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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns tl t'712)IAnDe v* s'7
<br />Erection Pads 'll
<br />SLAB Floor
<br />Subfloor/VenUl nsulation
<br />Roof Sheathing
<br />Framing
<br />lnsulation/Energy
<br />Drywa ll
<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 />Flood Zone Certif
<br />t
<br />FINAL v/ //zo'tro -./-Wf
<br />Certificate of Occu anc
<br />Notes, Remarks, Etc.
<br />OWNER BI]ILDER DT]I-('ARA'iION 'I h<ot lmm und6 Fdhy or pgjury thd I m qml, fronr th. (tnrracron l.r.e l,tr tor rh. nnhein! r(r'n ls( 70115
<br />Uuin63 lnd Prol*ion cod.) Any Ciry or CDlnr, $hi.h r.qun6 r tEinir u coNrud, !lra, i rov.. ddDol'!fi or qlr Mt
<br />rrru(lu.. Fi.r to irs isuucc. als. r.q!n6 rhc applicMr aor rurh tEmir r fiL . ri8n d irarddt rhd r. 6, JE i! t:aa.l pumd
<br />ro rh. provirioB of ilE ( onhcio.3 LLmkd Ir$ (chdt'rd 9, (.nmaci.8 snh Scdn{ 7()(xj of l)ivsion I oflhc U6!nB
<br />"rd,tofsmN Cod€ r o. rhar lE o. $. B qopr rhs.fron sd rh. blrn tu rh. .lh.d .\nFri. Any r r'lrrhn of s..is. 7ol I t b .nt
<br />rppli..d for r Fnir iut (ts rh. .p?li..n! ro . cn il p.tuhl ot nor fr,. rh- Ii* hun&.n 6ll[s tlil[ )
<br />l. N orF oroE F!p6q. or oy dplorB *nh *.s6 s rlEn $L coEFliFn- *ill <L 0E rnt dn dE rdR it ml
<br />i dr! or olIocd fd sL (Sa 70,14. BBiB dd Pi.l6i,6 ('o<t" IlE (-oddd r l-kdE I$ &6 r,l +pl,l. &orE of
<br />rh. FoFrr $ln tuithor tr'po\atlE6o in rtu &Esri m h,lclf or hqr.lfor rlmulh h. r ho ow. ddotc.
<br />Forit d rl'.r s.h urqDrsEnt G or irod.d oroituld ir sL lr. hotr6s, rt tlild4 or arlprsqEd ibld$ihhw!a
<br />olmnpbh^ tlE OeE Blilb ril IEE ih. hr&r of FurB rld lrd iE dii nx tlild ( rlro\.llE Frqt] tr rlE F Frof
<br />l. d os6 otrh. F\IEr,y. @ d.lcncl) .o,nr-iing *nh lic6u.d codr&roR tu sdif,r rlE tnrF (s< 7(x,1, llt66
<br />rd ft$kin Cod.: Tt. Conltrror't Liccn* L.r &6 mr.ppl! ro eornq of FoFt n'ho t'o'ld! iiprord rnd6n.
<br />Md *ho odrxli lor $.h Fol.d3$nh. Coflato(r) l.d&, Fflrd ro rh.coddn r lid l,*)
<br />I m.roln und6 s<ri\n
<br />D.r. O*nr
<br />woru(r-na' aontPrnsair(rr
<br />DECIJAAIIA!
<br />I h6.b) 8m'm u.d6 FDIY of lEjurt oE of'h. LlL,n ins d<lf.no6:
<br />, h,\. nxl $ill mi.rlin . cdiaK.r. of coMi ro s.ll-l6ur. fu. $MLa' (fiEMion, 6 rrorirsj nn b S.dhn I7(xJ olrlr
<br />htn (1{k, tor rhc pdfomdc..f $c trolt lor \ti.h rhc I6n'l a ae.d
<br />I ha\. and $ ill mainrain worl6 comr.nsrion in$r.nc., s r.qunc{ bt S(t tr,n 17(xr of
<br />'h.
<br />I rhtr (id.. tu rhr Ffome.. of
<br />rh. *.rt fo. !hi(h rhis p.mil is i,su.d Mysork6 compg&nion iNurMc.uid ud B,lal rtrnhd &.
<br />l.cniftrh.t inlhe pdtomanc. oalh. Mrl for whi.hrht pd ir ir istr.n. r !h.ll nor anrluy any p.[on inlnyrmd
<br />g, 4i ro ta!n. rulr(l to rh. s 0*6 conpder(rn la*! of Cllifofris, ud ,xE rhd ri I !h.u0 bdo'n ruuat lo lh.
<br />*o*ds.dmp.turinn|,ovisioBofserio.lT00oflh.Iilrr('d.lndltunh\irh('mtlrtrirhrh.*pn'isionr.
<br />WARNINC: lailurc io surc trorkG' smFsri.n co\6as. i3 unlasful. ud rh.ll tulrJ$l e dpkDd ro aimiMl FEhi! md
<br />n) .nc l,trtrd'.(l thotrsand d.llxrs (il(xr.r!xr) tr, (l(l ri,n r, rhr (\r .l r omF@rn., d,tus6 a lrorid.d aor rh.
<br />sN'k,. ro7ll.trhe lnh, (o!c. ntsd dd ar a
<br />L ,4-J>?-5
<br />DESAAAUO!
<br />un&r Fovirbn of Ourr6 I tcoffiins l nh Sdtbn 7(x)0) of Dilnio. :1I h*b] rmrn u.dd D.n lN of rrju, I
<br />of rh.8cin6 dl fioisiiB co&, rn m' lEtr 6 an full nfti ii.llRl
<br />,&N(,.Ks 15
<br />D.'. / /-t-)?
<br />/o
<br />*OAsr /?l.-rfi<-l?tttiz-->
<br />I hdrU, .{ttu ut& Fulr} ot Frurysdts6 locr,cn c)
<br />ru.hn lsdiir rrft\ ror rh. Ff.t1l1ft. of rh. wI n)r rn(h ltit rE nt
<br />AIIII(AILDESJSAIIII!
<br />I hdd,.! rJrm undd Frhy 6aF)ury 6nc of rh. lollnsrs d.ch, ion.
<br />l)cmhtur Pmil3.Asbctos Nolificolion F.d6al R.3ulllions (l nk 40, Prn6)
<br />R.qur.rl I nln of fJorifrdii.
<br />I (clitrlld lh. Ld6!l rqulal ioN r.rrdirB sb.sros r dnovol .rr nol afi i.dhl( lo rh! I'nrRl
<br />i81r h.un\nr snh ill( ilr, lnd (i[nly
<br />n.s olrhir (''ry and ( or tlo.nl6trErnrh.
<br />",," //-5-/f
<br />UFER Ground
<br />Shear Wall
<br />lrt tj
<br />"^*-{*7 Ji:;r ,)u*
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