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BUILDING. INSPECTOR RECORD
<br />ID/SIG.COMMENTSSITE.WORK DATE
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Shear Wall
<br />Framin
<br />lnsulation/Ene
<br />allD
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Ivlason
<br />Pool Fence
<br />T-Bar
<br />De ut Final Re ort
<br />En ineer Final Re ort
<br />Flood Zone Certif
<br />6L1t1FINAL
<br />Certilicate of Occu n
<br />Not arks lc
<br />0u
<br />I h.aby .fiirn u.d( Fdlry of Fhr, rh.l I m crcryi tF,m ltt Gi.rreloF t'kcnc t w l$ rh' fblhv!'! 6$t (!lt 7o'll 5
<br />Bu{83. rnd Pror(.6n C.d.r Anv Chv tr Cddv shai rquiE. . Fni ro d']i{rEl- th( i'i9mE' d'mlirh n EFn 'n,
<br />{ndm. ritr l{' iis i.{.R, ds EqliEs rlE .t{,li i n, trh FftIr ro fik t risEd {'r'rE i rhtr tE or rlr ir li(n*n putun
<br />l0lh.pmvisionsorftcoftloirLt..*dLlwloufl.rg'conmEinswilhselidnTlxl)ofDiviri,n]ofllEBNiErr.nd
<br />pmfcrai,N codc) f lhrt tE or rt€ ir.rrn{, lhgcftrm d ttE tEri! ro. !h. .Ics.i.rcnption A., vioLtio. ot Sdri,n 70:I 5 by,ny
<br />!!!li..nr ror r Fmn {6rr<r! rtE +pltlnl ro..ivilp. llv.rFr nE lh,n lir. hudEd d'lL^ (!$(r)
<br />-l,
<br />us owr oa l h. pn,Fny. or 6y .mplolt.s wirh *48.! ar lhcn sb .onlFnsal ii'. eill 6 llF rlrh trn llE nftrr ir fl
<br />;drt d or ",r.rd ld sL (Se 704.1, suriEt!.hd PrDrdrir! Ad.:'r1. Conr,*t, r Lr..* t,w 'lo's ml +plv lo
<br />'n
<br />owrof
<br />rtE FFry $rD hil! i* hlmB rlrdr 6d rl$ (tB rifi q,t hinsll or rEBlrot rr@ugh hn 6 E o*r 'flPbra'ptn'*a ot r .*rt itImErEd! G tr, d.ti.d oltu ntr q! li lhffi. r,r tafiuB m 'ntFFftd n iB *nho 'E ]q'
<br />;rNml'lcrion. rr. ow;r Buikls wilt h.w dE hrd.n or lmlinB lh.l lE or rh. dil tr, r iH or inrmw ln' pqlnv n' dE t'qFe or
<br />-1.
<br />!\ orE.l tlE In'rFiy, rn.rctulitly.odrdins *ilh ldn<i .otrr*roF ro Nn(ur rrt rmj'tl (sd 7o'{- B'rE$
<br />*r noro.hn t'ua", ir'" cnnr.rlu t l,i.cns. t,a, dc\ nor {'rlv ro rn ue.r oflmpcdv qh l'uildr 'r imrrctr rh"$''
<br />rnd *ho Nnrdstu rrh F.j.rr wilh ! C(nnmrono lilntd putiud lorlxco.lrsloai L-k"El'*)
<br />i)1\ \1.:R lll ll.lruR lrlal.( \R:\ll()N
<br />-,4
<br />DBCIASAIIiN
<br />I kcby .mrm od.! FMlry of Flury om of th. loll,sint iL.hnri,n.
<br />-l
<br />h.E .!n rill mi.roin . c'.nifrllt or Corcnl ro Sctl_ lNE fd *mtda of,Fn li"'. s FlviLd ror bv S'dbr l!7ID 'f rh'
<br />L.tnr Cdrh. rd rlE F.f{)ffi olllE s,t i, r{*h llt Fnn ( a.u.n
<br />-l h.E lnd *ill minltin workcB .ornFnr.l btr inr!6e.. .r r.qlicd bv Sd i'n 1700 of llE Lil'6r Codt fo itE pdrolmrc 'litt wfrt ror *hth rhk Fmil ir i$cd My trl6 o,p.Nnnn itr{EN 6tr rd ,oltv ddr!. E
<br />I nn.r.mnr undcr Ssrir-
<br />s..rn,n 1l)r6olrlE lrhtr (ixl.. i e'(!rnd nrN!'\lic\
<br />r}(r. nrtrr(nllIruNn) ntr 'n\te,tr{
<br />-l
<br />anily rh.r in llE p.rfitmft. o( thc *ork f rhth rhn Frnir r ilrwrl. I ih'll ml crl)hy tnv I''N'r in
<br />'ny
<br />n rr
<br />Y[. m *;*" .ur,rc"i n, rl'" *llda $nrFnr0ri'n lswa nt ('{lifornh snd ,Er lhrr if I fi)uld tE om suhj'sl lD rtF
<br />hrr6 mrlEnii,n t$rtioN it sd b. STl[ or rh. Llit Codc- l nEll fonh*iih dqtry *nn rlr'{ Ftrvirionr
<br />1.VARNtr{C i.iluE r" Ee wld. onqrndifl mrtE3. k lnr.rrul. .rd rhrll $hirr ml oFr ro ainiml FEhi6 tld
<br />civil fincs utl kr oft tundrcd rhoullnd dnllB ltllxj.(xn) in rdd[i]n k' lh. .o{ or.onlrnsri)n. drtu8's ar pr'!id'n for tlE
<br />DE(IASAIIO!
<br />I rEEbydr,m!d.. F lyof Fjury firl I.n lidtd u.d.r tlNri'n of Ch!F( I (offiinl wilh Sdlbn Tunr 'rDivnbn l
<br />of th. auriBr ..d Prottsb6 C.d.. rrn my la6e k h tull foN rd cftd
<br />(olSI8UqIr0llllDI!'iAniEllI
<br />I tRby lrrn udl.r tmhy 6r FrIrry lhn 0rr. n r €mtnrl;n hn tin! r!.xv L' rlt Fn(,lrrN of llE wl fot rti'h rhk Fni ir
<br />ku.d lse.11097. Cil. C.l.
<br />l.ndrli Nrm
<br />AIILIIAXLIIEIIJST TN
<br />I hdtt,} .trm und.r Fn.xy o, Fluy om or rlr ft,llosm8 d.tl,nr i,nr
<br />l).tulirion lcirnirs A\tx\kr NolifKsli,r Fcdc.llRcsnldlnn( (Tilt &) PM6)
<br />-RcquiEn
<br />l.nd ol t*rifbrbd
<br />-l
<br />cdriry rhd rh. Gdqrl ftlrihltrt E$rdi.8 .!tEno! Emvrl @ nol .prltnbk lo lnir !tuFl'
<br />I dirrrhx I lrE Erd rhu elErrrn !d r!.1.lhi rlr.lnE i oldhn it dtd I +E ro @nplt wih rll Cilv 'rn Courv
<br />org'rna Sruc rr*r rrrir io t rldtrIa mnnrulD^ d h.Etvt'Ilbria EFt*dniB o' lhii Cir, "n C@flv b srE rFo rll
<br />.rppln.tr| or \xdl siEDrE
<br />I'rmirF Mm. rprint': /L WY-e"?7"o:;7'tz-zt/rx.
<br />,+
<br />l.itn{Nur*P
<br />-
<br />Set Backs
<br />Rool Sheathinq sr.'1//1 P,,</ /d/
<br />Handicap Req.
<br />2Ah€,
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