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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE tD/stG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lns u la tio n/E nerg y
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />lvlasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />tl
<br />FINAL tbt Wt
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc
<br />I
<br />Y a.
<br />1J Y-.II
<br />'dl I
<br />J
<br />--/S
<br />OWNER BIIIt.Df, R I'EI,('ANAT!ON
<br />I hcty amrm undd r.nthy of pdjrry rh.l I n.r.mrl lred rh. (ontist.u ti.dlc llrv for lh. follovin8 rdq)n {S('7lr1l5
<br />Ilur'n6s rnd hofsion (oL) Any c'ly or (ounry rhich r.quiE . Fni 10 sn!tu( .lrd imProuq d.n lBh or r+6n inv
<br />(tud@. Fn b i. isuffic .lo rcqu'c ih. rrpl.rd fnr !o.h Fnn lo fil. a s'{n <l 'ldffi! rhd lE or it ! lr6$.d rtul:d
<br />ro r,r. Fo\nFB ol iE Conkrror3 LieNci l!$ (Ci!r'i6 9- ConmdinB $ifi S<tF. 7000 .l l)trRirn I of rh. BBind lnd
<br />P' fNion! (-o&) or thd h. or !n. L crmB lh6.iiom lnd lh. tEb for rh. llks.d aflplion An, 1 sl.lion ol S.dao 70:l t 5 es mt
<br />q,olicrnl for r Fmil slbjclirh. tprli..m kr !cililp.nlhyolno! mor.rhd nv. hundr.d dollas(ttoo)
<br />LsoerofrlEFoFn,,trmrdphr6$ihtr.l6srlEi$Lonq6.iion.*dldotlEqst!n0tr'[rGimr
<br />r.rdrLd c oEq.d fo. sL (Sd 7lx-1, &!i6 md PrnfBioE Cod.:Ik cod.tdoir Ltoe ll* dE iot +p\ ro M osE.r
<br />rh. FrFty wlF t! &orrs.sElhsEridshoth6tuchm hisr.lf or hdlr.r rtmu8h hn or hs oM mFk\'6.
<br />rrorid.d rh ruch isproffir! @ mt idarLd.. olH ft. eb II, lk$6'6.lh. t{iEnu or mF$dn d n sld wnhi! orc }s
<br />olonpkriotr ilE ().rE hrilda will h.rt llt tu.l, olFr,B lhi lt or !& dn ful hrld o. inp.lE tlE FDFty hr llt F,F* oa
<br />l,6our(ollh.Fop<n,.m.r.lun.l}.d r.c nSs h I'cdEd codrtdoB ro .orrrrucl rh. I'rFl (S( 7O{'l ll6os
<br />,nd Pi$frsi'n (i)d. Th.(o.l.rclo.s Lic.nr.l-!wdod tur.rrltro m o$n( o lprordy who b{ildsor imrrorcs rh6<'n,
<br />&d sho co'nrxls lor ru.h trj.ti *Ih. ( oddonn lrdr.d po's'qd hrth<codr.dois Licd* li*)
<br />I m.ranfl undd Sdk).
<br />O*n.r
<br />uQ[5EssiolllflsAllar
<br />DE(IASAIIII!
<br />I ha.b! lmm nn&r Fullr of Fju r.- oe ol I h. follos 4 .d Ldir6
<br />I h.v. rd will minrain ! Cdtificrrc of consr ro s.la-lNur. for u'o,ld onpaBd io.. a prlvid.d tor by s<rion 1?00 of lh.
<br />L,ru co<k. fm rh. pqf.flilmc of rh. *!rl ld *trh ihc Fmh 6 isu.d
<br />(t*
<br />"* * r,-rr." *",ad' comFsthn Eurm.. - r.qun.d b sdbn lTm of $c libor (.d. hr rh. Fr.llrltr. of
<br />'h. \o,l l,r {hh\rhBrna r\ ssu.d M\ \,1161 L {nr<s,r'n iru'xnlc lME.ftl PJi'\ numh.' n.
<br />,-," St*\e F.r..A
<br />rorclNumu o $OZAIZ- 2a)--l E\,,6 Lcs'\- l7
<br />I ccnifyrh.r in rh.Fformnc. oalh. wort fo. rtich rhi! !6nir is isu.d. I sh.ll not dtloy any pd$n in lny mnnr
<br />$ B ro b.o*.ubct ro tlE Ert6'NnFodion l,$i of ( llilomi( ud as6 rhd if I JFuld b..oft rubdr ro th.
<br />$ ortc' omFMrhn FDriro6 of S.dion l7m of rlE l.h.r Code I till. hnhe nh 6tq , *'nh lbr f(ivnioB
<br />WARNINC F 'lur. ro s6. rvl6 mnF.rrion o\6.*. 6 mlr*tul. !d 3hdl rubFr m dnpLF lo mrul Fdb 8rt
<br />(i\il find trp ro on. hun&.d lhousnd {hlle (tloo.o(xr, in tddnFn k' rh. con of.omFnsion. dlm.s6 a Fovd.d for rh.
<br />(ix!., inrsBl ed urrom.' s 16
<br />2 r1
<br />DECIJAAIIA!
<br />I hmby imm ui<ld Fnlll, of pdju.y lh.t I m licslscd unds Fovisi.n.f(tupra e (conmftis wirh S<ion 7LS0)orDiltion I
<br />of rhc BuilK ud PFfsnJE cod., rd my lr.M n in full forcc rd.lItr
<br />,,.-*.u* h t(-zl .,n.n1.\ntr',-'-.{1zi[,r ,-,**A {t 1l
<br />b \z"l D
<br />CAIiIAU(UqN.LEDIIGJCEI|C}
<br />I hd.bylrm u.dd FEXyofFjurylhd lfia. na an rudb. lad,.g tBdcy fo, th. Fiome.. .l rlE mrk for \ hth rhis IEn ir i!
<br />isucd (Se. 10c7. Civ. C.).
<br />l.tuk'! Nm.
<br />AIEUIIILIECIASAITO!
<br />I hdltt rlEm o.dd Frny of F JUry oE or rlE follo* in! d.(lfdbd
<br />t).tuhio. PmnlAlb€rot No1iftlrion l-.ds.l l.suLr Fs (Tnk 40, Pd6)I
<br />\4.t$utr.d Idrd orNdifi ctrFn
<br />I .siiry rtu rh. Ld.r.l ..*!hioB q|,dilB 6td6 lffr.l e m ipPli.bk lo lhn Fnj.ll
<br />I.drifyrhat lhr\.EdrhF.pplic.lioni.drltrcrhit rh.ihr. rnfom.Lon r cor..l l +ra ro .omtl\ $ nh .ll ( lnd ( ounrt
<br />ord'n.nr6 &d srar. Lrwr rchins lo buildins.o.rrudtun- ml h6.by.trrk,r,c r.?r6otdir6 ofrhis ( irymd C
<br />rpr,k.n,o, \rd,shn,ur. }.-€ c, c- Co' r..
<br />r'$n,rr*n'mrrp,rn!,: (- ." ft-
<br />q.l?clij
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<br />Erection Pads
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