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BUILDING- INSPECTOR RECORD <br />COMMENTSSITE.WORK DATE ID/SIG. <br />Set Backs <br />Forms/Steel/Holdowns <br />Erection Pads <br />UFER Ground <br />SLAB Floor <br />Subf loor/VenUl nsulation <br />Roof Sheathinq <br />Shear Wall <br />Framinq <br />lnsulation/Energy <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 />Enqrneer Final Report <br />Flood Zone Ce(if <br />tt/ t4t1 b*nrta-*84?FINAL <br />Certificate of Occupancy tt <br />Notes, Remarks, Etc. <br />(ti t <br />II <br />OWNEi AUITI,ER DETT'ARATION <br />'I fiGtb, .lIm uid6 Fdry ol FJUry lha I m .ran 'i nom lh. Conlrcld Lic.* L$ fo, lhc follo$iq lEn (s< 70lFs <br />a6iB r,rd Pmt6bn co<!.): An! Cir, or coldy *tich r.qun6 . tEnil lo oisod. .na, tr4.lve <riE[rh ot lq.i dv <br />sddE Fir ro irr isumq fto r.q'iB lh. reFli(ot tor tu.h pdnn ro 6k. sigtEi iiffil lhi lt or tE it licq!.d FNd <br />lo rlE FnriiioB of llE Conrsto ! l-t.n*d ltu ((-h!pra 9, Conntrins *nh Sdio. Il00 of Ditnatr I of lh' BBiB od <br />PtoftsioN Co<t) u rh.! lE o nE a ddnpr rhd.6om dd th. b.rir tor lh. dhe.n.tdFioi A.l rioldir of S..rnt ?011 5 htuv <br />@ltd for . Fnil {ttd! th. tpplkrnt lo . ci! il p.dhy o t nol nor. rhu fir. hudt d dolEs (u00). <br />L s orG of 0r FoFly. o. dy 6plo,6 wnh *486 d lhct $tc omFdion. {ll & 0E Hrt -d dE n&rft ! mr <br />iddn d M ofiaat f; sL rsa.?0,!4. Bulind &d Prof.sio6 Cod.: TIE Co ,*loi3 LidE L.* dB tut +plr lo d oms of <br />lh.p.oFty who hil& o inpr.E llE6r .d s lh dG sn wr hilullo, hd-laor lhrcush hi! d lE om 6phv.6. <br />prorri.d rh{ 3uch inFo\Grdr e tur idai.d orofitd 6r tl. l[ lp6q. E hlilditg or iIrFolaiau s rld vithin @ ta <br />ot@ntki.( $.(xffi eiu. riu lrE [Eb!rl6 olFo\iB d.lE JEdil br hiuor itrylv.lh. ploFry 61lh. F,F*of <br />L B()Woflh. F.Frt. m.rcluir.lt corxrcrin8 snh li.aB d co rido6 r. ol*rucl llE pFj<r (sc.70'l'1. BditB <br />!d ftotrir cod.: Tn. Cotnrldor'r Licru ljw dB nor t!9lyio ow"6 ofFtpd, *60 htrittt ot idp,lra thdon. <br />,rd *ho s,rrtt lor trh Fnjct! *nh . Co Edo(r) licdd p{.nd b fi. Com(oft l.i..r t *) <br />lr rc\(frtr tr dd sttrk,. <br />Dfi. l).n.. <br />\oRtitsRs ( oltPrrisa'l!(rNui(r aarlg! <br />I hdch! ,llin und.r p.nd( frt-ju'y on. of'h. n,lLN'nr d&ltudtrn's <br />I hfi. rn will minllh ! Cdinc.r. of ('olFl lo S.lf-lM. [,r *-t6 @n!a!rio( s FsviLd fo, bv sfrli.n ] 700 ol lh. <br />hbor ( odq lor !h. pafotrMcc of rh. "o ar stich lh. Fnn a istd <br />-Iht!.!f,dwillmi.i.sorlcomFGdbii6mr..Br.quircdbvs6lii']70oofth'bbotcodcforii'Ff'tutot <br />rh( r r td *hxh rhi! Fn'l. ed Mr mrl6 comFqFn iNrfficchd &dFli.) numbc rc' <br />,* \ .q;4>-Lc- ft-r"-() <br />pohc,Numba -/ qe<&97 L-a/t( *.,* ). - cf - l,e: <br />I cdit, $d h rh. pdfoll@cc of rh. rorl for f,htfi lhit Fnn B t$al. I th.lr ml qnpLt ev Fsn i. ot lMM <br />r B ro b.r.n rubj..t ro th. m d onFBri,. hE of cni6mia !d td rnr il I slsuH tEore sbjd <br />'o <br />tlt <br />twrtd' conpa$ho.ForirioEots.<ri,.1700ofrh. t &,C .& I iull fMh*irh conDN eirh rho* m\bi.N <br />s unL$rul srr lhrll !u;rd s opr,'is m mno &nts oa <br />cnrl fin6 up lo ot hui&dt llD&sd &,116 (tl rh. .ot of comFfr.lioi. ddrd!- s Fo\ a.d lor rrE <br />sdrion 1016 otlh. lrl(r Cet( i.l6.e ord !ltor--! fd <br />DICIJEAITO! <br />u j.r Fo\ iii,. of Ch!flq 9 (.ontffiins snt s..rion ,000) of DftBDn llamrnu.ddrnih, of rrlu.t rhd l0l <br />oI rh. uuio< ed P$fdioB Cod.. &n m) kd E h aull fore ti .fidt <br />B evtta/1/t+ <br />I lEtt'y fim uldd Frhy of Fjuty lhr lhd. ir t onatudhn k dins.g*, aor th. Ffo,tlllc olilE F* br *ttt thil Fhl it <br />is4d {Ss. 1097. Civ C ) <br />Ld(b r N@ <br />AP?LICANT DFCI AIATION <br />I hodD !fl'm unda lxEll t ot Fjury om .l lh. lou{'si4 dslurli.ns: <br />O.mtrrn Pdi$ Alldo! Norilic.lon r_.rtdil R.r! biilB (T l.t0. Pd6) <br />R.qun.i Ldr6 of Ndificdnn <br />I rdiry lh6r fi. f.dd.l ESul.liod Egddrs ch<or mvrl s. mt {rli.hi. to lhil Foi..l <br />I coriry $,l I hi!. @d lht .?plidlon tn nd. d rlE .bo\t ,nforndi.n ir cotrEt LXr* to @mplv wih !I ( n, ! Cou, , <br />ordban 6 dd S$r.l^: <br />.tr\. morioErl FoFny <br />luthort E!..gldlNd orrhr Cny od Coulnyio drq lF)n <br />,J4 -" (e/z?lf