SITE.WORK DATE ID/SIG.COMMENTS (}WNER BU IT,DF:R DEI,CARATI('N
<br />I ncrchy rifinn utrdcr pcnalrr o, t rjury lh,r I d,n.rcn'fl,n,n rhc conti.t'F l-iccn\.l-r* tar rhc n,lhwin8 rciv,r (Scc 7).i15
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<br />.- ADN CoSz'7 3 .r*--
<br />, c.n y rhrr rh.I}.r,oroBn.ol rhc work ntr *hrchrhis p.rmn s hn'$.t,I shrll or cnrl)y !", *rr,,, ," o"rnr.,n')f(, 1r r. lB-onE n'hF.r n] rhc wolkql .ompcndnr hwr ol Cal'turnh, rJ .!rcc rhrr il I sh,ru h.(,ft suhid n, rl{
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<br />?o 8t68
<br />t/e / 2620 $,1
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<br />APPLIC NT DACLAN-ATI(IN
<br />I lrR.b! illm urJ.r rcorlry o, Frj0r, orc or rhe tnlbwin8 lelnmrnnr:
<br />Dr.K)l iotr ,,.!nirsAshc(os Nolrlralion t;cicr!lR.!ul.ridr\ (lirlc,l0. Pan6)
<br />k.qutrcl l!t.r ol N.rii.. i,)tr
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<br />I hrvc rcd rhirlptl(rlnr od (rrcrhd rh. rlx'v. i'no,'mnotr '\corcrr Irlrcck)$nflywirhrllCiryrtrJCotrnr!
<br />o'J'nrn.c\ xnJ Srarc l-rws r.hriry t, hu rcfc\cDt.nvcsofrhrC y rnd Counryn, cnrcr r$)n (h.
<br />rh)!c nrnrtrnBl pn)F,rylu irslx.l
<br />Applient or,\rrtrl si!nrlu
<br />rhr. iBI hcr.hvdtrrhrn?.
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Roof Sheathing
<br />Shear Wall /'a
<br />Framinq (7'll.'/r/o 'tblbP (w
<br />u o Ene a t'ilP2<)
<br />7.wlttu
<br />ltu*-Ptu@
<br />fj't:/lnt. Lath .)..//.4/a (Wr/tut:5& -^,'Brown Coat 7152t)o Sbrdb ,Prdr'
<br />It/asonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />F_[ood Zone Cgrtif . .I
<br />,\)cra,hlt (-fu(Z/ilrh Lbstult '4tt
<br />l.t A,
<br />FINAL 4%l'/{/o UWl"t,7aE 0
<br />Certiticat e of Occupancy
<br />Notes Remarks Etc.
<br />BUILDING. INSPECTOR RECORD
<br />Ihlvcinrlwillmrxrrwork.dcomren\rrn,nin{ftn.c,rs.cqrrc!t'ySc.(i.n1700.irhclih.rG)dc,lo!rhcll.nnnrncol
<br />rhc workl,trwhrhtlnsp.nn rs siu&l Myworkcis'rotr,pcf,\rri,r i'Ntrrr.{.rntr r F,licy nnmhcr rc
<br />I N V.4 5,, rc
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<br />Dnlc'---'
<br />Subf loor/VenVl nsulation
<br />Dryw-Al ry$
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