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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS
<br />Forms/Steel/Holdowns )I I A
<br />Erection Pads lt" I t t /u^(/r(7
<br />UFER Ground
<br />SLAB Floor
<br />Roof Sheathinq
<br />Shear Wall
<br />Fram ing
<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 />Engineer Final Report )
<br />I /,^n)
<br />FINAL IA -i\l.4yqO UV
<br />Certificate of Occupancy r \ IU\
<br />Notes, Bemarks, Etc ,,
<br />)
<br />A
<br />OWNFI BL'ILDE& DELCARATION
<br />I hdclty .lr@ udd Flxt of FJUrt rhd I @ GrnnF nlm rlt Co r.clB lxor l,w lor rh. hlbviis ,d)i (S< ?0.113
<br />lruind !,'d Profs6. Cod.): Any Cny or C@'n) *nth r.qun6 ! FEr ro odntrr. .!6, iiFole .l,mlin or rqr oy
<br />lrtude. Fbr ro nr isle., .L r.quiE in edad f6r &.h Fnh lo fl.. risn d rrdEr lhr h. or tr. it li.Gd F,lL[
<br />b rh. FlviihN ot rlE Codr.cE! Lr.nr.d Lw (Ch.pr. 9. Coffius *nb S..rirn 7000 ol DivirioD I of lh. BuitE Dd
<br />Prel<F6 Cod.) or rhd lE d rh. i! qatrpr rnr.6om lld tlE b..s aor th. dL8.d .rd$ion Atry violalh of Sdbn 7011.t b, e,
<br />.lplicet for 6 Fmit lubjdtt lh. lpplicml lo . civ il p6.hy of ml morc th& fiv. I'd&.d dolld (1500)
<br />-1.
<br />s ow of rh. FlrEry, o. my dplo'€ vih was6 c fi.ir ek oDpoldio.. will do th. wolt ed tt sarft i! ml
<br />inod.d d o0dld fm d. (Sc 7(14. &6itB md ProfdioN Co&: Th. Codncrrl Lt* Llw do6 iol {pry lo D.*i6 of
<br />rh€ D.oFl,y sl'o hild o !rs!v6 oEEr -d *h. dE Bt wl hitMllor lEf,laor rhmugrr hn .r lE ou .rIpLyd
<br />rmvlLd rlE *h oFfficd irad.d notu [rrt.lt horw- dE hl'ldtrt q,t+!\6d irrld *inhoE )d
<br />olslpldia tlE olG &riEs wi! lIE dE hldar of F$!g tnr lE d dE {M ml h(nB or Eprew 0E F!Fr, 6r rlE F,!on of
<br />Y ,s orc of rh. FotEry, m aclEie.ly.onrdint *th n..nkn.onrdoR ro co'Erud rtE FoJ(r lS< 7044. Balil6
<br />EDftsin Cod.: 1 h. (onl[cror': Lic6c Llw &6 not .pply lo d ovnd of FoFn sho hurldsoi improv6 lh6d,n,
<br />tud sho .onk!.8 lor.u<h Frj..tr triih. Co G'o(r) lrcd.d puc@t
<br />-l
<br />e..rmfl und6 s.<r[
<br />Xo,. r,?/4i r( 2(o*,-
<br />I ha.$y rrm d.d6 Frn! of p6jur_ oE oltlE folb* ml
<br />-l
<br />h,E.!d eill minr.n r cdirEr. otCoMr io Sda-lM tr wt(dt onparndl, ! Frvid.d aor try Sdnn l70O ollh.
<br />tihor Cod.. aor tlE FfolM. o r th. srt for $tkh th. rEnir i! inu.d.
<br />I hav. ed will mainrlin wo.k.rr' comp€Nl io. inruanc.. N ,<utr.d by Sction l70o o I lh. I lbr aod.. lor thc pafirmdc. of
<br />lh. *ort for *hich lhie rdrDil it i$.d. My wollda ehpsEdtr'n iaudc. ffi6.nd Flicy nombs r.i
<br />i $,^,,ro- -ru *^,lle. orrlE *orr r rb.iri.F6n ! is!.d.I crllmr dtPhyuyFen ide,n.lE
<br />/15'6 $ bdom lubj<t ro rh. *n 16 @np6.Ed Ls of C.lifomir rd .Er lhi if I .lnuld bd!@ stitl ro ilE
<br />$o*ss comFsxon tror L{mN of S.dion .l7Lx) of rh. I lhn (inL, l +611. fonhr h
<br />WARNING: Failur. b cur. *0116 onp.n$tion co!6.t. L\ unb$ful.
<br />cilil fh.s up to on. nutujr.d lhouEnd dou6 (tloo.L{xr), i. tdd'lion $
<br />serion 10?6ollnc llbr Codc irroded.nomry'r ld
<br />/,y'
<br />I h6ttr, .rm u.(b Fdy ol FJU,, th, I J} LaE d ur& Foriri.n h s<rb. 70001 or Dr si'n I
<br />ot ltE AEi!B arl ProfsrB Co<b, &n di lre i. d fnll ro,$,n.fict
<br />colAlal](f,'lll!.l.EdDlllclc!!.q
<br />I hc!t, .llm u.dr Fdt, ol Fjlrt dE ths! iB . odMbi ladilB *dy tu llr Ff(ffic olrlE srt 6r stj.t lhi Fhi i!
<br />irr.d {56. 1097, Civ. C )
<br />aflllcalrlllEcldEa]Ia!
<br />I hdq lrun und6 Flhy otp6Jur) onc of $.lollowing d(le.tion!:
<br />Ddnolnbn Pmirr-Aitdror N.rific ion F.ds.l RceuhtirN(Iirl.40, Pan6)
<br />-Rcq!ncd
<br />lnls of I'{{ifrdnn
<br />*#ffi-#;E8rdin8 a!6!o! rmrale. mr irrli.abk lo rhB I'nFt
<br />6.oral I rrRn, (mpl\ $ nallCr!and(iu'\
<br />r.F6.fldn6olrhi! cnt d Counlyro dr6 uA'.lhc
<br />,liy. mdnrn.d ptupdy fo. mstalkr purlos
<br />' \pplicntrl orA*(trr Sixnrrnr(ir,ufrt-
<br />t2b/L/
<br />ffiiltr
<br />Set Backs
<br />Subf loor/VenUl nsulation
<br />Flood Zone Certif.
<br />C&i,
<br />L.idd! A&i6:
<br />I
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