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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILD}:R DEL('ARA'IION
<br />I h(.try silm un&r FElrt (,f FJU r- lhd I @ c(mB 6om rh. Co.td.ts LicN t s fo, ln. lollo\rins r@). l S( 70:r l 5
<br />BN'n6r an t\ofBn. Co<|.) A.y cir, or Coudt shkh r.rtu,6 ! rE ir ro cotrrrucl. olls, lBFre &lnnirh or rcrEn d!
<br />ntu!1u. Ftub iti isoe...16 rcqlr6 rh. IprlEa for $.h Fmil !o 6Ls s,si.d n{.:6r rhd lrot sh. ! licds.d pumu,l
<br />to rhc provilio r ofrh. Contr.rois Licokd l,w (-harld q, ( omh.ncins rth Saln,n 7000 ol lrvi.ion I ol rh. Busin.s a.d
<br />Prutsn,.s cod.) or rhd tE .r rh( n cron lhsltom ud lh. t rs for lh. ,li+.d .ranflion Af,t riol,'ionors31ir 70rI5 h! lny
<br />rr,Pl'r.nr for ! Fn sti.nr rh. rrplkd ro,o\rlFrh).lhrmr.rnu fi\. hur&6j&lld(!1(,)
<br />L s ownn rf rh. In$p€l y, or m! mpkryG Birh wis6 B i h.n snc co'ntosdi.n, $il1 & rh. Rnt ed lh€ slnr.lr is ttr
<br />i drjol oro|I6d lorsk(sE ?044, u$in*dd Pr.lBrN (irj. n (r)nrdors l i.* ljn 66nol +rl\ lodo\rG I
<br />ih. fhFn\ $h\ lx'lits or n!nr6tlEoGrn$bdEwhrn hitu.lf o. i*ltor rhmuEh h'i o' hd o$n mthlc.
<br />prov .rl rhrt ruch mlnn!tu ft br drddl o ofivd for sL lf. ho\6d, lh. hrildlnlt o. ntrorffi 6 $li tr ihm on. rd
<br />oacontkion. Ih. o*n6 ltuildB will hNr rhc h"&n or Frvin{ rhd hc or 3h. did ftn toiltl or imFo\t fi. Impql, ror rh. pwB& ot
<br />L so{ffioIrh. F.F!y. nG!(turn.! coddrns strh n.a€d coorrnnh.onrrud rrE rmFd (sd 7(rl.l.116'.B
<br />ad h'E&sir codcr I hc Conl'rcloi s l-ic.nr. b* do6 nor .pply ro d o$nd o f proF.n } tr ho builds or mprttv.s rhdon,
<br />s.d $ho .. rds lor 3u(h Fojdr wnh a Cor ndon.) lkdGl puGurl xr lhc Codr&r.is Licok Ir$ )
<br />, mcrdF und(scrhh
<br />D.t. (hn.r
<br />$ oRKrRS', ( (|t\tPEiisa]loti
<br />o[od&ula!!
<br />I h-.b rmrn undd p.nalr, oftclury o..ofrh. idk\!in* ddl,ihotrs:
<br />I h.r. r'd *'ll @rh, ( aift.r. of Colffir r. S.lt llM. fo. *!rl4 conFBnNn. a For idql for bl Sfrrion !7m of rht
<br />ljtFr (ode lor tlE Ff(M. of rlF udr b. *hth dr F6i 6 &.d
<br />I hrv. rni *ill m!i.tai. worl6 conpmllion iNurm.. s r.quircd by Sdioo 1700 oarhc tthor (bdr. for lhc pgfomecc ol
<br />fi. sorl for *hi.h rhi Fnn i! i$.d My sort6 comFnlnhn iBrlfu. ceE 4l poli., numb.r r.i
<br />f\Pon.) \umt r FipiF)o7\zl Icd'a)rhlr rth.Flniffiofrh.$o f *h.hthi.Fnn n i!.u.<|.I JEll ml alphy !n, F$. in rnt nuE
<br />s s r. b..om ubjd ro lhc *!rt6' 6npo5d 6n lis orc.lifohia, ed +E thn if , rh.uld b..om bjdl lorh.
<br />*!*6' onFE rion Fu lnB oI Sdrn l70o ot rh( Ilbor ( .<te I {ull. hnhw h cnmnb * rh trn* FoEmN
<br />\TARNINC FrluE h se srrrd (on?d.F. 6r€le. a dl$tul. td ltdl lbj.tl & onpldln lo sinin l FElir rd
<br />ro oc hund.d rl$sd &lLis (t100,m0). i. &Inh. b rh. con .rcomFsl'on, d.tus6 .r Fo\il.J fo,
<br />'h.V"t(,n 1076 ofrhc l.ahn(i\k.rtdd ind n{oma- s
<br />bl?b
<br />l[r l.\tr I l()N
<br />I hrby !ftm' undd pddry or pojurr rhd I m ltdkl u.do r.orision oi('n!r'ts 9 (.onnEminr *ilh sdrion 7(x[) ofl)iiri(ln ]
<br />of rh. BBire dd PmfdirN Cod.. s'd mr lf,oE 6 r tull rorc ed.fid
<br />K"-
<br />a,* O
<br />t" l"z,
<br />3G5.j o
<br />H , l*-vE- C ..i.-,cr (u<--\l cN)
<br />CAXIIBUCIIANIEIDIICAGINII
<br />I Hry .,Im ui& pd!.ltt of Frjury lti rhd. i!, coirntdnn bding .g*! for $. Ffol1r14. of lh. slrt n rni.h rhir Fmil i!
<br />iso.d (se. !04'r, cn. C.)
<br />APPLICANT DE('I-AIIA'TION
<br />I hdrat itfrn !6dd F6thy ol Fjury oE of rh. follosi4 rkcbrioN
<br />D.!ftn ion PoTi!-Ashdd Noria.,rh. F.d6rl R.8uldilB (Inl..10. Pd6)
<br />R.qutcd ldl6 of Noliftrdion
<br />I cdi6rlld rn tudd.l,.xuhrhB E{rdng ataGlm\.|-. d {rlt$kto lhB rroj.!
<br />, cdily thd I h*. rod rhis applicario. rnd sbl. thit lh. atFv. intomdnn ii Nrdr l.*rE to.omrly with lll (
<br />'tyand
<br />( 6unly
<br />ordruN6 rd srd. L.s Eldns ro tgl4tns cordDd Fn. s'd l6.by iuth.rt. EF.dlnc of thit Cny Md Counl v lo drd uFn rh.
<br />abo,. nmrbn d FFI ror !Epdrt(r&F*. . ^ t
<br />{pprronrorrja,sqnrrm gJ%/ -" 6129
<br />\prorr-oa.rpao, (r -riio^,s OE{c<.* Jtz\,
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<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 />FINAL I J)e**
<br />Certificate of Occu n
<br />Notes, Remarks, Etc C
<br />Flood Zone Certif.
<br />l
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