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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNER BI]II,I'ER DEL('AR TION
<br />I h6.t'.v allm und6 Fshy of Fjq. rh.r t m .rmfl non rn Cod.doB LtG l,* for lfi. rolb*inr EMn (^* 7011 5
<br />lhsin-s and Pr.aBio. Cod.)r An, Ciry or Coudr shich r.quirB . ,qmil lo @.ntuct, .hs, impro!4 &rnolirh or rasn in}
<br />{ruc1u.. rior n' il' isuec. ![q1 r.quir6 rhc lppl{ur tor tuch Ff,n nr fi1. r 3i8..d std.tffir rhal tE or slE ! lic4td putumr
<br />lo rh. FolisFtr! .f tlE Conlr&lor ! t icn!.d ljw l(luflq 9. Conho(in! udh serion 7(lo0 of Dirlsio. 1 ol lh. BEirs ind
<br />Pr.lBi6s co&) rh,i,rdnE s darF rhd.noD ri rh. iBi lo. th. rlks.d crdBn n Arr\iohrF.olsdhn70115 b !.1"
<br />.pplrar for . Fnni sbjdR tlE .Irh(ul to s o\ rl F ttof mt mr.ihd fir. hui<i.d doll6 ($m)
<br />l, B ollc of rh. p.oFny, or m, oplorG *nh wr*6 a rh.n $l. snpdsltior. !l&llEwktdl,tnuru.aml
<br />intddcd or olTq.d fo. $k (Sc.7044. A6ing ud Pi.ftatioB Code Tl. ( i,nradoas Lictu lrs $6 .or srly to M oqn6 ot
<br />rh. rroFq wh. hildi n inr.!\- rfi.E[ !d wh ttE *h srt hhr.lf or hdElf or rlftush nir or hd os mFloyd.
<br />Fovit dth,3rh iml'orEjrB n br 6rLd o. onn d tor sL l[ h$6G. rlE ttrildnB oi irp.sqEn i! $ld rthd d ]a
<br />ofco"phio( rlE O.F B'rilb * lr\ttlrhrrbofFprqrt'tiltdlrkdndbildorlrt.\.fi.FDFr)fdlt F,pG.or
<br />l, d oMd ofrhc Fol.ny, Mr .r.lNi!.it contra.riis * h li.ds.J ..nr r.k)6 Io o.rrud thr Inojct (56 ?ll].1, BurrN
<br />.l Prltsi.nCo& Ih.conk.cr..s l-i(dE Las do6 Rn rpplyto a.oqnd orpropqry$ho hurldlor inprol.rrhdon,
<br />nnd ulN conkld! ror such Fj..lr r hiC. a.1o(,l(.Enpo6Enrt!rh.Co idoir I icG L.$)
<br />I m.rmpr uhrL Sdrn
<br />Dll /a1 3- l:z
<br />DECIASAITA!
<br />I hdB,r\ rrm und6 F,rt, ol Fru, r- .E of rh. folL$ nB .t(lr 66
<br />I n4. in tr rll uinrln . Calr,rd. .a( o.E6t lo s.lt lBUr. ad \.116 coEFaikrn, a Fxrd.d f.r b, sal i,i. 1700 .l rh.
<br />llhor cod., for rh. Ffome. ot rn $t.t fm $ti(h th. Fnn k is.d
<br />I ha\candwllmlitrra'n suldi cohFnsarion iditrra.c.. &s r.quir.d hy Sdrion llcn.lrh.l-dlrr(odc. irr lhctsfoman(or
<br />th. *r* lor uhrfirhrsFn ir Mct Mr- \.116' crnlhst 'o. '6ur.n.. cs6 dd Frli.\ nurtE r.
<br />I cdirylhll in th. psfomm. olllE *ork fo! r'hrh rhi D6mil is isru.d. I sh.llnot 6nPhy dny pq$n in e, nannd
<br />$ B ro h<om iulrdl ro rh. *ut6' Nnpc8rbn h*! of Cdafomi^ r.d isG 'hd
<br />if I 3hould h<oE sqal ro llE
<br />uvt6.o.pnErlirnFnriiiodofs.crFn1700olrhclivCo<h,IJdl.fodh*nnompb{nhrhorFlvirnB
<br />tlARxlNC: t'rlor. ro w. $ Id on4edi.. (orr.s. t uL$ful. !,n rndl .ubjtr d dploF lo aimml FEltis Md
<br />(nn fin6 !n ro om hundroi rhosnd &116 {tlG).uxr in iddnion k, rhc..n or Nn. damsd ii,ro\il.d for rh.
<br />sdron 1076 oltn.litFrCod.. i,ldd.nd dkrlEy s
<br />/o-oq- t z
<br />I h6.6! arm und.r rxfuhr of p.rJ!r) rhd I n lica<n und.r n of ( fial'rc 0lcommc'nS s hSdn. r(Xn)olDruD.l
<br />.l rh. aBrB3 Md Prol6ioE ( u&, ."d my licas ir m tull foEc ed c0al
<br />carslBlJ(IIQN-t ErDllc-aclrll.l
<br />I hcby lmm undo rbalty oa pdjurv rhrr rhd. ir...nn'ulnn lcndins.[tu] tu rn. pdnnrnecc otlhe\oI tn {hi.h rhc t6ni n
<br />'s0.n (Sa !097,(r ( )
<br />AITU(AtrLDECIJEdIIO!
<br />I hadry arEE u*ls rE !ll! of rEjuy om of llE folhs in* d.(Lr ioB
<br />l).nFl(ion P.mtri^3tBld Ndrficdhn tcd..!l R.8ulllns ( rrk {0, P!1o)
<br />R.quiEd ln'6 .r Noi6<dion
<br />I .diay thll rh. f.da.l ESul{ioN Esedin8 sbano! mo$l&. mi arpliciblc lo lhir pmjd
<br />I .diry tlu I tB.,ad rhiJ q'01.4.. -d c.l. thd rlE ilEr. mfomlibi !.oE t I .sc ro onp\'*itfi tll ('il,.d Counlt
<br />odmN6 and Sr.r. Iitr3 ElrrB ro rulht ,d h6.t) tuttro. qr@nd n 6 .l rhr cnr' .d Cou.O lo al6 l4o" rlE
<br />rhr\€ 'mthn d DrorEn, ntr
<br />ADDlicr l or A[0] \i,ln{l o*, /O,- 7 - I 7
<br />r?JnL /rtto/o
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUl nsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/Ene rgy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handrcap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
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<br />FINAL t0.-1-1 yvl-16\
<br />Certificate of Occupancy avZ
<br />Notes, Remarks, Etc
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