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BUILDING- INSPECTOR RECORD <br />SITE.WORK DATE ID/SIG.OWI{f,T BUILDEN DEICAT IION <br />I lE.trt rtrr ur& FrD of Fruy dr I6cr.nq 6on llE Co r-r6tr LtqE t w fo. th. tolhwlB t@n (Sa?Oll.5 <br />Auind ltd ftofaion Cod.): Any Ciry o. Coufly vhth ..q 6 r Fnn to oinrud! dl6, nnFow {bmlBh o. ie.n d, <br />3ltucrE!. Fi,r to ir! iBtrq ilo Equi6llE +?tt& for uh FBil to 6h. !ti.d ltddMt lha lE or iE it li.su.d plmrr <br />to iL Flrtiod of {E Costdni Lka!.d t w (cll4ra 9, Cffiinr *irh Sdrior 70@ of Divni,! I ol llE SttiE !d <br />Pmfs'ons Co&)orrhlt li d3lt i crdpr rh6.6on ed lh. b.s! fo. {h. illq.d qdnFio.. Any riol hIofsdbn 7011.5 tyuy <br />lpplic&t for . lann rubjdt th. rppli.sl ro . ciril pohy of mt mE th& fiv. hudr.d doue (t500) <br />l, D ow ol rh. F$Fry, or m, oplolE wnh w.g6 s lh.tr nk @nF$dior! s[ do 0E *qI ri tlE dnxle i! bl <br />inrErLd or or(rd for eL (Se 7044, Bcina ed R.lsi.N co.L: Tn. contftltr r ljcoe lr* &- tu! eply ro o ow oa <br />E FoFq wh hil(l or inirDc rl'd@r rn s'lb dB rd! hrt hiMlf d hdslf or llNwh h! or hd om @plort ., <br />proviLd ihd iuCa hp@ElEf E Dt nctld dofiEd 6r sl lr, bM.lLhl dry d inrrqqEr i sU wiiit tr rq <br />ofodpldDl! tlrc 0*16 Arikla will hlr dE hnldr otFovit8 lhn Ii or ihc dil ml hlld or il9ro6 lh. FDF9 6r tk Frpox ol <br />*s ow of rhc Fopdry. E cr(luiEtt coddtru $ih li.ds.d codMoE ro olmd ltE FJ<r (Se 70't l. BU!,6 <br />PNtaion (id.r Th.(o.tBclo r l.ic.nE l.!* do6 nol lpply ofpropd, who buil{Lr or inprovdrh6on. <br />lh.Co rrlu r Licog Liw)d $ho co'nrr! rd r(h Foj<ti *nh r Coddo(r) I <br />-l <br />d.rcmpr und6 Srtion <br />o.-r1z/tJl?o"".. x <br />IECIABAIIA! <br />I ha.t .mmuiddFdlvof FjuryoEof tlE aollowin3ddLrrrioN <br />I h.y. !d *ill msimln ! Cdtrlicd. of Cotlsi ro S.lf'lBuE t)r krl6 comF$don. a pmvid.d for try Sd ion I700 ol rlE <br />L4or coda for rh. pqfo,rl1e. olrlE wort for whicn fic Fmit B isu.d. <br />I h,\. $d *ill miinl.6 vorl6 com,tEli,n rtsdtq B tqut.d b, sdti.n !?m of th.l.bot Cod., for llE FfM of <br />ln. *rrt lor *hifi rni! Fhi ie Gu.d. My world empcBdron in.urG. @i6 ald policy nrmb6 m: <br />{4.-,r_,4 .,n"*0,*. orrh. *orl ror *hrh rhir Fnn r su.d.IiEllmr plot o, pq$n i. dy mxE <br />$ d lo bcco,n. rubjar ro rh. wort6' comp.E.r io. bw! of Crlrlomi.. @d .sr thd if I rholld b..om. sbl*l to l,E <br />sodot.omFurionFtrrai)BofS.trb,1700olrhctiborCodcIOull.fonhwirh.omplt*nfi'lIEFleirioB. <br />wARitlNC rnM. ro s@ *qld 6nqd!ri,. .or@!c <br />.'vil ni.' up <br />'o <br />oE hui&.d rhou.r.d dcllG (!!m.0o0), in <br />Salion 3076 of rlE tlbor Cod., inr6d tnd luomy 3 fs <br />nrhF e onphlE () (rm'nal FEhE ti <br />(. ,p.rern,n. .trBa86 a prord.d for rh. <br />x <br />Lt(!l\llllcoNIR ('roR <br />DICL!&\.II,D <br />I horlD .,Im u"<16 FuXy olFjuy lhr I m ,i(gsl ut la Fiviin of Oupla 9 (onl]lEitt *dr S<rb. 70m, ol Dn ibn l <br />of thc B6i!B !d PDfBioa Co&, ed n, lico4 i! in tull lorc ad.rEl <br />COIIIAJJCIIANIIIDIIG.&CTXII <br />I hg.t'y .Irm u.dn Fuhy o i Frury thd ilE. it . o'rrrudbn Lid!'g agfry tor rhc Ffffi. of $. rst tor which rhi Frl it <br />su.n (sa. 1097. C'r. C )rad6 ! Nan. <br />AIILICAII.DI;SIAAUAB <br />I h.&y !flitn uxld Frn, ot Fju.r oE otuh. toll6v6r &.lrdbE: <br />Damhio. PmilvAstBtor Nolificnion F.d.6t Rqulllioro lTitlc a0, Pdr6) <br />R.quir.d Ldta ol ltolin.iion <br />I cdtiryrh rh. f.ddil r.!uh niro E8rdnl! sb6r's r.movll rc nol appl'ctbl. x' lhL phjdr <br />&*,'rr,*,*,*,n rlllt.rFi !n rrc mf.rnnnrn a .old I .!ra io omply wnh .U C y Dd CMly <br />ordi.!h.6 Md srr'. tiws r.ld in{ ro hr ild,n8 h6.L) !uthon,. r.p..9hrir6 oarht Cny Md ( ouDlylo olq uFnltE <br />rhovc mdrior.{ r(pcny for i Fdt'n Z==,\pplionl or,rsFr siSulur. > <br />Irmrire nrnrt tprinrt: X Xtulelj <lrLge.t '//,- <br />Set Backs <br />Forms/Steel/Holdowns <br />UFER Ground <br />SLAB Floor <br />Subf loor/VenUl nsulation <br />Roof Sheathing <br />Shear Wall <br />Framing PoAI -zj-u k tl\i) <br />lnsulation/Enerqy <br />Drywall t-r)-?tl t.UI}I <br />Ext./lnt. Lath <br />Brown Coat <br />Masonry <br />Pool Fence <br />T-Bar *I 'l1tl <br />Handicap Req. <br />Deputy Final Report <br />Engineer Final Report <br />Flood Zone Certif . <br />FINAL '. -1A-% <br />Notes R marks Etc. <br />t'-D .,4 <br />COMMENTS <br />o,,,. . tz/sy'q - <br />Erection Pads <br />2-*2+;7^ <br />tf <br />x"\rtl <br />Certificate of Occuoancv