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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNT.8 EUILDEI DEI-CAf,ATION
<br />Lhby lrrn ldkr FMIry ol Frrrry rhd I m .r.mr! nsm rrE Ornr&1m Lie^E l:* ao, rlE rolbwmS E sn (S.L 7(,l l 5
<br />Bx$iE* rnd Pnrf.srbn Cod.) A.y aity or Coud, qhich r.autcr s Fn[ r. connru.r, ix6, in{,mvc. dcd,lirh or qEn my
<br />(ururc. prtu ro il. isuft, dliu Ertoir!{h. amlk.d aor ruch Frnnr r' fiL. !i8md std.ftnl lhal trD. sh. ir lt.n*d pui(ltd
<br />ro rrE Fotiri)nr or E Co.u&lM! l-icn€d L!* ((hrrcr 9. Commtiis {nh Sertu. 7fin of Divishn I or rlE B8imsr .nd
<br />Pmfc$ions cln ) or rh.r lE or !& i cr.nr rlrrnns !d rlE h\k for rlE .lL8.n cr.r{,lbn Any !i .tio. of sdln 70l l .5 by rn,
<br />+r i.. r{,.IErn rubFB llE rptltrdro!dvilFulrrolmlmErtrfiv.hldr.d.t,,rl!5e))
<br />-1.
<br />as owmr of rlt ,,rFny. or ny .qrl.yr.. wnh wr8.i .r rlEn $h d'n{f,nsliofl. *ilt d. llr q* aln llt lrBre ic ml
<br />inrcnd.d or ofi.Ed nn sb (56.7044, Bu.ift.s dd Pmld.io.s Cod.: TIE aonlGrtr r Lt..r l,* &,er mr {,plt h m o*Er of
<br />rlr FsFty wtb tlild\ d i,pmE ltEor Id wls dBBtI sd hinElf o, h.ftlror thn'lrh hir hd own.,!tlbFB.
<br />FotiLd thr! 3Eh arFomdl & n idd6d d ofltEl n .]..li lrw. rlr hiUiig q i'Il4rd n sU *lhin * )d
<br />o, orl,Lrin ,t oeF BuiBd will lrE Or h,rhn or Forlre r,{ ll n rlr dd d trild c irrFE irt FnF y ft, rrE FIID- of
<br />l, trs own r r, rhr ln,tr-dr, J r .relh rvc ly .onlrucrnt w h li(ctr{d (.d rrrln n, ron{tu.r rhr tn,jNr (s.e ?{lr,1. truws\
<br />Jrl fmlc.rnnCol. lhcConrrrcttr " l.ircn\. Lf,wn,$ i.r rlplyn),n.skr uf!r'prdy*h) l'uildror i'nrovr\ rhcrco..
<br />lnd nh o.h(\f luch E,'rLl\qitha o)ntru.n'n\rl.cr<n pur\u.r t) rlf, Conh,.rtr \ I-(.nc lr*r
<br />I rmcrcmfl unld Salb._
<br />lhl.
<br />loaui&tioutElrarr9B
<br />DIiCTABIIlAli
<br />I lwchr lllirr und( ,{nrht olFrlurt om ol rh. n,lk)rtru,l..hrr!rr\
<br />,rll mrrrin . C.nifrrr. of C6tr$r ro S.lt lntuE fo. knld. orE ns ion. .! prnir.d for hy Sdra. llm ol tlE
<br />I C(rlt.l(, rhctEnnEftc oi rh. q,rk nn qhi.h rh. FrD,i ( n\urn
<br />I willn[i air $orkcrr .{i,rpcn\rrn,n i'nornN.. r\ rrqutrurlhyScerrn:1?(xrl nIn lihtrCdl.. r(, rh. Elfoinuk. o,
<br />hdb. in$rntcrtrE ari F,
<br />W"-J1:21)/
<br />-l
<br />ccnifyth.l inl,E p.rtorM ol itx *ork tu *hkhrhirF.m t nrucd.I $ull mlfl{,loyrnyI'cen inrnymnrcr
<br />r, ( ro b.om rubFr h rtE rGt6 $q$oion LB of Crlifomn. rnl +ft rh{
<br />'f
<br />I sLuB tE{r subisr tr rr.
<br />10116' mn{ENrn. tmv rinN nf Sd&n .rtm or r lE I nlnr Codc. I \rEll I'fhc h orttlv * h rln{ rmt ^ion\d!'loF ro ainiMl rEEl.x .d
<br />aon. d.M8.r .r ,rovncd ,or rlE.ril lincs up t' oN hundrd rhoulkl dDll$ lSllx).lxr))
<br />^,,, -./D./2-/'
<br />I hcEby affirn uBhr JEMh, .l lErrlry ihar I d lirasn Fovisi,n.r(1Efl6 9(snEE'.! *ilh Sdi,n 7(fI)) of Divnhn.l
<br />nr rh. Busims rnd Pmr*sions Colc. ud my liccn€ i. in tull lorcc uil .ficcr ,
<br />.. /3_?
<br />-72- /Y tr"{.NI
<br />I hcrchy dlrm trnts lrtuhy of Friury rhrr rhdc n r on( rud i.n L(lin3 lAr'f,y i{n rh. Irrnn!tuc ol rhc sorl ix *hih rhn ltntu n
<br />i.q&d (SE 167, Civ C ).
<br />lsicr! N.B
<br />-
<br />$tBror nmvrl R mr dadrLrorhi.p.
<br />: rh, UE .lnE inrolflii. ir (,d. I .!E
<br />?.16lI* M eanr: /'-
<br />: ro strply ,irt .,I Cir, .,n Cou.ry
<br />)f lhir Cny rn Cdnry lo .rd qon llt
<br />,"n' '6' /7'q
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Roof Sheathing rn tl tk krhr4D )<1 ,
<br />Shear Wall
<br />Framinq
<br />lnsulation/Enerqy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Beport
<br />lt
<br />FINAL /6/t &lr.*
<br />Certiticate of Occupancy
<br />Notes, Remarks, Etc
<br />Subf loor/VenVl nsulation
<br />Flood Zone Certif .
<br />I
<br />arflljr\ll.DEcLaSaua!
<br />I lEdry rtrm ud.. Fn.lr, o, Fru, oE or rtE rolb*in8 &.hn' bnr
<br />lxmhirn P.tnir!-Arh6los fkiar.rirn k-l R.8rLr bnr lTnb .D. Pld6l
<br />-R.qun
<br />n Ldlcr oI Norifidni
<br />rtr,w ftnrircr! pn,Fdy for
<br />I
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