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BUILDING- INSPECTOR RECORD <br />SITE.WORK DATE ID/SIG.COMMENTS <br />Set Backs <br />Erection Pads <br />UFER Ground <br />SLAB Floor <br />Subf loor/VenVlnsulation <br />Roof Sheathing <br />Framinq <br />lnsulation/Enerqy <br />Drywall <br />Ext./lnt. Lath <br />Brown Coat <br />Masonry <br />T-Bar <br />Handicap Req. <br />Deputy Final Report <br />Enqineer Final Report <br />Flood Zone Certif <br />-t9 )FINAL telulR'-T' <br />Certilicate oI Occupancy ut!t -r <br />Notes, Remarks, Elc. <br />oWNEI' BUILDTiR T}EI,CARATI('N <br />I tscB lrrtrm ulttr lruliy.r ,Etlty th.t I c\crml frem rhc conh&16' l-ilnc l,{ rol rrt r,trr!trn8 r.on l..L 7lrll 5 <br />lJ!\ind\s .nd Pnrr.r6n (ii.lcJ Any Ciry nr Cotrnry whi.h rquhs . Fnil l(' (rm(torr, ihci mnrovc. Lkmtlti or rndr rnv <br />nrudur..rnitrh r isru!r.. 'l{, r.rtlir8 !h. lpolr.nr ntr such l[rnir t, iL . ri*Ed {.r.mnl rhd ,t or rh. il li.cntd l)urq!.r <br />io rh. Frlrirnr ni ilE Conrrloit I iTnsl li* ((ll!fl$ 9. (i,mftmin3 riri Sftriin 7(X[ or l)irision ] of rlF fiu$m\a rni! <br />hofc$nlns Codc) or rhar h.or\h. i crcnPr rh.rcrronttrd lhc bi\ir lnl rh. rlkgld crcnlrlir Any vx'hrn,n or s(lbn '7(,l r 5 h! lnv <br />lmlkrn tu a n.rmt \uhj.{c rhc upnlklnl ro . civil pcMlry o f to mift rhrn fiv. hundr.n Jollnr ($li(D) <br />I.r\os*rolrh.nmlrny.ormycDk,r!c\uih*oEF.trh(t$k.omFnsri,n,willdolhc*rrlurirtrdtulmNfti <br />inrc.d.1, orofl.rcd r qk (se ?(!.1. Bu(ifts rnd ProLsi,N (,rle 'I h. (i,.bri(r r Ltcns li$dxrE +PlvtodDU*Kor <br />rhc ,I,Idt f,h!t rldj., rtre\s rrrNr. nl *h,&nun*rrt hrmtll or h.rYlln.rht,u3hht r lu o*. .t{'k,Yc.r. <br />pi{,vidql ihsr such ,mprownh0F ml id.ndrt orolErn tq $k ll h$$s. rtt tliuing or,nphEmnr ira'[l wirhinon. y.{ <br />nf.orplcri,n. rtr I )*rcr glill.r wilr hrw tlt t nLnorForirls lhd tro.(r. dit dn hiikl or i{n'w th. pR,Fny tu thc PurPcol <br />-l- <br />a3 o*mr nf rh. pmlrdy. um .r(lNivcly .ootadiry *irh lircn* d onki.rot! nr dmsrtud rh. tmrl({r ( scc 7(Iq atr\ilx'.\ <br />rnl PtnFiiB C(x]. Th< CodEtr'. l-.tn( l-.* d(8 mr .nDlv t' u r$k or 0r{E y sh) blikl\ or iml(rts lhcrd'n. <br />rnd qh, onrBl\ fu .kh F'F1! rirh . (.,nr@1n(, ltcnrd N^unr h rh( (i)!rDck' \ La.h< lr*) <br />I !mcrcnpr udd S.rrN,. <br />l)!(e orn.r Itt,kxr'k( ( (NtPF\s\Ilo\ <br />DECU3.UP.\ <br />I h.r.hy irftn, un(ld |f,nrlr, ollEtrnt nnc "lrlt i'll,'str,! d.(l,trrr(nn <br />-l <br />h.rr uli rill reinhn r ( difEor. of Consd n, slll ln$k fi, srrdi orqrn{rbn I |ro*Ld (tr bv S$rirn ])([ of rll <br />l,hor (iic. ftr lh. pcrformmc ofrh. sh.r Ltr ehth lh. ,Emir n irsEn <br />Ih2\.rd *ill tuinia,n e'fis1 (Dn{Enet bn ,nrurJrc. r (qtnrl hy S&li'r l7ln f IlE bh, Cd.. ntr rh FftrnEfi..l <br />rhc *ort r,r "hihrh'rFmr i5 nid My$o,tF ('n!ne!rr rn.udN. canar aild IIn.! nuntn rc: <br />Ic.nrr)th rnrh€ pcrL'ror. olrh. *orl n{ }hrhrhn |r n k n\u.tl.l ihjll mt cqtlol!n}Frw,n 'n,nYmn,f,rv)sroE(om\ufijNrt,rhcwo*cr\,ulFn\nlionhw\nlCslifin,trtrd,8rcclhlritl\hr'ldti{Dftruniir0rri <br />".d.r\ .dryrn{ik'npnnn({ <br />t\An:llN(; r hr. k) \u,. <br />(n'l firr up t, uN htrn r.(l I\rrrf n,ri,,rrrk r.rrr rl,r(. <br />,,",". */tv/n'r'-/-- <br />.rolS.rrii 17(xr olttf, lf,hr(,xh.l {ull. Lnh$irhd,mple sirhrk,t pmvi\t,nr <br />r F unt *lut- d .tEll iubFrt crmt'ycr b 6miMl F kix trnl <br />ktirion n' rh( .n{ ol..n&nrrrn r. ,hroscs r\ Pntr(ld ,n, rlt <br />/l"z- <br />I lE..iy.m,m unl.l rtMxyorFiJlr) rhd I rm limsrl urtl F{ Ftn.r CrEPk e (.a,mmtur! wrh Setrnr T(m) orDnirir I <br />ol rh. Buirs( rnd Pma.sh,.. (ixk,.,kl nry licne i{ ir rilllnar ul.lINr <br />,,.""..,,,,..-r9$" <br />,.,. r//8/t/ <br />q73 7J 6 <br />VZZ-- <br />I hcNhy,llin. u'xl.r Fnalry ut Ic4rtryir{'. rS.. 1o9? ( ir ('I <br />idih bndri dp.Ny litr rh Il.rf(rmmc of I h. *orl itr ah(h rhis Fhi F <br />APPI ICANT NI'CLAtrATI(tN <br />I h.ftt, lllif,n uftl.r F.mhl ofp.rJory o!f, ofth. tult'air3 dNlorrrn'n\ <br />I\fr,lnx,n Pcrn iArtr{.. Norifrrrnn FakrelR.!!Lrrn( I lIh {,.1'M6r <br />R(! tr.d lxrrd niN,i,ri., i,n <br />ta\lcrsl ,cgllnrxin rsd r8 a\h.n \rcr,vrl c rtn {,tlrihL b rhi\ nn}tr <br />lEt r.d rhn qif,larr ir ud (!r. rhi rlr ltiN mrumrrr i.6ndr I.8Nk,oril <br />.on(o.ri,n. rrl hschyrunir/c rcl,.{ rhrr. "l rht ( <br />l.-z- <br />L '/0 dr/-'4[t t I13 <br />1 <br />Forms/Steel/Holdowns <br />Shear Wall <br />Pool Fence <br />::Kix)