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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE tD/stG.COMMENTS owNl:n BUTLD[n Dt:t,( annrtoN
<br />I hqcby affrd unds p6ahy ol pdJury rhrl , m .rflfl iiom rh. ( otrt.dor' Li.{r l.r for rh. ()llo*in8 .m)n (S{ 7011 5
<br />UNind d PRrfdio. aod.) ny ( iy or County whi.h r.qtrn6 i rEmit lo (n(ru(r. !116. iDnn,v.. ddnolbh or rqxir Mv '
<br />nrudm. Fr. to r1! isMcc. d$ Gquu6 rh. q,r,lE r for such FOn lo fi|. r sisn rl idmd lh.l lt or rn. b lic4Bl plBd
<br />ro !h. F.\thN ol rlr contdo. s l-'c63.d tlw l(tuli6 S. Conmfrin! unh Sdnln 7000 of l)!\rx'o I ofrh. Burina ..d
<br />Pn',6nrE (o&) or rld lE oi rlE s.wd rh<.nom ! rhc t6i! to, rlE llks.d.tdphn Ai' \nhrx,nolsdhn ?l)rM^.n)
<br />!fi,lr.dr ao.iFrf, lubJdrs rh. r,rlEanr !o d.irrlp@hyolmr mr.ihn liE hun&.n &rlles(tJ(ro)
<br />l, 6 oH6 of rh. FoFly, or nr c6plo,6 w'rh w,3d 6lhdr $lc.oo!dEai.n. $ill& rh. wdl dd ft. crucirc il mr
<br />i drLd d 0116o.l for sL {Sa r(}{. ANin6 sd ftrfsioG Co& ]1r ( odrsioar l.tw Llr &6 ior ,pply t s.wm ol
<br />rh< thFlr- utn tnil& u inFnt6 rrE@ in *lb &d qrfi r.il himclaor helf or tlmllh his m ha onn.flplo)6.
<br />Fo\iicd lh.' uh mF.!.tlEtcmri d'&l d ofiqd nr s]. ll nn6s- tlE hr di'B or qr^-dEr i! $ld nihn m )d
<br />o,oiphia tlE (Nnd B!il& sill hr\r tlE hr&r olForin8 rh, lr or 3t dAd llrldor inqotr $. FlrEr) t rlrE F,lreor
<br />l. sosEorrh. rtr,sly. u.rclu$rcly co.nrerin* qirh licas.d .onr,rloE ro .oNruci rr. phj.(r (s< 7(}{.1. BGitB
<br />.,rj Ploftsir. co& 'rh. co.rmorr Li..M b* &B mt.prlt ro I om6 of FoFdy q ho boild! or inpro\6lhscr-
<br />.nd s'ho co,rB1! fo. sh FJ.(li snh r CodRlo(!) ltsE n pururn rorh.(od8rd'3La*li$I
<br />I anc\e'npl un 6 S6xon
<br />D.r. ()'nd
<br />ulJxli[85:(arfarallaltD!(jiaauo!
<br />l h6ct ) ailirm unds [l.n.h! of pqury.Eof rh. ['11,,*n! ddleinoB
<br />I havc.dwill n nrain o Ccn incdc ofcotgI to s.ll- lEurc n)r sorko compo$r hn, s p(\ id.d ntr hy sdrion 171,n ol rh.
<br />l,bor Cod.. for !h. Ffo,ll1s. of r& $nt aor shkh rh. Fnn ir isu.n
<br />Ih.sid*1llmrrr.inqorld'comp.GnionBur.mcsrcqui.dhSdFn17(.frh.th.rco&,lorrrEFlomm.of
<br />rh. sort( hr *h{h rllii Fhn 6 NGI My wMld' onpqEai'n 'Bura..rir lrl Flky.!mbd r.
<br />{ry.d,rr rh.r m rh. FrolmnL.!rrh. (orl ro, sh(h rhBFntr ,r su.d.lsh.lr nor dpb, rny pc$n r !try mm6
<br />v' 6ro b.com. ruhat to th. world'compqullNn l.*s ofCslifomi0, ud as6'hd ilI rhJuld lt .ft rutld' ro rh.
<br />sorka c.mrtoutiotr provisbN olS..rion lT00oflhc llhor Codc.l JDll. fonh\ irh comply *irhrlFs provisions.
<br />WARNING: Failur. h sw uorld 6np.Mnn ..\m3.6 unl.$tu|. ud ih.ll llhjrl u oplo'6lo siniMl Frhir dd
<br />cnil nn6 up ro oE hui&61 rhournl drlls {'100.0()0), in rddnnn to rlE cotl of c.'ryrclion, &tus6 6 Forddl lor rh.
<br />Sdnn 1076 ofrh. lttnr Cod.. hrcd ad aonE) r lG
<br />Y-,. 6- tr'il
<br />DICIASAIIAN
<br />I k) .rm !.dd Fdly oaFju,) rn.r I m lrcasl un<Lr F.r tFr.rchq'rq t l(iffii.s Inh s<dll.7uxr)of l)nnir.l
<br />of rlE Bsi.d !d Pmftsiod (-od., ,n m! lt.c i i. tull for( nd.lI<l
<br />y,..*..* C-|0
<br />\6,, e:13-LZ
<br />x
<br />;*"''"-fs^Qqo]zx; E-e.sr x
<br />(()!flaucltoNLExDlnlilcDx(I
<br />I hmby ainm unda lHalty or psjury lhal th6. is a $Nlruclion kndin! as6cy for rhc I'(fomd.. ofrh. t tk for shi(h lhh FItrn 6
<br />isu.rllS< 1097.('ir C,
<br />AFPt I('ANT DE('LARITION
<br />I Egra lfrn unds Fnalry of Fju,- o( .lrh. nrlk,\
<br />'ns d..h4t irnr
<br />l).mliion lmns- rtEcoe NorrfKlrFo F.d6.l ReuhlirB (Tnlc.lo. Pint)
<br />Rcqunld ltrrs ot Nd,nourn
<br />l.6tifylhrt rh. LJd.l rqulari,,ns qsdiry arlE*r rmor0l!,..or qDlicahlc ro rhii nmj<r
<br />Icdr'brh,Ih.\.Edrhi!.p9hdn{ddnr'.rhdrh.lbovcrnfolMi'n6coEd I+rat mn{,\ $ (h rll Cil} $d ( ou.ir
<br />odiuftG &d sr .Ir\scbi,{tohrldinS odrudon. rn h6s.{ ! hor,. r.F.frdi!6 o f $n Cn} ud Cou.r) lo dri rF,n !h.
<br />ahtr. maro..d p(,tEnt for itr\pc!1$n
<br />r--Ahplk.nr or A*ml \lrn.rqIS\
<br />aP.mhRnrh.rp.r r, [5 (E47]l ^/\
<br />L-l"r-r7
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />ns u lation/Energ y
<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 Report \
<br />Flood Zone Certif.
<br />FINAL {/zq/rt ./&4O
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc
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