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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNET BUILDSX DEI,CATAI]ON
<br />I Lr.b, .ftm ool.r FBIy of Frry rhd I o .rr{, nm E Coll'fum Li€nc L* for llE tuu|*r! ten (S.c.lOJLj
<br />B!,ffi3 ! PrcLsM Cdl): A,y C.y or C 'ry whrh 'q!Gr . Frnr kr $nnel. .I., lqroE. .k@li.h o. qr 4,
<br />lirurF. lif, ro 'r! 6!il,E,.Lo rrlrc rlE +t'li5r l 3EnFmrro6l..rirmJr.rmr rhd!.dt it litel FD.Er
<br />ro rlE FowbB or dr Cdurrd! Lr.r-rl l,q (Ct F6 9, C(llrrND! rnh Sdlln I[) of D!!o. I or E au'ltB .d
<br />Pmf.s$N CoJ.) n th.r lE ( slr ! .Ehti rhsE tm .!rj rlE b.5n td th. .lL!.{ .r.qre Ary vDLlbn of Salion 701 1., t, ry
<br />.|!pltr.r for r Fmn sbFt 'lE rltlunl ro r (:vn FMly of ml trIm rhu fiv. hunl^{ do!& ll50)
<br />l. .. orEr of IIE FlFny. or my.q)loys! - h *r3cs 8 rh., $h (xn{Ennrxrn, wrl !b th. u(.k.tn dr rBlw s tu
<br />un.o].al or ofl.rcJ f$ sk (S( 7(x4. !]trses rntl t\,r.s$nr Cukr Th. C ntkktr'r trcnf, l rw !e! ton q y n, io o*E ol
<br />rrEF{rdy *lrr lutls !{ lqnrK rh.,s'n, rftl vtx' rtB {kn qnt himscll.r h.kll or rth{Bh h! ,tr h.r iur .rpl'y..s,
<br />pn'lrldl rhar such inFomnh e ni hrctrldi...ll.E! ,r,, sk lt b*ck( ln. t lmS ol ftx,Emnr u $ld *[hn om F{
<br />nl lo,rplcrion. rll Owmr Bu io*illfuvcrl*h]ni.norr.vin!ttutiEorardrlfr ttr l or lqn)vc ric F,rEly ltrlh. poqxrcnl
<br />l. rJ owrcr ot rlE no['.ny, mr c r.l!!v.ly $ntrro g * h h..tr{J ronkrt,^ r, onddd rlr lrDrd ( Scc. r0a4. ausfts
<br />rnl l1rftr\rr Cclcr Th. Contmktr r l-'(cn\.lrpJ,$ n rpply h an olncr or J'hId y *h) t'urlJ\ or rnl!,!c\ rhcr('n.
<br />.tu1 'hr $ntrds nn rEh Ft)Fak * h.(i' nhn9lrcnrJ flirud k, rh. G)ntNr{'s Ir..* l,*)
<br />I rm.rcmpr unJ.r S..
<br />IIaSESEE.COMIIISA'JAB
<br />DECt4rAIto!
<br />I lrrtry .rm lnr.r Fn lr, o, Fr!r, oB ol rlE tnbrD3 tL(lrntitE:
<br />/
<br />-,
<br />t* - *r, *t,-. ccnn.Irl..f cornr rr s.lf-tGoE rd s,r6 on{EMrrin, d Fivdal r bysdrml?ooof !h.
<br />bbr Gi.. tu ttE Ffollea ol llE b fd *hrh rtt lEnir 6 askrl.
<br />$)^hrv. anJ *nl mainrrin *o c^' $mrnrrotrn f\ufuNc, rs rcqutrcrl hy sccl on lTur,)f ltE lior Grl.. lor rrE P6lome! of
<br />l-z<'z t
<br />*T:1"' -,"l,.'" ",'mlrns.non insur.nc.cdrr ur F,
<br />5lnl*
<br />q2.f ?\? G
<br />_l .d,ry lh.l ,n llE FrrolEft. oi llx worl ru vhrh lh! Frhn ! isrer. I dnll n .'r{i|,,.., FDn h ey M
<br />s B !o tEift sbFr ro tlE urt6'.nnFerrr L*. of C.!rmn,. .!r ln.l f I nIull lE1ft obFr ro rh.
<br />sirtci Lnqe{lion |fowFB orsalDn }nlt.f rtE bL* CuL. I irE[ rdhenh dttr! y *ft rllE FrwnB.
<br />WAINING: rnnft b Ee srt 6 $r$.err$ 6vftB. ir unLrtul .rn rhd rubprr M slphrrt ro dnEd FErid.tn(ff na3 !p ro oE hunrrar ih,lsii &)llr lll(D.Gtr). m !!nix b tlE Nr of .ontEdlnr J.d8., a Fovildl fr ttE
<br />/s..'nm 1i'7.,,,rrll Lhtr cirk. nrcR{ mr ift\'
<br />\.,.,[-ll-]-l nrr,,*',
<br />'8,,-At tL
<br />tlcEU.lED-CaNrAAqrqA
<br />DECIJAATq!
<br />t rl rrEhy .fltm un ln Fndy o, FrJUrr rha! Lm l^cn*j u l.r I,tvEior d, Ch,Icr 9 (ln1mBins w hSfrlir?sD)oiDivirionl
<br />f I'r rh. e,.i*-.nJ Pnr*non\CDJ.. nl my I'r..( tr m tullhlRtorrlcndr.
<br />--|lo9a L'l 6
<br />-a\-'bL ela (
<br />I lEEr!,.Ilm ur.ld FrxyolFrury lh, dft ir r N'trruxbn l. insqw,n llt p(ttrla. otilE wt ld rlEh thn Fnr u
<br />!{.r! (5c. l(,97. civ. c )
<br />Af]IICANLDESIASANAN
<br />ItEh, rllim uBlcr rEnall, o, Frlury om iirh. n'Ut'*u8 dal@rons
<br />l).d,lrnrn P.rnns A!b.dd: Ndrrl'urir ltJcrsl Rc3nhrk)ns (1 lc4U, Pan6)
<br />Rcquir.d Lllerotlhn'kori)n
<br />I lcnriy rhlr rlE rcdcr.l ErrLrtr'N rcl8ji.g .rh. Di 6n,vd r€ mt +!ll.hL lo ih! Illlr l.
<br />+1 .d dy rhd I lEr E&l rh! .I'llr.rir !n {.'. rh.r rtl .hok Bro.ndhn r c(jlBj I .Fd lo .dmpl, wuh .ll Cily .d Counl,
<br />',iJnL!. r,rl Srrr. t wr EErlls r, h ! o.lfulr4 arl h.Eny .'Jll!ri! ,lrEEirrris ,n lhB Cn, .,n Cour, kr 6rd qm ih
<br />rll')l
<br />'(
<br />Set Backs
<br />Formsi Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Sublloor/VenUlnsulation
<br />Rool Sheathing
<br />Framinq
<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 />Flood Zone Certil.
<br />I
<br />FINAL /h/an/,/.,.*Uf
<br />Certilicate of dccupancy (
<br />Noles, Remarks, Etc.
<br />t'vY(.ri-
<br />kn&rt A&lrc$:
<br />Shear Wall
<br />tl
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