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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OIDNET AUIDEf, DELCARATION
<br />I tsch, rriim udld FMxy .r Fjlry rh.t I d .rcqil tom rlr cl,,rr&1i6 Lx.ns ttw rd rlE rrnbvbS E.$. (S.. ?0.11 5
<br />llulio.ss .[l Pror.sri.ln Cd.L)] Any City or Count, *hiLh r.quies . Friir ro .o.!ld.|, dtd. idll|nrE. &m'lish r FFn $y
<br />rrodu.. F h rrr @.N. .L. Eq!6 rlE !t 'lid for .kh Frru lo nl . !{En 3l.r.r.r rh.r t d, rrr n lin{rl Fmd
<br />t' rh. rn,viri,ns or 0E Conkrcktr s Lk.nscn Uv (Chq'rd e, Commtu,na wnh S&ton 7frr) ol D,Yrxn ] of thc Ausmis .Rl
<br />Pmf.s..s Ciilc) q th.r h. or nr i! .icnpr rlEFlnin r,rl rtr trrE lor trE .lkr.J .r.4li'n A,y vidl,{hn ol Se'rE 7or I 5 hy e,
<br />.mllror ro..IEmt bFk r,E ml..nl lo..'l'lFMllyolmr mErhdfir. hudrdl dou.B 1t5(l)J.
<br />-1..'
<br />owr or lh. FlFny. r hy.nplolE ! eilh qF s rl!, bh dmp.nt lof,, vr[ & llr wi lrj rll lrrulG ir rbr
<br />dat rl n ofr.rcd rr !b (Se.?o4,1. B!!iE! r.J PnndDN Grl.r TIE Codrau ! Lrms Ue drB d {! y h s o9ffi of
<br />rh. nn{Erly uh' hr!!r o. r{F)tr {Esrt. $l wb ltE un s'r* hinrll or lErEll or r}n,uAh hn r h.t ovn cq'l',ycci,
<br />Fovrlol rh.r Bh inFrwd! E mr rt6bl *ofidsl fu sl Ir.t w. E lnill-r! q lqt taEn ! $It t.hb (r Fe
<br />olqxrible rlEOwN Bullr.r * h.EDEhitLnorF8BtlEllEu{.Lt!a hrill d urFrE tlE F)Fy ldlL F,Flsof
<br />-1.
<br />.i .wr of rhc FIEry, ih cr.lunkly.on'r&ru! wft lrc.ncd onlfrlB r!'.DNrtu'r rlE F,F (St. ru44. Buffi
<br />Irl trt'Lrsir Cntl.: Th. Conrrarort Lic..* L.w dNr B,l .,rPly n' u o,er ot reFdy *h) blilis or rmrrowr lh.F n,
<br />r,r, *b .rd trf frhFFi.s h t o,,IlEllnn li.r<.t prEd
<br />'o
<br />rlrconlalr i lx.r t *l
<br />_l tm.r.mfl { .r Sccti
<br />-.
<br />B & PC lorrh! E.n'n
<br />Drl.
<br />-
<br />O.mr'-
<br />llas&ss:llttttENsAra!
<br />DESITXAIIA!
<br />I hcrchy rtirm un.lcr FMlry ol I'.4ry or or rh. finhtwtr8 J(Lr.r'on.:
<br />I h.r .rn *rll DDr.i . C..n,fr.r. of CoBht ro s.lf-lBuE ld qtrtdi d,mlEdxi. d Frvdar ru by Scl&n lrm of dr
<br />lrbo! (ii., nx r,E Fr,ormBr or fic qrk ro, wh(h ih. Fm,l s hsd.
<br />fEr'.* .,,r *,rr -.r.. *ortsr .i{r{rell. nsiE.. 8 Eiultn by selm ln]o or tlE L,lhr Gr}. ror ttE Fflm! or
<br />rhc r.rk 1,tr *hrh rhrFrh '\ tr\u.J Mywork. 'onf.nsrrtrtrr rn{tr!!.c.atr'.r 8nlFn'.ynunrbcr c
<br />c*, ?-^r-rr,,l €'
<br />p"r.y x",,t .'@Erpi*
<br />-aldl.tnrrv rrw rn ttrc rrr"rmN. or rlE wolk Lr whi(h rhr l.,m N '\ru.d. l shtll nor .npby .ny pcno ,n rny ndnmr
<br />., $ r' lE!$m ut j-r (' rh. *(rtd1'mqEndrr hDr.f Crlrtomi., .nl {N rhrr d I rlrrld;*om suhr.r li rlr
<br />worrc.' cohFnsrx,. I,ovrx'ff ol Ser{n lrur of llE lrtrrr C,rL. I :lEll. lMhw h $ttlJ y * h lhre Povsn.r
<br />WARNINGT l,rihtrc t,, Eurc u cn'.l,mocnqrion co,rtlc s u.hwltl, nr rh.ll suhjccr rn cmploy., ro 6t@l FMlr.s dd
<br />.flJ ,itrs ut rr oE hunltctl rhrsnJ dnl. ltl&-ulr). in lllnu t' rh. o{ of or{Ensh)n. J.D3.' it F,!r].d ro. rrE
<br />SLrooh .1076 I 't{ Lhf, Codc. [lcrc$ .nd oEy i l(\
<br />p1 n*r [-".9'<-1.1\
<br />I h.,!6y rttm lLLr p.Exy of Fr!r, rhr I s lirel lnlcr lotirbn of Ch.prd 9 (crllt1llfr68 vnn Serid 7rE)) of D'vitih l
<br />ot rh. Axsims dd P,nr.siinr Codc, rd my l.cns i. in 6il, loE! .rn cfidt.
<br />1 .'r 16 L{A
<br />1\co rr.r f.-..rr-- l',r gval
<br />qqll[ElCIIll!.ElIllG.f,GENq
<br />I h.rhy lftrn uslc. Fn'lry nt r!!ry rtd rh.E * a ohnnBran lcnJhS .3cBy lb, llE Ffomfti or rh. utrt r,, whf,h rhs Fntrn s
<br />s$..1(se lur?, civ. c ).
<br />A[[LICAN[D[cldAAIto!
<br />I nolhy .llim unlcr p.nrlry of Frr4 nr oI rh. nnlo*ru &( Lr.rirs:
<br />Dcnr,lrr$n Pcrm lArlEnos N.nfidrr ffdcrllRquLrnns (l'rrl. 40. l'"n6)
<br />R.quu.(l lrt.ro, *r'firf !n
<br />_l lsrfy rh,r 0r rBlril rcrlhDni r8ntl,nt .i{nor rcfr,y.1 e n'l q'' a.bL lo rhs poFt
<br />)! !<""n,ry ru, t t o* *",t rt . ,plt"u,{r.thr(rh.ih,v.,lorturtrlnis(onclr.Irtren)r.n{'ly*rhall(\ryrn'l(itrtr y
<br />onltutu.i .il St.tc bPr ELlru tr .onreri4 r tmb, rtrrhrr. nF.{tutrw! ot rhrr C y.xl Counr, ro cnr6 uFr rlE
<br />rhoE mnrDtu{ I'n)tEny 1,tr inr
<br />,\ppli..nl or Arerl Sirmlur nn, Z q 2-l
<br />Set Backs
<br />Forms/Steeli Holdowns
<br />Er6ction Pads
<br />SLAB Floor
<br />Subf loor/VenVl nsulalion
<br />Roof Sheathinq
<br />Shear Wall
<br />Framino
<br />lnsulation/Eneroy
<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 5'/'21 2 otstu '€/?+J dZ?
<br />Certiticate ot Occupancy
<br />Notes, Remarks, Elc.
<br />UFER Ground
<br />Flood Zone Certif .
<br />lo, [,ozr-
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