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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNER AUTLDET DI'I.(-AR IION
<br />I h(cby amrd udd pduhy of pajory rnd I o .rcmpr 6!m rh. (ontrdo6' l-i.@ Ir$ lo. rh. follDEins ,annisd ?otl t
<br />BEin*q and ltofdion Cod.) Any Cily or Counry which r.qutr6 6 Fnnn ro ('.!]tuci. an6, imr'rcre &nollh or rqtrir My
<br />itudue Fior ro n! iMcc. .th r.qutd rh. .r'Phcdl for s.h Fmi ro 6k r risncd daMl rhll L or 3h. u l(m!.n Pueur
<br />nr E Fr\tarN of rrr conrdor. Lralal lts t(luris 9. C.ffirnE *nh sdh. 7000 of D\i6n I of rh. lJur.B dd
<br />Frofsioc Cod.) o. th,l lE or rh. u .r.npr lhdcfrom d<l rh. h.r6 ror rlE .lk3.d .r@Fpn. An) lr,lrhn of sdi.n ,0:l I t E-v o!
<br />.ppl'cer for . pcon .uhjet th. lppli(er ro r cir il pflhy o t nol nnc lns fi!. hu.&.d .hllss (tJ00)
<br />l. s o*n6 oarh. FoFry. d ny flploy6 with wrs6 s $.t el. omFMio.. *1ll do rlE uolt ad iE $n(r i! mt
<br />iddrLd o.ofisd tor slc(Sr 704,1. B6i,B sd ProfBl]B Cod.: lh. CodrEld rl,r.@t * d.6 ml !p?ly ro e otrEol
<br />irE FoFty q ln buil6 or rp.o\- tlE@E rd r ln dE edr sqr h'nglt or hd*lf or rhmuBh hir m ls otr! .Ephy6,
<br />Ford.d rh,r !.h imFntffirc d nsrll GoItu lq snl. ll rr'*cq, Eta i,{ ri.+lst!d.ildtr'nto.E,s
<br />of&'trD!'rii( rrE (\@ B!n<b *illh,r! tlEt ^lar otFomg dn lEor{xdij n hlld or nl4.o* dE F.Fq 6r rh. FIIE* of
<br />L d otrc olrL Fopcry, m a.lun!.ly.odrhinB *nh lcdEdi codElo6 k, (tnrrud tlE Fij.(l (sa 70a4, &5rEs
<br />Jrl Ptoisim Co& Th. ConlErorr l,kc@ l,s{ &6 ml ap9l) to r outq of FoFry q ho blilds or mprard rh6o..
<br />dd wh onBlr for s.h FFtr *th r Coddo(s) li<dB.d pu':d lo lh. Co'rrrrd'r rx.k l,*)
<br />I M cxchfl utuld sation
<br />D.r. Of,nd
<br />$ oRX-ERSiaO:\lFr\SAnar
<br />Dic!!8AIla!
<br />I h6.ty amm undq Frn, ofrEju,yoMofrh. fulbrmE ddl{.tn'B
<br />I h!v. drl *,ll Elinrain r cdili(ar. ofcottsdr n) S.lf- lEu,. for sork6 codFad 6n, a Fo! d.J ntr bt Sdnrn !700 o t rh.
<br />l.bor Co&, forlt psro,r]e.61lh. u$r tu $hKhrh.painn i! su.d
<br />I h,v. rnd s ill m.rnr.in u ortB comFEaiof, ,EiurlNc s Grutr.d bv sdi.n i 7(x) of rh. tjbor (-odc. lor rh. F(,n,e. nf
<br />rh. wort aor ehi.n rhn Fnn ! is!.d. My worl6 comFudio. iBur4. cmir lrl Flicy nunb.r !..-,- Vll,&-* Ct,rL 5.,rs
<br />NrlNlmbd $Puwto L31O?o ..0,- \.1. Yi.
<br />l.oriirhal in rh. p6tomn(. of rh.*orl for whi.hthGFnn n i$o.d,I dEll fr{ dplo}t.tFro. 'nanymon<kr ar ro b..om. lrbjd b rh. uorl6 comFcn ion laws of Cdifom'a, &d .sc rhat if I rtbuld b.rom. uhj6t lo lbr
<br />".rtEl .ompddbn FovilioN ol S..1ion l70o ol ln. Lstor Cuj., I nEll ionhsnh .ompl, *irh fior ptovsio6
<br />\+AR ll\c: l'dluc ro sft rbrld .6,rFuiin N\d.A. ir uhf,lul rd Jull $l'j..r d oplqd ro diniEl FEhE ..d
<br />cs'l tu6 up ro oc hunlrd rtuund dollss ltr0.00n). in dldiF. to llE .oi ol.onF@'ioL d.iM86 a Foudd for li.
<br />sdrro :1076 .frh. lrtnr co&. inr6d .rd drorrE sfG
<br />u"r,ll lD r i ,nl0nfin I'q aulu
<br />I hc!6y .Itrm uidr p6.ny of Fjur, thr I D lnE!.d u!'& FD\lbi ol crqra 9 tolmn's f,nh Sdion 7000) ol lrNlh. l
<br />of rh. BGilB !'d PmftsioB ( oJ., rn my ltru i in tull forc !n.,Iccr
<br />loo4q. ?r<
<br />"mAR f'8 ?nltt E-\++..-.
<br />carirBugrloN-ll:lulclcllcl
<br />I hRby amm und6 lE.lry ol p.rjury lhd rh@ a r conitucrnn LrdinE rsdcy for tlE Faol:McG ot lhc worl 6r whth rhir Fnh i!
<br />i!$.d (se 10a7, cir c )
<br />AIIUCANLD}:SJSAIIA!
<br />I lEtt', .trrh u& tE.hy ol Fjlrr oE ofth. aoltrtr
<br />'ns
<br />d.clant ioro
<br />Dsmlnio. Pdm r-Arbdos ,\orific.' bn l.d.r.l ReuLl ioE tTnl. .10. Pdr6)
<br />RatLUnt lddolNoriftdnn
<br />- I(d'b rhr th. f.ddl r.suhtNE Esrdr* Bhd lEm\ tl,. nn ,prlebl.
<br />'o 'h! pr!F1
<br />[Vo-,U rh' , *.,-,*.pplrdh. rn rdc rhd rh..hov. in6tuion is coE<r I i€E ro 6nply r{h llt c }.il ( ount!
<br />ordtu 6 !d sr. lff Eld"E ro hrldms codMF( en hs.by t[rir cFreri*6 olihn cnt dd counry lo al6 uF. lh.
<br />nho\c trrdhoncd p'rlxnt tu initBlnr lurlxx6
<br />AD0li..trl or.1*d( Sipmlurc
<br />at ..:.'.(zS...*{
<br />,,.E,ll:! 3 ,,11d
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framinq ib,4r, 5t '-{Ltzu #
<br />Insulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />ltrlasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />FINAL Th ./tq a.d frL#
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc.
<br />P.
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