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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.
<br />Set Backs .-.a.dForms/Steel/Holdowns iiblh4T -?A)
<br />Erection Pads ur
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUl nsulation ll
<br />Roof Sheathing Lltt lul ,lti^u44ouJ?v
<br />Shear Wall (i1
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />hrlason ry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif .
<br />ttztt.t-22FINALLltulrq'wr 7)
<br />Certificate of Occu anc
<br />Notes , Remarks, Etc.
<br />OWNEA BUTLDEI DEI{ARAI()N
<br />I hd.b' lrm un<ld parly ol Fjury rhd I e qcnfl nom 0E Conrr.dqr' Uctu LN lor tlE folbviry 16). (S< 703 I 5
<br />Bcind Jn Profdio. Co&): Ary Cily or Counly which rlqun6 . Fmil lo osrtuc1. tX6. inlrove .ktslnh or qrt &y
<br />3rtucrw., Fn ro ir! i$ec .ho rGquaG rlE epli.d lor s.h Fnn ro nk r Jg,Ed in.lMl llld h. or lhc i! licd!.d p@itl
<br />ro th. Fovirio6 ol llE Cont-rd! Lienrd Lls (Cl4l6 9. Coffius *rh s<rio. 7m0 ol Divni,n I ot tn. B6il:6 sd
<br />Pel*hd Cod.) or $ar h.6 il. b qcn l rh6.ioD,.d llt bGb aor lh. nb.d aaF6n AnyvhldboofsdtnnT0ll5 bley
<br />lprllicer for ! pdrrn slbjc1r rh. rppli@i ro a .ivil ,.uhy o a nor mor. rh,n fiv. hund,.d doll6 ($5@)
<br />-1.
<br />s orE of tlE FoFU. or By dndot6 vnh w.3d 6 rtEn bl .omFdioa lill .b tlE rqt !d rlE iErE it d
<br />i ad.d o. oltdcd for qlc (Sa.704,1. Buird ud ProfoirN Co& TlG cdnr.do. ! Li.* lrw dE ml Tply ro & oma ol
<br />rlE FrFry r hd hiiLk r oq!\6 tlEolun wlr dE sn wn nielr or l*laor rnmugn ht n !E osr oplq6,
<br />Fovidal rh.r uch imsoEnd! c er ho'dd otu ft* .L. lt hoM. tlE hildirB d !ryoruEi ii nld wanb ft )6
<br />oaN,Dkiiorl tlsO*rr &iitaoill lBv. tlEU!&r ofF.lnu It lEd rh. dil ml hrld or ihprDt lhc FoFry fo, ltt FrFsof
<br />-1.
<br />6 osns olthc FoFry, m.rl6iv.ly.. r$rirs w h licaB.d.otudm to oB.ud lh. Frjd {S< ?Ort. ho6
<br />]n hlisin co&: Th. Coddoi r l,ic6. L.w do6 nor .p9ty to e oq nd olForEly s ho blil& ot impmv6 lh(on,
<br />ud sho .o B! ld *h Flirr. sith. codr-r.(s) lr6E d Frl:6 ro rlE aorr.cld t Lilv L.q)
<br />_l b.rdr, !nd6 Sa1iotr
<br />D.E < t- Za- \<
<br />DESJAAIq!
<br />I h6.by iali,n u.d6 rEdly ofpsjury on or$cfollo*Ll8 d6llldnN:
<br />-l
<br />h.E !d will ui! rin r Cdlaf.d. of Co6al lo SdHor 6. wtdt cmp.nd,ol\ 6 ForiLd for bt sdEn !70( ofrh.
<br />l,!or co.lq for lh. Faolruc. of th. @it for *t ch lh. Foil is is.{
<br />_l h.v. nd *ilr @illrrio *sl6 @nFdi6n i6UE4 G r.qlirEd br Sctsn 1700orllE l.hor c6&.6r th. Frolffi. of
<br />rh. *ort aor *hi.h rhi! pqnn i i$cd My urld .omFdion iEff. Gii d Flay nmba ic
<br />-l
<br />cGrify th.l h rh. pafo,rle. of $. wort for shih tha Fnn t isu.n. I fill ml @phy.n! F$n 6 ey nmE
<br />.r ro lr..@ subid ro rlE wort6 omFEnion bE! oacdifomn. &d asd rhd rr I .hou! b..orc subjcl lo llE
<br />solt6 omFE rkrn Flyirio6 o(S6lirn l70O ofrlE trtxn Co<L.I !t6lt fdh*nh omd, *th rhor pmrthB.
<br />WARNINC lailur. ro cu. *dl6
<br />cNil 166 uF ro o.. horlrnl rhousd
<br />Sdr. 1076 olrh. L,ti.r C6d.. irlrdd
<br />o\.f,+. n lnL*tuI. ..d !h.ll 3ubr.( D snploF to aimi.d Frri. di
<br />), if, ddnion h rlE cor ol conp.Mlio,! d,f,ls6 B Fo\il.d fo. tlE
<br />)2q- t1
<br />I h@by rrm r.d. pdrhy oaFjory lbd I eb lic.B.d und6 F virirl olchrpls 9 (omntuinr with salion ?Ou))orDnithn I
<br />of th. l\dn6 dd Prsrdao6 Cod., dl m, lad. ii n all ro... dd.frdr.
<br />Lic.B.Numb6
<br />cofls'IRU('TroN I FNnrN(: aGrN( v
<br />I h6rb, llfm und6 Fdy or FJUry lhd lhcc ir ! oldn clion lddds isfty tor lhc Ffoltm. oarlE Rort tor $trh rhi! Fnn it
<br />isual (s( 10e7. civ c)
<br />AI!U!A!L!IICIA8AIIq!
<br />I h.d, allm und6 Fnlll, of Fjury onc or th. folhwins d.rls, ioB'
<br />Dc,mkion Pmnlkt<or liotifkdhn tcdgll Rqul.lior! ('1 1.40, Pan6)
<br />-R.qurcd
<br />l,c1rd or Mni6.dion
<br />I cdift rh{ rh. faldrl rcruLr6G qdiq Gtrdot imrJ s. d l{'pl{r,bk i. rha txoF
<br />-l
<br />cdry $, I ha. rad $n .ppliolior !d nd. $d th. .bo!c infodaior n @trd. I .!rc Io mmpl, wnh .ll Cily lnd (.oury
<br />ddlr€ r'd n.r. t s ftri| rqhoJ.l,ns (tdMioE,n h.*r.ulltri& rqndrric otlhit Cn,.Dd Coutylo qtd upo. {t
<br />rb.\. @rEicd DroDdr ao, Go.dbn DdDord^
<br />^ce,*^,*.,,-*@9y'? Ja:-:- -- -D,. t:27: (7
<br />rarraoacoaw 4
<br />I
<br />COMMENTS
<br />i,fr
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