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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE IDiSIG.
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subfloor/VenUl nsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Fram in s
<br />lnsulation/Energy
<br />Drywa ll
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Reporl
<br />Engineer Final Report
<br />ILhLLS (Ztnouttl 7/2r,//,,1
<br />n'
<br />FINAL '724,//A ,'r/.2-,
<br />Ce rtificate of Occupancy "// - .Y'72
<br />NoG:s, Remarbs, Etc
<br />o{'
<br />).\{ av
<br />OWNER BI]ILDER DEL'ARATION
<br />I hd.b,.llm uldd p@ty of Fiu.y ti. I6dao(nD6rn co.rdm Lic6E ta* lor th. aollowirg lwi (s6.r0ll.J
<br />Bu.ina !d ProaBion Cod.)r Ary City or ('@n, whth r.qun6 r Fhr to orEM. .ls. imForq &6[rn or 89., ay
<br />*.ud@ Fitr 'o
<br />ir! isllftc. .to EquiE th. +!li.et lor $ch Fnn b fiL.3i8ncd ndool rhd lE o, {E b ,i.o!al pw!,r
<br />to 6. FeGbc of tlE conlralr't L@.r.d t w tOrF6 9, Co@ing sin sE&,n 7000 of Divi,ion I of dr BuiB 6d
<br />Pmfdbnr Cod.) or tfid lE or rtc ir .r.ftd thdEos Ed th. b.!i! for rh. rlksql sd$bn. Ary virlaio. oasctbn ,01 I t by Ey
<br />.rpli..d for . tEtri Nbjel! rlE 4!plt&r ro . civil pduhy ol er mrc rho n!. huidEd d6llN (ltm).
<br />!f r. - .*.r,* p"p-,!. rs' mplqa Mh \rs6 B rlEr $L mmFudon. wJl & 0F qorr.,t rhc ttndr. Dr
<br />'/'ftod.d or oFE d lor $L tS6 7044, Buu6 .rd PhlBi.6 Co&: TIE Cod,.clq r LilE ls dc '!r +flt ro e o*M oa
<br />rh. FlFiy wl[ hikl q itrFo6lh.64 ed sh. <tE c4r! wt hmi.lf or h*lfor lhmo3h his o. h6 oM dploy€,
<br />Foei|d $r sh inFwadr Rd i a&l n olH 6r rl. lf. ho{w. rL b dlt 6 inFo€Er a $ld winn' or,d
<br />ot@rpl.ti,i. rtE O*E &ritb wi[ h.E dE hrr'ar ofprovins $a lE or sh. di, mt toil, o, riFW. fi. FDIEIy 6r tlE prF.. ol
<br />_1. ! o*a olrlr FrFt". rn a.lail.lr.o drt3 r nh li.cG.d .odreoR to coldrud rlE FoJ<(r (S( 7o{.1, BBdK
<br />lrd Aotulin Codc: ltc conrndor, Licdc Lrw dod nor aprly ro u o*no of propdt *ho buil{L! or inprorB lhE@n.
<br />.rd $ho @dBri for sh Folnr *in. Co rr1o(3) li.q!.d pol:d ro rh. Conl6cld s Ltc Law)
<br />u.&. Sdrrn ,B &P(-aorrhisr@r
<br />xlTJ'tu
<br />DES4AAIIA!
<br />, I hs.by lmm und6 FElly of psjury o* oflh( follo*'ms d.(lr.lioB
<br />-l
<br />h.v. d will mirtlh r CdifEd. otCoEdt ro S.lf'lMG fq ldr6r omp.dioq a Fr&.n 6r !y Salion:l?00 of lh.
<br />L.lv (oda for
<br />'h€
<br />pafl)iM. o f lh. erl fd riich rhc pqnn i isu.d.
<br />_lh!r.a.dwillnaut&nwo.rt'codFrsrrioniBurlnc.,6r<unql":(serionl7tr0ofllEtborao&,torlh.pgtor]r@cof
<br />rh. *orl ttr rtah rh! Fnn i! i$!d My rslo 6np.N.ion nq.G..E rn Fky numb6 r.:
<br />Poli., N@ba_ExpiB
<br />I cdit rhA in rlE FfolM. otrh. worl tor $hitrfiB psmi! n *u.d. I shlll nor mploy oy Fro6 i. ey rrMnd
<br />F a ro b.co@ rubr.cr ro th. E ld oaFrdion Lq! of C.lifomir. !"d Cc rh, if| nbuld h6om $t*tt lo lL
<br />$rt6' onpaBdi,n Flr.iod dl SetDn 1700 of rh. lrUr Codc I Jdl. aonhwnh mfrdy wnh lhor p,olnioE
<br />wARNlNc: tulu. h w. urrl6' coEpdlb. NrErs. L ult*tul ud llull $t*<t & @phF ro cimjEl Fdi! erj
<br />cail li.6 up ro on. hud rhowd doll6 (1100.000). io lddnioo to rh. cor of .omrcMrion, d,n rd a prcvid.d lor {h.
<br />SEtion 1076 ofrh. Lsnn Co& irt6d rrd.{dEy . tG
<br />^X__i'l'-Ji_^IJCIidTIDJITiIAACIAT. DEglaallo!
<br />I hftIry i,li n u.dd poany oaFrury rhrr I D licffil uniti F)!i!ioi ofch.}ls 9 Goffi4 {nh s.dhn 70(x)) of Dnlion 1
<br />of rh. Bu B rxt P,llBioc (_6d.. ii s, li..a i! i. flll aoc rn.ftd
<br />Lic.MCLs-Lkw Nlmbd
<br />SOIIIEIJIfIITiIENDIdGACENCI
<br />I lEEby .itum u.d.r psdy ol Frury thn llE b.@tdnrlbr lad4* lgdy tor lh.Ffolr]e. of rlE Erl tur rhih lhi FEi it
<br />isu.d (s6 1097. ci! c).
<br />AITII(;ALDE(;INAAIIO!
<br />I h.iy.trm utr&r rE lry of Fjury oc oarrE follo[i.s <l6Lr,lnr.
<br />D.dolhion Pmil!-Asb6ros Nolifi.tlion Fcdd.l R.suLlbB (TnL 40. Pm6)
<br />-RcquiEl
<br />ltlrq of t{oriGcdioh
<br />-l
<br />.diry rh.r rh. f.d6d rc8ulllhB E rdiiS Bt6Ior lmvn E rcr adi.bh to tha FDjd.
<br />d4..,,0 ,a , *. * ,* rppl(. E! !d rs. rh, rh. .bovc inro'odb. a.drEr. I rE ro ondy Bnh .I cny rid couny
<br />aihrc !d Sld. t *r EtnrE ro bild,B on,1udior id hd!!, ruuorir cF6o div6 of thn Cily rd Coudy lo al6 (so. &.
<br />obor. Mtion d FoF) fr drFt.o F,rrloqt, /)
<br />^n*-r* a-rr4^*, '/'4. ZllP
<br />"^n*-*rn\,, h,.4c</ x) laJ
<br />2,4)
<br />COMMENTS
<br />Flood Zone Certif.
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