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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subfl oorly'enUl nsulation
<br />Roof Sheathi
<br />Shear Wall
<br />Frami
<br />lnsulation/Energy
<br />Drywall
<br />Brown Coat
<br />Mason
<br />Pool Fence
<br />T-Bar
<br />Handicap Requirements
<br />Deputy Final Report
<br />En ineer Final Report
<br />Flood Zone Certificate
<br />FINAL
<br />Certlfl cate of Occupancy
<br />Notes, Remarks, Etc. sAMc
<br />Offi.Buil&r D@l0.ri6
<br />I hab, .ffim 6d6 p6.lry of p€jur, {tn I 8r cropr fm thc Connr.rdt' Lid. L!* rd ih. foll@ina Bd G4.701 l. t BGinN
<br />rd Pmfsri@ Cod.): Any City or Couty *iich r.quk6 . Fmir ro cdlrr!.q dld, iir.ovq danolith d rcp.h &, rEu.tE Fid ro ld
<br />iilucq .Lo cquiB rlE ryplior fd tu n Fhn io fil..riF.d tr.ldtrdr d lr d rh. i.licdd ps6@rrorh.Fovi.io olfiG
<br />C6rs.'r lrcd.d Ld (C!S. 9, CsBlkils rith S.di6 70oo of Diini6 3 of lh. BBitr 6d Phfdi@ C!d.) 6 $rt h. d
<br />th. i!., pl .h@frm Ed Ih. b.d. f- th. dlnld darFld .Ary violrriotr of Sccdd 701l.t by oy rr'plic6r fd r Fmn ,ubjdrr th.
<br />rppli@r to . .iril padty of r md! tl.n liv! hul(lEd dolkn (1500).
<br />_I, a omr of !t. FDpqry, q D, arployd rid! nB6 a d'cir tol. dnFurlior will& d. r6t 6d lh. fflcrrc t ,ot inr.rd.d
<br />d ollcEd fa..t. ( S...70{t. &!i.....nd trof..ri@ Co& Tt Cdt rdor! Lic6& Ld do6 trd.ppl, ro .I ow. of rh. p.or<y
<br />{,b brildr or imprcva rh.:6, &d wio &E rBt rot* hitu.lf 6 h@,f c tnrc{8h hir d n6 @n 6ployc6. previ&d fiar Mh
<br />itnFw.matn r. no. ifi.nd.d a olldld f6 rd.. If, how!v!r, $. buildia8 or irnp'ovanclt b rold ,irhi. @ ytu of.onpldioq 0r.
<br />O*M-Dlildd rill te $. tId.. otFevi.t lhar ,!. 6 !h. Dor b{ild 6 itrprDE (d 0'c purpo. of r.14.
<br />_I, B ohE of t[. pt!p.rq, n 6cluiv.l, co$rdry rlrh lid.d 6F*bn ro 6nBcr $. Foj6t ( S.c. ?oaa. Burird sd
<br />?rofdi6 Cod.: Th. CdE cor't Uca4 L.v dc not lpdl io D omd of Plopary *ho buil& a inprcE lt.'coo , Dd *ho
<br />c6l'lcu fd xd prcj..1, with r Cont.cro(, lic..!.d FBBI lo dlc C@E .rdt UcdG L.*.).
<br />I M dc6Dr @d.r sdii6 -B. & P.C- fc On Bon
<br />IOBKEBI-qO!'IIASAtrON.PECIJBAUAN
<br />I hfrt, .fliD lnda p.ndty of Fju., @. of tn. toll@in8 dcl.di@l
<br />_l hlvc &d *ill luint ia. C.rrifi* of C@or losclf-lEN fdwdl6'.mrm.rio, g povi&d fq by S6de 3?00 of lnr
<br />t lcCod., fd0E Frfcnee of dl. wnt fd*hicn fi. Fnit ir iuucd
<br />_lh.rtsdwilltt jntdn *c.ta' cdn 6.tri6 iNwec., s Equirld ty S.dio3?oo of li. L.bo Cod., f* $o pafdnle oart.rqt td wnid ini! pmil ir irru.d. My rqtqt' ffipd.riq i!tt1m@ qi{ ed poli.t nlnbd G:
<br />rolcyNurt- EipiE :
<br />(ni, tadm ic.d oo. b. stplct rl lf lt. pnit t fa o* h@&d dolla {tloo) 6 IB)
<br />_I ccrtiry dlll in $e Ffmrrc. of dr vort for which thb pdnir t is.4 I rhrll nor ploy &, pd6 in ey mmB rc at lo
<br />h.c!E Db.jcc to lh6 ,0*6 ' ceryau.d@ lrw' of Cllifmi., ed rSre th.l if I dbrld t.dnc rubj.ct lo tlt! *qtcE
<br />.!fnF8.li6 pDyirid or S.dior 3?00 of th. Irbd Codc, I thdl, fo.ll*ilh cenply wilh 66. Fwiliout..
<br />I'AININC: F./l@ lo '..c rdlct' .epordd corrr.g! L ulrfrt bd rn I &bj.d r! oployd io cimiul F tis ed .iril
<br />IiiB up lo @. hq.H tloumd <lrlat (l lo0,00o),in .dditi6 to th. sr of .mpd.d6, d![gd ! Folnbd fd rh. 3ed6 ]0?6 of
<br />tu r$G C.d.. inrNt hd lndr.yl f....
<br />LtcENStD CONTi CTORS DEcl Anr{tlo
<br />I }6!by rmnn md6p. l0 of pdjory lt.t I6lica&d E!d.r prcvirio of Ch.ri6 9 (cm6cins *it S.cd6 ?ooo) of Dieirio ! of
<br />th. Boii6. od PDf@i@ Codq Dd ,ny li.qe i, l, lull fde dd .rfcd.
<br />Lime Numbd _
<br />,4-tz.zz./
<br />coNst{ucTmN r
<br />'{DING a.lancY
<br />I har$, .ftm llnd.t p.nrty dp6Jury th! Oa. ir . 6rl'!di6 ladirs .sEE, f6 tt!. Ffm!6.. of {r. w..t f6 *hicll 6ir pdriir ir
<br />la!.d (Se !097, Cir c.).
<br />APPLICANT'S DECLAR TION
<br />D.6oliri6 !rnrll!-&b'ld Ndiiiorid rd6l R.r{lci@ (Ti{G ao. P.n O
<br />_ R.q!ir.d Ln6 ofllotf!.didr
<br />_I ca{t lhn 6. f.ddrl Etoblid Etrdin8 lb.tior Mlrorl N ror .rpliqbl. !o rhL pmj*.
<br />_ I cqdry $n I te ia.t Uir alic.d6 rd fl. lnn lnc $ovc infocn dq i. qBr. I raE to 6ply lith rll Ciry rll(t CoNryntDlE ad SolG ls Flditrt io hrldiDs .@r.Eri6, !d n@b, rlthai- rytEat ri6 of $i! City ..d Col,rry lo mt6 upon $.
<br />ftovo lMdod prcpcny fo( iflpcr{d ,orpod.
<br />-<--/.1
<br />II
<br />r;f,E!IIIIIHItmlrilEI
<br />Ext./lnt. Lath
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