro ir! bu.r. .k EquiE lh. .ppli.rn for .u.h Fhi b 6L i .!si.d rdffil lhr lE ot dE i! licaa.d B,nutll
<br />h lh. Fori'ios of llE Con -rdr Lio!.d L.{ lol4rd 9, ComirS *irh Scrih 7m of Dirnbn } olilE ari'K md
<br />Pmfsioro Cod.) or lhlt lE or rh. i! adfl lhs.liom .d th. t'.tie for rlE .lt.8at crmplion. Anv rioldionofs..rion 7011.5 tv av
<br />.rplicd for ! pdnn subidr! rh. .Fplntr lo , oril FMh, of .ol mE fie li\. hui&.d &lld {1t00)
<br />t. s oMd otrhc prltEtr, or ny dplor6 *nh s.s6 B rh.it 5k codldlaio( $iI & tlE wml !d ,E nr,Elr i -r
<br />i'ro*t d mofld.d aor st (Sa.7044. BdiB.,!d PDaBirE Cod.: Thc Qtrrr(.is litu t w d(E n l +Plv lo D o\l@ of
<br />rh.Flrdy wtn hrld d nrFD\€ Eo rn wl'o dG ntn *qt nirelf or lE*lfor rl"oult hir d lE oun dpt tq
<br />Fovid.d rhd :n.h imF.EEn3 e er idad.d or olEEd for r].. l[ lh*tr, tlE trildla or itp.!c4d !' rld withii oG ,-
<br />;fconpbne UE (\€ rhitrd will h.c dE ht&' .fFovins ili tE o, dE dil bt boild ot !ryot ln. FnFv fm tlE Fi,po* ol
<br />L E oM6 of lh. p.oedry, e crcluiv.l, cotir*liis vith licdsal .onlr&lod ki .o^rrN tlE Frial (S( 7044 BuiB
<br />rn hokin Co&: Tn cod.-lm r LtdE Lre (q mr .pply ro e orn6 orFopalv *lr boildi o. imp66ltd@a
<br />od *lb odrxi' l(r lst Foj.<! wnh . Coifro(!) Ii6!.d prlld to llE Co taid . Ltd l,*).
<br />I e .rmF u.dq Sdhtr
<br />sll8f,E8s:lollffdsarlo!
<br />DICUAAIIAN
<br />I hd.b, rflim undd t n.hr of FJUry onc of rh. followin8 d*l[rlio6:
<br />Ih.v.!nwrllrMi.in.Cdirrtl.ofco@nbsdareEforro.ld@,9dshcsFovi{Gdlorb,Sclb!1700onE
<br />l,bor Code fd lh. Fro!l@c. o t lh. w fo, *hi.n lhc Fmn i! i!s!.n.
<br />I h.*.d *ill rui rin [ortd cotp.dio. iBffi.. B r.q[!td lD Sdio. ]?00 of lh. Lrtbr Code for llt FfolM.6l
<br />$. *ql lor shth rhir Fmn t isEd. M, worta omFdhn idum. ffi, .!d p{lty n@hd @:
<br />tolicyNumbd: ErPt6:
<br />--
<br />l.difo thd h llE Fsforrr@. olllE mrt fc shth lhi. Fd i! isEl I thtu mr.tploy.tv p6e. in rt Il!:E
<br />s s to bdo@ $bir lo th. wo.td onpoBtiion ,.8 of Cllifomit !.d t8G rhtl iI I lhould beom lubjdl lo ltt
<br />slrtd onpdEaion Ftrviri,B ol serion luoo of rlE L.Er co<li l idl aclhf,nh Nnpry wnh rlr- Flvirioa
<br />wARNlnG: FituE lo B@ rut6 onFsdnn ordtr. t uL*tu|. .rd .dl 3ut.d s dphF ro adin l FBrE !d
<br />c il nn6 up lo onc hundr.d rhouud dolld (tl0o,OOO), in tddilhn lo $c .or or comFE ion. &n.86 s Prcvidcd lor fi.
<br />Sdnn 1076 ol rhc bkr ( ode n!6d Dd donE)'t fd
<br />Applldrli_-__
<br />-
<br />u(Illlll_(alluacrqa
<br />DEIIdBAIIA!
<br />I hfthy.rm u.dd pcndy o r Fjurr lhd I !n li6Ed undd Forirhn ofcnttn< 9{commocinB shh S€lDn 7mo)'rDirnrn ll
<br />oa $. B6ilB rd PmfsirN ( oi., td my liccM t h lull torc d.llE
<br />CONSTRUCTI(IN LENDING AGTNCY
<br />I hd.by rIIm undd D.ntlly oa p.rJury lh, rhoc i! ! co,sodion l6din8 lsdcy aor lh. Floroc. otth. ".rI for rhich lha Fnn b
<br />asal {se.109?, ci!. c )
<br />ASIIICAILDEU.A8AIIII!
<br />I ffir ilm uidg pdulr of Fju.' oE or lh. tolh*ing drlrxhri
<br />D.rmlnion PdmneArbd6 Ndifi..rbn F.d6!l R.slhliotu (Tnk4l), Pit6)
<br />R.q!t.d lt1i6 of l'*{iftah.
<br />I .dify rh,l thc lcdsalr*,lrlioE rcadrdint 6h..toymoval d. nor .Pplicablc xr rhn pmjdl
<br />I .dii rhn I her ,Ed rht 9!l-n ion rd !rrl. rhi th. .Lk inaon i nn 6 Md I igta ro cod,'rt n irh r[ Cn] tld Counry
<br />odimc6 &d sr . Ir*r Ehtbs ro boildins constudion. ,!d h6.by iuthoE. rcF6. dn 6 ofthir Cilv ed Coonrv lo 6ts uFn lh.
<br />.horc m6tio..d propqry lq nE lElion p,IxE.
<br />Appli..nl or Ag0l SiBn.lu..
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />Subf loor/VenVlnsulatron
<br />Roof Sheathing ?e*o at €e^.rr. LA PE z- r o{
<br />Shear Wall
<br />Framino
<br />ln sulation/E nerq y
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif
<br />FINAL /o- ra-t.l><8 tot
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc
<br />I (!@Numbc'
<br />SLAB Floor
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