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BUILDING- INSPECTOR RECOBD
<br />SITE-WORK DATE ID/SIG.COMMENTS ()WNEf, EUILDER DELCA RTITION
<br />I h.Eby .frirm u ndcr Fnulry ol lErrrry rh,r I d c&q,r tom l,E Conr,s.rou l.tcnE L!* nr th. lollowin8 G.$. ( s.. 70ar l 5
<br />lrusincs unl Pn,lssion Cod.): A.y Cirt or Counry *ntn r.qun$ a Frmn to Nnnrud. arlcr, improv.. &{rri.h or EtEi, uy
<br />nrucMq Fnr ro ilr isiu@, dso Eguic rlE !Ftli.,r lor $ch FmI !. nl.. \{ftn nd.dnr rh.l lE or ar ii 1rctr(d prgd
<br />ro ilE pl!vn$n. of dE Corhr '! Lar.!.d t,* (Chrpkr 9. (-o|tftmi.! wnt Sdlbn ?0m of Div(bn I or E a(aE.r r.d
<br />Prorcssinr Cod.rd rh.l h.6 slE t.rcqn rlEElrom.d ilE b.ns ld rlt.n B.d.r.qii,n Anyti,hrnnofselbn70ll.5by.ny
<br />lprlicant f.r 0 pcnnir subl.cB rh. tprlicer b r ci! il pcnahy o I ml mrc th!. fiv. hlnlr.d dottrs (t5m)
<br />-1.
<br />s o*ftr Df llE rmFny. or my.nproFr * *|*c! N thcn $b otrp.nrrion. wiu do l}l q rndEsldEsn,
<br />itr.idd r ofr.id ld eL (S€ 7olt. BBi6! u<l PrDf*bd CriL TrE Coddd\ Lire trB dd.. rEt +ply ro u owr of
<br />E F.Fr, wlF hitls q intmB EE(.rn b dd3 *h *,1iilMla oi tftlf or rEwsn hn.r t6om.iprrF6,
<br />,roviLd lhi rEh i,FoEe : E mt htdrd.d m olidtd fd rh. l( rD*E, trE t!ftrnB d intftrlr i! $ld wanh om F{
<br />or corylcrior llE O*xr Buik t *rn h.k ilE hrn n of !rcvilB th.l lE .. slE dil mt h d or itrpmw dE ptupqry ls E lsrbcot
<br />-I.
<br />s ow6 oa ili FrrEry. m .rclusiEly codd i.8 vnh lirBd @drdm ro otrtru.r llE FlFct (Sa. 7ota. Bur|K
<br />.Jn ffia. Cor,.: Th. Comdoai Lk.n* Lr* &E rct lpply to u owE of FoFn y *rb huilrl. or inp6k. rtdd,r
<br />.nd rlr oiftrd\ ror *h Projcr3 wirt . Conrdo(s) lic.nrd IoEud k' 'tr Collrl-rtr\ Lt n( lly)
<br />I r .1. ,/ trml.r Scrli,tr,
<br />l).r. Ormr
<br />tt olu(ani co\r pr-\!i,{Txr}i
<br />DES,IAAIDIi
<br />t h.rcbydlltrnrr (l$l.nalryoln!rJtrry.n.olrh!tnl!)wi18dc(lirrrkn\
<br />_l htk rd eill dintdn r C.nifsr. of C.nEnr ro Sdf.ln@ f( wl6 !,npcN.lion. s Flvidcd ror by Sd.i.,.l?(x) or uE
<br />l.l( Codc, rq llE FfM. of dr sdl rd *hth rlr Fhn i! irrEd.
<br />_l h,k inl * ill mint.in mrr.6 con{Ens.rion insuENr, dr r.r|ur.n hy Scl io. l7u, of tlE tititr Cod.. aor lh. Froll1m. ol
<br />rh. work ii, which lhis pcnir ir iso.d. My workdl .onp.Brrio. in:uffic @ia !n lDlty numh.r m
<br />_I ccnirr rhdr in ihc Frt'ortuftc ordE sork for wh h rhi p.rnir h issu.d,I .ll hr cq'lo, lny rmn in rny tunE$ Glo tEsr $htrt to ttE so*4 .orp.ni{bn Lss of C.lifohir .rd .8r rntl if I lh.uld tEom ubtrt io rlEtr 6 on{xutbnrrovtioGolsdirn 37lDorrlr lrr Ctrd..I tulL fonh*nh o.r?ly ynh rbr previsir.
<br />WAnNNG F.iluE lo sE E tB odp.Mi,n 6m!. ! lnL,tuL lil rh.ll obiTl u .nploFr to aimind FTrb rn
<br />civir 6e. up ro oE hurdr.d rhu.,n &r .8 {slm,m), i..rdnio. ro i,r co{ of cong.drri<,n. d.ms.3 s Fovncd lor E
<br />serion 3076 oarhc L.tor Cod.. hr.nr. .rkmy r fei
<br />D.l.: amlr r:
<br />rrcEN-Fnc(iiYTaa-c'nrn
<br />IECIJAAIIOd
<br />I n ESy lfarh un&r Fmny of Frpry rh, I d livEd urxlr F vilion of Cn aid 9 (offiing pirh Sdbn 7m) ot Dirilbn .]ol rh. Blrift* .nd Pmle$bnr Codc. r,xl my li..ns k in tull foc rrld .fier.
<br />(,(INSTNUCTION L}\NIIC AGENCY
<br />Ihrbyarlirnu.,IEmh,ol,Erj!rylh.lllErFr$.ntuii,nr:niing!S.syntrlh.IEIollrul.olth.uodturhrhrhisFnnii
<br />nsu.n lsa 1097. Crv. C.).
<br />t nd.r'r l'{.m _
<br />lxhlcfs Addrc\\
<br />ATIIICANfDESIAAUQ!
<br />I hort y .trm uBl.r F.a,ry ol F!r, o* ol rlE adb*ins &rLd i'nr:
<br />D.fr)liri,. P.rnirr AstEsror Nolirkilio, FdLfll R.8rbIbns (Tnh40, Pd6)
<br />-R.IuiEd
<br />l.ll.r olMrii.{D.
<br />-l
<br />ccniay thd ltr r.dchl E8llr'*nr r8-din8 rlBror Emr.l uc ml +plt.bt ro rhr Foj.d
<br />I cdifyrh,r I havc Bad rhi\ eprlilrion en rlltc th{r rlE !t v. intumrbn (corNr.I.sEb.onfl,lithallCity. County
<br />or'iiraNcs $d stirc tiws Ebri.g i(, hoildins consrtuclion. sn h.Ehy 0uthoriz El,rcstuliKs .r rhir Ciry rnd C.noryto ctrls uIsn lh.it!!c m.' *d pFpcny fo, inrtEtnn purpoEs.
<br />,\ppliorror A,ldtSiaNtuF
<br />Set Backs
<br />Forms/Steeli Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsu lation
<br />Roof Sheathino
<br />Shear Wall
<br />Framinq
<br />lnsulation/Energy
<br />Drywall
<br />Ext.i lnt. Lath
<br />Brown Coal
<br />Masonry
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif .
<br />FINAL 2824 /z (h a,-aaal, -2J
<br />Certif icate ol Occupancy
<br />Notes Remarks, Etc
<br />Pool Fence
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