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BUILDING- INSPECTOR BECOBD
<br />SITE-WORK ID/SIG.COMMENTS owNEta aulu)ER rlr-l-c,{laTloN
<br />I h.Eby 0ffrm undn p.ndry of p.Illjry $.r I 6.r. pr ftun rh. (roMaroR lr?M l.w for rlE iollo*itr3 E!e. (Sa.7011.5
<br />lrusiEss ,rn PmLshn C.d.) Any Ciry.. Cddy ehEh ftqut.r . Fnr !o on(Mr. rlta, inpmc d.mlith.r cFn Dy
<br />18.Fdonr bsll.e. rko EqoB rtE i'pll.d ntr ten Fnu ro 6l.r nJEd nitrd rhillordE!lErEl pu'a
<br />r. rh. nmvirioB or rtE ConrErni l.a.ned l,w lchiFq 9. C.mftri.8 qnh S.crDn 7(ul.l Divthr I orlE Auri*s rnd
<br />Pnt ronr Calo ff lnd ,l or {r i! .r.n+ rh(.from.d rtE bsir tur rlr !ll.3.d .r.n{inr Ary vioLrio! of S<rion 70]l.J hyry
<br />4?lrn f6rrFm sbletrlr rppl.! to ..'vil p.Ml y of mr mE rh.n fiv. tu,ldEd dolhr (ttln)
<br />_1. 6 o*Er .I rlE lroFny. or my .dphlt.r vnfi wrScs a rlEn oh c.n Er!.rioi, will (l) th. wrt .rn & nM@ I mr
<br />i .nld, or.rLEi rd rL (Sa 70,n. BliiE$ ..d Prclaroro Cci.: TIE C.dr*rr'! Iras Lt* dEr d .9Ply ro e otu ol
<br />rh. F dy *,r$ tril& d uqrc6 rlElEE m, *ln dd rd, Et hilElf o. t *lf o. il@!h hi q hq oM .npk lEl
<br />pr.rd.d rh.r ssh rnFwd, @ d id.ri.n dollnd lor sI Il, hnr.E rtl tlilcq, m iltmtG n$b srnia.r )4,
<br />ol.onllria rtE OqEr Buildd *i! luE ltE hr^Ltr ol p.r,vhS lhd lE or JE did nr hrild or ilp.ow 0E nDpoly ,q llE p{rFE 6f
<br />s .s D*mroarlE FrFnr, imcrclu.ivclyc.nrdin8 *trh lir.ns! codturo^ h llnntur rlr 9rcj.lr (56. ?04,r, BuriEs
<br />hl,*arimCod. Tli aoddor'r l-i..ne Lw de! r {Dly r. s DvEr .r Fop.ny *ho builtr or mpmEr rh.bn.
<br />$l$ ddr rd r.h FoFG *nh . ctdElroi lE6.d Irb@ ro rlE Coffidi l4E L*).
<br />DECIABAtrON
<br />I n rhy .fiir6 und.r FMry of Firy oE or rll fi'lloriry &.LrdsB
<br />Ih.'v.Jnl*'lltrLrinr&i(.nid..l(itrtr.trrr,s.lll,\trrritr* ln,vrl.(l i,tr hvs..rbn l7morth.
<br />ffi;*
<br />lLtr rh. ,trfnrtur. ol rh. volt nn qhkh rh. fdmir s atu.d
<br />*ill md.u vurk B' onIrN Equrd h, Scrir l'70O of rh. Lbor Cod..Ior rlt F o'rrc of
<br />sl'trh rl'a |{rn[ ! ssucd My$or conlEntdn! @urr@ cnicr 3d Ir,lky .un*Er $.:
<br />\
<br />-l
<br />.dlfy lhr o rE Fno..lE of rlE *o (,?hicrrrhBlE,niis!iud.I'ldld.rrlll)yuyp..Dniruy.]r,E
<br />s s ro te@ ,uhFt ro rh. *oltdf .onFn .n hwr oI C.lifomr, rnd .3Ec rh. ia I rlbuld t ..d rbjcr io tlE
<br />slt.b Nrp.nsrix prcvitDE of SBlbn 1r0o ot 0E Le, Cl*l., I Jdt. fMhsirh otiply wirh rhor prcvilioB.
<br />WAINNC: fiiirE ro Iff wtrr @rp.dDn corr{r 6 unL*tul .d nrll snFr a 6pLF to allul FMIE:!d
<br />cnil fiEr up ro oE hu.dr.d thouo,ld d.ll6 (tlm,Un), In id*hn to tlE con ol enf.6rion, dmg.. o provt.d for lL
<br />:::-4la[iij?5""
<br />DllUAtAr&d
<br />I tfthy .tlm un&r Fuly.t Fjuy rlu I d li6!.d u,n . Fvirhn orch.F- 9 (@lEEira eih Sdb. ?o00) nf Diitbn l
<br />ol r BBi6'.d Pblb..ir6 Cdi.. rn my h.* i, tuU foc.rn.tr d
<br />I
<br />colErSlcltoNl,ErDMacr:!fl
<br />I h.Ehy rtttmund.' p.ulryofErjuryrlBr rhlE ir ! con{Mi$n L rBud.Ny li,r rh. p..f{{M of rtr kd tut shih ilur p.mir asel rs€ :r,r7. cr c )
<br />ATPIISdI.DECI.dSAIII]!
<br />Indd'yrtrmu .rFMXyo,p.rnl.,omof rh.fouowri.kLdionr
<br />D.ml!pn PsmrlAtb.lor fldifurbn F.rr.d E ruLroor (TrL.o, Pd6)
<br />-8.{ui8l
<br />L.il., of NdIic'rron
<br />_l .dify rhr rlE t d.ot ,.BrLtD6 E3.rJft r.t tror Emr{ e rr 'rplrrbL b rh! F)F1
<br />Bu:l *lr lMvr Eid rhtr applirrion 0d {ir. rhr rh. ftn. infrmtbn h ! oIB-r l altd ro conrtlv *ilh rll ( ir! .nd (numy
<br />!r. L.w. Et rB ro botlrq @dD.riotr d h...hy rdhriz ntrdriE! of rhn c
<br />llb\ c .E.rnEd IrcFny ftt
<br />,{ppli.enr or At.nr Shmlun
<br />It I
<br />q)rrFr;-
<br />Set Backs
<br />Formsi Sleel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Rool Sheathinq vg Irt LC YrIil-g /
<br />Shear Wall twl
<br />Framinq
<br />lnsulation/Eneroy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />lr,4ason ry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Enoineer Final Report
<br />Flood Zone Certif .
<br />I I
<br />FINAL tr Irt /,L7 r)rrrl 67
<br />Certificate ot Occupancy )
<br />Notes, Remarks, Etc.
<br />Hev.08-07-2015
<br />DATE
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