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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation tl
<br />Roof Sheathing ilp b,,l r/a.(e6 ?/
<br />Shear Wall
<br />Framing
<br />lnsu lation/Enerqy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Ceftif .
<br />.#-a )///s//4 z.
<br />Certiticate oI Occupancy ^!7
<br />Notes, Remarks, Etc
<br />OWNER AUILDEf, DI]LCAN TION
<br />I h.,Eb, rllr'. undcr Fnrlry or Fjury thd I m.r.ry{ fmn th. ao BdoF l,icr* Lr* lo, rh. ,olloeing rclv'n (s...7011 5
<br />BuriBs .tn Prcftss.n Ad.) Any Ciry o. Cou'ny *hth r.rluEr r tsd t, .!nrM. .Id, nrtrcv.. d.mlnh [,t Errn ey
<br />(BrE. Fix t, ir islle!. rt$ Eqlr.i rtE.l,r tur fm rEh Frmn lo filc r qrJ {r.'Nr rh6r tr or rlE 6 lir.(d |[rqd
<br />lo llE Fovni,nr of E Conlrrrd r l.ic.ned La* (Olplu 9. (bnnFrine rirh Scclhn tux, olDieirion:l oflh. au\ift(.nd
<br />Ii,fc$ioniCodclorrhlrttorrh.L\crcnprrh4ftomsndrh.bdairn{$crll.scdcx.nqk,tr.AnyvioldiLrnolsernn?(r:llJhrrnt
<br />rmlkinr ror r Fmn lubj.rt rrE .t lk.nt h . civil p.mxy of ft'r mrc rh.n filc hlndrd &,lL,r (!5m)
<br />-1.
<br />.s o*F nr rlE Enltny, or dy cnllhFr *nh *ls.! .r ih.i $L oqE.t rbn. * ill .h rlE *ql d rtt d,ll@ k n{
<br />inrcfrh or oficr.d ror nl. (Sd ?o44, Burircs ud Pmf.$i.ns Cdc Tn. Conrador'r Lkcnk bw dEr ml .0rly ro u .*rcr ot
<br />rli F,Fd, wln hrildr L\ftB tlEla lld whl dH uh *t l himrlt.r lE Elf or rleorh hi! or lxr o9..npby.ct.
<br />nrovil.d rhr (Eh in{nrv.irEtrr e d irsiLd e otu fff rl. lt lnkE. rtr l!it]li,l! d -qlNrrEn n ]B *thh Ift Fr
<br />otNrl'hi,a ih (^--E.8uiU.r win lrE llt hln . of Fovi,B !h.q!&dndh cdinFE Ep(Fr,tutEF F*or
<br />L rs owmr or rh. I'oFnr. .n erclurircly conln lina unh lacnEd codtrk'^ kr d,nqrud rrE rmi( (S$ 7044, 8ri'.(
<br />!d ErElnh Cod.: TtE Conrstoi! l-rrne tiw d(6 br.pply r. osF ol FoFdy tlx,l,oilds or mptutls
<br />'lEF
<br />n.
<br />r.d *ho . d! ld rEh r6j.$ rilh. Coneirro li!tr€n plFM io rll coffid! lffi llwl
<br />lt9Bf,l;8s:lllllff.rsAll0!
<br />DE.CLA.IA11A!
<br />I hdrchy !li'n utrLlcr ICuhyotpcrjuryonc orrhc lnlk)*tri3 d..lnrrtritr
<br />-l
<br />h.E !n srllBit .in. Ccriir..r. o,C{@d ro sdiln@ r{tr *,k6 mnFnt rioo, ri FDrii.d fo bt sd-'.l?(norrlr
<br />tikr CdL, fn rlE Fnm. of llE hk rtr *hth rlE Fmil ii iro.d
<br />_l hole lnd eill mior,i. wnrl6 .onrFnsdhn in'unft., rs r.qun.n hy S(ri{ 3700 ot I hc I lhor &ri.. ror llE ILrfonIuE-^. ol
<br />rlt krl tor *hih rhn Fnn ir irqx{ My vct6 drqE.sb. rnrurm. cmi xd Frli, nunnEr n
<br />I m.r.nd undcr Sari(,n .B &PC tinlh(k.{,n
<br />lr.l. Or*r
<br />.nll fft3 u, b oE hu r.d lhougid dolls l!ll$.lrDr, in t&ldb, ro rh. (r' of
<br />SNlhn.10?6ol,h€ liEn (
<br />ExpiEr:-
<br />kn. d.tu8.! ar Jnoritcrl to. rh.
<br />I (dity rhjr rn rh. F(trmrc of !,I wo I( whrh lh( Frm n ir\u.tl, I \hJll tur .rPr,J 0.y lEron in tny mnftr
<br />q' $ro lE$nE $b]cd ro rh. k rich m(pcneri,n tu*l urcrlitmr,3nd leruc rhll ifl storld Lcom sot'j.t! h llE
<br />w'*a( .onD.n\arion pnrvisions ot S..r hn l70O of !h. lfbor Cdc, I rtull. lonh*irh .otr{'ly wir h thoc p$vhhn(
<br />14ARNINC l'rilur to sR *nicn' G'qEnd[n nnrn8c t onL*fuL ril rhlll ruhFr u crr?l,y.. k) oniEl Ftuhi<.nd
<br />,r,,1.4 27 '/,
<br />q
<br />I h.(hr,rlim klcr pcfuhyolp.rjory
<br />ol rhc Bu\i'f,$rnd Pn',.\!oi\ Codc
<br />DEgIIIAIIIIN
<br />:.nhl u,rld nn,vni'n ol Cll.prs 9 (cohft 1hi wirh sdirn 7u.n) ol l)rvFi,n l
<br />o
<br />,r"t.(r3 27 /?Hr;
<br />lhrNhyrllirnir.rlEnrlrynlpcrturyrhxlrhcr.isr.onnrudi,nLn,li"Brgcn(tn)rthcPolrtnluNollh.aorknrshrhrlNFnnnN
<br />AEUCAALTIiIIIBAIIIB
<br />I H', .nnr lnld FMhy ol tErjury or or 0E fdl,*inr dcbarx,nr
<br />D.fl,lirhn Pcrnnl Asbcror NorifEa'n'n ttd.rul Rc8uht ions ( l irL .l1). Pan6)
<br />R.qutr.rl t-tr.r of Nri,i.li,!
<br />_l c.nifr rhd rlt r.{.nlrSuhrbnr R*ad,n8 NIB(x rcmrdld. fr)
<br />crc lrhtr!|tplarrtrr rlirrcrhrrrlL.rhrr nk,,
<br />L,*r EltlB
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<br />hlillin8 con(ru.1r,4 rd
<br />/4" "",, fzvtt)
<br />r,,conUly wnh rll Cily. l(ounry
<br />I rhn ciry.rn counrr ro.nrd fbi llr
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<br />Pool Fence
<br />FINAL
<br />irsu.d rsd.lr97. civ. C.r
<br />knd..s N!8,
<br />-
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