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BUILDING- INSPECTOR BECORD
<br />DATESITE-WORK COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/Vent/l nsulation
<br />Roof Sheathinq
<br />Shear Wall (41fir-,Framinq lloll9z
<br />lnsulation/Enerqy I
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />l\,4asonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certil.
<br />_-dc//4 ,-,,/FINAL z/to/r9
<br />Certificate of Occupancy I
<br />Notes, Bemarks, Etc.
<br />7
<br />tD<t -I
<br />oWNI'R BU!I,D!]R DIILCA RATTON
<br />I krcny rrfird und.r pcnnlry ot Frjxry rhrl I o'n crcmPr rrom lhc Cotrtx.t,N Liccnrc l,as rd thc lollotring r'ifi (Scc?0'll5 !
<br />Busincr nd Proltsion C.dc): Atry Cily or Counry {hich requncs i pcnnir ro cnnntu.r' rlrcr. improvc. d'nmlkh or rcprir inv
<br />ddcrurc. pdrlo ic nrurn.c. rko requn . rh. {rli.nnl lhr such Frnil h filca \iE(d {arcnrctrl rhrl hcor shc h liccn\cd pursudnl
<br />lo lhc Pbvisn,ns oI rh. Conrrtror's Liccnsd LI* (Cha cr 9. Conmcftin! wirh Sccrion 7{xx) of Dilhhn ] 'lrh' Businc{ "d
<br />Pmrcs\ionsCodc)o!rhsr h.o.sh. is cxcmr h.rcrror Md rh. t'n\is r rh. rlicscd.r.frfrion Anvlioldri{Jnolsccrion?0ll'5hvr'i
<br />rhc pmpeny whot ikls .r impDv.\ rhcNn. ond *io dtrs skh qo hinN.lforhcrcll'orrhtr'ughhisorhcrowncnDlorccr'
<br />p,""id",lllrn t,.h impnhmnc e mr inr.nln or ollcRl for srlc It io\rrcr. rh. hdiklin! or nnlmrcmnl is sold wilhin onc ,tu
<br />;r.-Flcrb.. rrE O*;r Buikln will hnrc rh. rrrd.n .f,,,ovins lt r h. .r shc did ml ltild or i,nltr're rhe por'nv for rhc PU{r's of
<br />I. rrowrcrorrhcltroNny.,ncrclusivcltcotrtrrciins *nh li.cnscd conln.i{n{ r' c.n(Ecr (h' pmicl lscc 7014 ltunnc$
<br />trnl hnr.s\i,nCode:rlhcContact"'sLicenrcLasdocsnorrl)plyn,n owtrc. of PruPcnv Rho bu il{h or nnptovc\ rlu'oi'
<br />and who c.nrruch frtr su.h
<br />'rm
<br />rccls sirh a co nrbns) liccn\cd Nsutrnt lo rhc arntaLtois l,iccn€ tje)
<br />I ,,'+1&:8;--L--
<br />N (,Rl(rlL\'aoNrPtiNs,l'r()N
<br />uier2tBlll(J
<br />I h€r.by rfirnr undcapcn llyorFrj!ryone orrht follo*ins delorrions:
<br />-l
<br />hrv. tuld will nEinlain a C.nificrlc of Cons.nr ro s.la lnsure f(,r worrds ompcnsthn. as lovilcd for bv Scrioi r7'n of
<br />'llctibor Code, ror $c p$forrun c or rhc wort for qhich rhc ,.nnit is tsdcd
<br />I htrv. sfrl will ndinrai. ,o*crr conPcnsarion nsurcmc, as r.qutcd bvSccrion l?o0oflhc liborCodc, fot th' pcrlhrmm' or
<br />rhc work lor *hich rhis pcmir is isnkd. Mt worim conF.s.rion inslratu. ffkt ed Flicv ntrmh'r dc
<br />ft ,lky Nu,nbcr:-ErPiEs:
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<br />.cnil-v rhrr inrhc ltrronMNc orrlrsork r'or vhich rhnI,Liinir is is\uDtl.I drrllnor cmnk)vtiv 0crv'n i" !iv
<br />'anncr
<br />robccotu suhl$iro lhc srko(..nrcn\arion lns\orcrllro.rrir. rtr 4rcc rid ill sl..,lld b.corrE \uhjcd iorhc
<br />$..kcs cotr,p.trsrrtunp$risn,tr\.l Scdion Sllxlolrh. trtrrrCodc.l shlll ,adhtrirhco'nnlvsithrln)sPnrvs
<br />NAnNING F0iluc n, rcxrc workcn conl,tninrnn. vcn'a. i\ utrlrwtnl md \hrll \ubr.r rn rnrdo}lr u
<br />husrnd doll]s rllU).o(x
<br />inicrcn rnd r unf,y r lN\
<br />a2 r €-v^
<br />l,tct,tNst:t) (:(rNt I{,\( TrlR
<br />Drcr &ull]!
<br />lhcnnyafiirnundcrFnarrrolPcrjuryrh lamli.rnanundcrf,rovhi.noaChrprcr9(.onrnrrcinswirhSccrhnTfixj)orl)ivi\t'nl
<br />or rhc lrnsincs snd Pr.fcsions Codc. nnd nlyli..nrc h in iull lorcc dd clf.ct
<br />CONSTRI](]TION I FNDIN(] A(;IiNCY
<br />lhcfohyifllrmUnl]qlcnlllyofpc'jur}lhdlncrcilsconslructionkndi.8lsMcyforlh.ldfoflMmeoflhc*oltn,*hchlhhljcnnilh
<br />istrcd iscc 1097.Civ. C ).
<br />APPLICANT NlrCLTTR{T(IN
<br />I h.r$yrfiirnu s rcnrlry olPcrjury onc orrhc followins decldrnrions:
<br />Denblnbn P.rmih A$tskx Nolificrri{,n Fcd.fulRceuldions lTnh '1() Pan6)
<br />Rcqurcd lxllcr.f N.rificnrion
<br />-l
<br />ccrrilyrhd rhc rcderal ,c[!hrions rca dins u\h(s.\ rc r,vrl lrc nor lPlli.$lc lt' rhh F))..'
<br />.cni!rhir I hrv. rcx rhr\nnl,licrli,)n
<br />.'tlinrNcs rtrd Srrr. l-rs\ rclding h hui]dnrS
<br />rthv. mtrriurctl pn)Ileny for insE.r
<br />Aplll$nl or Aaenl Si8rllore
<br />Pemitee nrn. (Drin0:(.(
<br />(nntlyuirh ru ciry!.d CounrY
<br />:::qq#;
<br />ID/SIG.
<br />LiccnscCla.ar-
<br />Dole:
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