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BUILDING- INSPECTOR RECORD
<br />SITE-WORK to/stG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUl nsulation
<br />Roof 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 Report
<br />Engineer Final Report
<br />l
<br />FINAL c/?/l{
<br />Certificate of Occupancy \,.
<br />Notes, Remarks, Etc.
<br />OWNTR BI]ILDER DEL(' RA !ON
<br />I hd.t ! !r,n unds Fuh! of rErjury lhi I d .r.q'l lrcm lr. ( .dRlo6 tkffi L.E foi lh. tollotr drs Esn lli{ Tlr l l 5
<br />Buh* .,n l}ot*ion Co<L) A.y Ciry .r ( oudy uhi.h Equ G . Fn. ro Nnlruc1 116. mFo\., (tmlah o. EFrt a)
<br />rruc1uq Fiork' tu i$um.,.l!o r.!ui6 lh. .ppli.Ml forsuch Fnh lo fi!..sisn d srdddr rhd n otthc b licqsd pu6ulnr
<br />ro rlE FlrtioB of l,E ( onrrrroi! I ic.n*.! lr* (('h,p6 9, (-ommtriry n'itt Sdn n 7000 of Oiitk n I of lh. tt6ind lnd
<br />Pn fdFne CorL) or th. r ( 3t ir.rdti rn r.fr.nr.d rlE t-u r rh. .lks.d .rdr9r.. a.r \Fldhnots.(n.,011tl,) o)
<br />apdi.erlN.Fmi3lhjrBth..pplionlloictrilFnllryof.ornocrhMnv.hundrcddolle!(t500).
<br />l. B 0*6 of E FFlt, or mr.hph!6 $nh $.s6 s lh.u $k oqEdio( eJ & rlE $flt !n ft ,r(rc ! br
<br />i cd.d m oflord for xL (Sa.r04.1, BslB hd Pinf6i.6 clt : TrE Gntrrd t l}ffi Lry <tG ,r +!lt ro d o"B o,
<br />th. pfrFry who hrith or inFo!6 t,r@n. dd who th6 ruch wrt h'ni.l[ a. h.Bl I or rtmush hir o, hs own .nlploy.6.
<br />provlLd lh.l ruch inFlrqird.r e d iraddl o.orsqi f.r sL lf. h6q, rtE hiildiry M in n*lffi i! 5ld uinin w !w
<br />olotrpldioq t,E O*G Buitb ril i.E llE h(16 ofFlug rhd li o. dt dn d hild d inFort lh. FDFi! 6r rlE FqrE of
<br />I. 6 osn of rlE Frldy. o.r.lBir.ly (orrrdnB f,nt I(asn.odturtE ro.6dM rtE F.l.< (S( 7(x-{. ltrsi6
<br />&d hok o("1ld.r ft. Conr*r.i! Lt6eL,*ds mr @lt ro so\.aorproFl) *h. tn'ldr or inrorG rh(6n.
<br />ed wno .ofln t t{ ru.h FojRlr wnh r (irnftclo(,lrmdl prEuat lo rhccolnr..ioas Lte t *).
<br />lrn.rofl un<t.r s<riotr
<br />D.r.: Orn.r.
<br />\f,oRxFR.s' COnrP[NSATION
<br />TECIASATA!
<br />I h6.t rmm und6 Frlry of p<tory oB of rh. folhtr
<br />'ry
<br /><k lerlFB
<br />I hr\r srl sill Mint.n. Cdifrd. of (irMl lo Scll.lM,c fu tro*d' .omFdiotr 6 Frn id.d for bt sdi.n lr700.f rh.
<br />Irtxr code fn rlE rE(ffi. of rh. wort ftr {tih rh. psnir ir s.d
<br />I hrv. and $,ll drinraii work6' comFrarn)n isurdn(., s r.qut.d b' S(tion I7m ol rh. lrttr Cod.. aor 1fi.
<br />'lqfomarc.
<br />nf
<br />rh. $o'! lor *hrhrhB p.nbn ir isd M,$orld c.mFM$. rMffi.cm&n Flry numlE &
<br />I cdrii rhd in $. pqloll@c. of rh. *ort for which rhi! p6nn i! is!u.d, I shsll not dplo:/.ny !E!on in.ny manng
<br />b E io bcoG sbirt ro rh. rod.6'6mp.Ndhn ld! o(Califooir lrld.8d rhd if l 3buld tF(om $bj.( lo rli
<br />*0116 6mFqr6n F$ilioB orsdio.:1700 of tlr l,bot Co&.I JEll forhwhh 6mply wnh rlFE prtrlirirB
<br />\tAnNNC f.ilur. lo s& snrl6' cooF!.iion c.\@s. 6 lnl.wtul. Md shtll rubjc.l ,n dploF ro dinintl Ftrfti: lnd
<br />civil lin6 up ro on. nuodr.<l rhouud &ll&! (t100,flx)), in.ddiion to rh. cosl olcodFeli.n, &n.86 G Prolid.d ior th.
<br />SdF. 10?6 orrh. L!&n Co&. iln.rir dld irrtE.*i lc
<br />Appll{nl:_ _
<br />L(E!!IL(jIAIAA(1qA
<br />DICIJAAIIAN
<br />I Hry lmm !nd6 Fn!h, of FJUry lhd I m l'.6<d undd For.ir. of(n.tnq 9{comffiinr snh s.clri 7000).f Dn ii.n !
<br />ol rh. BBire Md PnadioN (odc, id sy licte i! in tull lorN a,l.fier
<br />(OTSItrIJqIIAII.IBDIIq&GEXCI
<br />I lrry* .rm u.& FMtv o f Frurr lht tlEc !. cotrrnrlion lddoe as ! lor rh. Ffollrld. of llE *ut 6r $hkh rht Fmi i!
<br />is$.d rsr 1097.c'v ( )
<br />A'IIICAdLDE(IAAAIIO!
<br />I hE br'rfEn uBld F .lrt of Fj!r) oE ol rlE follos mB d..L..l hB
<br />Dcmolition Pd $Art6ror Nor ifi..! ion F.d6!lR.gtrldEns (Tirlcr0, Pan0)
<br />R.qun d lnG of t{oradhr
<br />l..1il\rl rh.ldlor '.Arhrk,n\re!in(ltr,Sx+\{f\'.!nf\rlr,. orr )'..l,kn,rhhl)n,r.r
<br />I (sri,! rh, I h.c 'al lhn q?kdbn !n d.r. rhd rh..bor. rnfoMon G c.r.d I lsrc ro ..nplr' $ih .ll Cil) .al ( ounr)
<br />od'rukBedsri.t {r Fldse !o hildin8 .ondruclion. nn hd.by lhort. rqrctitt 6 olrhir ( y Md (-ouny lo o16 uIFn 'h.abov. nBrioncd ,FFny ror iNpdrrn purFrc
<br />Appli..nl or AIdI Sigr.lur?
<br />aEvL)
<br />DATE
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<br />Flood Zone Certif.I
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