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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG..COMMENTS OWNEB AUII-I'ER DCL(ARATION
<br />I hcrby trin.fl und.r p.Mlry rf Frjury rh, I m.rctrloi lmm rlx (o r(ron l-Nnk Lu ror rhc ft,lto*'ng F'a$n rse 7{r:rl 5
<br />Burin.ss !.rl horcsion C(rLl Atry Cily dr County *hth r.quic r Fmi ro mnqM. d'6, r:lmr, &mlhn or EI,.n oy
<br />{ru.trE, Inr i, ih i{!um.. etw' rcqlnB rrE {'r td for u--.h F,mir b liL r 1!3xn rrffinr rh, h or t,'c is hc.nsn IuMr
<br />ro rh. polisi.nr ol itr (tnrra.lmr l-iccnsrl l,u (( hqn., 9. Conmftin! *nh Sdti)n,uD or Divno.I ot rh. Bu{inc$ .nJ
<br />Pft,r.rnonr (bdc ) or rh,r lE or rrr ii cr.nfl rh.rcfnm .d rlx tI(n roi rlr llLrcd .rcrr irn Aiyriohri,notS.<i,i 70.115 hytrny
<br />ultltra.t iord p.mil ubFdrrrh. rl,Flcmr h r.i!il|l.rl!yormr mr. !h!n liv. hldrcn doll, r ( !5{Xr.
<br />|, 11 osftr nt lhc pn,Fny, or ny cnipk,yNr *irh slgr !r ihci' $k o'r{rndin. *ill do rtr urt dn rlE rrM ; nn
<br />idcriqi or olrd.n iin sk tsa ,(}l,.. autinc(i ond Pnrl'.$on\ a.dc Th. C. rsroi s I tck ll* &f,! n qrly h d oe6 of
<br />rlE tnrHy shr bild! or intfrrB rtrNn. rn whtr d,B skh *,.t hinr.lf or hcrrll.r rhrcuah hn n rrr o$ crq'l'F.\-
<br />pmril.n rt8l lsh in{iow,rs R rn hr.ftjcd or oftal for qlc.lL h)wcs- llr hilduu or iqnEB t s}ld *ilhin (E )st
<br />of.oq)hl,tr
<br />'tE
<br />ormr auihr $rll hrh rh. trd.n oa I'rDnE rh6r lE .r {E dij m,r hlili 6r i'r0hE tlr I'orEry tor (ll F,rr'. or
<br />_1..!.*nsolrh.nmlEny..m.rlurir.ly.o.sringrnhlE.n3.dcdrdr^roconnBlrlEpmF\1(SN.?(!,r.Busims
<br />lni Ptirl\\rh Codc Thc conrakr'\ t.icc.r u! (tB n .rlpl, n' r o*rcr ol p@rEny who hlild\ o. rmpn*lr rhsd,tr.
<br />lnd *h) .onrtuGrd rkhl)ft,j(kwirhrCodMbnn ltcnrd lorud rotLGdfutr'r Li.rclr*,
<br />lanr.rcmnr nd.rsoron .B &lC ntrrh^rcrwnr
<br />lrrl. ()in.r
<br />$!a$;&t-!!u8!NtArl!,rN
<br />Dfg.LBArloti
<br />Iltr(hlnlrtrnu .rFinlrr,'lfirjur! ft ol rlf, nrlIttr ing (l.rlllr(x)n\
<br />I hrv. .nl * ill mrnrlrn $ork.n $n{xn$r ion rn$ftk.. sr rcqu'rd by sftrnr l7m or rh. L.lEr Coi.. lor llt Fadllre ol
<br />lh. uorl in *hah rhir Fmr !i nBi. My *rk6r- .lriyEn$rsn rnrurtrm. cnin rfil rrricy numhcr E:
<br />P,)li.y Nun$q
<br />-
<br />Irdrlyrhrr inrhLpc ortuErolrh.*orl n, wfiih rhir rrnrir i\ i!\uri.l \hall n cryb) trnr Frstn i. o, 'Mtur$ !rro hd\'ft {hA.-r k, rh. k) 6 omtlcnrltim b}s ofCalilonra, i'rl ap@ rhli ir l rtbutl k{,m ruhF! k'rlE
<br />urtrkdc NqENrion fi.vFrrns of sLiFn ]Tlroorrh.ljhtr (iic.l sh,ll n,nh*irh Mrl0ly wirhrrlc,'ntrihnl
<br />wALNIN(; lililurc h rff w lcr d'f,rrnerkr n{chec rs unldqrul. lnd rhdll uhrccr & cnt|]l('Fr n' qinnul rEBlri:0.n
<br />.ivil rin.s up k, om hoBlrcd rlnu{Rl dolls itrtx),lxlD. r. rddni,'n h thc co{ ol crnrll.nruriotr. drru8c\ {s provil.d a,n rlt
<br />SNrih llr?6oll,t L,ntr Cd.. inr.rrr .nl .rrmEy\ lnl
<br />D.l.: p0lol:
<br />l rr:rnsr.r cirurerr:nfu
<br />DrcLrrATTON
<br />I h.En, drrn !nd.r trEIy or FJUry thd I dn l,rns, u.d.r tb!ti{,n ol Ch,l)rd 0 ($llmEin8 wilh kion 7(m) ol Divirir l
<br />ot rL BusiEs u<t Pmfcsion! ci,&- nt my liccnE t in foll nrc! rn cfi(r
<br />c0!6rf,!ltr!JNr!!u!{i-&0!N!.:r
<br />I l*Ehy ar'ltm udcr rrElry.f Jrrrury rh.! llm n r on{Ndi'n bnnhS se.tuy tur rhc tl.dnnnMc olrhc sod nn *hah rht FrmL n
<br />AftllrANuJil;ltaau0d
<br />I h,y ini,m !frLr Fnrlry or Frjury m ol rh. ft l!*ine (bninhr:
<br />Irlr,liri'n P.rmirs slsr(x Noril-rlrion [.rLrrl R.3ubr ionr ( t tc.g), l'0n6)
<br />Rcqdrcd IrrrclnNor'lt kn'
<br />I c.dirirh
<br />'h.
<br />fq!.rol r.Buhli.nr Esudin8 ustE(o\r.nrnalec nn rynla.l'k h rhi\ poFr
<br />-tMrlyrhlr
<br />I rh* Eid rhK {plrci'ion s sd.rharih.llf'vc i.r(trmrhn ir (Ilmr IraRroc iily *hh .ll Chy md Colnlt
<br />rrnimels]nSr.rcL.*rEhrin8roboilding@nirtociion.unhdcbyrurk'rncrcFc€nurircsofrhiCnyrdCou,kr.nrdnF.rlr
<br />.hE dnlbLal pmFny ld ifiFdio. t[rln*i
<br />lppli(mr or'\,r$r\irturtrh
<br />Set Backs
<br />Erection Pads
<br />SLAB Floor
<br />Subf loor/VenVlnsulation 6/r-a 1zt Z1
<br />Roof Sheathinq
<br />Shear Wall
<br />Framing
<br />ln s u lation/E nergy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />FINAL A-2410 ,{- 4.:p>a-S zn
<br />Cert iticate of Occupancy
<br />Notes Remarks, Etc
<br />n
<br />Forms/Steel/Holdowns
<br />UFER Ground
<br />T-Bar
<br />Flood Zone Certif .
<br />22//t / C
<br />I tu!. ,'rl $ill mnrsin r Crd ilf,trrc of (i,nrnr h S.ll l tr\urc tur ro,tdi .oqrnar ih, !1 F'qkn iJr h, Jc-! i{ .17(n of rh.
<br />l/hn (id.. (n rh. p.rtonum. ot rh. *o* for whrch lh.Fnnr i\ i\lucd
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