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BUILDING. INSPECTOR HECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OlryNER AUILDER DELCARATION
<br />I tu r.r,y !fl1,6 uBL' FMlry .)r Frr!ry rh, I m .r.r{'l fmn rlE Conr,rt,B l-i.n* ljs ntr
<br />'h.
<br />loll.*i4 rclarn ( s( 701 1 5
<br />auiimr! {n Pmf.sio. Cdc): Any Ciry or Couni, uhich Eqxn.s a Fni to con(Dc1, tlrs, iqrok, &mrNh { rcJli, !try
<br />nMrw- rinro irr i{t!.F. rl$ rcluiEr rrr r0pl.st lor iuch rEmil lo fiLr ri8Ed nd.m.r rh.l lEor dE ir li.tnsrl Ptrr{rni
<br />ro rtE FDvi(nnr or rlE Conlstr'r Lirnrn U* (Chrpro 9- Commin8 wnn Sccrion r(xl) or Dirnx,n I of 'lr BuliN.r.nd
<br />Pmr.(bnr Ano or fi.r lt i, rlr i. .r.nr{ rh.r.tmm !n rh b.!ir lor rlE .lLsd crcrpri,a An, v-,h'inofs.clion?0:!l I hy iny
<br />rrplkd! ro, r Frnir \uhFh tlE llltrli..nt ro . civil Futy of ml mE rh,n fivc h!.dEd doll[s I S'{L)
<br />l. r oeE orrlE ptuFny, d ny.trphF.. wilh w.rs $ llEn sk onlxn*iotr ull do rrr qtt.,!d 0E rBr8. n
<br />t'r.r!.d uolM rr rl. (S< 70a,1. alriBr,rd Pt$rdii,s C.rL: TIE Co'$rrs. LiBE t rdBd.tplyrox.tuof
<br />rlE Fqdy *lb lnibr tr iqms tlEEn .n rb rtE rrt qrt hi,rll.r tftlf or rlEuah hir q ls om ci+hF-,
<br />Foli.n lhd rh inlroEmdr e d ii.iLd r oturd ft, .L. li ll,ftE, rtr tlildlt d il{Iwrd ir r,! *ntn iE F,
<br />oi.nq'llia rlt ()UE aliHd *i! IEE rh. leds oa Foring d{ lr or cE dn d h,ild d lrsoE r,E FIdy fttr
<br />'tE F,IE of
<br />I. $ owE.(ilE I'ofdy. .n.r(luitEly.o r-rhs *nt limcd @drdo6 b mnrM rtr F)In (Sa 7t}{4. aNiEs
<br />.rn hstlrim Codc, Tn Conr.roar l.tcn* l,r (ta mr .p0ly ro m osE of p.op.n, *tb boildr or mJmE! rt ron.
<br />a.d who NnBlr ld trh p$Fr enh. ColindGlo li.rnen poFd to 'lr Coturl.ls LIBE l,r
<br />I Mic\.nrpr ndrr Sr.r( .ll & l'( rrh^ r.Jrnr
<br />I)rr. (hner
<br />ltlrBf,l:&$:-llJAISENS TA!
<br />IIECIA8AITA!
<br />I h$rhytrllr rutr (lttrtrhyolltluryoNolrh.loll(is'irBdc.lrrrrn,ns
<br />nr r hc ,'.non,u'rr ofrh. trork ntr shich rh. p.nn i\ i\{,cd
<br />nlc(.orp.nvri,n, i'nurrnc.. rs rLrtuncd hyScdi,'n l7(xrolrh.ltrhtr( (xt.. l(tr rlr Frnr.ur{c ol
<br />n,ir i\ tr\uYl My $orkc6'i hsti(,. inslr.N cMi.r ,rd F,lrrnr'nh.r dc
<br />u1y**,,'f2'
<br />-l
<br />Rniry rh.r
<br />'n
<br />llE tElotrm oarll m,t fq shkh rhir Fntril n itnkn,I lh.ll mr.trpr'y yF$nin.nyIuF
<br />b r.ro lEr:ft r!+. or,E q,t6 $np.Nh. bsrof Cnifmi.d '9t rh, if I nnuld hm sbitr ti tlr
<br />mrt6 6trFdi,. FDvirirm of Sdnn lr(I) of rlt t Er Cod..l drll. rdh*n6otply* l' llr Pmrirbn.
<br />k'F h ai'lul Frtar Dd
<br />civn fm. uo h om nudEd ltFuEd &,lIB (tl(x d.m!.r r. I'trfilcd fin rrE
<br />Sdrin 1176 rrh.l,h, (i . d.rc< rd ir
<br />lo: f2- 19,.,
<br />I lEEl,y !fiirm lolq pcriy or Fr]lty rhn I m liansn ofCharrd9ld,mnErrry* hSsri,nTtxX)r.f I)ncirn I
<br />rlE lturiE\i d h'f.(io.t Codc- rd n, lkcnx n in hill forL! lnl.ffccr
<br />r-i-n.ccrr* - Z
<br />"rrr/O /2.
<br />AET.ICANLDECIJBA.IU!
<br />I hdr, !trmudd Fnrhy(lFiryoE or lhc ft,lhvins dc<luri,ns:
<br />D.rniirn Pdsiri.ArlErrrn Nditr.ri,n tu rl R.guLrbn. (-IhL r(), Pd6)
<br />_Rq0r.n knf of t*xfrdm
<br />ri,nr EardinS 86.rktr Emrrl m mt 4pli|bL to rhn FlFd
<br />bn r.md I {rc tr or{,lr eirhrllCar.d Counrt
<br />rb.n. aF.*nrdit.. ol rhirCiry.d Cou.r, ro..rd uFr rlt
<br />/e - /2-/y
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathinq tnl tUtx {t yyrvTb llt-r,,'
<br />Shear Wall
<br />Framinq
<br />lnsulation/Eneroy
<br />Drywall
<br />Ext./lnt. Lath
<br />lvlasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Beq.
<br />Deputy Final Report
<br />Engineer Final Report
<br />FINAL &laz*/r."
<br />Certiticate of Occupancv
<br />Notes, Remarks, Etc
<br />Brown Coat
<br />Flood Zone Cedil.
<br />/olct lt v
<br />is.ucd(se 1097. civ. c ).
<br />l. ica!Nsm:
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<br />I
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