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BUILDING. INSPECTOR RECORDf!
<br />SITE-WORK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />Subf loor/VenVlnsulalion
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />Insulation/Energy
<br />Drywall
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />FINAL el4e Brr. /oj
<br />Certificate of Occu pancy
<br />Notes, Remarks, Etc
<br />O\I NER ALII I,DER DEL(NRATION
<br />I h6cby imrm und6 p.Mhy of pdjury thnl I m .!.mpi frern lh. ConradoE l.ic@ l.! lor th.lollorinr rosrn (s('7011t
<br />Buri.Bs and llolsior Cod.): Any Ciry or Counry rhi.t rcqun6 , p6.,( lo .oBrflcr. rhn, inDd., ddnDlish or ,.Iun .ni
<br />3'odrtrr. riar ro ill i$uan.., !b. r.qtriG rh. appli.dr lor such Fnil k, 61. a sisn.n $dmo! rhd h. or !h. i! licokd punuMl
<br />ro rh. Eorishm otrh. Conrrlcroas l,ic.nsd L,r (Chaptq 0. Commdcins snh Sdnrn 7(x$ ofDivin\n 1 .fih. Buiin*r ed
<br />Phldnonr c.d.) or rhir lE or $. ie crmpr rh6.fr.n lkl lh. t{.n lor rh. rll.a.d.r6rrio. n} liol.lion ols.dlln 701I 5 b} kt
<br />$rli..nl for a F.mil sutiets rh. .pplic.nl lo ! cn il pmrh y of nol mor. lhm li\ . ho.d!.d dollG (l50rl
<br />tTLllEn$Forrh.Fnpdr..'n).{rhy6\ h{r!6s,hoe,l.lahrnsi'o.qrlld.rrrso{,rlrh.<Me6tr{,-m!.nlal or ofid.d lor sl.(Sd ?04.1. E|llilK Md nrf*68 (ird. t h. Cofrrkrors Lkor I A, do6 not .prrly lo & o\ns ol
<br />rh. t,nld! shr hildror iqbr6 O86.. ar, $ho rtE sh srll hilGlf.r h@lf orrhmugh niJ or hd oqn mplors.
<br />prorid.d rhlr such imlrerEErr! n mt inrEd.d o, oEud ft', * lf, hos.d, rtE ta,l'ltr1* tr rFnffir ir $ld $ihi. o..,a
<br />of .otrplrioG rlE o\\rq B{itjq q ill lE\. lh. h(b of pNr ins rtd lE or C'. dil d hnB n n si!!! lh. FF} lnr rh. auFr .f
<br />l. a 0116 of th. Forst!. m crclBntry cotnr&lu8 r irh ltoEd co,irucioB ro Nnrrucr rh. rmj(l (s( 7ol{. IturilB
<br />&rl Prnisin ( o& Th. co rkoi! Lic.M h* dc @r qif l) ro e o$nd oaFoFr) tr h. blil.k or impmrB rhcRr.
<br />r qfio conlrrls ltr ruch Ftrj€l! qilh ! Codrero(s) li(6ed prEd to llE Corltuclq s I t.* lru,
<br />I dn.rcmfl undc SdFn . B & l'(' for rhs r.rv,n
<br />o".8'2c,-/4 o-*, 1i2-/ l4a<^<ZtllraliEas:rcuf[fraIla.N
<br />DECi.A83llgl
<br />I hd.L\ amrm undd r.nrh\ of ItDF on.ofrhc aolkx\m*.k(hdn 6
<br />I hA.,n "ill mi .h. CsrifE.l. of ColEar ro Sdr.lNr. for $0116 omFsdhtr. - F.rid.d for b) S.chi um of rh.
<br />li&r (_od., f rlE prtulffi. of rlE $ort fd stth th. Fmi! it is.d
<br />I h!r. !d tr iU Nirrli. {utd' @nF6dion i@nrc 6 r.qun.d b\ S<rir. }7(rJ.lrh. lior (.n . fo. th. Frollffi..nl
<br />rlE {o* rd $hth rh. Fnn i! i$Ert MJ {..td' onrFriar iM. (mir in Fkr runtEr ,.
<br />Polal NunlEr EtFn6:
<br />,MI cdi$rhd in'lEFfr'lrrl.Eof rh. *t for *'hah rhir Fnn k ('u.d l rull nor En hy Dr Fen i...! nmE
<br />$ 6iotrorut*t!rort trqrd onrpn8iion lr$iolc.l'r6 ir. rnd +E rh, ill rlhuld b..oErbi.( bllE
<br />\ olld @nrE dbn ForilioB otscrion l T00 ofrh. tr&r c.d.- l rn l[ tuttsih 6mp]y $irh rhor FnvihB a
<br />IIARNING F.jluE
<br />'o
<br />G@ s.rt6 onpasion 6\an8€ ir mh$tuI. d inrll $UFr e ophE l. sidtul Fulb !d
<br />civil flB up ro.E ltund.d rno6.n do[rs lllm.000). in..lChirn rorh.cor of on,EElioc d, s6.Fo\iLdtu$.
<br />Sdhn 1076 ol rh. r,bor Cd4 i q.i,!d diorry'i lc
<br />,.",.32.-/Q 4Z-,/ lZ.c<a-Jt-
<br />u(ElttL(atrr&t(]oa
<br />!!CLASA]IqX
<br />I H,.,Im ud.r rn Xy of Fiury lha I 6 licoE d und6 F(rilion of CrDFd c (@mnwrts snh S<ion ?Ixrol ol Dr Bhn I
<br />of lh. Blril6 E Pmfsio6 Co<L. rd ny kffi n h full foN rn dl<r
<br />caNi a!]crloNrEturcac[!(r
<br />I@.mrh! ls p.nlhyo|Fjur-vlhd ihqc is o ondrudion lqdins,sfty aor rlr pdforroc. otth. w n)r$nrchth6Fml.
<br />irs.d(s( rm7, cir c.).
<br />A.TIIICAILIICJJAAIIA!
<br />Ind*a'lltm und6 p6nhy ofDGiurv onc oflh. follo*inr dalaration3
<br />DomliriDn P.mi8-Asbcros No'i6cdio. F.dd.l R+ul,'ioB ( Inl.,l0. Pnn6)
<br />R.rtur.n l-.trdolNorin. ion
<br />l..nif) rhd lhc {.d6al r.lulahons r.grdm! asbesrosron\ni@ nor qDhcahl. h rhii ln)d1
<br />Zr1 rdrb
<br />'hd
<br />lhs\cr.od rhsapplKa!'onudnar.rhar rh.alF\. rnlomalion Lr cortt Itsrdto$m/tsnhall('ny.nd(olnrJ__ .r'trMnc6 anJ Srar. liq s Ellnn* ro hu' l l'.! cD6rtud tr,( dxl h.r.by ,urhli7. '.F6dr0riv6 D I rhi! ( iry .nd (irunr) k' ols ulr i tlE
<br />atx\c n6lioncd rn'p.ny [n iBp.clion puDos6.
<br />Apprrc..r o,
<br />^g6r
<br />shn.r,,r., 1'- .rv zZare<le
<br />,,, n*".^"t n^o,rEL/ y'4acala "",3-2<>-/?
<br />SLAB Floor
<br />Ext./lnt. Lath
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