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BUILDING- INSPECTOR RECORD
<br />SITE-WOBK DATE ID/SIG.COMMENTS OT41YEA BUILDET DELC]IT TrcN
<br />I lEEtr lrn u,r&r FElly of Firy [rIm.kdflnmlllCddm kru try for $.Iol9rwrt ren ls<.70115
<br />Brincs !n Pofcnhn Codcr Any Cily or Cf,unry whth rcquids . Fmn h connrr, rlts. irprok. dcmlish or r.Fn xy
<br />./nrde Fn'o iB nsu.R. tt EqrG rlE ltltlrd ld MhFd b fik. san d ir.nBl lLlEordEirlis.d FrrdI h lll FDvirirN of rlE Conrnd t Li..N.d L.* (CtuFr 9. ColtmEing wih s<ri,n ?(m oa Dili.irn I or rrE Buries &d
<br />PNLsionr Gd.) ar rh.r lt or nE ir.rctrpr rliEliom &d UE blit ror rh. rlL8cd d.nplion Any vbhrbn br Sdion 70:l I 5 by iy
<br />.fl t.'r for . Ftul sbFir llE rrtlicul to . ciyil FEhy oI d mE lhe nE hotnEn dolae (3500,.
<br />-_1. !s owEr ol llE FDIEny, or Dy cq'hy..s *ilh w{6 a lltn st o'r{Ensalirn. wil do llE rcl rn dE lsE1R n mt
<br />iflold.d otu fd rL (Se.7oaa, BuliEa( lld Prof6*rB CdL: TrE Cffir'r Li.ff l,w .tE, d t tly 'o
<br />o owr or
<br />rh ,,Dtdy rrb toild\ d -r+rDB rt.r( .nl who dd uh hd hiNl, q lE*lr 6 rtrcl8h hir d ,ir otr crphF6.
<br />,nvilcd lhrl ru.h ,nFow r e trn id..d.d.r oflcrd tur sk ll h.wq. ih tlildi.B or iqE*fr.i is sld wi0in m jqt
<br />of( pllia tlE OEEi Buit 6 win LE dE hrrhi orF&lB d. lE or srE dd d hrU d irFE dE F.+dty fd ,E f.rFi of
<br />L r\ o*tur or ltt F,Fny- '.n.r.biivcly cdr&i in8 $ n [Lctrsd codraror b $nnrd rlt FD]rl {S& 7(llir, Bu{irs
<br />un hD{:iiinCod.-ricConr,rr.rrLiccn\cl,s&Ermt.r'plyr.uovEoanx'rEny*tphuitcrorimportlh.r6r-nnJ *ho mtrtuh lor s.h roFcl\ wnh ! A,nrruro(o liccnEd Duruonr ro rhc Contero* l-ic€trtc tjw)
<br />_l m.rcnF un&r Sdbn _. B.lt P.C rordir E $.
<br />l4llBf,Illi:g&llEsarq!IECIJIAII(A
<br />I lEr.t'y rirm udd Fnrlly ol IEjury or of dE lollowinS d.cL,.li,nsl
<br />DBI hdw dl *rll m,dM. cd'rKdc nrcon.n! rosclr.lmmrd wnrt6r' oqEtr{irn,.r Fovir.d ror byS(bn]7m orrh.
<br />Iltw Cod., ror llE Fdlm I rlr u'{I Io, whrlt rh. Ftu k nrucd
<br />-
<br />I Erc rfrl ! ill nuniurn *odcr' lrnnrn\lri,nr rmurrtu.. !\ Erturcd hy SNi iin l7($ of rh. I !h.r ( ,xt. nr rhc Frt{rnEr( ol
<br />rh. uo i,r shthihi\ p.rn,ir i\ i!\un [ry worlcr\' conF-nvrn,n uNuEn...rtrir nl Inli.ynun]h.r rc
<br />tr,,fYor.tr.< P<ooulv cqlrllv c-.o
<br />w"*, 0B7P LQ-?A qLozr I
<br />_l c.niry rhnr in !h. ltrfor@re orrtu w6rk for whth rhis Froir t i*u.d, I .hall nor .n{,|.y rny Frsn i. rny lMEr
<br />$ .s lo b.<.m s$Fl b lll krtd( onp.ndb. L$ of C,rifom. !n {r thlr il I slflU tE or rubFd lo llE
<br />srlsi NqENli,. r,DririoB of S.d bn l70o of llE t.bor GrL, I $.lL todh,nh otrPly wilh lltt Fnvtinr
<br />WARNING: Fdilurc
<br />'o
<br />rcuE M,kdc .oqrnslhn .ovddg. ir unhwtul. rd shlll .ubjc.r .n mfloFr to riminsl IEMI-! and
<br />cMl fimr uF ro om hudr.d rlrrsn do,la. (ll(n,{Il)), i. dd bn r. fi. co! of.oqE.qriotr iam8.! .! Foyil.n fq rh
<br />Sarirn :1076 ot lL litrr Gn , hl*d .rn snmy .Jft"'oPt/ua
<br />DFCL\ITAlrON
<br />I tmby lfl,n und.r Fnrll, ol F jury lh.l I m licnrd un& F,virbn ol Ch.rl6 0 lonmrin8 *irh Sdlhn 7(m) o, Divnion l
<br />o, rlt AuriBr.nd En[6i,ns C6&. &d ny licE iin tull foe ..d.ller
<br />3
<br />IONIBUqUQNI.&DAIiACEN{:I
<br />I h.Eh,rrfm&j.r Fdrt6,Frro,rrhc rtE ir.6ddb. lndin8.8.ry fd llE Frrtxffi of tlE vst n *nih rht IEml ir
<br />rs.n (S.r 1097, Crv C )
<br />l,dcrs A.thss:
<br />-
<br />aEuqlNfD&clllallllN
<br />I hdd,, lnim un&, ncn.hy ol Frjlry oE or dE lollo*ii3 &rh6ri'ni:
<br />Dcmlition Pcrmns ArtE or Nnrificdion ttd.rrl R.3uLrions (Tirlc {O. Pln6l
<br />-R.quiEn
<br />tdl.r of t*rir.ahn
<br />-I
<br />dify rlu rlE &.1 E Ulrim ESadinS r5.ed Emvi E d q'pli.tbk b rhn pmFl
<br />AAL(.!srir, rh! Ih.v!mdrhB+nlst'onrnd {d.rhd lh. nvc informion iisn..l I!8NloorylywithrllCilyrndCouly'ordin.ls !d S[r. l,B Ehrux ro hiuhs colr urii( lrt h.Ety rrlDriz r.Frtr.li6 ofrlir Ch,.d C.uity ro rs L+oalll.
<br />(rmxeM.(pnr'): Dould
<br />to L 4?-b
<br />Set Backs
<br />Formsi Steel/Holdowns t4.11l1t DA$kr Lrtt-ovt l'"35 W"?WI
<br />Erection Pads I
<br />SLAB Floor
<br />Sublloor/VenVl nsulation
<br />Rool Sheathino
<br />Shear Wall
<br />Framinq
<br />lnsulation/Eneroy
<br />Drywall
<br />Brown Coat
<br />lvlasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />,-
<br />FINAL
<br />Certificate of Occu anc
<br />Notes Remarks Etc.
<br />I
<br />Rev. 0B 07 2015
<br />UFER Ground
<br />Ext./lnt. Lath
<br />Flood Zone Certil.
<br />lokz/u?a
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