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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE rq/srG.owNER BUIt,DER t,llt,( ARA',uOn
<br />I hscln lrm ufrLr F..ht of F jo+ rhd I m.rdF fn,m rh. (irdfto6' l-iN lr$ for rh. nnhrin8 i.Mn lS< 70ll 1
<br />Busin6s arl Prof*ion (o&): An! ('t'or (-ondt $hi.h r.qun6,IE r. (Jdtud..h6. iml'o( &ml6h or.qFn
<br />'3Elclurq prior k, 'tr isuanc.. also r.qun6 lhc dpplicdl for $ch !.mrir ro 6lc a rBn.d slaldndl lhd h. or shc n licos.d puRrml
<br />ro ihc F.LilhB olrlE (onr.dois l-i(6rd hs (C1EI{d s. C.f,nfting snh sdion 70flr .lD i.i.n I .rrh. aNh*r rnd
<br />PnGs$B Cod.) or ltul lEd sh. irsmpl 'hd.fr.f,drl rh. h6ir for rh. rlk*.d.(mFion A.r rioldionof SdFn?0rl 5 U.nl
<br />apln.a fo, r pdnil ruhjd! rhc apphclnr lo.cnrlp.shyofmr morcrhs lir. hun&.d dollds I S5m)
<br />l. a o*M of rh. Flttry. d ny drplolc $nh $rgd a rh.n ek omFditr $lll do rlE $u|d rlE rMe i mr
<br />fiErd.d or 0116.r, for $L {Sc ?0.1,1. tllind dnd Pmfdklm Co& l1E Coddois tic.M t!*,&6 mi ppl), ro e oxr or
<br />!h. FnrEty whr ttult or in r.16 rhsbi, nl wrF &6 ruch rc hims.llor hqrll or lhhush his or lq ou oployc.
<br />proritcj rh!' $ch inp.ovods E m' i drd.d n.lto.d for sL I( l$*6s. rlr hildilr3 o. urF.orffi t $ld sihin oE \w
<br />orconptliE l,E ( )\{M ltuil& sill hnr
<br />'h.
<br />hirLr of Fn\i'B rhi lr o. rh. dn ft{ hild or E{fr\. tlE In'ta } tu llE F"FE oa
<br />l,6ouc Dlrh. FoF!). m.r.lurr.ly codrrrin3 *rrh lic.rEdl co.rrrrioF ro s[{ru.r rlE Fli.il(Sa 7O1,l.IlGtrB
<br />an Pnks. Co& Th. (,.nkd.ri Lrru l-.$ &E mr .mly ro s o*n6 ofr.oFlt s rN bu'kls n mprorc
<br />'ha@n.ed sho coflnds fo. tuch rmjccl. *nh a Co.tmlo(s) lEmxd p{Bunl ro lh.Co rlclor! Lk6c l,*).
<br />I m.tofl und(S6lkr
<br />Drt. (r'ner
<br />woRx ts [L\' a()it Pl Nsa IloN
<br />DrodSaltQt
<br />I hsch! allim und6 po ! of p.rjuJ-.N ofrh.lollosr3 d(ldlrFN
<br />I h5r. nd s ill minrlin ! (-qrifkrr. oI cotHr 16 Sdfitud. aor ".rld NmFs io.. a Fovid.d for by Sar irn I7(xJ oarh.
<br />ttbor c.d.. fd rhc FIolrre. ofth. *$rI fd trtth th. Fnn it isu.d
<br />II hlr G and wr ll msnrar u.rlm' (ohp.Mt mn Bur.n... ar r.qunal by Sd tun uoo o I th. lrbor (ird.. for rfic pqfomuc. of
<br />{r\ort Lr uhKhrh6pqnr s Er.d M} trortd'omFdrn 'Burft..ffi ,i pol(} ,umb.. r..*. (r.1.)f(1\ Jnr Lo
<br />po,,,rr,u-bqr \^rfigot.un ,!pi,6 l-l-r9
<br />l.dif, thd in rh. Fforman .of th. wort for shich rhi3 Fnt B i$u.d. I JBllnot apn,y dt p6k'n i. d., mmn6
<br />s a lo bdom rubdl lo rlE *0*6 $nFErdion bu! of ( rlifomi4 Md rBR lh.t if I shuld t .om. $hi{l lo lh.
<br />slrtd'onFElli.nFuithGols&1ionl70oof'lELlk (-ode I nE[ ftdh* nh complv $ilh EFrrth6
<br />WARNING: Fliturc lo $6. s6r6 omFrdion o\o8c b unhntuL r.d irull rubrd d @phF io oiniMl FMhi!..d
<br />.ivil find up !o oN hu.dEn rhoa.d dollm (ll0o,00o), in 6ddnio. ro rh..o{ of comF@rion, d,,n.Bd B lrovidel for rh.
<br />S('nrn 1076 .f rh. t,bor ('od.. inrdd Md dbnE i fq6
<br />o.,. 7-ta-.- - noru-r, I Lf
<br />LICENSID ('ON
<br />'iAClORDt(r aRAl loN
<br />I hs.lr .rm uD:|( F.!hy ofFjuo rh6l I e hard ! Lr FrrilFnof Clupld9(@m,t]ftrs qrhS€(rnn 70(D)of DtrNFi I
<br />oa !h. B$i.d ..d PmfsnlN Code. arl my l(.M is in full roR. eij .lt(r.tl f(4TtGe
<br />5-|.o- \-)
<br />I lEEUy lITm ufll6 FEhy of Fjur] rhd lha. n . oniru.lbn lddins .soc] for llE pdfoffi of lh. *ort for ] hrh $ir Fni a
<br />is!.d {Sc r09r, Cn C)
<br />AIIU(ANIDES,AAAUA!
<br />I hod" llrm undd rEah y oa lsjury .rc of lh. followin* &.hr{hN
<br />D.nknnk,n P6nnltub.no. Ndifidhi r.dd.l R.f,ulriins (In|..10, Pd6)
<br />R.rtun d l-crrsof Norin!-'tio.
<br />I (dify lh, r lE f.da.l r.lolatoB r.8rdi.8 atdos rm,val d. nor 4?lkihl. lo ihs rn'J€d
<br />I cdiivrtd I ha. raj lhn rpplicsthtr &n n!r.rhi fi. rhn. inlotuion i5 con<1 I a{re ro contlv \ irh all( ir) md (inrr!
<br />ondi,le6 .d $!r. I i*s Elr ilB ro hlldrs codru.1F( rrd hd.t\ urlFruc rqrBdn, n 6 . t
<br />'h$
<br />cir) dCounr) r,oid u|rrn rh.
<br />rr. nrnri,'ftd n!.,rtn, f^r 'nin riir
<br />nrrr-, *or-, r"-t* (
<br />Ch,ffa,^l f: tus
<br />Set Backs )(t L I
<br />Forms/Steel/Holdowns lL r1 tt,l
<br />Erection Pads It t1
<br />'L'/UFER Ground tq r1 i I
<br />St*Rf loor x t1
<br />hubfls6r/VenU I n s u lation tlq.T ,J ,t
<br />Roof Sheathinq l ll ttttt t+tvli
<br />Shear Wall V lbt Irl I M a
<br />EraDt-Qg tlltlt ')+I 'it-l(fi6ulati@/Energy n 1n )1 )mN lil
<br />-Dlman ll M,I ,Lt4
<br />Cx).ltnt. Latn \Y Y /n "ilErown Coat I
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handica R
<br />De puty Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />n
<br />FINAL I lv ,l w rJ4
<br />Certificate of Occu pancy
<br />Notes Remarks, Etc
<br />COMMENTS
<br />TVJ )f
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