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BUILDING. INSPECTOR RECORD <br />SITE-WORK DATE ID/SIG.COMMENTS <br />Forms/Steel/Holdowns <br />Erection Pads <br />UFER Ground <br />Roof Sheathinq <br />Shear Wall <br />Framinq <br />lns u lation/Energ y <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 />Enqineer Final Report <br />Flood Zone Certif <br />lr <br />FINAL I ,{AA 'rtul <br />Certificate of Occupancy t l t\I <br />N CS Remarks, Et <br />6->_-- <br />OWNER AUILI'ER DEI CARATION <br />I h6.t'y .rm unda pqdry of porory lh.l I m .rmF 6on ttF ( odrlcr l Lrc.nE ue for lhc tollowiig rcen (Sd 701 | 5 <br />BBilld ,n Prot*Fn Cod.) Ary Cny or Couny whih r.quir6. Fmr ro otdrucl, r!6. in{rovc tEblih or lc.n &v <br />nndur., Fs ro nr iM., llo Eqi6 llE nplaer fo, sn Fnn to 6L r ttftd $1661 lhd h. or tE a lKq!.d F isr <br />lo rh. !.ovbioB olfi. Conn(l0! L'ci&d Llw (Ch4ls 9. Comodn! sth Sdlion 7000 of Di!i!io.I oflh. BuiIB Dd <br />Pma*n,nr cod.l or lh{ lE or rn i! ddB 0E ioE ard tlE bdt for rh. dl.s.d cro,9li.n A.yviohionofSElDnT0ll5 b,&y <br />.p?licur for . Fnn lbiarr rlE 4?li.d to . civil pdrhy of ml ma lhe lit hlrH &lltE (t500) <br />l. s oMs ollhc Fr.pdr', or my cnplorG "ilh wnB6 s $.i s,k c!m9.Ndio.. wiu do r& *dt rn th *n l@ ir mr <br />i'nodqi or oflacd lor sL (Sc.7o{4. BGilB od P'rfsioB Cod. Tt. aonlrrcru! Lic6u Lls dE m @ly lo u ow of <br />rh.FFry rho toili n ilFDrE 0E@ .n *ho dE uh $rt himrlf oi lErlror llNush ha 6. na o*r cflphtc <br />Fovi&l rhd $ch iiForqffi c d iiaxLd notu tu *.lt lFr6d, tlt hibng d lis6ad i Dld rrhin tE y- <br />oacompkion. ltE ()sE Buitla *ill h.* tlE hrd6 ofFoving lhd lE o. tE dii ht trild or !,9r.rc 0E D.oFry lq l,E FsFs of <br />-1. <br />! ow oltlE F.F!r. m .rclBir.ly coMi,{. "'nt lrcd!.lj .offioa ro confud tlE Foj6l isd 701-4, t}B!B <br />!d A[tuli]n Co&: 11. Con .dol! Lic@ Lr* d6 n6i .p!ly ro u o*.s of riopdU *ho buildr or inprer6 rnsdn. <br />lnd *ho co.r6dr Lr ruch Eojets wnh r (onlr&1orl!) lirdsd puRmr lo th. ( onloclri l-icG lrw) <br />o/tL2 Itr <br />u,!!.lB!jll <br />I lE by.llm !n.ld FEltyolFjury oI'. orlh. tollo$4 d6hr.rioc: <br />-l <br />h.v. ri will ruhr.i. . Cdlifrdc of CoMl lo Sdr-lBw fM trtf,Idl onlP.nsrion, s FDlitrd fo. b, Sxlh. 1700 of tlE <br />lrDd Coda ad th. Frffi. of lh. w fm *nth fi. Fnn i Bucl <br />I hlvc lnd will n.inllin wnt.rr omp.N,liotr i.smft.. c rcquftd b, SdDo ]7m olrlE tihor Co&. tor thc Fao.lffi. of <br />th. eorl for Bhich fiir p6rni it is.d My wo.k6t smFEaior idufuc. clrie dd Fli., nuEbd E.: <br />Polict NunrlEr- <br />-l <br />.ar,ft lhd in fi. Ffolffi. olrlE ro* tor s'n.t lhB Fmn B a!.d. I thlll ml dtphy D) Fe. in my tffi <br />$ s lo ba!ft iubal lo lh. utt6' cooFcdio. h$. o f Cnlifomq ,Id 4c thi if I dDuld hcom $bral lo t,E <br />B!d6' cohpssrlion Drc{ioB of s..lion 1700 oaln. t lbor Cod.. I JdL rodhti$ comPly wilh ltoe ,,ovnioN <br />WARNINC F.il@ r. s@ $0116' comFEalion sr@*. s u.l,"f!|. &l rldl$hJ.(r D dploF h aini l Fuli! od*wffiYl;W'" <br />U(EISIIICOIIIA(f,OB <br />IIE0.|8A1[rA <br />q <br />I h6.by rmrm unlq p.o.hy orFrury rhd I m lica$l lnJd Fovi.ion otch.prq 9 GlnllM.in8 wilh Sd-lio,70ltJ, olDililion l <br />of ih. Bui,s Md PmadbB ( od.. ad ny la.e a. in tull fora .nd cfidl <br />t-ic.N. ( lrs <br />- <br />l-ic.@ Numb.r <br />gNtraugraxl.llDrrc.A(rlc[ <br />I hotby lmo un(k F.rlt, of palory rhd the t s Nnrruclion lqrlins !sm, fot th. Ffonllffi. ol rlE *ort for $ hrh this Fdl it <br />Ls&d (s( !09'r, cn. c ) <br />AIII.I(.IILI)IO.AIAIIII! <br />I hotry ofim und- Folhy of pdjury orc o f lhc tollowins d6lmuoN: <br />Lramlirhn PcItu' rtErd Norin.dio. l.dd.l ReuhtioN {ft|. {0- Pan6} <br />-R.qurd <br />t 6of Ndiartirn <br />- <br />I cEliry thsl th. f.dE l r.ruLrDN Eeid,ns stEr'r rdm\ d u. ml alpliih!. b thie n oFcl <br />_l.sr'trhn I hdc Grl rhk ! li.{ionan{tuon b.of,.(. I rsr ro odply$th.[ Cn] lnd Coun] <br />odinancG .nd Star. L.$s Eldiry N hoildin8 iuthoriz.rqrstdn6 ofrhi cny Md Counry k,6na upon rh. <br />$o\. rnlnrn.d pirEir ior <br />lppli..nl o.'\8dl skn.r).ri I o/r./t r <br />lzt, <br />t <br />|, <br />Set Backs <br />SLAB Floor <br />Subf loorA/enUl nsulation <br />tsd.r, Add6 <br />- <br />I