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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE tD/srG.COMMENTS O\[NER BTIIt,DET DEI,('ARATION
<br />I *elJ.,tm umLr Frny dl Fju'y rhr I i don',r from rh. (hnr*6 liG llu ror rh. f.llou'iEs lan (Sc.ro!l 5
<br />BBi.6! rd Prorsmn Cod.l Anr (irr or (iudy $iah r.<|un6.l6nir ro 6dtud,.td, imr.oG &mlilh or E!., o!
<br />$tud@ Frtr tr 3 isd.c .k ,.qui6 $. qplr&l foi such Fn( n, 6h ! risn d llnmr rhi tE o. CE trcs!.d Fnud
<br />lo rhc trovaioN ofrh. Cootrsroar l-kor.d l,N (Cirptd e. (-omm6(ins wirh S.rlion 7000 oflrivirion I oftk lturin6! rnd
<br />?ot*ions (td.) o. thd h.or!h.i3.ronB lheiom.nd rh. bdrir nr rh. .ll.rqt crdr( n'n Anyrit .ri6nof s.dion'I011t,,r(6hy
<br />6pili.r.! tr ! Ff,n rubrrrs thc .pplicDr ro r civ il p.f,lliy o I mr mrc rnm nv. hundr.d doll$ ( lt00)
<br />l.s otrffi.rlh. FIEly. d mv mplo\6 { hs.!6drh<nsk.onFMio..*illdnth.(rIndrlEr.;@!nn
<br />in.i.Ld or oltq.d tu rL t5€.?04r. B6iI* od eFl6h6 (-d.l( TIE (i'dr(d s Lk@ L\r &B d rrd) lo a orc of
<br />tlE llqdr $ hi htlA orurF.\6 rlEotr d s lh dB *n $olt hm*lr or h.r*l f or lteut|h hu d hd o$ n mdot6,
<br />pbr idt !h,r 3u.h oFoEGr! e ml .rdrlGi or oltscd t , sk lt n'tr66,llE hlildI\8 tr nsnnaEn i $ld s'ihin w r{
<br />or&trpkion.
<br />'lE
<br />( xE Rril& $ tuw ih. torkn of F.rtE rhi h. or nE dil mt hiu or n F\. {h. FtrFiy tor llE F,FEof
<br />L ao\nnof rh. Fopory. M .r(lsivcl, conrrrt ins $ith licdal $lt6dor ro..drud rn I'lrj6r (Se 70.1t, B6h6
<br />lnd ADEsiD (n.b Th. Co.rdo.. l-i.os li* d.E @r ,fiilr- h e o$d o f propGr y * ll. blild. 6r inprovd rhd6n.
<br />&d *rF co'rmr! tor kh Foj.rs f,th . (tndonr) lka&n ro,.d b fi. Codtr.ir l.ke t *)
<br />lm.rdfl u.&t ".*rkrn
<br />D.r. ()in.r
<br />\loRxItRs corrPlNsaIl()N
<br />DTS,I.EAIIQN
<br />I h(cblrmrmnnnd Fn.ll!olp6r t.ncflrh.i,lk)$inEddl.rrrknn
<br />I hac rn rill ruinr.h. cdir..r..l( oMi
<br />'o
<br />s.lf lau( fd sntd mnFdbn. ! ForlLi for by sdrirn !7m oailE
<br />t,tor c.de 6r rh. Ffffi. oadE ${t t $tth rlE Fnn i i$cd
<br />I h,r. tal ull m.i,!rin qo*6 comF6rion itMm.. 6 ..ttut.{ Irr sdhn !?0o o,'nl lrr'.r Cod.. for lh. Fforlllft. of
<br />rh. m.I am *hih fin F6n i! e.d. My srid onFE irn rBrmc 6i' ad,sli) nunhd r
<br />l.dii\ rthr rn rrE lE frnrft. oi rh. \f(n $hxhrhirFmi tr s3tr.tl.l $dllmr od.r 'nr Fvh ind\ muna
<br />5 a k, h.cor $bal lo llE *0116 ohFus. lr! of Cllifomr !n +c rhi if I n$uld h6oR $bi.rl l.llE
<br />u!rt6 omFu.rion tmririrB of Sdn. l7(ro oI
<br />'h(
<br />Llkr (-Gj., I iEll. r)nhsnh ompl! s nt rh.* Fuiin6\\ \ll\l\l; 1 n L,. tr, $tr,c r,!lr'.i cf\@!. n trntNn'|. anJ \hallsuhr(r in dnnl,)\d h rm'ntrl Frh6 r.'i
<br />.r,t ti,rr\ trr !..nr htrtrJ,cd rhotr\ntrJ J.t l(() 0(x1! in.'ldi'.n r. rh. co{ oi co n,n. dm.{d a r.rii.n for rh.
<br />?-rt
<br />I hd!t, .]Iim lnda Fuht ol Fjury rh, I m li.qE d @dd For.tu of (tuFn e (@Mir * ifi sdion 70m, of Dn 6ion !
<br />of 0E &a!B md PrDlBioc Cod., rn dy !E.@ is b tull foN,'d.ttcr
<br />r561(c45
<br />x't1-t\
<br />I tEq llIm !..t r FEhy of Frury 'hd
<br />tlE. L t 66Mbn knlinB .{d) ror rlE FLffi. .f
<br />'lE
<br />umt 6r rnth ltir Fn. ir
<br />is.d (S< .!097, Ci! ( )
<br />APPI lCAt! f DfCl {ttal IoN
<br />I hd!t! afmx.d( F.h) oaFj6 omof rh. folL$i.s &.Ln Fm:
<br />Dahlni.n !@i'A.tdq NolilEdFn t.d.6l R.suLr66 (hL.$. Prn6)
<br />Rquir.i lnrd of Ndifi.dir
<br />I cdl ilr lhd lh. a.Lld trl r+ lalions !.*rodnrr &strst6 rdnoL 0l {r. Nr npnlrcabl. ro th6 pmid
<br />I rLr1,l\ rl lhr\.'.iJ rhis aflr '.ir rrd. rhil thc a&)\. n,iortrrirIn rr cor.cl. I rurc l,]..qny tr'rh all Cil] and (ininr\
<br />ordh.m6.nd Sr.l. 1,tr3 Gldir{ to
<br />,br. mno..d ln)Fnt fo. iBF<
<br />!u h.rn. r.F*tndn 6 o f rhir ( ir ) dd Coufl) ro orq uFn rlE
<br />\ppli.rnl or tl6r Sitn.irr.
<br />o CHEJ
<br />7 -/7- t1
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUl nsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsu latio n/E ne rgy
<br />D1ywall
<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 />,\
<br />FINAL 6-tt )1 \ "W"1{,,|
<br />Certificate of O .vccupancy
<br />Notes, Remarks, Etc.
<br />d'z : J^I CO /o o^./ JI u470r\
<br />,Q)< ^c
<br />^,,,-?3:
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