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BUILDING. INSPECTOR RECOBD
<br />ID/SIG.COMMENTSSITE.WORK DATE
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUl nsulalion
<br />IQRoof Sheathin I
<br />Shear Wall ,Framin I lo
<br />Ilnsulation/Ene
<br />allD
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Mason
<br />Pool Fence
<br />T-Bar
<br />Handica Re
<br />De U Final Re ort
<br />ineer Final Re ortE
<br />I
<br />FINAL
<br />Certificate ol Occu n
<br />Notes Remarks Etc
<br />0$-\rLir( ll-trtR Dtt.( rR\ I n)\
<br />I trEty.rrm und.. Fn.lly o{ Ft rry rh.l I m crnfl rom rhc Co srdr Licn{ br lor lL tolbwins E hn rsc.7o:ll5
<br />Busitr.$ !.d Proi!*iim Co<t ): Anv Cilv or Counlv whth E<lunB s Frmn k, d,Nrct. !hd. imPrcve- 'kmnnh or Elu lnv
<br />(turrc. Fior to ili nslaE. .k, EqliB rlE +Ilibt for tuh Fmi lo 6t. 3i8En slar.tu,r rhtl lE or dE i li'tn'd llxmor
<br />ro rtE tmriri'nr or E conlErd r l-ftnFd L.* tch.t'd g coMErh! wnh s<rb' rul) of Divn'r ] of tll Bu'ift$ 'd
<br />PmL.<ion! Cod.) or rhll lEqrlI (.tc,q lltrfof, rd lll h.iit frr rrE all!.d cr.n{ ion Anv ti'Lrbnols'dr'' 701t 5 bv rnv
<br />{'pli. r ror . Fmir ul,Fk rlE lpPltui ro t.irn P.Ell y ot frn ntr. lne fir. hundEd dollrs (lll(D)
<br />-1.
<br />r! o*m. ol I h. F)r.ny, or mt GmFhrdr enh s.8cs as llEi s,k Nm0ctr{c i,.. Eill d. rrt *rt 'rd dE ntErE ir d
<br />iiknhl d ofi.El (q qh I S6.?(}1t. B!.i83 .rd Pmr6sioN Cd.: TIE CodrdF.t Li.tr Lr {txr tur {tl, ro ' o*E ol
<br />llEFIEny,h.hildrritIFBrtd@.d*bdsutstthrNlrorlrftlrorrhouShhir'xlErosnctrlllov'd'
<br />I,rcriLd rhli \uh lt{mffi! e ml htdd d dtu fm el li tne.s- tlE &iUh8 d itqFkrfl k $U *iihh rtr F&
<br />;l$nfLrirtr rlE owmr Buiu.r eill hrw lrE btkn.rptuvins rh! h. M sh. dil n ituild or ir{ret rtt tn,Fnv tu rlE OrrnF oi
<br />-1.
<br />rr o*rr of rlE Fr{ir. m.Ktutiwly m rrli.s *nn ki.crl odrrlm !' mnrnd rlE FI'd {S< .,o'lt Butids
<br />.nl l*snn Cd. TIE Conrdtr'r LEcnE t* d.r. mt $Ilv ro rn oeF of I'oFny wb huildt o' inPmt! th''6n'
<br />,.d who ornlrdi ror $ch r,{,irts uirh. Coolt ctod3) lien€d I'unud roth.C'nlrddr's l-'cnE trr)
<br />I !m .r.ryI un h, Sdion
<br />}tl,atrEllllMattl]lsArllJN
<br />DE(IAEAIIA!
<br />Ihrrchyallirmuidcr Fnrlly or ldjuty om ol rh. nn[,sm8 daLu i'n\
<br />-l
<br />h.v. dn rill minrrh i C.nafE r. orcornt ft, s.lrlftuE in strkm mniEn!.l irn. tt Fn\iLd ror bv S<lbn r7u) of r'r
<br />l,lv c.d.. fn llE Ft(m of tli h* fd ih rh Fnn 6 a.EJ
<br />-lhavcandwillminrain*orr.^..nlllcnsriooin{rikc.r!
<br />E{lun.d bvSsrion lTlx) ofrlE L'titr Grdc fo' rh' Pcrrorm cor
<br />rh. wk fq *hi.n rnii Fmn i3 ir$.d. My *ort6 onlrns.lnrn inrurm widn,nltv nuolEr rc:
<br />Polay Nlmb.i-E'rPncr _-
<br />\6' cif! !h,r in rtE lf,rfdnh. ur rh. worl fin r hrh rhir lErmil n krEd t {ull nor 'r{'h, rnv Fmn in rv ronrcr
<br />-i. r, r...* -r'i.in rt'. *trts'mtr+.ndrr L*r orCrl'lohr In *ft rhd ia l rrnuB t<oE $bFr ''
<br />rli
<br />s.6 oqEn{l ion Fnvilbft oI S.clbn l7(I) ol rlE L.lq Cri,.. I rbll rdhrih mtrq,l, *nh rhni Fovi(ir
<br />W RNINC: iriluE k, sw srh.R' on+cn{tii,n ovcrls. n unL*hi!. !d 'hdl iuhFr s 'rq'hF lo dimiMl Fmbn tuld
<br />rivil nnc\ up t, oft hundrcd rhousn'i doll8 ($l(x)fixj). in lddiriri lo rtr cGr ut cotr{E'r'ibn demg" a' prcva'd ror rtr
<br />iju"UN\Lf l!-Ir\0t
<br />DEII.dEAIION
<br />uRlcr trorn( lChrl,r.' l,l.tnnrf, Ni'r| * [ sc.rhtr 7(rrx ol l)nn(D II horhy rll'irnr undrr D.trdltyol tf,rJury rh0i I
<br />or rlr Rtr\ih\lrrl I'n,{.\.i r (inlc.3rl l.cn{ h in txll f(!c {i cftNr
<br />,tr.n,rNur,, Bt1 .lvcl
<br />rl-L. lot,rA
<br />I h.El'y 0rrd und.r Fmlr y or Fryr, lhlr F!con{lMri,n t*iir8 !!. YtuI h.IErfoirrErtrc.trh. r.rk f,tr *hf,hrhi\ Irrln, r
<br />i\rkn rScc 3(D7. Civ C.r.
<br />lr .l.fi NrnE
<br />-AltLlcaNl.llft;lAEarlo!
<br />I hrd, lrm undq ncdlry ol Frr1., oE oI rh. fdkr*ing d"l'd i'nr
<br />I).'rnnion P6mnrA{Esroi t({ilt.lbn tunr R.8ubli,n!tT L ttr. Pd6r
<br />-R.quird
<br />f.iis ol lldilr.ri.n
<br />t c.d'lylhl rhr f.d(!l rc!trk n,n\ tSsliD! u\h.{oi rfi)vJlun norrml( 6k r' rhr nnil"r
<br />a.ri,n.ri srsrr thrt rlE rtrnr rlo.iElbn ir.dd la3Et!zr .{,rJ ,h,/l tu\. kd.i rhN rfi,l
<br />, {,l, kL,"/\r,,.1.". -brms i,
<br />,t,* ""Y"r rF,iy,",.'r"n
<br />Appllc..l6. Ator sj.NluF"-*r*!\r+^\
<br />i'r ri h.tht {ttDi2. rclr&
<br />*,.s l!* tr.
<br />Erection Pads
<br />Flood Zone Certif .
<br />rI
<br />I tr.tr\.alu* . \-)
<br />,,,- b(vtl\u
<br />a=--Lg
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