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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS oWNER BUII-DP:T I'EL('ARAI1OII
<br />I lrrby aflrm rLlc, Frolry ol lxrrld rhd I n .Emrr liom rlE (i,nrr*in l,icnr Ln* ntr rh. LlL,wint rc.qrn ( S( lO1 l .5
<br />Irosrcs !! Pn'L$i'n (irlcl Any Crly or Counry whrh Rqur.t . Fh b d,n{tod. rltd. iqnik. &nnNh or RtEr x,.
<br />nd.r!rc. Ftr ro n! n!!rr.. al$ rqucs rh. 4t'lrrr frn .rh lE mr r' fiL . n3En {rcmnr rhd lE fr rlr 6 l(..rJ prNrr
<br />e, rtr F)vs$nr ol dr Ourrrttr'i l-arnsn L.* (Chrt'r{ 9, Conmrkrig w h Sd!.r 70(XJ f Orvnx,n I ofrM Au{m$ etr
<br />Fn,lc(r,n.C(dc)orrhrr lr or\hc tr .r.mtr rh@ktrm .nJ rhc hrnr hn thc ilLscd (\cn nn Any vn,l.rin nf S&r ir 70l l ll'ynny
<br />.ItlB.d ntr . Il.rm \uhFk r h. .mlr.nr t, l .,v rl fmlrr or mr dE rhrn t'v. h Llr.J Joll2rr ts5ilD
<br />l.8 rwncr ot rhc t'(!Fdy, or my.mok,tt.t *rrh *!scr rr rhctr srk (n{Enraltr)n. w l(h rtr qnt.,rl irE nriw ! n{
<br />ur.nl6l q olf.r.J lttr sh (sa 70{4. Buiffir ..d Pr$f6i$N c(rh TlI codr G\ l-Nos !r* dB n,{ rpoly nr u o*r or
<br />rlE |nlh, wh)hd liorlqrrBrh.6r.dwh'dFqisl* hms.lfor h.rElf or lhnueh hr or h.r own.n{fi'yc.i,
<br />pmvrldi rhartu.h urDFrw.h s nr hr6,6l oronkl rrn eL lt h)Es,rlEtr lrE q ,!FEB !$llerhrmF&
<br />of drtPlrrn lh. (}rftr Bullbr ] l hrE r,l hnLn ot F^inS rh.r ll q {E dr] B{ h! j q l'{mE Ui FoFn} tuttE lorJl)e.r
<br />_ l. I n*mr ol rh. F{En y, m c\.lu{rcly c..rra ru8 * h l(.n{J $nra.r d ir ('inru(r rlI ln*d (S.. 71X4, EurDc*
<br />rntl Pnnsrr cod.: 'I h. contlrttr'\ L'r.n* t-rw JiE! ror apnly r) m orn( of nr)n n y * ho hu rldt .r mpovcs rh..c ..
<br />iJ rl$ d,dBl r llx rBh IhFk *rth . Cbnr*r(, lNn<J |nrFunr L! rh. (i,.r(nxi l-r.n{ lfw)
<br />l6.r.mfl uLld Sdion_. B. & PC forrhsE g'.
<br />wott(Ets' coitPENsatIoN
<br />Df,CLAILATION
<br />I Fr.by llI,rn nnJ.r Jlnlry ol FIfy ok ol rtr ftnb, hS ik Lr.r.nr:
<br />_l h.v. .,n wnl mhhn . Ccdfr{. .r Conrnr ro S.latnr@ ln k)rt6 umrEnrri4 $ Flvrrd ror by Salrr J7O .t r
<br />Llhf, c{rL. rr,
<br />'rE Frft,il4i or rrE k i r( ltt.h rlr Ftu 6 nrE!
<br />_l nrErnl willn.hr.m vo*cB .orr.nr.rNn r!uhh., 11 EquGa! bySNrd lTrD o, rlr uho. CaL. td rlr Ffrirl4i ol
<br />Itt wi fq *hrh lhtt FmI B urEl. My uert6 dnp.nd.n ndlu. lfir arl tbliy huhrt. e.
<br />-ErPc,-
<br />I...n,li th.r m rh.Frlnrtuft.ol dF *ork tur*htrhrhi\ pcrnrt r ntu.d.l shillnor cmtnry.ny n N,n n.nyn&N
<br />s ( h hcoB ruhFl b rlE strt6'umFnstin l.$ or Cal'lohD, r,r! rAR rh:r I I srr)ult ltror iubF o rli
<br />slt6 .nr[.n{rion Ftvarbnt ol Seri]n 17)0 of rh. klE C k, I L ktrth{ih (onflr *ih rhE Iro\'\r,n\
<br />WARNIN(; lir'ltrrc ni \'.trn wo'k(h (nntrn\rk,, sr.','!. r
<br />.rvrl ir..r up t' Dr h!tolrrl rhnh&l &il16 ('!l(xr.l)(f,). r
<br />S<rD. 1076 of ttE l.lr CuL. irl.Fn .rn dlomy'i frs
<br />q1!'\8rl!!\
<br />I lxEby rtnn uhLr Fnrhy ol lErjlrt rhrr I m ll(rnhl usLr,n,vnnn ol Ch{ q gl.ommRrnS, h Scdr'.7(fl|) ol Divr$n:l
<br />.l rhc Bnlrrc$ rRl ltolrsk,N (',n1.. r Dyl'Lctr\.r\nNllr,tr(.sl
<br />g.A$..81_!119r!.t}!l}!i-t!-it-\(I
<br />IlEr6yrrlimu.rFulryolFrurylhnrlE!(rqElutbnLnlint.8.hyf.rlh.FrlotlrlfuofrrE*ukforwhahihrFtun,. .d (sr..!091, crv c.).
<br />ArlLTlANLlElld8AItq!
<br />IrEirtyr imu' c, Irn.lly ol pcrrury orc ol rhc (,nn,urt dels.rr,n\:
<br />r).n,liEn P.rnrh-Ash.{ r NotlE.rrr rctt.al R.slLrx,nr al l.lO. Pd6)
<br />-R.qdnn
<br />l.(cr olN rar.'nn
<br />-l..dlvthll
<br />llr lcrLr.l rc8uLrDnr rc8rdi.r r$(<orrcfr)v.l$ nor,{)plf,ehlc b rnE I'n,Irr.
<br />I cdrly rh:r I lEvc rcf,l rhtr rlrlrrrr)n [l . trlt'mr$n s.iic-r. l.!reloLlr9lywlhrllC{y.trl Counry
<br />o h.k.\ rtrtl Srrr'lr'*\,.Lrtrr! !, hu'l,l'nF qn rnr.tivd ol thr C[ y 6d (i'!nry hr .nrd !!r,n tlE
<br />rh,w ftnri'Bl polE.ty |,tr
<br />Anpli.{nl or Aernt Sir.rkrB D.l.:-
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathing lo-2->'l1 DA.ifrd>
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />N/asonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />ineer Final Report
<br />Flood Zone Certif.
<br />FINAL t)6.y2,5
<br />Certilicate ol Occupan cy
<br />Notes Re marks, Etc
<br />caE
<br />-
<br />IrnJ.r \ AJ,lr$\:
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