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BUILDING- INSPECTOR RECORD SITE.WORK DATE ID/SIG.COMMENTS Set Backs Erection Pads UFER Ground SLAB Floor Subfloor/VenUl nsulation Roof Sheathing +l>slta -t t%-1 Shear Wall t Framinq ln s ulation/Enerqy Drywall Ext./lnt. Lath Brown Coat Masonry Pool Fence T-Bar Handicap Req. Deputy Final Report Engineer Final Report Flood Zone Certif 4 eaaTz -/n-FINAL fazT//4 Certificate of Occupancy Notes, Remarks, Etc. OwNf,f, BUILIIEn DEITCAITiTION I h@by !,Im undn p@rlly oa pdjury lnd I m .rcnd 6on lh. (onln.lor' Lic.n!. L5* fot thc loll.wils t.en (sd r01l.5 t]lsiB rn Profetirn Co&): An) Cny or Coud, r'hth Equic . Fnr lo @'drud. .id. inq.tq dsDlih or r+.n &y Juuct@. rbr lo t! su4q .t!o Eqon6 th. .pptt&l tor suct p6!n lo 6l. . sig..d ndolEl lhd lE ot lnc i lica!.d p@!r lo llE FrilioE of rls Co.urbi Lk .xd t w (Cl'{is 9. CoMdirs *ith S61io. 7000 .f Divnioo I of llE BBilE od ProfBios Co{t) or rhat t Jr. n qcnpi ths.6!h lrd thc b6n for $. tlLr.d qmpdon. Ary ri.hdon ofscdion 7011.5 bv (v ipplicor for r Fnir rbjdr! lh. lIplicot ro . ciuil pci,lry of Dt moE lne nv. hltitr.d &{lt (1500). s oMd of$. prnpdlr, or my mplorB vilfi Ea*6 s th.n rE codpardion. *ill do tlE $qk dd lh. 3r.41rc i! Rl olId.d fG s]. (56 7Or4. AsiB &d Elfdhs ( o<l_ TIE (odrxld r l.t.B br &6 8, +Pl, 'o a orE ot rn pFFty wlh hil(hor irqoE tlEo..,n wh d66u.nm fiitulao, h*lf or rhftlgh hlt m ha om dphy6, FodLd 6d uh iEFoEEr! c 6r i{dd.d o oEld 6. $t l[ hoffi. E hrldq r lqDroEr n $B wihi. ffi F otNnplrbr\ tlE O*E Bril& wi! hw l,E h,&! olFev,B lh. h.q!n dn d boild or iry.lE ItE FlFry 6r dE PtIEof l. som6otrh. pruFly. m.rcluivcly.orfii.lta w h licolq, co rdoEro connrud lh.Fo.i.d (Sc 7011. tkDd ,d Flkin Co<h: ]lE Conlftlor'r Lk@ L.w d6 ml lr'gly lo n o*G of p.orEny th. boil& ot inp.oc th66( ed sho roM3 for trh F!ja$ wirh i Comrrlo(!) laq!.d pll:6 ro tlE Cdddd'r LadE t *) h.rmd uoda sdrn , B & P(' lor tfi6 l@n ",ar& /4 oix e--A-!!aLf,&::!o!!tlnl,llll]lDE(LrXrltlr! I tE br lmm un<r, FDny oaFrury oE of tlE tollou'iry d.cLrr.B: -l hlr. -d *iU tunn.i. . CqtifE.l. of coien lo Sdf-l@. for wld' omF.-lion, B Foriicd for by Selio. I700 of dE l,bor Codc fr rlE Fr(fu. of rhc sort td uttlt lh. Foi it inu.d -I hrvc.nd will mim.in E ld @np.tnior iBlllse s cquitql tt Sdirn l70O ollL t b.r Cq].. lor rlE Ffolrffic of rh. worl ao. whi.b thn pGmit is isu.d My wortf,- @mFE io. idlrR. ffit ed poli.y nunbq e. I Eo 6 comFB ion FDvni.6 ol Sdrion lT00 of th. hhor ( dle l ttdl. tonh*ilh comply wirh tt E Flvitiod WARNING: F!il@ ro t.@ *ml6 onpdunion ovms. it ul$ful ltd rhdl $bFl e dPlorn lo qinin l Fdi6 ri .tr:il lind up to on. hunilr.d lhoMd doUB (!100.000). in tdd ion $ rh. uod of comp.Mlio( &nug6 a Povidld for lh. s.clhn !076 or tr! trhJr adL. irrqd &d 4 [eor8allo! I hdriy .fim ui& Frn, o I Fjurt rh, I d lisE d u,r& Flvishn olchrf,d 9 (.on:lmi,g wnh s<d.n 7000) of Dirilir. I of rh. BBind Md PmtsioN Cod€. rd ny lictu. i! in tull forc ild.ftd. COIIIBI TOII,EIDIICIGItrCT I hd.br rrho urld F lrt olFrury thr llEr i' . oirrudbi lddi.3 .&dy for lh FfGttl,& otlh. $o* 6r stth lhi Fnt a isu.d (Se. 1097. Civ. C.) AIIIICANLDECIJSAIIA! I horb rfim u.&t Flhy ol Fjuy oE of rh. follo*'ins &.lo.to6: DonohiDn PmilgAlbdo! Nolili..lion f.d6!l R.auht ioN (TnE 40. Pd6) R.itun.d ldra of Ndric.lior -l cdiry thd th. t dstl r.suLrirB EStdrr 6b<!G r.mvn e frr 4tlK$lc b rhi! pr.j.< ly lhi I 16r ,ad rh. .pplidoD rn rd. th. tlE *ov. ufo,ninst ir .ffi I .ar lo omdy *dh .ll Chy rd Cou,ny in G dd sl'r. t s. Eld i.! lo hildin8 coneru.lhr .d n6.by turkfiz r.F6ddiv6 o f lhs ( ny t d Coum, ro dr6 upon lh. rbor. 6r.ocd FoDdtt f Gprtioo pteFa ^coutut ot ^.at s\a!rc(}4=- p^rr*-n$atr,HL/E d*X p t4 )1^,o<t//s{F Forms/Steel/Holdowns l-odd ! AdCr*