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BUILDING- INSPECTOR RECORD <br />COMMENTSSITE-WOHK DATE <br />Set Backs <br />L ltv.- rc* rh,k ol h pdAqVrt)/l.,uqf (nForms/Steel/Holdowns 6 <br />Erection Pads <br />UFER Ground <br />SLAB Floor <br />Subf loor/VenVlnsulation <br />Rool Sheathinq <br />Shear Wall <br />Framing <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 Beport <br />Enqineer Final Report <br />l-e-.b .J)-SELFINAL <br />Certilicate ol Occupancy <br />Notes, Remarks, Etc <br />r)iiNuR Bl tt tr!* rtl.( \ll\lIr)N <br />llEEbytlirmutkilxMhyo.F,jrylh.llm.r.qi.rnllEcorloB.l-hn.tlwflrlh.folh*in!Et6nls.a7()]Ill <br />Busitr.ss !d Pmts;n C'd.): Any Ciry or Counrv whth r.quiri u Frmh ro o'nnrud. !lr( imPro$' 't'mlth or EFtr in, <br />qBlN- Frr h nr isuN.. rL$ E{|un6 rlE {'t td ld rEn Fnir k' nb ! ri8Bd 3t'Lfttr th'r li or ilE ir litMn PUFUrln <br />turlEFtrrnioNorrrECoirBror'<l,ttn<rirrw(Clq'lcrgcommftingrnhSetb"fllootDiviihnlorrh'BnliEsr"d <br />p(,f.\;hn co&)o.rhd h. sh. n.r.f,pr ltErf(,m dd rtE h..n fnr rrr uLs.d cr.motion Any violdion ofseli,n 70.rI thyany <br />!t lkdr rd tFmn iuhFc llt !mli.. lo . civil Fohy oI ml mE th.n nlt htnt'd doll'n (3tm' <br />-l..\o*rrolrrEF.Fny,rmy.'rphrtsrirhMa.r.trh.r:,tNn{Ensri'nwiu&rlredtJirltrf,rlmkn-i,,*r"r *.r-.a oi' 9!. ri€ 7oi. B;.iFr. ud Ptor6.n.. c-t : rh (D doi| Lt'ne t'r'&_ d <br />"t'lv <br />tr rn ouE or <br />rh. Ff,'Fny eho trihs or anfmBtlr6n crn wh' dIE: och wl{ iins'lf orhffilf orrhmu3hht hcr o*n cnrPhv'6' <br />p"'Jai,r rri., *.r' inlmwnB c ml idqd r n[.r.d rr {L lt h'kw' E hiLtinF r introEm n sB *irhin nm ]" <br />:'t nrpb! hn, rl! ()*rr Bu dr *ill llE llt hlrlcn or Forins lnn rE or {r dd mt hild q {qmE d' Fq6v fd ItE FrFa or <br />l. $ o*d of rtE t !!cny, m c$lnriirly .$nr$ti.3 rirh hccn€n conrB-1or ro ('NMl rlE FIF I S< TOll BuqE r <br />*r oon'oi. Cn l" i rt onr.u.loar LiccnE lie det nol uPplv ro in o*ncr or PrutErlv $hll builds o' inPrnv$ rh'rcon' <br />md lh' orrEdr for <th F,jd13 $nh r codEron., li.nrd PurEd r' rh' ( o hkt'rLitn*b$) <br />l.f,.kml'r ud.rsrri!.- <br />t).t. (,rRr <br />wolxFILs' (t|nlPENSlrloN <br />IECI,^IAIIIB <br />I h.tohy rlfirm undcr p.nllry ot lrllry om ol rh. folhwin8 dcclarariltrr <br />-l <br />h,k dl will sinr,r r C.nifrir. ol Consl n, sclf lnlur lr rrtlGi 'onlEneri'n' 8 tmYiLj fo' ht S6irrn 1?{nof rlE <br />lik, Culc, l lh. pcradnEkc ol rh. ft.r Ln shich rh. l6mir n i\{'d <br />I hrrc lnd will mrnrlin *orkdr' rotr{rnl.r ion rnurlm. $ r.qurcd hy Sdiion l7mot rh' lltrtrCnlc' ft' rlE Fllimn'ol <br />rhc *.rk li,r *hihrhi\ pcrnir is ntEn My sor*cr'd'mn nrdion iNur .. dris und Fn'_vntmh'r scl <br />I ccniry rhat in lhc lcraotmrc olrtt s.rr tu trhih rh^ Frm k sikr!' I \h{ll mr'nIlrvrnvn'Mn in rnvrunftr <br />* ^. r.-,* -ry.iu.,* *"rd mmtfldi,i lx"1(l ( tlilnmu. &, r3E rhd rl t th{lllE\'or oltFd h tlE <br />wo*oi .orr.nvri'nrln'ri\i,,n\olS.cri( l7lx)olihcl;rh <br />$ARNIN(; farlxrc ro t.trr. *ortcr con'ncnsr{ .nrcn <br />.'r'l fitr.t trp h rm huei.ri rhr\$d olh^ rllrx).lxi)r. <br />Sc(rDn.ll)76olrhc Iah, (ixl.. ir rlc( !n,l rtr.ntv'\l'cc\ <br />tr Co,l., I +nll. f,fih* [h .. Uly s irh th,Y fnr ^ion\.s. n uL!tu|, .Id ih.ll quhFr u .r?hFr ro omirol Fflbid $d <br />'n ldJ i,n h rh. c,,{ [olqEmtbn. d.n!l3 6 Foij.n for rh. <br />qt\alq <br />Ilnr.h,rtlnmuftlcr lx nalry ol FrNrr_ rh{ I rm litn{n uftlcr I'lrKhtrot(i4t' 9llrm rNin8$ hSdrDnTlrl)rnr <br />ul rh. Btr!!{t\ rtr l\oft\\nr{ (i'Jc. r ltrrv li.(n{ n m hrlllirk! rxlcllc'r <br />,..".".r,. Ctl5 <br />,.,. gl\a$q c.n,nc.r <br />-1 I Ik <br />I h.r.t y rmrm unls FElry of F rnry rh.l 16 ir r otr{.u.lbn Liding .r!rv tor rlE p"i r1uN of rtt wmt <br />ATSLIIIIILDECI,AEAIIO! <br />I trEt y did und.r Fnlhy.fpcrjury onc urth. rolbwinB d"llrori'ns: <br />D.dnnln Pmii.AstEdo! liorifr.lbn Id.El RquLri'.r (Titt 10. Pd6, <br />-R.1uircd <br />ktl.r of Norifk.rrnr <br />l.cdrlyrhd rli fcdcr0llc8ohrn,trr rSrdin8 r\t no5kr *illrc norrnili.$k h rh^ fn'J'tr <br />L'd'lr rhd lhlrcr rhr .ml$r nn rn {!r thtrt rh. lhrc 'nfl <br />,di'. tffit l.rd ro oiPly *irh lll Chv.d Couni! <br />.urlnflr. Etftsnr.lit3 ollhirCiry..d Counrvto.nls o|rln trtor(|tr'rn.c!rtr,lsrnl.l.r{\rrli itr8r)htrrltl l.on(n'rr( <br />lhr' n!tr'r{{J |tlrn\ ritr trFJi r <br />nrr,,*, * a*-,a,"*,*" (ql\aNq <br />ID/SIG. <br />Flood Zone Certif . <br />.(r ) <br />r .d is( 1097. (-ir c ) <br />lx.d$ r Nomc <br />-