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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE COMMENTS OWNET BUtt-I'IiR I'EL(NRATION
<br />I h.Ehy s,ltn un!(r ll.ult, or F iury lhrr I m cr.r{ loork(\n.dt'r'ti..slf,wturrh.lnlllrq!r*,nrSd70t1,1
<br />AunE$ .rn Pior.sin Gtlc): Any C , or Cornry,hrh EquKr t IEm k' Llnnru.t nrcr, 'q,n'vc. Lhmlilh or FFu ul)
<br />du-lr, F$ k! fi s.u&r. w' BloRt rlr.l'! !.d ntr lRh Fmr kr lil. r n8rJ r.r.dnr rh.r ,t or rtE ! lNnEd pudd
<br />ro rlE Pn,vn[nt ol rtt Cifitntr r l-..nEd 12* (Ch:fld 9 conrmEmt ,iri Sdrirn 7{tx) or DrvsDn ] ol rh' Eurr( tirl
<br />Pn'Lsqorr CdJ. ) or lhar tE or !h. Fci.mfl rh.rfn)m $d rh. hrus ntiiE 2lk3.d.x.nv,l$n Any v$htbn ol Scriotr 7011 5 hv rnv
<br />rptlrs! ttr.Fmr tuhFt rlF {t?l..nr lo . qvrl D.orlrr of ft frtcrhu l,vc hunJEl Joll-s {tJUr)
<br />L as o-ncr ol rh. nrcltny, ot my.m!h,yc.s * h *!86 1t rl*r 1!L .tnrtrner$n. dt do rh. xtt .il rh. {nrJE r r
<br />lr.nidi u oll.ftl ft{ st. (Sa.1X.4. llultr\s !A! Pml.(irt Cirh ffi. Ci,nr..ttr r l-unt.,iw Jtrr to,r {'plt b !n own.rol
<br />ilr F IEny wb h,Llr,* lrIrUB rh.Rr. lrl *h, dEi qrn srl h'h(ll or lERll o. rhtu3h hn d lE. ow..r,tftFcr.
<br />nnrvr,l'l rhal !u.h rmpmwft s s Rn idc .J orolf.tul tnr eb It hrKE. rh. hilduB.r in{tntmd ir {E silhu or Fa
<br />oll,'rikr.r,Eow*rBuU..*rllh:kttrtuLn.rFNn{th,h.,tstiJrldti{illnrqmE0tF)Fnv,orllEFqr'*or
<br />l..r *E ol rh. |lqrny, m. r.lulv.ly corrrrina rdh lf,.nsai onrr&r,n nr.rtnqtur rhc PnFLr (S.c r0'4'{. 8!r$s
<br />ml Pt)kiqr Cuj. TlE Co E(r'. l-(tn( lre J*r mr +ply n) o o*mr ofrnrFd, *lb b!,ldr or mrruEr rh.ron
<br />.nd who lonrn(rr for \!ch ln,rcrh * h a conlodo(n lEns.d PuGuur t, rlE c.nr&td ! l-f,co< L!* )
<br />. B & Pt' l'rrhr rlr
<br />ljtSf,EEgla[|IE ,rarq!
<br />DECI AR^TION
<br />I h.rchy rllnn uft].r FM,ryol |r:ruq oN ol rh.foll'ro, JdhlrNn!
<br />I h.v. .rn *!ll Nrntrm r ccd,,r.i. of (i,nr n, S.l,_ li\urc ntr s'*cn' .oqxns:i on sr Nrd.dntrhvScdrcnl?dlolrhc
<br />tjttr C(r!, nf, rh IEdllfu-. of rlE srl nn rhi.h rh. fsr ! .!u.J
<br />_l hrk rnt w,ll6ro'rh Dorlcn lonlitnuri
<br />rh. k tfor*hrhrhrllrrn ,\ L\!hl My*oi
<br />,..., . fl<te 1q"
<br />Eqluil h, sat bn ]?00 6l I h. Lrb(tr Oxic. ror rh. FrfolmBc ol
<br />t6 oqENrrhI @rrE (mr .n |bli, nunis e
<br />4
<br />C7 arn,.- t L1 -26^D
<br />-l..n,tyrhd
<br />orlE IE lordBr rtrl* vo* n, whrh rhir n rm n ro.J.l tlBll n ctTh, rnv IEB). tn :ny lMEr
<br />s' ar lo hc(d cut'jer t, (h. uod(cn' NmlEnsar on hws ot CrllfornE. snd lrN ttur d I rt uld tE om rlhj.d b l lE
<br />krt6 lrElEneiin F)rBr,.r oI S& r{n .t7(x) ol llt lior Cut . l tlEll. inlh*ih $nply wirh lbt F vsk,nr
<br />wALNtNG: Frilur. t, {!w Htrk.^ .r,m|inqrhn $r.Esc r unh,tuL .nl (h.ll ruhj(r &.rqktrr '' ffil FrlB tDl
<br />.Ml Un.r ut' ro rc hundr.d rhrlruJ dolls ($tCt,.UX,). r adt 0n h rh. c.q oi comp.nersn d2nu3d .\ Frvrl'd nn rh'
<br />S<ilr'n .1076 of rlE tihor C'.iL. or.er 8xt ,nmy t lei
<br />l- t7-tq
<br />LI I'ESSF:I ) CONTILT(-TOR
<br />!};ga8Alll
<br />I h.Ehy .lltm und.r p.utry ol FrJUry lh, I 0n lNnatl tnl.r lft ronol Chrrr.r9(eolrmtur3 * hSc(i)n?Ux))olDrrnrnJ
<br />ol rh. Busms rrn Pn,lc\1pnr C,rk. r^l nry lEcnr tr o full fff!. dil .llar
<br />r)(ot { z'1 t
<br />(2.e.a
<br />CONSTIU(:TIOIi LB{DTNC AOEN('T
<br />I rENhy.rrrmlLLr FMIryor lEtju,! rh! ittft ! r onrturhn Ldins astry l rlE Fnolls! ot rh. Bdt fu *hrh rhf ,Eflr n
<br />rrkd (sr. -l(,9?. cir.c ).
<br />lrnLa. N.r
<br />-ATI1.TSANLDECIdaAIIO!
<br />I h.nt'y lnim uBL. FMhy rr Friury oE or rtr lou.wm8 rLt l,r.l$ni:
<br />rkmrl(on P..ni!A\lrdo! Nol,rr{ion IGl.. RcstLri,.! (Trk 40. Pln6}
<br />_Rcqurd lrlr., ol N<rJi(*h
<br />-t
<br />un y ih, llE rc&nl E8!l2ti,n! ESrdrn8.slE(or rmrlal d hoi aPllt$lc ro ihF pnrj.!r'
<br />-l
<br />c.n,fy rhar I h.v. u.l rh. +I,lMrbn.Dl d.l. rh.r rh. !tr,v. mn,mrbn n.{r-..r I .!te l{,.on{ t lirh.U Clv.rl C'unrv
<br />,{riDBrr rrn Sltrc lirr FlrdB ro tu InS uonrturx'n. ri! hcE-6y rb@ rcF.FdltEr ol rh'r Ciry rd C'unry h cnr'r nrnn llE
<br />rh,v. mnri)rtl pflrFdy lu 6rFdh.1- /?-1Appli.r.l or l8.nt ShNluft )e-, /+a
<br />1
<br />Set Backs
<br />Fo."ms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathino
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />Handicap Req
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certil.
<br />Certilicate of Occupancy
<br />Notes, Remarks, Etc.
<br />--}
<br />ID/SIG.
<br />T-Bar
<br />FINAL
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