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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS oWNEN EU!LDEN Dl:I-CARATIoN
<br />I hcEhy rliirn uRld p.Mlry r,r F Jory rhu I 0m cx.n{ fmm rlE (onrNro6 l-i.ns ljw Ior rh. tnL'wmr r.!v,n (Ji( 70.11 5
<br />Ausincs rkl l"orision Cdcr Ant City or Cirnly which rcqtrt.s r Ix mir lo .on{rruct. rlls. i rlrx, dcmni\h ,t rcF'n ,nt
<br />(ruclurc. pritr lo its n\urnN. rl{' rcqunc\ lltr umli(onl l'or such It mil t,, lil€ r \[md \rdcmnr I hlr lt or sh. ii lmnd txdinr
<br />nr rlE F{ri,it uftlI Conrxtr\ Li.cn.d hr (Ch3pro 9, (i)6dkr,n8 rnh Sdr$n 7(XX) ol thnsn.l oI tlr B!{Ns rld
<br />Fnlc($n\ (kk)orrh.l lEor \lE r crcq,l lhrctmnr.d rlE ttrn\ tu ttr llt8.d c(n{i on Anyr6bri,norS(<bn70ll lh}rn!
<br />rp0licrnr i,tr | F,nir lubF.'.k rlE uplican' r('..nilpcuhy.lft,r ttrdhln n\c hu ,.n Joller ( 15(x) l
<br />L n\ owmr olihc l]rolf,ny. o ny.'ntl,')N\ wirh qrlcs r\ rtutr q)h mnll.nMtr(. $rlld. th. wnk trnlthr ItrtuE i\ n
<br />inrcrn\l
<br />'
<br />tr Dllcid tur sk l Sr r(!4. ausincs !n(l [rr' 'ltssiotrr
<br />( ,x1. 1 lf, Cnntdr'{ Li.cnc tir d,Elx,r updy b rn o*ncr ol
<br />rlf[n)Fn\ $h, hilds or nlln(r$ (hN)h. arl *b n(s \xh {!* hn.{ll or h.rall or rhn{gh h^ or h.r n$i cq'bFc\.
<br />nrri&d rhur \u.h m{nnrrnr\ m rI nr.fli.rl,tr ofla.rl rr w! n. lrD.t(,rllhuillu (r iryn*lnrni,! y,tl }irh$nr )rd
<br />orco,q'lrir th (bmr llultld *nl MF rh. hn&a of Flniry rhr lIor{iJii r h'tl .r inFDF rh< rnllfdt nr EnolF{o,
<br />L rsoairr lihcrtuItr y.r rcr(hrivclt.nntr(1tr! $ih l,c(r\c(lrotrtn.ror\ri.ur{rx.r rhc pn,}er lS.. 7(}r'r- Bu{N$
<br />lrrl lh)li\\rn(ixlc lhc(in r!.r,r'\l.iccn{.1.d*(1,{\norupplvr'unosncrofp,.trrr}*hobuild\nrrnnn,!c\rho.un.
<br />rtrJ *l'o .o ra1\r(,\u.hF)lisr ha(in,!.h(srh.n{Jllu^unrt,rh.(innr&1or'rLhn{ljtrr
<br />I 3tr,rr.trfl utrJ.r Slir(n,
<br />rar$i&r-1:ollttNtarl0!
<br />DE(LASAIIQi
<br />I lf,rh\ rlrtr u'kls r.mlr\ "r FrJUn omolrh. r(nL,tr
<br />'ng
<br />lEr..lrrh N
<br />-l
<br />halc {,rl sillruinrlin!(!.iltutcolC.n{nll" Sclf ln\ur n, q.rk.n crmnrn! i'n.3r pn,vnhJ ft, bys.c(Nn:lrll()ul ih.
<br />titrr G{.. for rh. pnfDnem. of th. soll nr whirh rh. F.ynrir N ^\!. .
<br />-l h&r.0 ! ill minrrin $oilcr' compen\lri'n inru.rrcc. rs .crtu'Bl I'y Sd i,n .u{x) trr E lru GrL. r rh. pcrrortutu.trl
<br />rlE mrk nn*hihlhn Fmir i\ nqrn My *o.ls. .onFne i'tr hiuriN cMi' uri lrlry nunh.r !.
<br />I ccnrlyrh:rrnrh.IErhrnE .ol lhc *o nr$hahrhisFrm[ n slucJ.l (h!ll n,r .rq'ln! ,nt F,q,n r rnr_ IMtua
<br />{, N k, lxlnr qhFr i, rh. rollrr coqf,nsri,n L{ \ o, C![(rna. dz3r(rhd
<br />'(
<br />l sl$ull t ..nE \ut'r<r rorlr
<br />$orlr\' .otrD.nsr io. ptrr rins ol sdi{ .l?(x, oa rtr lllv Gi.. I {Ell. fdhqnh N I y r irh rhrc r,erhnr
<br />WAiNIfl(; I.liluR ri, *!!,. rl,k 6 comFn{ri(,n .u\crasu r\ !trhwtul. rnd \hall utr{r rn cmrh'ycr ro riniEl Frlis r.t
<br />.ivil fin.\ ult k, ok hundhtl rh us.d dolllr\ (il(D.tDo). in
<br />"ddirtrtrr
<br />ro thc co( ol (on{cns0lnnr. d!ru3c\ ar pn,virld ht rhc
<br />S&rmn J07(nl rhr bhorCnL.inr.rc{ lnd lilrtrfty ! (.$
<br />D.r.: Aedl r:
<br />I rcFl\sED (.oairruaT()n
<br />DECIjAAI]I).I
<br />I hcEnylllnruklcr pcnally ol rrjury lhlr I un li.cn{n urki n0vist'tr orChrlrr 9l.on,xtumg sirh S(ri 70m).1l)rrNn'nl
<br />ut rhc Bu\ir.$ "nd Pmf.s\i(nr\ (iic.0nl nry ladmc h in6illf(trR rlcll$l
<br />rl)lsrf,lcuaxl.lluNcacElict
<br />I h.rchy llfrm unlcr r.uliy ol Frrury !16r rh.r. n r mn<turbn L' u! rsrmy rdrlE lrnimw ofrh.*ork lor rhthrhr Fmt i\
<br />r\Ed (S( :1047. Crv. C )
<br />lrndri\ A{ld'.$
<br />APPI I(:ANI D}'('I AILITION
<br />I tR$t ! nr ufthl F.aht ol Frur, otu .f rl* ft)lt'r
<br />'nB
<br />ddhr.r i,n\
<br />l)(rmlirtritr t'.rmik Arhe{x N,i'fiur$n F.Jcal Rcguljion\ (T 1..1,. tld6)
<br />R.,ttrtr.(l I .rrer nl N,iiln r,
<br />'
<br />_lrd'ryrld rhc f.rkrtrlrcFrl,rrm ftBrdnt xh.no\ rcmnrlrc tx{ +pla$k k) rhn lFtd
<br />I ccnily rhJr I havc rcadrhir {'plf,arirnanl n{.rh.r rh. !tbr. inntrnDrirn n c.rr-.r Ir8r(b.annplf* hrllCiryrnd(i'unrt
<br />o.iinrkc\ !ft!Slrl. tiqs EllinS ro buildins conlrrudi,in. ind hcrlny aulkrir rqrr.rnrnri\8 ofrhi\ Cny lnd Counryt' cnrd uPn lh.
<br />rh'v. ftnrn,ftd rn)Fny fttr ir\tB.li,'i n!rB'r\
<br />\l,t,li( nr or 1! r\ixnrrurr
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUlnsulation
<br />Rool Sheathinq
<br />Shear Wall
<br />Framing
<br />ln su latio n/E ne rgy
<br />Drywall
<br />Ext./lnl. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Beport
<br />Engineer Final Report
<br />FINAL
<br />Certif icate of Occupancy
<br />Notes, Bemarks, Etc.
<br />Flood Zone Certif .
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