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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILT'ER OELL-ARATION
<br />I h6.t'y .lIm u.dd FrIy olFrury rta I m d.trpr nln rh. Cofixld L&!e t& tor ilE follosin! r6n (54.7011.5
<br />ai6ilB rd Pr.ft{io. Co&) A,y Cny or Cody whrh Eqt6 ! Fni lo @dM. .ta. irp.Dc damlih or rqn dy
<br />3tME. Fi, ro 'l! islre. .lo E$i6 0r +pli.!l fo, qt Fmn ro 6l. . 3Bn d rrodl $r lE or !n. i l.dB d Frntr
<br />ro rlt Fori!.N of ilE Co.ffid! Liuls.d L.e tcn F- 9. Coffi'q *ah Scrion 7000 .t Divibn I ol ti. &Bind rtd
<br />PmfdbN ( o&) or rhtr lE or JE i ddlpt rhd.fom rnd rlE bct for llE dLS.d ddrio Ar, vioLrhn of S..tbi 701 I 5 bt ..,
<br />alr,licu ro. ! F6n &lr!!r! tlE .pplko( ro r.ivil p.n lt, of El mE lhe frv. nur*tld &lhB (lr@)
<br />-1.
<br />E our {trhc FDFrr. oi o, dplo\6 wnh Erg6 6 th.n rn. coDpqsrion. *nldo llE *qr .ld dE,Bi4 b d
<br />d{did.d fr olfd.J for sl. (sa 7044, acir6 &d ProadrcN ( od. Th. Codr!.Ioa! Li.@ hw .Ls nol .pply lo x own( of
<br />lh. FlFry who taildrnr idFo6thadtr..d wh. d.6Mh w nim*lf or fi6.1f or llmush h't or h6 oM mployc,
<br />provid.n rhd !u.h imFoEnat! m mt htoi.d u ofrr.d tor st. lf, th{a€, thc blirlnu or n m\EMl n $ld within orc )d
<br />of coryt hi- ttE Own6 Brtt r *iI h.* rh. Urd@ of F.virU $r lE d J!. dil ml hild or itrpmw irc FoFry fot 0E Fnlos ol
<br />-t.
<br />s osF otrh. FDFry, m.rcbn ly.offiin8 $nh li(osal conlidmlo mr6ucr dE Fr<! (Se 7044. Bl!!B
<br />Dd Plltsim ( o& Tt. Conlr-loi3 Liccr L.w &B ml .pplr lo o 6*c olFoFry wh. b{il& or ihpmv- rh6@(
<br />Ed sho slrErr lc *h Fixl3 vnh r Conrdo(r) lra!.d FlM ro E Colcxlm r Li!* l&)
<br />__l m.rdF undd S<rFn
<br />,^, , il/tt /?.D\?
<br />I hocly inim u.d6 ,.ndr, ol IEJUr! on. oilh. folhwq 'j(l, oB
<br />I hiv. ,rd wrll m.mr.in , cdific.t. of CoMl h Srlaluu. for *0116 snpnMiorl a Frvid.d ao. by Sclion :l?00 of th.
<br />trbor code for rh. Faomm. o f th. woll for which lh. pcnil i! isu.d.
<br />I h!rc .Dd will nlinrlin wo*6 conFG,rion @!ls., ! rqlnal b, Sdlion l70O otllt L.bor Co&. for $. pafotl1@. ol
<br />rh. *o to, *hth rlis pdnrr i! iir.d My e.t6 @mF(ion iNll,ft. .eir !n polty n@hc c:
<br />I .diry rh.r n rh. Ffotu. of rhc *ort fd whkh th! Fmr 6 isu.d, I sidl ml oryhy d) F$. i. ..y @6
<br />e a16baom.uudrorh.h 6 onFsnion Lu of (..lifomn. !i esc lhd ill lrDulrt b..oR sbi6l rotlr
<br />*olkd' odFb.rio. FntiiioN ol S..lio. lrm of rh. l,tor Code I ndl fonhwirh cobdy snh [r- Fovtio6
<br />wAirNNC: fritut. lo su. *ort6' @nFetion @vais. n lnll*tuI. Md lhslt rubj.{l M dtrphF lo dinurl F!ii. &d
<br />cNrl find up h o.c hun&.d thousd d.ll6 ($l(xl,lxx)).
<br />'n comp.Nr'on. ddBs6 a ,rovk!.d for fi.
<br />Sernrn 10?6 ofrhc l..ilr Cod., !ot6.n dd aloh.,
<br />o.,,,..17/tr/zart +
<br />I h6rb, drm ur& Fdy oaF)lry lh, I e li.qE d lda Fovllioi ol Ch.9ln 9 (o.jll:ci,8 snt Salion ?040) ol Divtion 1
<br />of rlt &sic. rd PrcfalbN co&, sd br lklr ir b rul loE.'d.If61
<br />SNiIAUC]IAIiIENDrIC E!(I
<br />I hd.by amm und6 F lry oa pqjury lhd 1fi6. i! ! .otrnNclion lcnd6{ osdcy for rh. Ffol:mc. oathc ktrk lor shich lhi,! pqmn b
<br />iss cd (s.\ llr'r7,a,r ( )
<br />A8EUSIILDECIaNAITO!
<br />I hd6, .r'id ulild F.X, of Ftry orc oltlE foloeq &LflioE:
<br />Daolnio. P@iGArhctIG No(itunion Fcda.l R.SuLrbN (TiL ao. Pd6)
<br />R.qouln tlE ol ttod6.re
<br />I cd'r) rhd rhc f.dad,:9rioG qidir8 Elcrd lEDv.l t. tur oolsbk lo rhir p.oirn
<br />fi I (dilr rhd I ha!. r..d ihir applicarion dxl star. rh.l rhc abv. infomrd$n ii .ord. l tr8re lo comply w h rll Cily anl Counry
<br />rq,srarir6 of rhis ('n, ed ( ou.ly lo da upon lh.ordindrd sd sr.!. lrwi Ebli,'B ro buildif,S conirn'dnrn anJ hd.hv lurho
<br />t ?/ tt / zorq
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />I\ila son ry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif
<br />FINAL / hll'?"4 lpGv ,i-)
<br />Certificate of Occupancy v?
<br />Notes, Remarks, Etc
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