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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNER ATM-DET DEL(,IX TION
<br />I tmhy.rfrnu'nd Fnohyof It jury $.1 I6.s.,qr ftDs llE Co mcloE Lta* Lre fol llr folk*in8 EMn (Se.ro3l.t
<br />Busi6r .d P,Dfc.iion Cd.): an, Cir, or C.uly *nih Equitr . tbnl rd @ .Bl, .!6, iiproE &mutn s EFn ry
<br />ttur@ I,rt. n! i.rll!N. 116,q!nB ft.ptlirn for *hFf,il lo 6l r tirdd lli.nsn r lEo.dE i!lcn d F,{tr
<br />ro 0E I,DvnirN oa rL Cqrrrdd! Li6rd Lrr (Orpb 9. CotrEritls ,ah Salbn ?(D of Oivirir ! ol lll BuiEs !n
<br />Prcfc*ion. Co<L,o. rl lE q J. i!.rnB rnenlh.!n llr b.rn fm llt rll8.d.rcnBion. &y vi,lrlion of Sdlbn ?011.5 by uy
<br />lrplic!trr for u lcmir $biel. rlE lDrli.ul ro a ciril pculry of nol mE lh$ 6!. hundrcd dolla. 1i500).
<br />)lt. ^ "*, "r,rr lr"r.ny, - my.rpbr6 qrh *.rB s dEi mt onF@rirtr *iU d, rt xft rn rE sutE i! r
<br />^ d!&, ., ofi.Ed tu .k 156 lO{.{, Bu*s .rd ftDtFi,B C.d.: TIE C.'rri6\ Li.t* t w &B r{ +ply b u ow of
<br />rlE Fl'tny *lb t ik d in .oq ilEa In sb &s ,rn s niMr 4 ha-ll , D!reu8h nn r h.. oq .nPby6.
<br />rnviid thi skh inlhvftnBe mt hr.ri.dsof,dd lorrL.ll EM6, rE hrildins or t{m!.ft iisldwlhinmFr
<br />or tuirLriotr rh. ol,Er auiEd wi! IEE l1l h!d6 or Fovins lhd lt 6 ,E dn d tliB d hp.!E tlE prpqry for rlE FIpox of
<br />l. .s owE or 0r rmlxny, m dcbrrEl, codr.rins wnn !.6cn .dMG to olrrnrl tL F,jrr (Sd 7Ol4. Aues
<br />dtu Pnis.mCod. Thc Conlrrtol t Lic.nsc Llw d@! ml lpFly k, rh o*mr or pmFn y w,E buldr or imrmwr rh.r@n.
<br />s.d *ho conMrsfor sNh rmj.crs *irh rconrdr.dt li!6.d plrM b rtEcodreas Lj.rn{ t *)
<br />_lrn.thF un Lr Scrr
<br />f).k Orr.r
<br />woRKr[4. c(]MPriaahoN
<br />DECI.AIAIII}B
<br />I lErchy lrliro unikr Fehy of FJu, r. nr of lhc lolhe ha ddlar.l i,n\
<br />-l
<br />hN rn will @nnj, r C.nirf,r. .f Cotrsnt io S.lr.lNE rm eolisr otr?.nrr.n, B lhvi.n ftr by SelDn 1700 or .
<br />hbor Gnc, ffr llE rErforI*c ol llt wolt tu ehth rh. p.@( i1 ku.d.
<br />(t hrE .id Bill Eidrin ftrt n 6qmsti!. i6unrc, s rqtui,td b, Sdrir l?m 6f rtE Lrt r Cod.. fq rli pdfllffi of
<br />dE wt ld *htn lhn Fml is iirEi My *at6' otrForrbn id.rd ('edn pok, NriE n:
<br />v.(Jr!t
<br />-7D.
<br />-l
<br />dify rlEr ir r,E FfGffi ot rlf hrt fd rh.h rh'r Ftu n isrEd I rbll d .r?by .ny Fen ir my IEE
<br />s F ro tE(ft {bFr 16 ttx rn*ds, c.qEndhn ld*r of Cdifomn, u,n lsG lnd af I .tbutd b..om rubFl lo llE
<br />*.rt ^ oqrs,rionpmviiioB.f Sdion lr00 orrlE l,lxn C.d..l !rhu. fonhwiih $mdy wnh lho. F)liJion.
<br />WARNTNG taitE rD ltr uilcr'd,nFndi'n o!ag. n unllqhil, srd nBll iubFr m aploF l,o ainrl FMlti.= ud
<br />cMl fiEt on ro or tu'i,td rlb!{rd dolltB (ilm,qD). in rrlnih lo dE .on ot conp.Rttu( dtm8.t I Fovila, for llE
<br />tr", t'Z!t 1r, dxlc. in'cEr !n.rl(Ey . 16
<br />LfzL
<br />DECIISAI&!
<br />I lEEby .Itm u,'&r FEt, ol Frry rha I d IErd ui& Fovi.b. ol Crrgrd 9 tonGrh! Hln sdi,n 7sL) of Diiti,. l
<br />or rlE Ausi6s .rd PruldnB Co<b. !n my lic@ ir o tuI roR !n .fi(l.
<br />qL413a
<br />gtlslxlclxli.t BDNcJilNta
<br />I trby rirm un ., Fdlry or Fif, rhi rlEr ir r oMdir l.ln,u .t!Ey fG 0r Ff{,ffi of ilE rst for shin lhi Frr ir
<br />is$.d rsN. 109'7, ci! c ,
<br />AEIII]ITNLDf.1jIIIAII!]N
<br />! hdtrry unim uBL. ,Enlhy or !€Jury orc of tt ldhwrry dahriion\:
<br />LlcB,hn,n f!,frns Asrf,ros Nod6.Nlirr F.dd.l Rc8uhrhtrs (Tirlc 4r).1'!n6,
<br />-R.qu'r.d
<br />ktrcr of Ndifdir.
<br />I .drfy ${ rh. Ld.nl Egdrl iN Eardins arlBkn cmvd e mr am,lt.bL ro lhi! lmFr
<br />Xr/.*rr-,t*.r,no*,*,bdin.Gr.!n Sd. trB Eltur lo to
<br />ir. !d c.tr thd th. .tsvc inn,ndion n !]JII*-i I i*r lo corply rnn dl Cily &d Counly
<br />rn hceby .dh,ro. EFdrhE. ol thn Cny un Counly k, ors r4r,n D.
<br />rhr En! En rrolEnt tu
<br />e q?\A
<br />Set Backs
<br />Forms/Steeli Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsulation
<br />Rool Sheathino
<br />Shear Wall
<br />Framino
<br />lnsulation/Enerqy
<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 />Enqineer Final Report
<br />Flood Zone Certil.
<br />FINAL f-74t l'Z z ts ,JetA>vZ17
<br />Certilicate o, Occupancy
<br />Notes, Bemarks, Etc.
<br />Bev 08.07-2015
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