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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNFI EUII,DEf, DE[,CATATtON
<br />I rFrcby rlfrm uftl.r lEnahy of Fr,ljry ihd I m .r.'r$r rn,n r h. Codtrlm Litnt L,* lor
<br />'lE
<br />folhwinS sqrn ls( 70l l I
<br />Bu.irc( .d Pmfdlioo Cod.) Any cny or Counry *hth Equn.. . Fmi ro 6n{M. n'(. impmt!, d.nrnh o. rr'.r rl
<br />{Mm.lrBbn1 is{le.. tk r.g!ir! rlE q'r irr,r *h F,mr h fih..i!td sllr.d rh.r rEor nE n ktnsd p@!r
<br />kr rlr Frlirbns .t ttl Conr-d'i l-&tr<n L.* lclq s 9, Conlmrin8 wnh S.rlih 'r(l)0 or Divkhn I or r,r BoiiE( .nd
<br />PNr.sir.s CnL) n lnrr lE or rrE n.r.r!, rhd.fmm rnl rlE h.rn ntr lh. rlhs.d q.qrid A.y vi xirofs.db.70.115$y..y
<br />.rrlk.nr fq . IEmn obJ66 rrE .p?lk.nr r. . ciril rrMlty ol mt m,E rh!. n(. hIdr.d .Iourt llJd))
<br />-1.
<br />ar o*ffi oldr FDFny.6 my cnolo jdr ,nh *.F I rlEi hl. N.Frdhn. *iudrllErut!nftitutfti t
<br />d.id.n G olfad td 5lc lS< 7014, Bu.iB!.rd Pnrd.sn. Cd. TIE Codrdd r L](m he d(H ri q'Fl, r. s oqF or
<br />rh. rfttd, rL hiilih d irgtrB rlEE4 !d slb d(F qh wrl himlf n, tEtlf .t ttFlgh hk d h.r orn.rploye'
<br />p'otiLd rhti h tqroElds @ d n.d.dooitgsl ftn rlc lt huw.ItE hliEiq! d irFNGd k$U *lhin m F,
<br />orotrphiotr llE OrE. auild wiu lrE rrE h,rkr dl F,vit rh.lEdslt dn d{ hiB d inFoE 0E Fr,fdry ro. dE FIFE oi
<br />l. r\ owmr of r h. potEdy. !n .(clunEly .onrn.iiry srrh l'.cnrl .o.LKn)^ nr onjrud itr FrF-r ( sd rrlrl. Bu!F{
<br />ulrl th,l&si'nC, c:'fh.Conrrrkr'rl-i.cns.Ld$ o.! kn 4Dlyr,' unorn.r ort'rot. y*lxr huild!or imlrcr.s ih.rcon
<br />lhd *ho c.nrmclslor l$h lr.(,rd r enh s (i,.tNnt(, licnrd rurrunr n' rhc Conlm.loir Lic.n* ljs')
<br />lsn.r.nnr und.rS{rion
<br />l,!r. oEnt.
<br />uaa$;&5luug:Nta.rt0!lrllLa&trloN
<br />I h.'ch)_ trfinnon,t.r FMhy.rFjuryrtrc "lrhc nn['r i.x d(h,di(,n!
<br />-l
<br />,r.E lri Bill tuinrrin . cdifKlr. .l aonc b Sclr'lnqr. itr *irtn R,nFnerion. $ FnviH for by sar.tr 17rn .l rhc
<br />L.lrr Cd.. fG llt Ffolrlm orrlt *{,1 Lr *hah rlr IErn r niucd
<br />-l h.\! rnd r ill tuinri. wo*c6 mrtrnqthn i.iuriE.. r! Eqlr.rl ht S(r itn l7m ot llE llbor Ad., fttr rtE Fri(lllr. ol
<br />rlr qxl ftn *hrh rhii rEf, 6 r*d My *.rls ftr[rndln 'nruEN..nr ni Flr] numlv r..AM
<br />,,*,n,.,,,V4,ft46Q13 ,,.,,,; //-ol -/(
<br />-l
<br />ccdily llEr in rhc lErformr..f rh. rort ld *hrh rhr IErm[ n i{tEd. I t ullmr..r?bylny IE.en in dny tunEr
<br />s r( ro lfr,ft {bi.yr to tlr wrt6 oqrnlrion Lsr of (llifomh. r.n.SE lltr ia l Onold iftom.uhFd ro lh.
<br />f,uk6{ .onp.nqrion Fovichnr of sd1i,n 17tD ol r h. Lrh, Gdc. I rlEll. lonhenh mnllly wnh rhoc Fovihnr
<br />WARNINC: Failum ro sur. *Mk. onlEnsrir .oErot. ir trhL*tu|, rnd shnll suhFt !n dr?l.Fr b rimiMl F ln .od
<br />ID. in !d r)n k, ih. cosl of cotrVEDerbn. dmu8.r !c ,,oltcd lor rh.kn'$ ,l.llx'\ rl llxr
<br />\.\r r 7(,flrlI l.rlin (ixl. r {.i il
<br />*,", ?/to/t'l \
<br />I,ESIAAITAN
<br />I hcrchy rlftn, uid.r Fmhtoin rrury rhil I an lnatrvrl uftlct lrr\ntrh.lChiflct q (connmin! *ith S..rinr 7(trr) ol l)ivi\ion I
<br />of lh.llusim$rnd PmfcsrhnsC,xtc. orl nry li(.n{ n n lullnrr l.lf-.'ldjt 37 5a
<br />rQllrlllclllnt.LEdllllli-f,GE{cr
<br />I H'y .ltum uniLr FEhy o, Frrrry th{ !h.r. ir . .\frM ir tdh! .s.ry for itF FfrdN {'f rh. *rl 6r rtah rht tBni it
<br />nlEd ls( 1007, civ c.,
<br />lrfrl.' i Addrs\
<br />AITLIIAILITBS.AMII.IN
<br />I hd$.e srm u nd.r Fn.lty of Fqur, om nf rlk firh*rn8 ddhhrir(
<br />l).nxnlrion Pcrnils Aitx{oi Noriic.rn,n I'c{chl R+ul,li,ns ( lit{r, Pd6)
<br />R.qurcd t ncrolNoriticsrbn
<br />_l.cniryrhrr rh. fcd.nl BSuhiions Essdins !{E{o\ Ehr,rrl0r. nullrplic$k lo lhn pEj.d
<br />I cdfy rh.r I h.E r.d rtir rptltxri{'n !d rr.rhd rhc.h,v. inhiruri.r nc.ld Ir&Rroomplr*irhrllCiry.nlCou.lv
<br />t y.urhnirc rnrcrnrsrir.s ofthn Cny sJd Counrylo.nls uFn lE
<br />?/ah ,Lo
<br />?lo//q
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/Vent/l nsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/Enerqy
<br />Drywall
<br />Ext.i 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 />*.4<//-o -l t lW,/o !
<br />-frltuf /ot
<br />FINAL 4 l
<br />Certif icate ot Occupancy
<br />Notes, Remarks, Etc.
<br />Flood Zone Certif .
<br />onliMmc\ und Sllrc La*s rchrin* t!
<br />+itr. nrnrn,Rd nn,Fn:" fd
<br />-t lt,1
<br />I
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