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BUILDING- INSPECTOR RECORD SITE.WORK DATE ID/SIG.COMMENTS OWNFI IUILDER DEII'Af, TIOII I hdcby rrm uidd Frhy of Fju.y ihd I m .rdF nin rh. CodrrroE Lrc@hw lor lh. tolk wi.s l.e. (sd70ll5 Bsins !d Prof<ion Cod.)r Ant Cily or Cour{y whkh Equn6 r p6.n k! onlod, afto. ir{mle d.mlth or laat ey ,M@ Ftrh nr illlme rlo r.qt'6 th. +9la&r tor trh Fnin to 6b. sgn ddrdEr rhd llor Jr i liaE d punar to $. ,ruvlios of r[c cofiEroa! Lica!.d t w ((]lu.,d 9. Com.ncins unh Sdlion 7000 bf Divilr. 3 oa lh. Buinc lnd PhfGiirs Co&) or lhd lEa dE it dmpr rlE4on. rh.tca for llE.lLs.d adqrs. a,t rbld ion of S.(.n 7011.5 h uy llplicur for.Fnir eubjer!rh. .tEli.er lo.oril Frtlof mr Nr.rho fi!. hun&.d &rllurl1500) L s o$c of rh. FoFry, or m} Erphlc wnh era6 B tlEir rk oiFB..n. *iI & th. rdl rd rlE rrBlm a n{ ilndxLd or orqaj for oL {Sc.7044. BulB 6d Prof*DB Cod. ft. c6ffioi3 Lk.r L.s do6 nol Tply l! m o*G oa !h. FoFry *lD hr'l& d in+.!\â‚¬ tlEa rd sth rh6 sh wll hirelt or lEElf or llm'ush hn or ha om dpb)c, ForiLd thd $.h inp.DlqlEt c d irqrLd orotu fd rb lr. bEq, tlt l!&lill d iry.ffi ! sld sihnm !a of.ompLri'n, th. osr6 Sui!:la *ill har. th. hrddr ofFolin3 tlld h. or 3h. dA tul bu'ld or itrprolt th. FtFt, tu ttE purFrs of l. s owndofrhâ‚¬ prop6rr. o.rcl@ivcly contrelDs wirh licoldl co.tr(on'o coNrull 'h. Irrjcl tsc. 70,1t, BBs* .nl fiDlss (dr. Th. Co.rdois Lic.e htr do6 mr .rplt lo e own6 oaFoFty *ho b!'ld! or intror6 rh6on. &d sho o.rr-r! fs r$h pnr..r3 *nh r C6dr*ron, kd.d OlMfl ro t&Gtu1or! Ltc L.s) I @.\dn[, und.r Sdrrn .B &P(-forlh6l!e. th(t: OnrE: woRKFR( ( OntPf-l\siTION DECId8AI1O! I h6.by rmd uod( Flahy of Fjrry on. oath. f.llosi.* dcldd ioN: I hav. {dv'llm.inlen i Cdifi$t. of ( o@ ro Sd!|6u. irtr $orkd'onF{ion, s FuviLd ld bySdtun]7m ofrh. l$ot Co&. foi th. Ffolllrm. of th. ed for l'hah lh. Fnn n su.d I hw. a.d will n!i.t!,. worta conpcMli{rn iBu.nc., 6 r.qrir.d try S.cl n,n 1700 ot thc bbor Co&. for rhc FfollMc. of lh. hrl t wh(h rh6 poni ! isld M)*.rl'! cofiFshn iMffi..ai, EdrEl() nudhd rc' 4^"J-12/Z tuld/ I cqrify rh.r ir rlE Flolrll'e of th. *!ri fd *hah lhn Fi n isaL I Jdl mr 6rplo, &y Fe. m&y@F $ B to b(o@ rubid io th. "D d omFMhn bs of c.lifomn, sfll lar thd if I lhouB h<oG $bjart to 'h.tr{rt6' cdmFubn FoiuioN of Sdio. l70Oof th. lrtDr Co.te I Cull. fonh*nh comrly * .'ril lin6 up ro on. hundrc<l lhousnd dolr6 (tluo ( frj.. int6d Md drolB 4" at(l.aaArlq! I heb, rm.n undd pcmhy of pdjory Ihd I e li!6sd trnda p.oviron of( hapls 9 (onndci.s *ih SRlion rotx))oIl)1\ Bion.r ot rh. BGiB .d P&kirB Codc. .d ny la6e b 7t"*r'^ 139\y412 c.tr,r..r.r cQltrBl(Ilaurld&lNc.AsEN(a I hdrby.rlm u,!(b Frny of Frlry lhr rlE! it . odMion loldbs rscr-- for $. Ffolrle. otrlE r t tor *njd rhir Fnn i! B.u.d(sc. 1097. civ. c )lad.'r Nu.: AITII(ANI.IEU.A8AIIA! I h.!ty.ffohunda Fd.liy ofp6j!r, on. ofrh. folh$in8 dql di'B: Dsrclnnn Pdn!-Asbdror Notil'r.{ion t.d.ril R.sul!li.6 (TitL.l0, Pd6) R.quftd Lnl6 otN<,(fr cti6. I .d iry 'hd rk fdldil rcBul,lkrN Etedirt 6h6ns Enorrl d c no' q'plic ro onply s h.ll Cr, md ( ounty IrhB ( i'y d.l counr) 'Zrd ursn lrE -"/1rz Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor Subf loor/VenUl nsulation Roof Sheathing fllxl Shear Wall -7.WUtl:;. av\LE e4 3t Framing lnsulalion/Energy Drywall Ext./lnt. Lath Brown Coat Masonry Pool Fence T-Bar Handicap Req Deputy Final Report Engineer Final Report Flood Zone Certif FINAL Certificate of Occu anc Notes, Remarks, Etc I I lcdrfy rh.r I hav. raii rh6 anrlirdioi ordimmc sd sht.liqs r.bling .b.\. n6rFn d proFn, a( \Prml(e i.mc (prinrl: /*, I I I I I 1 I I I