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BUILDING- INSPECTOR RECORD
<br />SITE-WOHK DATE ID/SIG.COMMEI*fS (}WNET BUII-DEf, DELCAT-{TION
<br />I hcrcny liinn undcr Fn,hy o, Fl!ry th{ I m cx.r,fi ln,m lh. (l'trlrlcror' l.ien{ lre nt
<br />'h.
<br />fdlo*in8 ,.urr ls$ 70.11 5
<br />8u{isr rd ftof.rsnn C,x,.) A.y Cny or aru y rh-i Equncr r Fna k' d,.{tu1. rhd. iritrok- &ftnah or rFn .ny
<br />ifl.rurc, r , k, irr hsurrcc. lho Eqlit\ rh. +pli.snr fr ro.hFiinir n) flca \i3ncd dulcftnr rhxrlEor thc is liccnd plFtld '
<br />ro rtE riovnbr otrli C.nrturd r Liftnrn lj* (( h.ptcr e. ConmBrnS sirh sftrhn 7uD of Divnbn.l or rrt Bulms.nd -
<br />h,,fc(1ion\ C(xlc) or rh"r tr ur .h. i\ cr.Dpl lh.r.from Bnd lhc hust tu rht rll.8.d cr.n{ on Anyvi,'loliono{s.di( 70ll,byu.y
<br />.pfhcr ror rFmir \ubj.rt th. q'nli'nr k, r .ivil ,kElrt or n nrn ttu. fir. turirn dolltn rl5ulr
<br />l.a\owftr''frlrtln'Fny.. cr.lusirclyconlmdint rirh li.cn{d conkrern !) (n(rucl rh. pnirrrse ?l)r'1.llulms
<br />id h'fs\ir (itc IicConlr tn'sL{rn\c Lxs dft! tur at'tlyn) rn.tr.( ol pnFdtrk! hlrldrnr mpt'lci rhc.on.
<br />rnd who (r,nki.r\ nr urh lrii}rrs rirh ! Ci)lrBcn,ns) li.n{d Nrunr r, rhc (-i'nrrntri I tcn{ lrsr
<br />I om.rcnrpr unds Sccli,ro-
<br />rl"r'5 i 2 '.t-oty'o'*'
<br />Uj,l.l.l&Irc:
<br />Ih.rehj_ illtn'nn,lLi trn lrvrltr!ryotr( olrh( n,lk)trurt r(1,( !(\
<br />-l
<br />hnE ud *illBiollin ! C.niLar. olconsnr ro s.lr.ln$r.lor H sr conqf,nsrt,n, n !t,!iLd for b, Sdrhn lTor or rh.
<br />lrl'or Ode tu lh. Fno']rer of rh. w,rl for whah rlF tErnir G hi!.d.
<br />l hjv.and will nDi arnwork.racomnnsBri,rinstrrurce.r\r.qrtcdhlS(li('nt7lx)nlrhcl/'horLi..nt(hcPdfolrruNcol
<br />rlr rolt ftrehi.h rhnFtu ri ilrr.n My wtrl(r on{Ea$ri,n in$hfti.rf,r lldF,lry nur*s rc
<br />Puhc\ Numb., |(nrcr
<br />-
<br />I ccnify lhol in lh. lcrfo.mncc olrh. work litr whih lhr Frmn n issud.l stull no' .nplor rny FMn in &y tuid
<br />6 $ r.,lEor rollcr !6.tE lsirm oqEMnn lt*. of (ilifomio..,n rgft rhd ilI rrnuld tEom sl,Fr ro itE
<br />h*6 conp.n{rion p6vi.irn ol S6rhn l7(xr of lh. ljEtr ( lc. I rh,ll. tunht h sndy *ilh ltnr lt.vili,ns
<br />. r unhrful rnd .htrll \uhFt .n .rrlllLt
<br />.trrl !ln.s up t, .m hu n.d ihu\rnd d lli^ rllu)lr[r. r n[h)n
<br />Sdion :1075 ofrh.IinrCrxt.. rnr.E(.nd.xomy s
<br />r)a'e: t'->)d.,/nnor^",,,
<br />DECIIEAIIO!
<br />I lEr.by .lIrn u.dq FMlry ol F+r, rh! I dI licn€r, ud.t I'ovtin or ( luPrd 9 l.omminS sirh Scdion 7(XxD or Dn irisn t
<br />of rlE AusiEi. rJld Fnfdtiotr! Cod., id ny lk.N i! in rull roft ,,n dfNr
<br />ll)!i[8!cl[rlt.LE!Dldli-ali[!l1.
<br />I h.r.6y .llrm utdcr FMhy o, pdr,y rhrr rlE n.oNdrr hndha rscr, iin rh. Fromw orrh.ruk ror *h.hrhN Frm, i!
<br />t3x.d tsd .lll07, civ. c.)
<br />afflluANlDE0.aSafloB
<br />I hdtlry .frm unlr Fn.ty oa Frrry or or rh. rolb*n! dchal bnr
<br />lxmhirn P.mils ArtElrtx Norifrori,n fqltrrl R.slbtirn( r'rnb,*1, Pln6)
<br />-Rcquircd
<br />lrilcr ol l'L,lifi ctrli,n
<br />I rdrfy ihlr rh. f.d.r!l E8uld nns rcEldiry lshcnos rc xn trl rt nor al'l)|f,lhb ro thi pmFl
<br />t..nrryrh.r I turc kad lhr .mlilrion lnd
<br />onlinatuc\ {nd Srrr. tr*rElrhnBl,r huillin8Cr
<br />.srN r, N'.q'l, li'n,ll Ciiy.nd (i,udy
<br />ivc\ olrhi\ Ciry nd Cnunly h cnrr r[x)nrli
<br />,^,, sl z- 2t lvrh*e m.rirRl ImFnyfin'n\Fl
<br />A|,pli.ul or AE6l slrDlrE
<br />57>/d,'/Pn/o*-rr<- 5
<br />Set Backs
<br />Forms/Steel/Holdowns r ..\!
<br />Erection Pads
<br />$\
<br />SLAB Floor \\
<br />Subf loor/VenUlnsulation A)
<br />Roof Sheathino t0 - l0-t I
<br />Shear Wall "?*77-1,
<br />Framino lo-10-l
<br />lnsulation/Eneroy ,r.lWh
<br />Drywall ld -sot',
<br />Ext./lnt. Lath 'tt I (8-1-rD-
<br />'I
<br />Brown Coat ll 'i -lt', ,.
<br />Masonry );:---
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />l>rcut C -l .7fr)
<br />FINAL /A
<br />Certificate ol Occuparrcy T :31
<br />Notes, Remarks, Etc-277 p /^.b.
<br />tr-t7- k'L /\*Y tn/f f .
<br />]?l.\lt-'J<.
<br />UFER Ground
<br />x,w)q/
<br />x-vN4L
<br />'\x.lM.
<br />'^^*rrLfi
<br />I rr-
<br />Flood Zone Certif .
<br />tvt\1 ,P
<br />l. !{ owB, or rh. FlFny. tr nry cmrl,Fr *irh }r8.! rs I h.n q& sq.ner i)n- *ill do rlE *-l arl rh. {dF i nn
<br />inrod.i or otlcEd ld ek I 5(.7041, BuriEs .nd PDfc(.i.nr Cnd. TIE (-o.rtur i( l-.u€ I rs {tEt mr rptly h r. o*rr .f
<br />ln IFIdy snr hrill\ or i[FDk rlFdtr sfil wll' der ruh \r,* himrcll or h.r$ll or rhn,u8h hk or lrr ostr .tiY,lorc.s
<br />t'mvkt rl rh.r r*h in{mEl1di m mi ii.ri.n r oo.nn r.tr uL ll lI,kE. rh. h'tlrtr or itqmttrd ir v'B sthin ft F{
<br />ordonplcrkr, rhc OrvRr Burlrlcr {ill h{rc rh. tunlcn ol prcvinS rhur tror$. dil mr huiH.r rlmv. rlE l,oFnr r'or rlE lJrlr,e of
<br />-..---.------.-
<br />L-irnsc Numtg
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