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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNER BUII,DER DI'LCATATION
<br />I hcEt, afln6 udcr Fr.ny of tErrlry rh, I m .r.npt tmm rh. (nnrrrloF Lirn< Ll* fr, rrr roudain8 Ee$n lS( ?o1 l.J
<br />Bur,6r .rn Profd r C{d.): Ary Cn, or C@dy rtth r.qriK r l.mi ro d,nrMl. .hd. i.q'oE. d.mlirh or RFn }.
<br />{nEir, Inr 'o ilr krle.. rls ftn!ffi rrE qrli.or fltr r*h Fd n, nb. sisftn {.t.Enl rhd h or rrE ! litn*d Ptru,r
<br />kr thr F)viihns of r,E (i,nli&tm t t-k..sd l,e (cluptlr 9, C.nftftri8 wi'h Sc hn Tuxr ol Division I or rhc Bu{in.s rnd
<br />lhrfcssh"r C.d.)or tnar l! Or i1cr.irpr ih.Ehon rJn rh. h*is fo.lh( rlLscn cr.l,{'Ik,. Anyvi,hraonofs.d6n70ll Jhym,
<br />.rplkafl ri, r Fmt !ohj.ir3 rrE .rrlE.nr ro r .iv rl p.Mhy of mr mrc th& fi!. ho.dEn dolbr I ltlx)'
<br />-1.
<br />as oemr ofrh. I'otEny, or mr.molorEs *ith uascs $ rhcn sb 6mp..srio.. will do 0r wr sn rlt slndE n t
<br />inrc,i.d or oif.r.d for eL (S{ 70,s, au.Lr.r dd Prtracslhnr C.dr: Th. Orrodr.l l-trtrc li* &rr ml +dy ro o*mrnr
<br />th. rrqriy stb b{ildr rr inE .6 rl-Er .ri *lb drF uh qit hihrlf .r l.rclf ot rlrDnlt hi or tE oqn .n?bys-
<br />F.vid.d rhrr ch ri{mtldi G d trcrd.d r Dfiqd tu qL lt tnw, tlE l!'5r8 r iqrwt ri i rld wthh m F,
<br />of coilllldin rL O*er Blilrh will hrE rtE hd.n ol FDmS lhd lE or nx dit ml biu or nrpFw tlE FDFiy for tlt F,lmr or
<br />l. ar osN of rlr tftrEly. m.rtuinrly crdBrins rlh ltco€d co, rdo^ t, (rnnM rlE FrFl tsd TlX,{- BusiFr
<br />,n Rof..<ih C.nc: Th. Conkrtn\ l-kcns. Lw &* ftl rtitly ro .n osrct orFnFdy *ho hurld\ or inll)n,v.i rtcNn.
<br />.nd wh. $n(mrr ntr such Fmrccls wirh ! Conr6cro(s) lircnscd turslutr' k, rh. a)nrlctols Li.lns llB)
<br />I amcr.nq'r unkl Sdlir-
<br />l)ore lr*n.r
<br />IIQ8trI:IN:(AUIINIrIIAIDlo,rarur
<br />Lrrrh) Jll,n, u.,llr I[trrlr!.1F,,,trr ux ff rh rr)lh,{ r!&(lJr.r(
<br />x"
<br />-rt* *-,t
<br />rr.. for rlE FntrmN ot rh. k n,$ihrttrsnii rk d
<br />*ort6 .o,rp..arkm inuEft.. fi r.qund bySalio.:17{$ {,f rlt l,h, c.d.. nn rh. Frfolrlu. of
<br />b41r $u[r...irrr rlrr'.y nun'lU nrc
<br />u / c,+1.^,'t4-
<br />t^)L vf -3 ,/-(\)-r a
<br />I .uiry ih.r in rh. ,rrfrtrmN orrh *ort lc whih rhir Finit i. tnkl, I rhll Rn .rphy.ny FMn in &, Mffi
<br />q, .cro tEo'm {birr ro rh rqi6 6nF.dbn lrwr of Glifomn. rn rsE rh.t if I rtbuld tE om stFd hllE
<br />tro,l.r\ .'nFn\rriotr pft'v^onio, Sc.rR :l7lx)olrhc t]hr (ixlc.I\lLrl n)nh*iih c.rrly wirh rhrc tmvi\i'n\
<br />\I RNIN(; l;t'llur r, {{trrc tro'1,1\ .oqtrtr\ i,r r.r.,r!. A trflr$'f o\rr r, .'n nnl |{ rlrtr\ Jrl
<br />h om huBl..i rhouqftt d.Um (,lln,Uur- m *ltliii'iin,n, &ns.r 8 F.vn.J nn lft
<br />Sa:d'n 1026 ol E t,kx Cod. i d
<br />".",/a - /2- /y lJidkq\{
<br />I rEsb, !m,n un cr |EElr, or F,lly llEI I m krnrcd ud.r Frvni,n ol CEprd 9 l(,nltffiin! with S.dion 7lxlr) or lrrri,n l
<br />ot rhc Busiftsr ad Por.sions Cod., an my lie... is in rull tdN ord.rGclcz1 Elt
<br />//DJ2:j y"."*,*
<br />I h.rchy rflnnundcr Fnulrroltitury lhal th.rc r ! mnnE(lr,tr Lndin! rldky trnhftc,'r rhcro'l l,r *h'.hrhtr Nrtr!r r\
<br />n\ocdlss 1097-Civ C )l,n&ii N.m:
<br />-
<br />allLlgr.ullEcldxallqri
<br />I hdt6y rffm ud.r pcnrlr y of pc'rlry .m ot ilE follouinS d.<brthn.:
<br />Dcmlin,n Pcrmils.Astrslo\Notincorhn Fcdc6l R.suarion\(f illc40. Pd6r
<br />R.qlihrl rrn.r of t{rifErir
<br />\.f\niry,h
<br />.2\-,I,,,,
<br />xl rhc l.(['rlrclul]rntr\ rtSrllnX r\h.{o\r.trxrrln( rcr it)flic$lc L, ribPm}.r
<br />I tult ra, rhB.I,flarrrtr arld (.r ir cflr.d I rlc io oitl, wnh .ll Cny rd Cnunry
<br />EFt*dn,Es ofuhir C{y ]d Ouly lo dnd !F. dEdc t:* RbriB ro t}llliime
<br />rlxrr Nnri'trral pnBdy nn
<br />,(prlhunr or,\lenl Si!'ul
<br />l'.m lR Drrclprinl): J. -
<br />Set Backs
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Rool Sheathing '/\h,to//f A4br/b /1\.-''
<br />Shear Wall (
<br />Framinq
<br />ln su lation/E nergy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Itrlasonry
<br />Pool Fence
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif .
<br />t
<br />FINAL .tr L/tl elrtu*/a--
<br />Certiticate ot Occupancy t-7-
<br />Notes, Remarks, Etc.
<br />Forms/Steel/Holdowns
<br />T-Bar
<br />/t -3)- 'r/
<br />b- /"'16
<br />II
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