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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNER AUILDI]I DELCARAAI()N
<br />I lEEby rinfln u.d.r Frht ('r I'djury lhrl I cr.rfl ii.m ',8 Codrrtor' l,iene lj* nr rlE aollo*n8 r.!$n (sc.70-ll I
<br />Bu\ine$ !d trolcssi.n Cd.) Any Cny or Counry shth rstun$ ! Fni k, .onrrtucl. dr.r, intmv., d.mli{h or rpan lny
<br />{MlE . trir k, i8 i.su ., ds EquiEs rrE ll)ili.mr ftn \kh Fmi h fik. ri8n n sld.r rhrl lf or dE n li.$En Purnu,
<br />b rrE F,virirnr of tlE Conrrrrq ' Litn<d t,* (Cnr,rcr 9. (-oIlcrhx rirt S<rirn TuxJ or Drvitsn I ol 'lr Bu.iE$ .nd
<br />Pmfcsrb.r (lxL ) .r th.i lE d rlr it.rcq)t rh.ElNm .rld rtE t $ for rhc rlh!.d ckq{bn Any vbhhn of Selir 7O.l I 5 hylny
<br />$rli.mi ror.Fmn lubj.ik rh. lpplkant ro rcrrilp.Ml'yotft( mc rhan 6r. hundd doll&(l5m)
<br />-1.
<br />a! owm, orlh. rmFnr, or my cq,lorer *ilh wrrcs $ lh.n {b strrrEnqrion. sill d., rlE rst rdl tlE ture ir d
<br />idsnd! d orcrd fm sL (S€ r0,{4. ArsiBr r.<l Prot srion. Cd. TtE C. dn i Li.rc l,* rr* m' +pry ro u olE of
<br />rh. lotdy *h hillr or i,tn'E llEE4 !n wb d.B *h Htrt hifr<lf o. h..clf c llmuah hr. G lEr os .rit'ya3-
<br />J'NiLd rhrr rkh ir!.sEfidr e d ir.id.d doltu fd qt l( tnM. rlE h{illnla d irqm\{fid a $ld ethooE }q,ofonptri,tr rh. OwB BuiU6 *ill hrh rtr h&bn otFvios rlhr lr or {r dil r h[t o. irproE dE Fqdry 6r tlr Frpos or
<br />-1.
<br />6 of,Er of rlE FrFny, rm.r.lusiEly .odr-rm! w h liincd..drdrn h d,nrlM rhc FrF (s6 l0rt, au\fts
<br />r.d l\otrrin Cod. TIE Conrrxror ! Li.tnE llw dG ml .m,ly h u o$Er oI l'olEny $ho boildr or irlpsw. rtqd,n.
<br />!.d who .o.lft3 fr rkh pf, 'j.ds wnh. (tdklo(, licn€n PuBM h rlE conUtm r l&.{ L.r)
<br />-l
<br />aD.rcntr und.r S.cln,n ,B.&I'( i'rrhi\rcr\n
<br />llraf,!&r-g)llfairArxl!DEllJSAf]lt!
<br />I hcrcbt rllnn undd ,.nrky ol FrJUry oft olrtr l(,|k,*ing ddlr tr'n\
<br />-l
<br />h.\r nl sill minrlin r C.n ifrrt. of Concnr !. s.lf.lnror. lr $ir*da (nFn{rk'n. .! ,r,vilcd for by SNrfn lTtI) .a rh.
<br />btr, Codd, fd rlr Ff(lfrkc of rlx $ort fttr *hth rlx Frn,ir i\ so.d
<br />-l
<br />hrE lnd uill minlrin uoit.c coqEB.lir in$atur. dr r.1luind by Sdri)n .!7(D ol ',r l:h.r Co&. ror rlE Frrdn9N ol
<br />rh. work for whth this Frnir ir irnEd. My *ort6' conrlEnsltbn inruBE. c{trir ud Fnt, nndhcr m
<br />Policy Nutrfid
<br />-trrircr
<br />-
<br />_I..dily'h.ranrh.p.rformhcofth.w6rttor*hkhrhkltrnirixir.n.lrh.l!mr.mphy.nyp.mninriytuEr
<br />s' Bto h..om $bpcl lo rlE *olt6r onFn{rio. b{sofcrlifornn, !n rsr rhrr if I shoud tE .tu rubi$ r.llE
<br />wrt6 or{Etrrlbn pEvirhN of Sel ion 3?0o or [E bll.r C.d.. I stdL fonh$irh oryly rarh lthi prcviitnr
<br />WAXI!Ii{C FdlF 16 .te m.i6 6,tEtrdi,. 66{r it urLwtuL .'n rhdl sbFr rn .rpL'F lo dimiMl rmlix ud
<br />(sJ li*r un b oft hdr.d rh,Nd doll{r (ll{D,(m), rn Jdit.n ro rh. co.r r
<br />E"*"'-"'",--Ssrbn .1076 ul rlE tjbr Cd.. inrcrcsr rri inorEy'r rer
<br />to. lb'l r
<br />!L1L ltr l Mll
<br />I h.tr6y .rrm uniLr FMlt, oa F,l,y lh.l I o liur.d un& Fovibn o, CllF-. 9 (onlmlB *irh Sdi,n rfix,, ol Dirisitn .l
<br />of $c Bures rnd PmLsirn, Cod.. ari ny lk..€ ii h tull aoE .rn €ft(l
<br />,'.,tt',,-r.,. Cbl
<br />,",. /o'[6-lg , __:i(y )s ea-
<br />I hcrcby.tlirf, urhr JEEhy of,ErFry rh.r !h.r ir. odMnn bndine.!.Ny ntr rlE F fl]lllM oartr *ort rt, rhih rhii F m! h
<br />irsrd (sd .rr7, civ c )
<br />IrnJcis Ad,l'.$
<br />ATELICANLTTEIJEAUA!
<br />I lBi*,y.lfmo t rF hyorF,lryoEof rh. ft,lL*in8 &{hEr*,ni:
<br />Dcmli'i,n Psn'ils A\tIdo\ NorifKdnn F.n rnlRqrhriro! ('lirlc 40. Pd6r
<br />R.qut.d lrtr.rof Norif.lrhn
<br />_l cdiry rnd rhc f.d.tJ EruLrioo. Eg-d'nt .rl$ros rcEri rrc r, r{)plilhL ru rhis pnEd
<br />l.cdrly rhlr I h.vc (ad rhn .nplf,rtrn 0lrl agra r)n nfl) * h xll( 'r!r Cuunry
<br />.i(liflamcsrnl sr(rc trws rl tr,lir,huildiry(n.\olrhA (
<br />'{yrnJ(,nn
<br />yri rir( utr rli
<br />r}xrr trrnr trn.,| f' o|{ny nr irtrtrri(hturl!
<br />rpplionr trr.1!01 \isururt lo:tL'tY
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />Subf loor/VenVl nsulation
<br />Roof Sheathinq
<br />Shear Wall to/rz/t{*7-q/
<br />Framin s
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />lvlason ry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />En gineer Final Beport
<br />Flood Zone Certif .
<br />I
<br />FINAL l0/"rlE -&q /)
<br />Certificate of Occu pancy I
<br />Notes, Remarks , Etc.
<br />SLAB Floor
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