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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS (,WNER AUILDI'R DEI,C RATION
<br />I rbEhy nrli(n und.. n nrtry or Frrrry ltu I u .r."y fion lh. Co r.clon LicctrE lis f(r rtE folh*ing @sn (sd 70.11 5
<br />au{incs lid PDltsrin' C.dc) Any Ciry or Cooty Fhich rcquirc\ o n mir lo ..n{Mr 1n6. inFov., !.'rnnh or EFn my
<br />sturuc I,s nr ns ir$!tuc. dso EquiE\ rlE q,Ili.anl lor luch Fmi ro fik r si8ndl srd.md
<br />'h,'
<br />h. or slE i. li.cnsrl I'uNor
<br />io rh. Im{sions .r E ContErtr s Lianrd li* (Chq .r 9. Co'n6eirS *irh saliofl ?uD of Divilion ,t or llE Bllimsr Dda
<br />PnrrcsionrG.)flrharhor{Eir.r.nqlnd.rrom nttuhsisnnlhclll.scdcrcnFn{ 4., viokii,n oas(laon 701I tbr y
<br />lpdic.tr tur. Fmi sufuals rlr lmlicant ro !crvr! IcElryofrcr d,r rtud livc hundr.d &nEr{5500r.
<br />-l.$o*krofrhcprolEny.{t,y.n,|)lo)trrnhsrSh,irh.nq,kdxrlEnrarion.trrlld'rh.kIdrlrh.dtu1ftisrrrft1rld or .fi.i.d lor ek ( Sa 7{}ll. au\imsi and Pn'tdnons ('nlc Ttc O,nhdois Lmnr. Inw LIri nn ryly () itr .$rcr of
<br />rhcnn'l.ny Brn &ilds or nqmkr rlrmr4 nd *b d(n r*h *ort hrnl\.rf or hcNll or Ihrush tn r lEr osn.d{,k'ycc!.
<br />tdvii{ lhil suct imFnmNs ft 'rt iddxltn d onc.d ntr eb lf. btuar. rL t iUin8 or inlhiwd i< sE *ihin (ft y6tr
<br />orurr .rbtr iltOqd Bu'ki.r will h&E rtr hdcn orllnwm8 rtul tE or slx dil d ldll or hrmE 0t pt,rtr, ror ft ptrrF,s.r
<br />-1.
<br />rs olmr ot ric pon ny. 6 cxrhr\irrly Lonuad inS $nh lic.nrd conrtuloF !, .ntr{tucr th. pn)Fr (Ss 7t}rl. Btr\Ds\
<br />u' Aol!.!ir Corlc l hc Conl,rloar Li.cne l-!* tlocs ml rrrpl,lo m o! icr or roFd y who h$ilJr ot imF,rcs rh.rsn,
<br />snd f, ho .onrrt tu s.h F)id\ $trh r cl)irrN.n\) lBn!{ Iurs@trr r{' ih. Gdrrt,\ Li.n{ llr)
<br />- I rn.i.nr[ uo(l.r S(!o _,8 & I'( li,r rhk r.aY,n
<br />Dorc (r*rr
<br />rr()nlERs c(rnrPLllsaTloN
<br />Dl:cLaB lla!
<br />I lrrrhv nllirn,unJ.r Jrnalry.f ,rrjurr- o cof rtE n,[.*ng dlilrnri{,n\
<br />I hNr ads,tl tuinldn a Cc( if(rl! 6rcon*nl ro sclr-l uEiMw*ss NqEnrao.,!\ FlviLd ,Dr by Ser6n ]7m or rh.
<br />hn'!] .d.. n( rlE l{rlonrm ol r *o for *hth rhc Ftr r i1\ucd
<br />,-l hn\c Jni u'll mrr,m rork6 .nnqrn\dnn rNuhmc. N rquir.n 6y Sslnn 3?$ ol rlt tr&" Cqh. ftr tls Frrm'uftc of
<br />rlr $ort li, Bhah rhir l!.mi! ir n .d My wrks mnllxn*lnn insuEtc cutt ad Fliy nunb.t e:
<br />-l.cnify rhlr o rhc Frlorturc nr rtr wo* br which rhtr Frnril i\ isucd. I nEll nor.nDloyan, r[Fn in o, 'tundrv, rbhdom rubrlr t,rtr worr.h .onrn$tn'n h*sol(.llililmi!. ud asB rhnr ifl:hrld h...nr \ubj.d lo 'r.so*nr conwmauon nmli\k)tr{ olS..rbn.}1(,olrh.l,hn cli., t {Ell,lodhwnh 6mply wirh ttu$ t)n vnrmr
<br />WARNING li,ilutu lo sr erkcd o'nlEneri)n .rrv.r,tc i\ u lawtul. u \hllr tuhlrct an cmtk'y.r lo.rininal FuLi.\ rrl
<br />civil riNs up lL, oN hundNd rh'u\dd dollarr illfit,ffxD, r trddirtr,n t, rlt .o{ rl co.!{nglion, dlnq.\ ar ror .!, inr lh
<br />S..ri,r llr6or rhclf,litr(inlr.'nlrrr{itrrldkr .} \nt:
<br />*.{o1fr/ze=e
<br />DECTJSAITAX
<br />I tErhy lriirn und.r Fr.lr, or Frjory !h,r I !f, hnhl umls Fov'sx,tr olOr0prs 9l.\'nm(ins *nh Sdrir ?(t ) orDivKon l
<br />ol rhc B!!nc$ and PrDlcsionr Co&. uj nry lEcM n 'n aull loE{ ad clrNr
<br />(3q f o=SSc./6
<br />$ " (a/Z4/2,Zo p et,obl'c-%cf-r'--3
<br />culu:BtrcltlllirEllNc-ecf.lll
<br />I ,Irbt arnd uirc, |.Mnl .r Ftury rhd Ih* is ! ('ncMri.. Ldlin3 .acR_, rbr rrE ncrlonu^..c or rh. wot[ r.r eh€h rrN lEr n t ir
<br />r*ard lscc t097. (''v C )
<br />at8uc.{NlDlicLdBtrllo!
<br />I lrrnyimnnundcr pcn0lry olr^-riuryorE ol rhc a{,Ui,wt,E ilc(larrtinr
<br />l).n,lirituI( ni!\ A$(!or N{niitrlio I cdoal Rr8ularb.\r'l lc10.Pnn6r
<br />-Rcqut.J
<br />tlrrrr nl Mrilicdirt
<br />-l
<br />ccnily rhlr rhc fcdcrll rcllihri'.s rcgadi.8 .dBror r.mvrl !rc ril rtlrli.lt lc ro lhir I,Fj&r
<br />=:frd rr) rhd I hEvc E!.1 rhN rrllorsn aid {rr. th6! rh. rhrv. mlonmrion i\ corol. I aE( lo o'ilrly rnh 6U Cn, rnd Couoly
<br />odiMrc\ a'd Slarc Lrwr ElrrirB lo hikn'8 conturiotr od t rcty surlhrit EF.sit is oI thlr Ciry.od Counry to mld qu rtr
<br />!h'rc nEnlNmn nmtdy nn m\Itccii,n
<br />,\pdi.n r or \Irnl Sirtntrlu
<br />I'cmrilft Nu( rlrinl):O/\*irt,Lp/z1a
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathinq t"1-arzt
<br />Shear Wall
<br />Framinq
<br />lnsulation/Eneroy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />It/asonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Beq.
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certil
<br />FINAL 12-\- 24 )JV')(,
<br />Certilicate oI Occupancy
<br />Notes, Remarks, Etc
<br />,,*.oz/LfuL-L42ttd'->-,
<br />tmdca. Ad,lns
<br />v-t1\0
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