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BUILDING. INSPECTOR BECORD <br />DATE ID/SIG.COMMENTS <br />Set Backs <br />Erection Pads <br />UFER Ground <br />SLAB Floor <br />Sublloor/VenVl nsulation <br />Roof Sheathino <br />Shear Wall <br />Framrng <br />lnsulation/Energy <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 />Enoineer Final Report <br />Flood Zone Certif . <br />It I <br />FINAL ltY|ZY|,,t uft?D "( <br />Certif icate ot Occupancy <br />Notes, Remarks, Etc <br />--+ <br />OWNEX EU!LDEI DELOISA1ION <br />I ls.ty llltn udd lrMxy (lr F,ur, rh{ I d.r.qi nnm ih. Cotur.n lNM tr* nn rlr t.lt'rn8 rcrr (S...n}lr.J <br />surm$ .rrl Pror.sbn ctrL) Any Ciry or Counr, whrh r.1uEi . F-fu n, .r'nrtu( .l'(, nl{'n,E, d.ml6h o. EF! .n, <br />shor., !n,k, r issuin., rti. rcqxcs lh..mlrdnr r,tr such Fmi n' tbr lrftn (.t tuor rhi ,ro. slE ir lic..sd l'ultMr <br />lo lhc [r\lvBi,,ns ol tlE Orr,rrrtr r l.icn<d Lrw (C1u q 9. Conmkm8 w h sccthrn Turo or Orvirior I of lhc Burnr$.n'l <br />P^rfcrsi)ns C(rL) or rh, tE or rtE B.rcr{, rh.r.iion rtj lh. ilas tu l|r llk8.n .!r{rhn Any v(,hrirnofsdrion 70.115 by.ny <br />+orf,rnr foi r IEmr subj(a rh. r,i r.mro.civ FErryor n mrc rhr. fiv. huDiral lolllr (15@) <br />_1. r!ow ol tt Fotdy. d.rcbskly$turrot rfh L..rsJ.stur,F k, Lnnrel ir FrFi (Sa.7oa,r, Adrs <br />.d P,r*r h cdL: Th. ComEroir Lf,cns Lre J.E nn .t0ly lo u o*H of rruFn, who bu d. r, 6trDE, rt6on. <br />dnrl wln' lrnrfr1r ro. s.h Frrrh w'rh. Co'r.dtni) lr.n.tl ptr^d k' rrE G!turtd'r tiur L.*). <br />luqrn, tr cr S\-.ii( <br />ltaBa[8s:r.outEdta.Ilt!!IA:IJAAIIII! <br />I h.r.hy rlltrm un&r rEMlryol n rlry oE ol E nnt,*ur Jekalnrnr <br />I tuv. sl will m'nr.h . C.nrr,..rc of Consor ro S.lllnntr. nn wtrlda .ndtEhrrtxn, ar F)vrldl ttr bySehnl?uJdrrh. <br />L{htr Cdc. tu lhc 0. o,tuturolrhcs* rbrwtihrh.Frni n nsMLl. <br />_l hrw rd s,U minhr sorrr*' on{Enr.ri,. nrurte.. r. rcquut! by Sel Fn .l?m ol rlE Lh{ Crxi., lir llE pcri,mr. of <br />OE urk n, eh(n rhs p.d ( rsbl My rsl6' !$n!Ennt$n iNrfr..ds rn tEliy nun6( E: <br />-,- 'Z.orrch Ame(ic.tnt 4,6 - 4o' <br />u)<-a1 q))ac.r(-/^a-\ <br />_l c.d <br />'ty <br />rhrr m rh. !.nirtuG... or lh. *ork ror shrh thi. JErn t nsd.I rhrll fr,.r{,hyrnyIcNn h rny@tur <br />s .r n' h..rrtr shxrr ro rlr hxt6' lr'r{Etrer{n Lw! ol Cnifotu. r,rl r8R rhlr rr I 3lsull tEotr runAt b trE <br />hrl6' $n!seri'. Fns.n! o, s.drr l7m ot rlE tihr cirlc. I nd! ldhv h .nq'ly *'rt rh,i FDvnEE <br />WAmINc tl.rllE <br />'o <br />ke k"t.u'(r,tr{trrrr ..r88. s unLwtuL .nl rh.ll .ubFr e .rtllbF ro (,rlrrl FdrB rir <br />.nil liks ot r, oE htrLlr.tl rtru.il JolLB l!lul,U[), m drnnn l. lh. co{ of cotrqEndn'n. J!tut.l rs Fovrl.J n{ rh. <br />Sccrrn .r{)76 of rlE tibo. Cdt., or.Ei r rnom, r rert/6-/ fra/r//./,/, io <br />ucEut[DtaNIEacIaE <br />DqIJJEAIIO <br />I lf,rby tl rrn !d., F.rriy ol F!.y rhi I m l(nrrl unLr Fsytb. of (tuptd e (lr'nEEus wih S-rn 7OI) ol Drtrr'n .l <br />of rh. Aordg.!rl Proldunr CnL. ]n my lr..c ! h rull fotu.nl cfial <br />,-,..^.,,,*. O I c -/a "-,* ^.-*, e /CAtqlO <br />@![IlUqU(ALBDIIlGlGIlq <br />I lEd), rfioo uhkr F.dry or Ftr, 'h.r <br />rlrr x. ('nrurtr En]!B rrcy ntrrtrF n ller o,rlE6l tu. *nrnlhB Fn n <br />N!.ti (s- .r@7, civ. c.) <br /> PPLIC IYT DEC'I-,/!*ATI('N <br />I ho{'y ,liE !d.r Fmlrt ol Frury otu of rh. fouo*o8 &{ Lnrb.r: <br />Dcmnii)n ftrn lAsh.ror Norrltrrrr F.&rrl R.BuLrx)hr(T lc 40. Pd6) <br />Reque{ L.rtcr of Nolil(alir <br />_l .dny thrt rh. Ldcril rcguLlxnr Et.rJr! r{E{.\ rm,vtl e. nn 6fi r$k b rhE FDF1 <br />A&in'!y rh,r I [.h Er.l <br />'hr <br />rpr :.rr,. ril n.t. rlu! E .h'E [IotEii'. B .rlh._'r. I .pt t, o,{r, wrh .U c y ral Ci'udt <br />i,nlEB.r ! Srrr. lls EhrlB t) to[lrs oNturr,tr orl rr.ch].urh{,. r.Fsl.rrEs of rhir C r ul Cohry n, .nrs !F,n rlr <br />{hk nrtrrrtr'.J lx,trn, l(tr n\r^_(rrn'H)-t).Atpli(i orA$ntSiEn.lum <br />)1-AtrtJ.'tr <br />.{-s a-t <br />I <br />SITE.WORK <br />Formsi Steel/Holdowns <br />-1. <br />5 o*F ol rlE proFny. or d,.nrploF.s * n *r8.i .r !lr, $k otrFnq! bn. w Lt rh. srl ,rl rlt *LlE u t <br />lrorld oroll.rd nn qb (56...1).t4.8u!iE$ J Pnn r\onr CiiL: Th. Cit.rtutt.i lr.8 t v lIEr Bn .t?ly to .n nrEr or <br />rhc pn,Fny eh, to .k .r inf.,Er rttmm. ril vli &.r uh s,rk hrmslf or h.rslr or rh^)u!h hr or h.r own cmpk,yc.!, <br />nroviJc'l rhsr su.h impovcBtril s B, htftral or oflirct! nn eb l( hkb, r& ttuil(lin! or ur{FrEmnt ir s! vlhr .m tls <br />orcor{,kriln, rtx ow*r BuilLr wdl hr6ltE bunLnollln,luB rhlr tr or sM nil d h,tl or u{n,t dx ln,E1, ror t I,UrIrEol <br />t e/- 5 -a\