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BUILDING- INSPECTOR RECORD SITE.WORK DATE ID/SIG.COMMENTS OWNER BtIII,DER DE1,('ARATION I hd!b, .,lm !.46 FrXy oa Fjury lh! I d dcflrF ios rh. (.,tr..16 1-tdE L.$ for llt 6110*!:g lqen (Sd.lo]l 5 B$illd d Pmldion Co&) A!, Cny 6r C.unt shah r.!li6 r Fnr lo o'uru.i. .iq. iI4..v.. daDl6h or ry.n et stlud@. rir r n! &@., also r.q!n6 th. +?licet aor lwt Fn lo 6L. ii8ncd irml lhn lE or $. ! lad!.d FN.,n ro lhc F.vbioN of tE Conuelor, Li..n*d Lrq (Chltrd L Com6cin! *nh Sdlio, 7000 ot Divithn I of th. tlusind &d PrefsioN (_o&) n lhn lE or {'. i' 6dnF Oacftom.ri th. bG! for rlE dkcd ddFio. Art rbLrionofsarn!70ll.5tyuy .p?lt!nr 6r ! Fnn lubjd! rlt rlllicor ro . ci\ il F ntof mt mElfi- fir. hu.d.cd &lld ( l5m). -1. B o*ffi of!h. Frp61y, or ny .f,pbrâ‚¬ $ nh *tr6 s tlEn 5k comFE rio'! *iI do tlE B,t dd llr rrudft i tur ino!:t d notro.d fo !& (sc 7044. AuiE md Pmf6irB Cod.: TIE( o Edd r LilE l^ &Bbl +9lyto xo$col' rh. FnFty *tn hoil6or rrFot6tlEle 8n who ttGs[s nilElaot lE*lror llEoulh hir d ha oun @doy6. provid.d rhst !!.h impr.ErErns E ml inodcd or orEld &r $t lt rFstg. tlE hi&ta or hFDrqGi tr bld wihir oR yr ol6neLrio'! [E txG a{iu- ril h.!r tlE hrdd ofFovins iltor$.dadhriBori4m\rtlEFolmy6rdEr.llBof -1. 6 oMd oarhc pr.paly. m s.luiv.ly .ontrLlins wilh licosd .omr.cloE ro cotr(tucl lh. roictl (sa 7044, Buind .d Protosbn Cod.: Thc conlr.do t-ic@ L!* &E nor +ply lo o oRra of F.Fry wno boildt or imPrcv6 lh6{l'. !.d *ho 6tu. for sh FoF! unh r Co'nndo(r) li6!.d puM b rh. CodE rd r Lt6& t w) I m.rmd unddsdton .a &Pa aorrhillwn Drt. Orc, l!08ltE&i:l;aufl!lallo! nECl anar(rn I hacb, smrm unda p.idry or Fjury o.. of rh. fdlo$ ina ddLrtlioB' I h.\G d sill mairrrb. C.nifor. of CoiM! k sclalEur.lor lvkda compd'lnor\ B FoviLd for by S.dio. 70oorrh. htr)r ( dq lor th. Ffolrucc of lhl wort for which rh. pnir ii i$u.d I h^. ad sill ruinlnn r.rl.t .onp.dion iMG., ! rquitql lD s.dion u(x) oatlE lrbor Co&. lbr tlE Ff(ffi. of th. work lor *h.h rhit pamn i! ed My mll6r' conFson iBtlle. .rit !n Flk} nunb.r i. lolry Nuba:-ErPt6: - -l rdify $Il in tlE Ffolrllc. oatlE *orl for th rhn Fmn n isu.d- I {dl nor 6n}ht m, F$n i. &y ME $ d ro bdod 3ut <r ro rh. *dr6 @tqadi Ls ot(.lifomi.. rrdlAd rhr if I dbutC tEotu st*!l to tlr *olt@'oolEldionFovilioBofsdiorlT00ofrlEL.bccodalJdl.aonhwnh.omplyqilhlhosForirioB. WARNINCT F!il!r.lo s@ wrld onlpal'|hn (ov6.g. G ulNlul. od .hdl tubid s dPloyd to sinin r FEltt sd ctil fU6 up xr oE huld.rd thotrli 110l,,6 (tloo.tuo), in .ddilior lo rlt .or of .ontFdioG d.tus6 6 Fn!'d.d for rlE S< En !076 of rlE I .bor Code dcd dd lnqEy r fc AppliEnl:_. -_u(ElsIIrl:o!I8A(;I()B DECUAAITqi I hqct y lftnf, undd FuI, of Fjury thd I m liLo!.d udd prnvnio. df(-hdpla 9 (comndars wnh sdio. ?@O) of DivBio. I of rh. Dsin& ud ProasioE Co&. !i ry lic.e is h lull lora and.Il-r L,icGcNudll(: - CA!I:IAISIIq!.TEND'I!GAC!!(I I horlry !,Tm u!!d6 Fully ot F)uty tht llEc it . otEdclion lodi'A .s*y aor dE FfM. olllE ".tl for $tfth lhb FEi i is!.d ts6. 109 r. civ. c.) L,!d6.l AddE - Arfl.lcalt.0EcLaSallo! I hdq lfrn und.r porlty of Fjuy onc of lh. folhu'6s d<l{.liotu D.nolnrcn P6mirlA5h.n6 Notili.didn F.dd.l R.gul,lioB(1 k J0. PJ16) -Ralun.d ldrs of lrdifr cdd , .diay rh, rh. f.dsd EsuLlFB rEs.dnB BlHos rm\ n e mt 4't,a.t* lo rh! F.Jdr -l cqrify lnd I hllr @d rhir ipplkrion ..d slsl. thrr thc .h'E intoddion ii cordl I rgrr to codply $(h ![ Cny .nd Coolv odiffi6 !d Sld. lls cLi.B lo bo'lilnE co.fudioE trl lEcby ldrnri4 EF*driv6 of lhir Cny ad Co6iy ro arc $on th. .bow mth..d ProFry for larerio. F,p6< Appli(rol or /\IulSiInrlur. P@rlra mm.lprlnll: Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor Subf loor/VenUl nsulation Roof Sheathing Shear Wall Framing lnsulation/Energy Drywall Ext./lnt. Lath Brown Coat Masonry Pool Fence T-Bar Handicap Req Deputy Final Report Engineer Final Report Flood Zone Certif. ltF|NAL ruI( /o'l 1ilL,tlq Certificate of Oclupahcy ' Notes, Remarks, Etc [------r------