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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE IDiSIG.
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subtloor/VenVl nsulation
<br />Roof Sheathinq '44/m0 &tur/o dtt
<br />Shear Wall
<br />Framinq
<br />lnsulation/Enerqy
<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 Certit
<br />--7 aD)
<br />FINAL 7//o/oon,7
<br />Certilicate o, Occu n
<br />Notes, Remarks, Etc.
<br />ollNEr luLDEr DEX-(rn rxx
<br />I rrEt y rll,m u,i.r psdry ol Frry thr I m cr.,+r fion rlt Grnr*ron lj.te t w for rrE rolhwhe E$n (56.7011 5
<br />Burim$ a.n Prcfgion Cod.): Any Cary or Cdlry whth Erluias 4 |Emn lo ondM( 116. itr{rorq &mlirh or EFn uy
<br />r rEFi,roir. isum. teo EqliEs rlE Tdi.rr ld sh FEr ro fi1. titi!.d rrrcrBr lljlEordEilalEd F!$.n
<br />ro llE F.visions ol rb Co.ldd . Li..rcd t w (Chqrrs 9. Colftxins *lh Sclhn 7U) of Divnbn 3 of rt! Bu.cs rd
<br />Pmts3i,N Cod.) m th.r lE or aE i, .r.trpr rlg.nm .rd llE 6.!i for rlt dL!!n.kidioi Any viohlbn of S.dhn 70ll !bye,
<br />qDli..d for . lirfrji abitl! rl poltor ro r .ivil rEnfty or rr BE rho fiw hurrnEd d{,118 ( 3J@).
<br />_LaaEofrrEFoFny.rny.rpbFdair[*.!6BrlEn5EotrpcB!,..lilldrtl!w,r!nturElEbmr
<br />i,rqiql or offdrd ft, el (sd 7044. aunBr !d Prnl6rb6 C.n : TIE C.d...rn\ Li(ld L.* rt* d +ply ro { o*ffi or
<br />rh.pNFny *ho hildr o. i'rpmE rrEEo.rld whodd. Mh m hiru.lf or lEElf m ltro8h hit d hd oe6.n!,bF6.
<br />,mviLd ri.t qh int bEEa mDr iran d rolta.d fd sL.l( lrffi, dE tliEit| d i,rFlim'r !t ild Panin ft F.
<br />ofmq,lri,r d. O,c Builb *iI lrE rrr hrrh of FdnE ln. lE d dr dn rr hliB d ip.e dE F!Er, fa l,E F,!ro: of
<br />-1,
<br />$ dE ol ttE F.tdy, u cr.lllircly co rdinS wilh la6.d @drrd6 ro @Nrul ilr FoF (sd 7044. Burs
<br />0!n PNa6rir Cod.: TIE Confubr'r Li..6rc trs &Er mr rl'tly ro u owns or pmrEa y who hu ildr o. inpowr rho6r.
<br />lnd rho @ rxrird sh Foirt wiin rCod,-ronn lirB.d pulld lo llrCodr-$ls lire L.wl
<br />_l mcrcnu untur SL{ur
<br />Dll. Owr wonxr[s coupursltton
<br />oEcuaA.u(B
<br />I lEr.hy rmrm undd lEdhy rf FJUry orc ol tlE foltrs ry &.lrtrioN
<br />I h.E .rn uill mrntrin ! (tniar.tc of ConEnr to Scla l6E nr strlda 6qindbn. {r F viLd ror by Sfrl !n 1')m of df,
<br />"*
<br />rcln .l rlE Frorljs. of rlE wd r{r ertah rh. Fmr ir isrEd
<br />hrE.nl s,ll miflrin slt6 omp. rrbn iEur.r. ( EquiEd b, Scrhn 17@ of tlE Lrbor Co&, fd ttE Ffm ol
<br />w,t ftr *hit fiir Fd ir n$d My v(t6 oqEnr.lhn iN,rN tri, !n Fliy dtlE e
<br />c-*l}.4-l!rie4-!!t
<br />n/a Llq 7b 2 .9 2
<br />-lenilyrlll
<br />itrrlE rirfqnrdo{rlEsll t.*hihrhis Fm, s i.rucd.l rl lmt.,!pby.n,FMiruymG
<br />$ ( ro b..om subj.yr lo trE rortds orrFns io. la*t of Cahfomi!. !d lsr di,r i( I rhuld lErom suhJ.ct ro rlE
<br />w,tdl oqEB.ri)n rrDriri.B of S..ri.n 17(r) of rlE l4d C{,&, I tEll. imhwilh onlty Enh I|IE rmvnionr
<br />WAnNIN(; Fril[E k, w rutdr oqErdrn omt ! unL}tut .d rhlt {bFr dphF b simiMl FxtB .,n
<br />.iul 6nc, up ro on. hundrd rh.usud dolls lllu).o(l)). m rdd ion ro rh. cn( .r .nnrrnqr i,,( y'm8. ( N Fnvid.d rrr llE
<br />S.<rnn :1076 nl rlr Llu C.dc. ini.Fr .,n .rtfry t 16 , I,nL-:?-1-2e orru*,,[Z-WL -+! '
<br />UCENSIAIONIBAStr,A
<br />DECTJEIIIIIB
<br />I hcEhy llnrnundc. Fnrlty rrEquryrhll I ! lilrni{ undc. pr)visi.n olchapro 9 (6nnrmin8 lilh Setion 70(l)J ofDntion 3
<br />or rlE aliEs!.rn PDrsbn. Cdl., ,n ny lt.e n h tuI for rn.fitl
<br />c'rq /ao73 Ltf
<br />u,,,"0*zq-ao ,a.-oa(l'/9 i,^-c
<br />AITIIII\NLIEqIISAIP!
<br />I diy ttrm undd lE.lly ol Frury oE of rlE f.llo*in8 &.hrdrbn:
<br />o.n$liricln P.rnilr.ArtEstoi lhifE.ri,fl FixLnl R4!hlio$ (TirL 1lo. P.ll6)
<br />_Rcquhn tar.. ol Ndi'dih
<br />I c-rif, rhd rhc tcdcr.! Erubhr G8[d68 E!h.{ol rcm]t.l ac d{ {rla.bl ro $s prjcr
<br />-l
<br />ccnify fid I lEe. rcld thi spplarraon en (dr. fi.r 0r atbh informriJn i"r oFd. I .ac lo mq'ly qirh rll Cil y .nd Co6.y
<br />qdinle! sld Sr.rc l,B ELrrt ro b{ild,n8 .Mdr\1nc !n lEE$y .dlnrtu EFr€rdirr oa lhi! Cny.id Coutly ro dd
<br />'4on
<br />nt
<br />Jh\r Ent r {k,l nm{Eny ln inlFdnlruF{\ I
<br />^,e,t*,nAsarsr',u* &t+Pl4-?l H
<br />P.m'r'm.(Prin,): @w4/ a
<br />-6-2?- ZO
<br />,Z)
<br />Rev 0B 07-2015
<br />COMMENTS
<br />g,!SI8Ufi9!l.EdDI!G.AGI!.cI
<br />I tmby .mrm und.. FMlty oI lErjury lnlr lhdt i! a mni(elbi Lndins l3.Ey ror r& Fnr.ft. of lh. Edt for ,nih llir Frni ir
<br />iro.d rsc 109?. Civ. C.)L.nd. N.nr
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