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SITE.WORK DATE rD/srG.COMMENTS OWNEA BUILDEi DETrIR TION
<br />I h6.by .tfm un& F!h, of djuy rh, I m d@F t n lh. CoffioR Lk@ bw ror 1lE follovis ,E$n (Sd.7oll 5
<br />B6m* rnd Pmf6io. Cod.): Ary Cil, or Counly *hich rquiE . Fhil lo @trrrru.i. .IE @Ievq &mlith or Ep.i ey
<br />!n4r@ Firro ht ig]ee.b.EqridrlEeplE6rforq.hFbiro6L.3E.dddaErlhrlEtrtEilicd.dFEltn
<br />ro rh. FornDtu ot th. Conr&rcr'r Lk.f,!.d Lrw (Ch!pt6 9. Conn*r8 wnh S&lnrn 7000 olDi"ilro.I ofrh. BsilB Dd
<br />ftnldiont co&) or rhn E or slE it ddpl rfid.fom sd llE t-ir tu rh. rlle.d cr@Fior Any vbLrior of Sdbn ?011.5 b!, &y
<br />{,pli.si f.r r Fmn $bjarl rlE tpplir,, ro r civilFdy of mr @c rno fiv. huxH &116 (t500).
<br />L s olG or rlE FoFry, or ay mpLtG *nh w.Ac G oEn $b @mpda.io( wiU & dt $tt rd dE rME k d
<br />iddrLl(o6a.dfornL(Sa70{.1,BGiBddProtuioECo&TIECodxr'ili*t*ddtul+plylooostof
<br />rh. pr.Fn, wh' txil& or i,lFoE lt@r ud wlF dc ech wn hielf or h.elaor rhrcu8h hi! or lE om mployd,
<br />Forilot rh.r .u.i iE!.oElEt ft rcl idc!.t6d d o,nrEd ftr rl. lf. how6q, OE h!!!s tr inrr6EEr it' ild s m m )d
<br />ofomptrioc d. (xE hilta ril h.E tlE hr&r ofPlovirt thi lE 6 ilE drd tbl hild or llqD\r l,E FlFty 6. d& F p*of
<br />I. s ow ofrrE profEry. e dclctv.ty coiirrlB *nh kd!.d (oddrB ro 6dtud rlE ImJ.d (Sa 70,1.1. tl!!6
<br />!d Pnisi6. Codlr Tt. conrrro.t Licd. L.w do6 rol lr,tly lo s oso of Fopdtt wh. buildr or imptov6 thddn.
<br />&d wno co'{rIi! 6r ruch Forerr wnh r Cod.(or(i) lbo$.d poB6 to th. Co r-loa! Lade bv)
<br />ldn.rcm und6S6l0n ,B & P C. aor rhn r&n
<br />vl)8xE85:COt,Il!tArA!
<br />DIC|JAAUAB
<br />I Ee* .mm uR a pa.lr, of FruF oE of ilE follou'iry &(lrnio6
<br />. -- I iu!. d *ill miiid. r Cdifrlr. of (.lMl lo S.l Eu..lor q,td omFa.rion.6 F)vido.l for bySelionl?00oarh.
<br />l,bo! co&. lor llE Ffotu. ofrh. 6rr aor *tih lh. Fhn ir i$u.{
<br />y'n8c ,n l *itt roinr"in *.t * comp.N{ioo iNu..c€, s r.quir.d by scl ion lTOo .r th. lib.r cod., ror lh. pafolM. of
<br />rhc sdr tu $h.hrhEr6ni L B$.4 Ml unl6 @npquDn6uN.c.ffi rdpolry n@bc n,* O.pa-l^..1 ,1 T-4"ir;.1 P,l./;tt
<br />,o,,"r*,.o, I o J]
<br />-
<br />E,e@ A./ a.. L
<br />I (drry { in th. Ffolrl4c of tlE *ort for vhEh lha Fnn B au.d. I rlEll d dtphy uy Pc$n in et tfuE
<br />$ s ro tEcoD. ubd,r ro rh. *!rld'corpasibn Ls of cn'fomia id.gc lhl if I $ould b<om sti(xt lo dE
<br />wo*d' .ohpouro. Fovilios of Sdrion lT00 of lh! t hor code l ltEll. fonh$nh .onply *nh tos Pmvliod
<br />$ARiiINC Fnle to EE *!ri6'oftrEsion ordisc 6 u.LetuL !i ddl lbJd e dtphF lo si,url FdE an'
<br />."il lin6 up to oE hun&.d lhou$d &'llE (t1m.000),
<br />S*lior 10?6 .lth. L.tor Cod.. i a.*&dillonEytfG
<br />ro lh. cd of .onFu!rcn.
<br />3- )02o
<br />DEqJAdIA!
<br />I &y rrm ui.lq Fd!, ol Fjury rhd I s licqE d u!d.r FornDn ot(tuFc 9 (@llttlEing wnh Saibn 70(x)) of Diriti.n l
<br />of rh. Dcird r.d PolaioN Cod., ai my ltru ir h tull fore ad GOdl
<br />32o t7/;JelM
<br />( oNsIRl'cTlor\ LEAnrtc ,tcf\c-l
<br />I hnb, llIm un!6 p6!h, of !.rlury th.t lhs. is ! oneruclhn Lndrnr teft, nr rh. Ff.mR. of th. *ork {or shichrhn Fmil !
<br />isu.d (sd. 309?, ci!. c ).
<br />L.o& r Nd,
<br />--
<br />AITUCAILDECLAsAIIA!
<br />I fi.q .fm u<ld Flhy of Fjury oE of lh. aolbvos Jd brioN
<br />D.ml ion P@n!.A.bd6 Norifioxon F.dal R.8uhioN(T l.40. Pal6)
<br />Rdlu@d L!rn of |ror,6.dih
<br />I c6ri& thn ih. f.dail r.suhrioB r.s&dins a!.rd rmivrl s. nor +plk!bl. b lhi! FojEl
<br />I(drt rh,I h!\! rad rhE ropl(.tr.. dld d.th, tlE.!ow inlorndion ncqrBl.I.sriro conply$nh Cny..d Colnly
<br />o nan.6rnd Srlc Irs!ELii.!n1ltu (dddiotr si h6€by luthorizc apr6or{i\ 6 o I lhn Cny ed Couty ro 6tE upon tlE
<br />.t{v. nF'FEd F.oDcly l i6p<nFn
<br />,\Doli(rtrr or Affnr skn.tu
<br />44.
<br />,,," 2-3-)o)o
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />SLAB Floor
<br />Subfloor/VenUlnsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Brown Coal
<br />Itilason ry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />/.\
<br />FINAL 5-27-70 X.tlltt)
<br />Certificate of Occu anc
<br />Notes, Remarks, Etc
<br />BUILDING. INSPECTOR RECORD
<br />UFER Ground
<br />Ext./lnt. Lath
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