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EUILDING. INSPECTOR RECORD SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILOFI DETTARATION I h6.nt lmrm unda F..h, oaFjur_ rhd I m cdl9r t6n rh. Coftr&ro! Lt.e kq for tlE tollowi4g lte,n(sd?ollt B6in &d Profdion Cod.) Any City or County whi.h r.qun6. po.n lo conlrrud. !llE. ir.piovq &roliih o, EFir dy ru.lE Ffi lo ns L!ue., !l. r.q!n6 th..Iplt@i for e.h Fm,t to nl.. rit.cd 3do6r 'hr lE.r !h. b licn*d poN4d ro rlE F(riioB of tu CoilErd! Li..n.d lr* (Ctupr6 9. Coffids {'rh S.<1io. 7000 of DrilD! I ofrh. ttri.6 ed PEltsbN Co&) or lhr lE d .lE n qar{, lhq.tom !n 'lE b.a for rt dk8.d aatrFion A.t rioLlir ofs<lm 70! | 5 by E, rprlicul aor r Fnn abrElr lh. +pltDl b . ciril Fdlt.f mr mr. tho lir. hu '.d {tolla ( ti0o} !. a own6 of rh. pr!p6ty. or my dplotG wirh wig6 r. rh.ir $lc conp@dion, vill do rlE *MI dd ih. rME i! mr !iq'd.d orolTsd lor sl. (S*.?O!1. Bulind kd PrefabN ('o&r TIE Co r*roir Licoe L* do6 nor +ply ro.n o*E ol llEFoF y *lE boild or itrwo1B dEon rn rho dc rh sr( hi-*lf or hd*lf or ih,Du3fi fiir G h6 .m mph'6. Fo\ iLd rhd r.h idForsEi! E d irci.n orofirtd hn nl. lr. b6s. rtE hr{.|tr* d n4isqEn b sld $ inn ft raotorPtrie fE olm e ,a *iU IEE llE h,&r of Fovhr rL lE dc dil Fr hrild G irry&. ln. pllFry i)r rri F!F* of I. aolrcof rhc,l6pdly, mdcluiv.ly(o druls wnh lkcr!.d co' .idoa lo Nirruc L Foj.n (Sc 704,t, Bd,B d'd hlkir Co&: IlE Conlrxloi3 Lt@ Lr* &6 mr +Flr ro e o*M ol FoFry $ ho hil.tr or inFo\ 6 ths6n. .!d rn onr*rr 6r s.h Fis. rih . ( blrirlo4., l.du.n F6d ro ih. co rxld'i L.d* I^) I dn.wt, un&r Sartun D.r.: Owr t!oRr(ERs' ( (rirPir\sA I toN Dr(l.daa.lrar I hsd)} .m.r !nd6 ,Eoh \ .f Fror_1 oR of rh. tulo{ in8 &iL! {,8 _ Ih.v.!nRillmi m . ( difr5t. of (irMr b S.lalBur. ntr w.rl6 comr.cinrn. a F)! .n for by Sdton 17(x)ofth. l,abor (bd.. lor rh. p6lonn.nc. of th. wll for which rh. panir ir isu.d Gqund b) S<rn'n 17(nof !h. lltrr(id., forrh.Fnnlrjleol rn iMre. cdi'.d pola, nunbq ,. l.difr rhl i. th. Ffo,Iia. of rhc *orl ltr $hi.hrhn pdnn ir 6u.d.l rh.ll bt drplot xt Fen i..n, .uffi $ .lo bqr utic! lo tlE \!rt6'omFErion h$: olc.lilohia id *r lhr if I thould b(oE $bG1 lo lt sorl6' onF!.rio. Forrbd ot Sdr.n t'r00 ofrh. hbo. Co<L. I rldl fodh*nn 6rply $nh fi& FornioN \*ARNINC f_.ilur. to Ku. qort6' com!6Bdio. 0\64. ir u.hsful. ad rh.ll lobjar .n nDloyd to oimml Sclion 10?6 o[th. L.lD. ( odc hl6.r ud n. A-24-/C ^lt!!]!lr !^_Lu!&!lp[4:tA8Arr0d I h@by lmm uidd F.!hy of Fjury llln I m li.d!.d und6 rrolnion ol Cnaprd I (.onndci.g $ irh S..lioh 7m0) ol l)iytion l ot lhc Bdind !.d Pml*ioE Codc, d my l(# is in tull f.rcc rn cflccr {3o I i'z't '/L "( corllaugta!.ljlDldc-ac[lg I hdtt y .ltm ur& Frty ol Fj'ry rhr rlE! i . o|lrnElbn l'niB .gdy for rlt Ffoffi otrli rqt 6. riah rhir F6i b isd(Sa. 1(}9?. Civ. C.) AfftlCLNLD[gJa IAX I hErtr ttrm und6 Frh, 6r Fjury oR ol rh. folhwin8 &(Lrd hnr D.moliri.. PdnirlAlb6ro! Norificliion F.iol R.gulalirn! {I irl.40, Prn6) Rarunoi tmd of rldi6.dh. I cqrrfy lnr rh. L{.,!l rcBuldi,B Esrdiry litErs r.m!!l s. mr 4?lt.hl. t. rns Fni.r]i l.dify rhd I hlvc r..d rhE itFlrarion dd srrr.rhr rh.rl\,\. tr'ktrn,nk.n n..I agrcn,.fnlt! s ih dll ('irt iid (\runrt f'd'nnnr.1 rl Srrlcltr*s rrli ! n, hu'ldtr'[t,r\ rn(l ( (ri\ ro cntr uB)nrh. aborc nErni..rl l,opoly for ,tppli.n( or tldl Si*n.lurr 9zq'/6 Set Backs Forms/Steel/Holdowns UFER Ground SLAB Floor SubfloorA/enVlnsulation Roof Sheathing Shear Wall Fram ing ttlrlt- (w\91 lns u lation/Energy Drywall Ext./lnt. Lath Brown Coat Masonry Pool Fence T-Bar Handicap Req. Deputy Final Report Engineer Final Report rwolE!E ) arotl2 0ls h FINAL Certificate of Occu anc Notes Remarks u civil fincs up lo onâ‚¬ hunLlr<l th.usnd dollm lll00,ou0), in Erection Pads Flood Zone Certif. Etc.