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BUILDING. INSPECTOR RECORD
<br />SITE-WORK ow ER at[,D[n oEt,(AR 'lt(,N
<br />I hc.hv rmnh undd pd.lry oa pdlq rhd I m .rmti h,n rh. (i'dfto6' I-kmr ll\ for rh. fi)llotr iry rdn IIG 7(r! I 5
<br />h!sin63 rxl Proasbn ('cj., AD (-ily or (i,u ) \!i(h ftqun6 , Imni ro .oNrucr. 6, inllro\c. dqnolnh or rqBn v
<br />slruc1u., Fi,rro ns isu (., aho r.qun6 lh. amlicd f.r ru.h Fnntr lo al. a !i*n.J jdm6l rh, h. or sh. i! lrasd prmd
<br />n) rh. FDrsoN of rlE Conro.ror s I (o!.d lr* {(n!F( 9. (onlffiins *rrh ScnFr 7(rO0 otDnuion 1 olrh.Irusindi and
<br />Prefdrhns cod., or rhd lE or rh. i! .tmp th6.riom 6nd rh. bar( lor rh. .ll.B.d .rd ion Any\iolarRrnofsdmn7(rlr 5 hr.nr_
<br />amhc. nn r Fnnn rubj(s rh. .pr[can' ro 3 ciril Fnant of mr mr. rh.r ii\. h! t.d(i)lla(lsm,
<br />l.&rosn(otth.Eopcny.orm,crplo)6$irhtr.r6f,srhorsEcomFsdnn.\rlld'rh.\mtdnrlErndE irni
<br />nraLd ., otu<rj ror eL {s< 7or-a. lr6trE &d ltltshB C(j. 'I h. Conrrlctois Lid* l.s &6 nor rmly ro d o\vnd.l
<br />(hc In)p6ly Nho hildr oi impror6 rnson. md *h. dE su(h s$lt hm..laor ndelfor rhmush his or nd otrn mpL\6.
<br />Fo\ d.d rh.r such inF$ffis E mr -nsd.d n olTscd fitr sL la h,s6q. rlE hildnB or mFor!,mt is r)tl trrlhin on. \w
<br />l.omFkidn, rh. ( \$6 Burldd r IhA.rh.hrdootroin! rhd h.orrh.dkl m, t Li.r irqrm. rt. I'sFt for rll. IrnFr.l
<br />l, 6 o"E oa'h. F,pd!r. m i.lNr.lt coimerns snh li.q&d co.r816 h oftrn{]r rla F.j.r tsa 7014. Btrin6
<br />,d ,t!tu ir. (ir&r I h. ( onlrt(ror. l.ic6r I -N do6 mr iprl, ro dn o$n6 . f tror.ny who builds or imp.ov6 lh66'n..nd sho 6nid. f.r r.h tnrFd3 \th . codd6n!) l(dsd p{Bd ro rh. c6didn'r LkG h$ ,
<br />t .\mpl und6 Seri,n
<br />Drr. ontr6
<br />$onxFkai( aMPiNs -oN
<br />OEcl.AAAIJlrI
<br />I hd.b) sliim un.la Frh) ol fFJun oft ol rh. follN\ inS drbratioB
<br />I h,r. d *ill @inrain ! Cdra.d..I( o,6t to S.lf'lNu.. tor \orkm conrFngl'on. N lro\id.d for by S(rion l7t[r orrh.
<br />LIry Cod.. aor lhc p(fom.rc. o f lhc $orl for *nah
<br />'
<br />h. tl€nn i! su.d
<br />I h!v. .nd will mainrain lo.tft' .omFmd nr. iuureq a r.qun.d by s6rhn :17(ro of rh. lrnr co&. lor rh. Ff.trrle. ol
<br />rh.rda chkhrh6Fm berd M)*0116 FmFsnn du,d. cqrt ,,rl Flk) numb. e.
<br />n-- [4rDwLs'i Laq-rr;C4sv4crv ('O
<br />(,,.,*.o B-u!l9Q t5 tgty F,pn6 1. I -2-19
<br />I cdily ttd in rh. FfolfuEolrh. {.rl tu $hih rh'r Fmi n sal.l drll m' mFk r.n! p..sn in mJ_ muK
<br />$ a'o t caE rubJ.cl li, rh. r,ortd c.flpcr$l'on l.*s ofcalifomi!. nnd lsc lhd if I sholld tEcor. subd ro rrE
<br />\orlc <. tEeri)n For tf6 ol s.di!. l7m of rh. 1.1$r co&. I {.lL tonh} i'h .odp\ I irh rh.. Frniodi
<br />wARNING: !!ilur.
<br />'o
<br />suc \ort6' con s$.lior cor.6g. is unhstul. ud 3hall subjcl e nDloyd lo sininll FEh6 ad
<br />.ivn finduploon hurdcd lhoNnd &,llD (110.000). in r}jnnn h rh. coi of comrEdlroo. dld8c !. Fo\ldri rr rh.
<br />S.\rtr,n 1i)16 ofrhc ljfu{irl.. No.sr andir
<br />ATLUzQ- /uc.9-s-t'>
<br />0[ct38Arra!Ihd.ty!fim u(js pdallyofFrlury rh l m lic.rd und6 Fotlionof (lE is 9lonl]B'nS qnhS..iFn 7000)olDn'!io.I
<br />l\Bm* MJ Prcr6lrs (, J.. nl
<br />/-!/ I>.,*,-'-4A4
<br />$' 2f'' 2
<br />ft) lic.e G in rull nft. ,n dral
<br />-F.*.
<br />\.*
<br />93811/Z
<br />I 'c.N.l.!mb(('nr.cr'r ll'(
<br />678 /Z
<br />rfltlt"c4-- tyC
<br />CAIIiIaIJ(IIOIIE DING-AGIT(I
<br />I h.r*! im,n undd p.n yoftdju':. th,rrhdcBacodrucri'nLndrsdaF.yrffrh.Fromanc..lth.{orlntr$hrhrhtFni6
<br />itsu.d (sd :0i)7.civ ( )
<br />I .ndd'! NMc
<br />AIIII(ATLDE(I.AS{IIOI
<br />I lEtttr .trm udd Fnlh y oI Fjury otu of lhc folb*in! 'laluat ions
<br />D.nol'lkrn Pmnr.Ashdros Notfi.lrion Fc&r.l R.,ruld rm (Inl. a0. Pd6)
<br />Rcq!tr.d Ldl( orNoti6cdnn
<br />I rdiirrh rhc fd6!l rqularons r.3 d ,3 arl6n\ ,ono! al nr. n.r innl'.rhk rLr rhtr prtrN
<br />I cEl,ryrhar I hav.r..irh'ripplicarion Md sarcrhd rh.,bo\. inn,mdhn k.of,d la*rer (iir 0dCoutrlvro trr 0E{ dr-lui,ua B 'nj \rd.I.st 'tl,dB r. h'ild'np c.NEdnn dn \6.b\.urE,
<br />/zrhnrmd,n.^l"lH.16r'
<br />rpprro'*o,-,sr-'* 1"^ Ax|/Lsr'
<br />\Pm,F "n. ( prrn,,: ),n A* 0ZQ5- J
<br />,'2>' 17
<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 />Framin
<br />ln sulation/E nerg y
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />[4 asonry
<br />Pool Fence
<br />T-Bar
<br />llqr{icap Req
<br />De U Final Re rt
<br />En ineer Final Re rt
<br />Flood Zone Certif.
<br />FINAL S-tz-rz t QcQ-to Gi)
<br />Certificate of Occupancy
<br />Notes, Remarks Etc
<br />A
<br />I DATE lrD/SrG. I COMMENTS
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