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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNEII BUILDER Df, TTCAIATION
<br />I h...b aIfm undn Flhy of polory th,l I m .rmpt 6Dn th. Co reloR l,ic@ t * for rlE folhwi4 ,wn (S*.?01 L5
<br />BN'iB !d Prot ri6n co&): Any ciry or cody [nah 'iqun6 . Fmir to @drucl, .lla. iDFovr ddtulBn or itp.n ul
<br />nruddcFftroit] i!u.c.ho r.(rli6 thc +pltet for ru.t FDr b 6k r rBr.d rntul ftdlEortEalro!.d Blsd
<br />ro rh. FovilioE of rlE Cont*io.r Lk.N.d t w ((n.Bs 9. Comding with S€iio. 70m or Divnion I ol $. Buir6 ud
<br />PerBiod Codc) or thd lE or dE ir d6pl lh6.eoi ltd fi. b6!i! lor th. .nc8.d cidtion. Any violdbn of Sdb. 701 L5 !y e,
<br />.rpli.&r for . FBn bjBrr llE tpplic!, lo . civil FrIy of ml ec the lit. hund.d dolle (1500)
<br />l. s orn orrh. propory !r ny anplorE wirn s.s6 d th.n.k mnp€adp.. win d6 dE rul d ErndrL[n
<br />inlddal or ofis.n ior sL (Sd.7044, Duin6 ud PdfsioG Cod.: Th. Codrdolr Licff llw 66 ml lpply !o o o$@ of
<br />rh. FF, "
<br />rh hril& or i,proE llEFn. !n *hr &E sh Etl hitulr or rE*lror thouth hn d td o*n .alpkitE.
<br />Forid.d lh.t sh inFoGGr3e&rdqd.d@otuftrrl. l[ how. dE h,iltn{ ( irrysEcr a$ldyith,md
<br />dtorflri,\ rlE O*c tuil& wil h.\t tlE h!d6 of Fot!ts rhi lE or 3lE <trd bl hlrld or 4.!\! th. FrFty 6r tlE F,F. or
<br />l 6 o$G of rlE FoFly. m qchsir.ly co'ItlnB rin r..,!.d cotudo6 ro otErucl tlE Foi6t (S- 704{. BdiE
<br />ud Eoki6 Co&: Th. Co.lr-loii Lic.e trw d6 mr lpply ro I osq of FoFly *'no b(il& or ihProrB th6or
<br />..d wh. o l8 for uh FoJ.nt *ilh. Conmro(r) tilB.d p(BU.l! to rh. Colffioi! Lt* L.r).
<br />lm.ranpl u.d6Selon
<br />gaSSEEl:CaU[EdlIItA!
<br />DECI6AAIIO!
<br />I lErt'y dTm uidd parXy of Fjury oG ofrnc folo*6t &hr.IioB
<br />. I Mv. !d $ill tuill.ar. Cdr,6c . ofcolEn ro S.lf-lN. aM (rt6 conlqBri,n.6 proqkd fot b, S<rion !7m olrlE
<br />l.b.t Cod., fo. ln pqfotucc of lhc wori ld *tih inc Fmn i ist.d
<br />, hr( r,ld *ill minl.in eorl6 onpsstlbn iBll,uc 6 r.quir.d by Sdtion 1700 of tlE t !o. Co&. for dE Ffoffi of
<br />rlE $o* to. rhit rhb FEh a is!d. Mr wdt6 6npdEr6i ilalllu. 6b .n pok, .ubs &:
<br />,^,' BEVLI<MALR ttls^Co.
<br />,^*,.,"^o'151' 59lrJe1-
<br />-
<br />r..,i6 - /'/ -262/
<br />I.olrry ihd i. th. Faoffic of th. *ork for whth rhB p6rn B au.d.I.n ll mi oPlo, uy pqsn in Dy rteG
<br />!, s to b.cor.. 3ubj6r ro rhc elt6' onpc!.lio. lrB of Crliao ia ud .{r lfi.l if I 3hould b6onc iuqer Io tlE .qott6' conFsrion FovilioB ofsdi.n 1700 oflh. lior Codq I dEll, fonhrin shdy *nh lhoF Ftvi.ioN
<br />WARNTNG l_ilh@ ro m mrt6 (mraEdio. orErs. a unh*'to| !i ih.ll obJd e atploF lo dimin l Frlb ad
<br />(i!d fn6 ut to rrc hu'6.d rhoMd &llD {t100.000), n td,ni6n to tlE .or of.onpqerior d&.ss a Fovi.d lor lh.
<br />sdiun 1076rrlh. tjhor Ard., hl6rn ed dlocr'r fc
<br />""r.
<br />t Z '€-2ozcs
<br />DECId8dIIA!
<br />I hcEnt a,lim ond6 Fdr, of lsjury rhd I m lic6'sl und6 Fovilioo olch.pr6 9 (.o,Mftlnl wnh S.clbn 7@0) ol DNilion l
<br />o, rh. BurB ed PrcfdioB Co&. !d my lrc@ it h tull foE ad clldr
<br />4sst tt,,,.**",*,'l
<br />".,.'2-{'zoe^,."rrr",.,L-CpE
<br />aftl.rcalfrrclJtalla!
<br />I hon) ltrm !nd6 FMhy of Fjrry oE of rlr folbwins <krtrdFm
<br />D.dohion Pnmn. A.tanor Nori6c.rion I'.da!l Rc3ubtoNGnb40. Ptrl6)
<br />R.qu@.r ttird of Ndiaraion
<br />I.drb rhd th. ftdE.lrctularpE nsEdus 6b6t.3'dortlE mr ippl'c$kh rhi! pmrd
<br />?r&fur*",*,^.@er*rb. !,tr r.r. rhr rh..lDE inrotuhn is cner. I.grc ro $mpry sft. c,ry&d cbury
<br />odffi !d Sr.r. lr*! ch'ns ro huildi.s
<br />ibo\. mario*ri proFly loi iNtEd
<br /> pp onr or,lrar SiSnrrum X
<br />r",,nlr* -n. tp.ino,)(-z,AanLerl
<br />.f'h'.chl r.d (.odr) ro 016qrnrlE
<br />- t?'S:?4zb
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loorA/enUl nsulation
<br />Roof Sheathing
<br />Shear Wall /n\
<br />Framins ?naf 2'ltio KUJIA
<br />lnsulation/Energy
<br />Drywall
<br />''\l l
<br />z.vt-ZCt l4llliLl
<br />Ext./lnt. Lath l1
<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 Certif .
<br />,^
<br />FINAL j-9'u Y+1/){\
<br />Certificate of Occu nc
<br />Notes, Remarks, Etc I2-70-
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<br />CAXIIBJiqIIOLLItrDIIC.ACEB(A
<br />I hftby rfirir hdd Fn.h,of pqjury thd ih6 n. coirtuclion k dirB a!fty torfi.FfollrlN. of th.wo lbr which lhi! Fnil i!
<br />isu.ri (S€ 1097, Civ C)l.nd.r!Nft
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