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BUILDING- INSPECTOR RECORD
<br />SITE-WOBK DATE ID/SIG.COMMENTS OWNER AUILDEN DELCARATION
<br />I h.Ehy rrlirh udl.r I'.Mlry ol pcrjUry rh, I 6 ci.mpr liom rh. Conrtubn' Ir.n. llw ror trE folb*ins E.sD (Sd ?0.!1.5
<br />Brnnc$ dl Pn,Lni,n Cd!.)r Any Cdy or Cou y uh.h r.qrfts . Frnr h $n\rru.r. rlr.r, rqtow, &mri.h r FFr eny
<br />.lnrlurc. Frtrk' nr srurtuc..tar rc'iuftr llE alTlt:nt Ior turh lEmil b lil. r i'rEd { .ftnr rh.' rror {E B h.4Bj Itrulni
<br />h rL rrrv!tr)n! ol rlE Conrt&rd r Lf,.n€ti L,* (Chrpr.r 9, Collmmm8 q h Selir ,txlo ol DitnNn .l or rh. BurE$ utl
<br />Plol(xrn! C,xL) or rh{ h. or dE r cr.ma'l llEftlmm dd t}F b.si3 ft, th. ilclcd.r.qrpn Any vDl,rbnotSernn ?OJl5 hy.ny
<br />.!t r.nr ntr r Fm ruhrlli rtE .rrl(.ar h r .'ril FMh, or n mrc itu r,v. hunlErl d.llxr (lim).
<br />W:r;:'*,rx":;,e1:Hlff;ri;::ilrE'Jfi'ffi,r,irx,ri-1irT.rt-t^rlirfi1x-1,$.,,,,
<br />rlI F,tdy *lr' hulr( or Bpnlk! rtEo( ml *lD dlK sh hlt hm*tl or lErcll nr rtmuth h! .r h.. ow. .rllr5Ft,
<br />pn'viLdrh{ tEh ir{hwrrre [, ncn.l oronEGl am elc IltnkE,rlIt uB or rr+n,EGr 6 q l*rhrod,rr
<br />ol.r"t'Llrn Or O*F Bu'[, p hrE dr heLnorFtrvi,B t{ lrd i,E drl a'r lnd ir urF,t r F,tEry ld irr IrutFEor
<br />_1, ( owmr ol.lr F,Fny, u.khnEly .orir&rdu *rh lRn€l.o r-lln n' lan<Br rlr F,l.!r (5r nx,r, BBl,s
<br />.!n Pr*(r. Clrl.r llE Co,raror'\ L.rh( trw Je. Et .|?lt ro d o*mr or |n,Fn y prb boiljr or mpo*r rhdotr
<br />&, *h, ondr! fr lNh F!F1t wnh . C6dBr.(3) lE en poFurr ro rlt Colfurd-r t{n€ lrr}
<br />Aaz
<br />tr.aBf,E8s:caufa$ra!
<br />DECTASAIIO!
<br />I lx(h, rllrh und.r txtulr!of Frrurrom olrh. bllo*n8 d.(Lr rns:
<br />-
<br />I hlw !r! wrll m'nrrD . a:.ndi.r. of ConEd lo S.ll-IasuE ld wtsr dnIEr!, r'n. .r |,otr!.J d ht Sdlrr l1ln of llE
<br />L.h, Gx!, n rlE Frlolrilfu of rlr uft ru *tul lt Fni 6 ir .tl
<br />Ihrv..dwrllhrorrmwrdcrr.omp.nY['nmsur.Bc..s.cquuB]hySrrDnll?U]olrh.llhn(. ..ntrrhclEnnm .ol
<br />rlE Hn( tu eh.hrhs Fmir i\ is{kl My work.F' $mFn!,tDn m\urRt rzmr {rl Fntrnxmh.r 4.
<br />ffu! *nr"u^, -u," r*u*^,ri!. or ih. wo,k Ltr rhf,h rln( Itnrn r\ ru.J. I shrlltror cmp!)y lny n iiotr tr' rtry n!rN,
<br />v)r\k)h(()nr{rhrrrr'rhcu.r\.onFn\rr(DliwsolCalli'lnia.lBlrgrc.rhd'llsh{klti&nr{hjc.lhrh
<br />wor k.r' sm|*n\ltr p()vr\ tr'trr ol S..rtr)n .l?lxl ol rhc l rhtr C, c. l rhrll. l('nhw h (n]lt'ly q,lh rhua nn'vrlnN
<br />WARNIN(: Iirhrc n, r(trr. wnrkch'.onlrnsrrt ('vcnsc r\ unld*li'1. {,rn \hrll {'hFrr ,.a,d.y.r r' onmllltnrlr.\ rn(l
<br />1'!,1 , A u! n) or huft,rcrl rht)u{nd L,oll!^ (llm.om), In rdJ[n,n n, rh. roi ol rr. dx t.1 r\ nn'vll.d ntr rh.
<br />L
<br />DECIdSAIIA!
<br />I h.Eby.tltm un&r FMlryoIFrJUry rh.l I m lEtrBl uD.Lr prrvNio. of Ct prd 9 Gr,Mtu,8 wdh SelDn,0(l)) ol lrvNk,n.l
<br />ol rn Eorrrt .fll Pnra$bN Cod.. .'l my U.nc s m tu0 fou .rn .fi..r.
<br />CONSTRUCTION LE{DINC AGENCT'
<br />I lrEl'y .rltn unti FBhy of Fq!ry rhj r,Et B r oi<ernn E o! +ay ro. rlr Frftxrlet ol rlr srt i, whrh rhn ,Im! u
<br />nrEJ (S- lo9r, Cf C )
<br />l,BLr'\ N.ft:
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<br />AIILICANIDECIAEAIIq!
<br />I hotr'y .dim ud.r rEn.lit ol Frrury or of rh. follo*D! l,CLl,nr $nr:
<br />D.m)l N,n P.m.rArtrror t(]lrE.l$n E-icnl R.BUhlFnrlTrk 40- Prn6)
<br />Rcqu .d lrn.r.l l*r i{Dn
<br />I rcd rrharilr,.d.rilEgulrr$nr E8.rJh3 ash.sorrn,vd{c ft{ q'pl..hL t'ritr p!'Fr
<br />l|,t(i.nnyrhd I h.E.c.d rhir rn lid [r !,1 dlrc rhar rlr alivc un t,sfth$n{ yulh.llCryi,riCi'ldy
<br />onlnrn(.\ rrr, Sr.r. llrr Elrror ro burll[r consrNu$n. orn rurhtrrcrcli.qar !.. ol rhr (-'ry rnd (i)unryt,.ntr u,i,n rlr
<br />xlx'\. nf,trrknrJ trrt{dv ntr
<br />,\ i.anr or A(tnl si! nl
<br />Set Backs
<br />Forms/Sleel/Holdowns
<br />Erection Pads
<br />SLAB Floor
<br />Boof Sheathinq
<br />Shear Wall
<br />Fram i ng
<br />lnsulation/Energy
<br />Drywall
<br />Ext.i lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />FINAL +/244/E rtl/l$*tV
<br />Certilicate of Occupancy 77- 27 7
<br />Notes, Remarks, Etc
<br />->
<br />UFER Ground
<br />Sublloor/VenVl nsulation
<br />Flood Zone Certif .
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