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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNZR BUILDER DEITCAITATTOll
<br />I lEGt,.rmu b Frlry ot Fiury rhd I D Grdlpr frDd rlE Coatt6 La6Bti$ 6r E lolbf,iry E lon (56 70l l J
<br />tlllind .d Prol6irn Ced.) Any Cny or C@,ry sl|ih r.qliG . Fhi lo .o'nnEl, .ls, inForq dtrclnh or Ep.n Ty
<br />irud@ Fir ro hs isuec. .L. Equn6 rh. .ppltd lor ruch Fnn to 6L . lisn d nn@nn lh, lE or !h. ir lkdE d p{Brr
<br />lo rh. FnllioB oflh. Conrrt.ar Lic6!.d trw (('lBFq 9, Como.ing enh S*lio. 7000 oIDivilbn:l oalh. Buin6 ud
<br />Pmf4ion! Cod.) orrh,r lEorit ir.xapr rhddrom.rd llEh.ri! for rlE.lLS.d qdprion. AryrioLmtrols.crbn7011.5,y.f,y
<br />lFplicmr for . p-mh $bjRll rh. .rplk..t ro . dvil pdly of br mrc rha 6r. hu,!&.d dolld! (t5m)
<br />Ls.$coftlEFrdy. mr.r!pb!6 $ih *a8B s llEn $L Fnparairn. *ill rb dr $ci .n dE rME i d
<br />ddr&l or ofrsrd fd -L (Sc 70a.{. E{.iB !d ttofdbE Codc Tl* Cotrrs( ! Lilg r^'do6 d Td} h a o*E oa
<br />!h. FrrEr- *ho hrilh d iqFts E@ndwh.aEs$$ I hirelr.r hcElfor $Fu$ hi. E hd o$, alplolc.
<br />I'ovi:lci rhll rlch mFatqc{! & d id6<Ld d ofr@d 6r xL I[ t ms. E hildi,B or itrs.or€En ir 5B *nhin oE ]a
<br />ofcotrpkion, th. O*G Buil& will tulc ir hrda ofFwins lh, h. or 3h. dd Dr t ild d in .ov. fi. FrFty li)r llt F,por or
<br />l. s otrG of rlE FoFry. d a(hBiEly cotudiry *nh li.q!.d codrdm t. mrBNcl llE pror.( (S< 7o{4, &6nB
<br />sd ftlb.im Co&: Tt. (-ontrrroii Licru lry {tE mr $ply lo s oM6 .f FoFnt *no hild! or inFor 6lha@r
<br />&d rho @drr lo, *h Ftsi silll . Co d.nr) lic.d pollld rorlEComrrd r Liue Uw)
<br />I m.rmF dddsdio.
<br />l).r. onn€r
<br />l]l)ati}:lu:caufiiln ll1l!Dfq.aSarll)!
<br />I hdch! alnln un'jd p.nilr\.fpd!''1 on.ofrhc f{nLN '.I dallrnriotrs
<br />, h.E rn wiu Bid.in. Cdifrd. of CotKr ro S.ll-llM 6r slrtd onFBrb'L a Flrd.d for bt Sarion -uoo ollt
<br />t b., Code tr tlE Fftne. of 'lr wo.t for *tth tlE Fhn i n !.d
<br />t h,v..ndwill m.imri.{0116 comFrsarion irourffi., E r.qun.d br SarFn 1700 of ibc lih.r cod., tu rlE pdfolrMc. of
<br />lhc qorl tor rfiicn lhi! p6nil b isu.d. My wort6 cohpcuaxon iEuanc. cMi6 od Fli.y .umbd r.
<br />PolicyNumbr: !r0i6
<br />I cdi& rha i. lh. pdfrlrlG. of rlE sort li*dkh thir Fnir i iscl. I irll El atploy u, F$. in o, nlffi
<br />$ E to haaE subjd ro rh. wtd' onFdsrsn lrtrr ot C.litomii. .,ld tE lhr if I il$nH heom $t el lo ilt
<br />w.t6' comFBsrion pmru6 olsdion 1?00 of rlE bbor Co<h. I ddl, f.dh*ilfi conply wiln tho. pmvaio6
<br />WARNING: Failre ro s@ hrkd' @npdnion .ov6!8. n u.h*tut. ed shdl.ubjd d 6ploF to cimird Fdi.! ud(iil nn6 op ro orc ho.dr.d 'hou.d dolld (ll0o.uxj), in lddilior to ln
<br />I (-od., d6.n snd !fiom, t
<br />DECIdSAIIO!
<br />I h*rr rrrn udd Fd!, .l pcjury tlln I m lkaEl u,(k F!\ irior olchrFs 9 (ottllrftins *th Salbn 7m0) of Dirilion I
<br />of rh. A6in* &d rhfdioB Cod., a,i my lic@ i! i. tull foE. r.d .,fd
<br />cplllau(f,lq!.rElDllqlcE!(f
<br />I h!r5,.rm undd paEh,.f Fjurylhr lhs.nrsd clior kodi4.stry for lhc pahl]1@. of rh. tr 6rtrtkhlhitFin.
<br />isro.d (sc 1097, Cie. C.)
<br />l.r&'r Ndc:
<br />-
<br />APPI ICANI I'ECI-Af,ATION
<br />I hrlhr.trm und6 F .fty ol pGjury orc of rh. follosin8 &.lElioro:
<br />D.moli!'on PmireArbdro! Norific.riof, F.ddrl R.elldinn! (Tirl. 40, P.n6)
<br />R.qlircd krdof Nolifidbn
<br />I car'ry rhi rh. Ld6.l r.*uhrhB esadiDs BlEror @r.l &. n<n rpglilbk ro rhi Fid
<br />I .arry l[r. I l!r. 6d rhir .9plidh -d n.!. rh. tlE .bor i.foMi6n ir csdl I {rE lo otrlPly wnh .!l Ctr . Cou.'r
<br />or.linm6 6d sr.rc ts! dei,l3 ro hoildinr .o,sucrirtr d hq*'y a(lmiz EFeiriv6 ollhi! Cn, sd Counr, ro 616 uFn rh.
<br />aIF\c ,ohon.! prp.n)_ fo nT<.r
<br />AUrli.rnr nr {qcnl Sir rrtr'r ,,," lll )tn
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />SLAB Floor
<br />Subf loorA/enVlnsulation
<br />Roof Sheathin g
<br />Shear Wall
<br />Framing
<br />ln su latio n/E nerg 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 />Engineer Final Report
<br />Flood Zone Certif.
<br />A
<br />FINAL -7 \JSJlr)
<br />Certificate of Occupancy w
<br />Notes, Remarks, Etc!r 9
<br />UFER Ground
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