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BUILDING. INSPECTOR RECORD SITE.WORK DATE ID/SIG.COMMENTS OWNER BT'ILDER DGI]CAR,ITION I hs.try lllm und6 F.Xy of Fjury rh, I d .imF nih rti (bft.rr6 Li.e lrw lor tlE aollo*ir8 lwn (S< 70r l 5 &!ilB en PrelBbn C.d.l tur Cny or Coudt *h.h r.qur6 . psnir ro odM. rt6. imFovc ddBtnh or EFn or nnKEe FE h i! 6ffic. *o rcqliE th. +di!'l lor sfi Fnn lo 6L r 3is'Ed nrdE lhr lE ot !h. a ltd!.d p{&di to llE FoGioB .f 'lE (-.dtrd. Lic.n*d b* ((1l4(d 9, conDftinS rnh Sdion ?00i) ol D'lkrr ! ot lh. BurirN Dd Pmfsionr Cod.) or rll.r lE c llE i udu rhd.ton nd rlE t 6L for rh. .lkscd qatFrion Any vFtnio.ofsd1i6.70ll5lD lnt lppl'cr,n for ! rEnii lubjdr rh. rgplic&r ro . .n il p.dt, of nor morc rho lirc hun&rd dollu (1500) l. s osnd ol lhqxorEly, or my cmplorc wilfi !i*6 er lh.ir 3nc .omp6arioi. $ ill &r lh. s$t evj lh. slrude b N ihrdd.{t orofrod fireL(Sc 7D14, BBillN ud ftof6 'N(ird. rh. Conrra<loai Lic6s. l.aw ih6 .or @pl} to m ownn of lhcl,lrEnv qh' hri[l or iEFovd rnoor ad who &d $d u. himrclf or h@lf or lhNqh hn or h6 o$n mplo].d ,ro\ d.d rhrt su(h unFormB e mr i artd or olTdEl lor $L ll lD$6â‚¬. rlr triklin* or rr{m!ffi ir sld $nfiin nn. J@ otcorpkrc lh. ( )* K B!iU6 snl haE llE hrd.r ot rrernB rti lE o. lE dd mr hrild or imFo\. rh. FirEit Fr rh. FrFr of l. 6 orE ofrh. Ftr 'drr. E cclEircb co'rrdiry \ nfi lrc!!.d c.tu..r.d ro.oEdtu.t rrE r ir..r lsc 7or-|, &8i6 Erd PFtsimcod. Ih.(-onrdo.r tkru Lr$.LE mi +tlr"ro e0r!6 of Fopdt$lF ll{'nLor hprordlhn6.- ed wh. onrrxl! ld r(h FsFr3 "irh ! Colnr-lo( r) lrr!.d Ff:@i to ih<Codr-!( r Lr.e t f,). I ctmpr unds Sdui Dile Osner 1tQBli[al:(auftrtarto!ll!(lix{IlQ! lh6.hy lmrn tr.ds n<nalt! olpqur) oE oflhc nnhuinr ddl rlhtri I hlv.,n *ill mintu . ( EliaEdG olcolgr ro S.lf-lNE tor sql6 corpqEnioc s pmwLd fo, b, sdbn !?m olrh. Lthor Coa.. tu lh. Ffotm ottlE sut an rtih rlE Fmn ! i$.d. Ih.rrlnd*,llm! r'n\o d conFBn Fn iBU'.N.- 6 r.quEd hv S61Fr :r70O of rlr lrrxtr ('od.. for rh. Ffol]lle. ol ih. *.& ror \ hih rl. Fhir B eEd My *'116 comFBi,on Burm. crir di Flr) tumtE ,. I cdiryrh.l in rh. p.rformam..rlhc *ork aor *nkh rhir Fmn is i!ru.d,l s,rall nol dploy.ny pce. in.n, ndnd $ alo h.otu $t dr kr rhc Ea6 @hp.rsdon bu! ofcllifomia 3.d.ec rhd ilI3lbrlll tr.om. rltFr to 'h.*Drr6 co6Fqr{n pn$r6 of S..rhn 1700 ot rlE I rtrr (-.&, I Jdl. aonhsirh .omply { hh il.r F iroB rlAlnNG F.ilur. to M srt6 omFuion cora.B. 6 urL$tul. ad iEll {t .(l e dl,Lrs lo cininal F{i6 rd cnil 6n6 up lo om huitu ltoued drllB ltlur.(Il), 'n ddhnn lo lh. con or.on .E lio( d.nusB a Fo\'d.n for rh. S<(nn -1076 of'lE Iltx{ Codc i.rq.n !d dorE}'r f6 LILIIIIiDIANIXACIAB DEg.aaalla! I ha!6y dlm undd t)oxy o f Fjury rnd I @ l'.d*i unilE |iolirFn of Chapta e (ommo(inr snh S.dion 7(D0) of Divirion 1 of rh. aGin*{ md P'oldrions (td., and 6y hcdk Un lull forc. d .frrt q0lua.Kllo!.tldDllgrcE!.G I IryLl .ftm on&r FEhy. r FruD rfi, tha! t. odN<lbn ld!di,\B .s*} for lh. Ff.lllm. ol th. qort l ut{h rhir Fdi ! isu.d (sd 10)7. civ c ) ArtulANr-lEgaaaua! I h.rtr 6nm undd F.tl', of FJury ok oa rh. folL*in! ddlrl tud: D.@hsn P@nrArt.ror N.ri6.di.n F.do R.srhhn!Ihl.r0, P.n6) R.quuld kll6 .t f$r6.irh I cd'ay rhd rn. Ldcrll rcsuh io6 qedin* BtE nB rmtr.l tr. Nr rr,,l$hlc l. rhB F)(r I cdr a! rhd I h,\ . r*d rhis .J'plkarion dd $r.rh.ah\.rnlominn6.otral I rerR n, $hplr. s,lh lll Cily a Counl) orJ'nrnc6 rnd s'or. I ds3 rchr .u'horiz. r.rr6dl.tn 6 oaltn ( ily Md ('ounrv ro dir urhi rh. .lu!c hdnn)nrd pn,t nl nn \pplicanr or \lcnr si!trxr #&e ,,"," t/zt-r*- Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor Subfloor/VenUl nsulation Roof Sheathing Shear Wall Framing lnsulation/Energy Drywall Ext./lnt. Lath Brown Coat Masonry Pool Fence T-Bar Handicap Req Deputy Final Report En gineer Final Report Flood Zone Certif A FINAL il*74-t)x-w1ri Certificate of Occupancy Lt v Notes, Remarks, Etc. I I I I