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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS O1VNEN BUILT'Ei D'LCATAIION
<br />I h.rcty ltfrm u,lcr pculry t,t l.D!ry rhd I e.r.ny'r In,6 rh. G,nr&rn L.nr L.* br !h. fi loPD8 6.1t. (S-...7oll 5
<br />Busn.sr r l Pn,rcrsirn CoJ.) Any Ciry or C.unly vhi.h rcqurcs o Frnir b (ndru( 6lr.r, imll,( w. &Bnirh ,tr E1lr my
<br />ntu$ft. Frtr t) ir! iriudr, !ll' hquftx rh. {tlrsr f rhh Fmii to 6k . 1i3mJ sl.r.trnr rh.r lr d dr d l..n$d pmd
<br />!, rrE Fov6krn or rtr Cont*nr'r Lunrd lrs (CtF.r e, ci,.lmE'nr *'ln Sdre. r) ol D'vsDn ] ol
<br />'rE
<br />Bo.m$ r
<br />Prr.s.n! C*Lr tr th{ lE r ilE s .r.q'r lh..ciin .'rl rlI bar! f{, rrr rl,.!.rl .kqr.n. tuy v$Llhn .f Sdlun n,l I 5 by a,
<br />rmlKad n,. Fmr subFk rlE .plliua h. t'vrlFmlly ol.ol m,rc lhd r't hu,rlrrl Jouds (S5l,).
<br />l. rs u*Nr or rh. Flpcnr, or m, cnpbFt *rri *rscs r rh.u bh comFnsltx,n, {,ll .b 0E qnt {rl llE cr..1r s mr
<br />d. ql d ortEn hr elc (Sa 7i),1,1. Bn\Es r..l hrf.*i,ni C,i,i TlE Ctu&roir trcns LrB dE ml q'lly i', n o*8 ol
<br />tlE F{6y sh l!&kd lqnrB UE64.d vb dF Bhsrt hmrlf q lrrl,orrlK 3hhd d h.t oh.nnltyer,
<br />Fnvrt tltnrr tuh alhEmdrad dcnlal d.tfdd nf, s! lllr'M,tlrt t!!E q lqner tr$Uuh$ttrFr
<br />.l .r'tq,ldi,n. Ur Owxr Bullr( r h{r LIE bor&n of pos! rhi h. ,, sh. drl nrl tlorll or inF.E IrE Intdy nrrh.F4rxol
<br />l. I o*H of llr F,tEry, e .r.luiEl, $tr|Idmr w h ll.nrn onbar6 ro .r)lful th. F]F!r (Sa. ?U.r4. Butms
<br />.d mcn Ciilc: T1r ConrBrir! Lirnr t,* &n br .ptl, ro e owE or tn|Irny slm 6u!!! or qhhr rhcFE
<br />rtul who r$ ir fd sBh FuFls pirh. C. B1dl,licnsJ tr6s, ror,r(ol'lndd! tt n- Le).
<br />Lm.rcnlnr trftlrr Scctinr
<br />UABA!f,S]CAUIIIiSAIIOI
<br />DECIAEAI]A!
<br />I htrcby drrrn nnd.! IEndhy.l n(rjury orc oirhr l,n!)*r8 Jq.-Lrrrrn::
<br />_l nrk rnl w,ll rudu wort.n' .o.iF.s'r'n dflr.R., ai c{u&n by Sclnn ]nn of llE trti, cid., n{ rlE F.limi or
<br />rh. $orl ltrulkh rh,\r.m ,mFnsri,n nurrhr.MEr .d Frit nunb.r-.
<br />t^) ll
<br />L3l 0$1111
<br />-Eircr:
<br />-l.cnni
<br />rhlr m rhc pc,brtutu. utrhc,ork nn shrh lhn Frmn R lsucd.l sh.llndr.tr[try lny IE son in 3n, i.nEr
<br />$ r b h.()nE rubt cl kr th. *o*6J!$mFnr.t$n hvs ofc.lilnhu..nLl lsE rh.r iiI shull h.$m rubjel kt rh.
<br />uortds .omlEngl[n Dn)vslJn{ ol S(r$n 17txJ ol ih. Lihv Grtc. I .lull. fonhwnh cor9ly wnh lh,s nn*i1irr
<br />WARNING Fdur b aru. q!d6 d'n,Iterirn $v.h8c r unLqluL .! rhrll nhFl u c,ml'ys h ulNul FfllB (rl
<br />.rrl fB! ot (, oE tortlGl rbusil ddld (!llD,(II)). o rlln ro rll .o( ol.\,rrEtrsxon. d.di.! E on,vrl.J n r
<br />I
<br />@qIAEAIPE
<br />I lEEh, {r!n ufticr Fn lt, ol FiIr} tt:r I e l$trcl ueLr Fi6bn or Ch.F6 e (6tllmul! ,'lh S.dhn nll)) of Dtubn .r
<br />or lhc Busmr dn Prefcs$nr CkL, .n m, lI.e R o tulI t,N lrl.lh_i.
<br />A 1b I 05t5qq
<br />L
<br />tolI[EucuoNlJBDIlGlliE
<br />I trEhy.iIrh u Lr JrElr, n, ,Errury rh.r l,E it. $nnturi,n LnlhS r8.ry ,ltr rlE FftmM ol llE wt tu *hrt lh[ Fnr !
<br />KEal (sd 1097. crv c ).
<br />ATPLICAITI.PECIJSAIIA!
<br />I lEtr,y rflin un f FElry ol Frt ry or ot tlE nnhv,n8 J.rLr.ii'ns:
<br />D.BrUi,n P.rmrrlAstrro! Ntnirrdion Fc&.rlR.s!Lrb.. (T L,l(,. P.n6)
<br />_Rcquuc.l l.(cr olNouic!lrD
<br />_I rd ! rhr th. foLrd r.grltrhns F3.r{u! .rh$ros r.B,v:l !c ftn qt?lld,L b rb! foFu
<br />, rhrr I h.h od rhs rlrhixrn bn B .,re._1. I .sa h .rnnply *'th ru cny nl Coufly\;,,,,.".rn(l sri. Lr*\r!.lrLtr,r i,hniinn!on{f, ()n, anJ hcrchyruih,rcr.rc*nhrvcs.r rhrrC yarnCour,n'.nrs
<br />rh,rc mnllnrJ non(ny ntr
<br />aute 0 tf
<br />I
<br />Set Backs
<br />Forms/Steeli Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsulation
<br />Rool Sheathing
<br />Shear Wall
<br />Framino
<br />lnsulation/Eneroy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />,l^- /1l -a
<br />FINAL 7tt//t//)trYtlfl.oMU
<br />Certitacate ol Occupancy I
<br />Notes, Remarks, Etc.
<br />Pool Fence
<br />Flood Zone Certil.
<br />I h.v. rd wrll ruinr.ir r C.n ir.tar. nf CoDrni n, Sclllo\xi. ,,tr wod6 .omFnr{irn, rs F,vii.d br ny Selrr l?(t) of lh.
<br />UtU C,rlc. Ltr r,x F i]lErc or r,E knl rd tn.h rh. Ftur tr NiEJ.
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