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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS O\A Nf,R BTJII-DIii DEtI'ARATION
<br />I fiE.t\ lllm und( t6!hy ol p6jur rhri I @ acnpr tum rh. C.nrrLJod' I-koe lr$ lor rhc LlLtrms r.Mn tS< 70rl 5
<br />&rinGr ..d Proi..iion (\d.) Any ('nt .r ( oudy {hkh r.qun6 a Fnni' ro c.nerud. .ho, improvc, dmolnh or Epnt ..y
<br />strudur.. r$ lo its isuft.. atro .arun6 ln. dppli.d f{r s!.h Fnnn l. fik ! .i8..d n.lml lhd lE o. $. ! li(ded p@ut n
<br />ro rh. Fo\lirB ol F ('.ntrrors Lkdrrl k{ (ch,F6 9. (ohmmrns rrh Sdkn 7rx)o dDnnion ! or'h. ltGilB ed
<br />ercf*iN Cod.) or th.r lErCE it.ro rlEciiom .tn rlE t.st for rh. ilLr.d .ro,rrn AnyrioldFnolsditr70ll It!,n!
<br />.tDlrld for a p.rmn suhjdr rh. atpl!(.nr h . civil Frh r o f R mo,. rhe nr. h!.dr.d dolht ( tt00)
<br />l, a o*nd orrhc prorary. or ny.nplot6 rnh sasd & rh.ir ek comr.erio.. $illd.1rh.s{rl rd th. lln(lE b ml
<br />iir6,Jdi or .r6.d fr slc (56 70.14. BBi,s ed nnaBioN cod.: Th. c.nnBr.i! Li.M l,* do6 nor .pply b x oqN of
<br />llE F{Eil wb t!i$.. rrFE lhEotr .n u rr dE sh *nrt nilrlr n' lE*lr or rhdugh hs n ha om 6irh] c
<br />prot'&t ihd 3u.h inFrffir rc r{ irdrd.d d o&d fn rl. lf, h*-6.llE tlildla (,!s!}srrd i' -U rih. oG )c
<br />6fBrnllld$,r th. OeE Bi,tb triI lie. tlE h,rb ot Fr,'{ rh, lE o iE dd r{ hild o in!.o\r tlE FDFr, ftn r|r F,Do* of
<br />l. 6 o* nd of rhc FotEry, m .rcl$iv.ly conrodnB wnh licft.n coilr&1on ro codrucl ltE pmr.n (S€ 7u{"1. B^rins
<br />ad Eo6.in Co& ln. (i'ntr.croi! l, ico* l,s &'a nn .rlrir- ro e .r'n6 ot rroFry $h. burldi 6r inprov6 lhdof,.
<br />md $h. odm.tur(hFoj.<.{nh.(btuonr)lkdEdpu|!dr.rn (t ra1.i! Liw l4)
<br />I m.rmpr !nd6 selhn
<br />trotrf,ft5t(a tli]saratlllllaSarlat
<br />I lE.l', im.mrndct r6dy orFjuD oE.trh. rolhs inr .krlrll6B
<br />I h{\ c dri tr ill maitrl'h ! C.n iliclr. ol a('Bdr ro S.ltlBurc to, \ orlo! .omldE ii.n, s lNvi.ldl ao. bt ssoon 1rn0 o I th.
<br />libn (-od., for ltu Dsnrnnoc. ofth.uo* tr *hich lh. p6mt i issud
<br />I hlc md sill rui.rlio so,ld' comp<Edion ie@. 6 cquiEn th sdo. 17m oatlE bhol Cod.. for lh. nsf(ltrlm. or
<br />llE rdl aor nh{h rhu Fnn ! isrd. M! $o,t6 Nn Furrn ietu...lG d polEr numbd r.
<br />(.rn,.r ">F",1. €"rtd
<br />ro,rcrrurnh<r' ?o 3O b1s - tz-ot- 11
<br />I Glrfr rh,t n ih. Fi.,IM. of rh. sort fG trhi.h rhR Fnn is b$nj, I in m' dlplD .q Frn in.ny n F
<br />$ 6r.lEt{m.ebdtollEus 6 onFFrior L$!oa(.lifomia !.d l*6rhi if I.lFuld ti..c oti..t h'lE
<br />u!*6'$6Fs!|tunr$rtrioE.rs.dion1700ofth.l.tn,(odcldEll.fonhsih..ftplysthrho*prolnhN
<br />\rARNlN(; li.'1tr'c io q-itr,c \!ork.r\, cffrrrfs (r, rn\.ir( r\ trtrln\1,'l shrll nrhjr in onfkrlcr lo o,nnntrl l6ihi6 strd I
<br />.nil nn6 up ro or hun&.d rhouetul dollm (lloo,unl. rn ddtrion k r i,r. d.nasd B! tro J.d f(tr ih.
<br />('o&. itrrdd tr.d.lurE_! s r€
<br />^00,,-*,f
<br />DICIAEAIIOB
<br />I hcnr.nrm unds tdlhy of Fjury rhd I @ licoB.d undd rovilion of( hlprq e (ommo.in* $nh S<lion 70(x)) otDnishn ll
<br />ot lh. AuilB ad ProldbB C.dc. !n ny ltos ir n full foE ard.lTar
<br />r.kcnk(h$r C-33
<br />,",,' Nl /qf 19 ,,,,,r.".r".X-
<br />cl)lila!(llaM.Eroltti-Eril:ll.a
<br />I hdrt'y rrm un kr Fn.ht o f Fju^ rhd rho. i! ! odtu.tir. lai,'B +o.! aor rhc rqfollffi( of 't *!rl tu' \hah rha Fni .
<br />uru.d(sd 3097.(ir ( )
<br />lrrl.l(AltDl:gaaa1lo!
<br />I ho.llyllIm undd Forrlly ofp(ury on. ntrh. aollorin! drlt ions
<br />D.mohn'n fmils-AltElos Noliiidnrn lr.d6!l R.3ulolionr {'lnL t0. P!n6)
<br />Rdtutr.d t.ll6 of Mriicibn
<br />I.d'^ thar rh. fdfil rcEulaxoN 'qr dtr'strsh.snNon.\rlrcnrratli'.?hl.hrhBpn,iRl
<br />I rdirt thd I h,'. r.ad rhis.ppli(iri(,n anl rr rh.dlr{. rnhnn.rk'n i\c.'r(l I i3rar.Frnt'l) tr hf,ll(i]ntul(i,unrv
<br />ordin6m6 .nd Sr . h$sEhti.3'o hrildin3 aln6 ofrhir ( nt ed Orunrr h dr6 upn rh.
<br />,b\. '6rF..n Fmtd) n{ insrRlirn
<br />anO,'.r, - .4"-, ,.,*,"u,." /t
<br />femirr.rurtlprirrrl *z/-""t ?/17/72
<br />Set Backs
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subfloor/VenVlnsulation
<br />Roof Sheathin s ,?/er //t r;tu{Q.{l ,/q
<br />Shear Wall
<br />Framing
<br />ln sulation/Energ y
<br />Drywall
<br />Ext./lnt. Lath
<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 />77FINAL dr/ Z 6 /1 f Lqa-tL /or
<br />Certificate of dccu pancy
<br />Notes, Remarks, Etc
<br />Ltl
<br />Forms/Steel/Holdowns
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