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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE tD/slG.COMMENTS OIIITET IUILDEX DELCAN TION
<br />I rr(hy rftrm !hd.r p.ndry of Fqury t l m.r.npl tum llE ConritcloB' Licns L! to, rtE l6llowing Msn (Se.70J1.5
<br />BBim$ rd Pmf.sirn Cdl.)r Any Cily or Coutiy whth Equns r F ro .5nsrtl. l!d. iq,M. &mu.h or EF, t
<br />{n rEFi,'.iri i<rlllE,.k Equic rtE +rlad ld fth trf,i lo lil r rti.d !lr.,ml lhlEortEitlirEd F,rrr
<br />ro ilr Foviiid of dE Cmr.rd\ Li(m!.il trw (crr+16 9, ClomEin3 qat S&lion ,m of Oivilior I of tl! SuriE3r lrd
<br />PsLribns C.iL r B rlEr h. d tu ! .r€rpr rlmfrun .d rh. b.rir aor 0i dLs.n cEl!.i,n. Ary violri,n or Sdi,n 701 I t by .n,
<br />'rplicrnl fo.. pdmir shlxtr rlE rt li.ullor.ivil,. ltyolnol mE ths 6vc hutnEdd.U6 (5500).
<br />-1,
<br />G owr.r th. Fopcnr, or hy .rpb)83 vith w.!B e tlEn nl @q.B.rion- wil & tlt *dt .Id E{ffiiid
<br />i'lldit d ddocEd rd sL (sd 7o{4, ButiK lld ProlsirB cdl'Tlt Cdrdm r Li.@ t *do.iErrg)l,loeor6ol
<br />rlE F,tEny who l l1' r itrl'oB dEa in wb &B rh kd himlf h.elf d thou3h hn d lE oh.rploF6,
<br />Fmvit d thrr sxh irFNtgEr! E d irr.id.d oitdld rd s! If, lb*B. ttE hirfine or irForcmnt it sh *iltir m Fr
<br />.fNrpLtb^ tlr OwEr Buibr sil lsE tlE h!d.n of prevD! thn E or dE {,il hr tdu or nqftw t}E Flr<ty for rh. IJUrpoe ol
<br />-1.
<br />s owE or D. FtrFty. m.rlunEly Mr1r in! eilh lirnr{ ctuG ro $dd
<br />'rE ,roF (Sd. 7044, &!nK
<br />.d Er6sa. Cd. Th. CDnrLlolt Li*rs t q dtE. ml.rrly to uo*Er otD'otiny *tF blildr or i,pmEr rtEren,
<br />End who n,nri.k lor sch FFs wilhr (!ntE-to(o litnsld purs$r rorh.Codrrror'r Litne Lrw)
<br />I .m .nmn uD.Lr Serion . B a P C nn $n rcrso
<br />lr.r. ()$n.r
<br />1}onKE[s' coltPFis,t f IoN
<br />lllsLataraNIlrr.hyJlltr r u.rl.r Nnrlty'n tE,IrryorE ot rE nil['*i.g n!\Lrrinr
<br />I h.E ]n rill dirr.in r C.nifx.rc of Corrn lo S.lf lns ad vd.td oqEdod. ! Fovij.d ru b, S.dbn l7@ of rlE
<br />I4, C.d.. lor llE F tm of lll wt fm wntn llE Fni i! i$u.d
<br />I hrve lnd s r ll nBinrrin sorkcrr .onFnuri,,n i'Nra'rc. x Gtut.rl by S(r i)r :r 7lX) of rh. I ilt, Cod.. to. rh. tsilre:c ol
<br />itt *1,L ror rti.h rhn l.rnir tr !!El My *orkd\'coqrn<(r nrunftc.urr lrrr Flty numrE sc:
<br />elu,wnt
<br />I
<br />I'(nicy Nun$.r:-Fhpircs:
<br />-l
<br />lrnify rhr in rlE FrfolEN of rlE srk lr $tah rhh Fmd ir irqErl I drll d cnphyry Fen in iy mc
<br />$ d ro b.om al',..r r. rlE frltdr o,pctrdbn lt$ of C.lif{,m[ rd .3r d.l af I .hdld rrrom r'lbi{ ro rllqrt6' oqEelbn rrcvti,N oas6ri,n -l7m ol rE lrk C.i.. I .h.lL ftnhpnh ondy qilh llns I'oviian
<br />WARNIN(;: thitur ro sw wrl.6 conp.nmhn ovf,8. n unb*tu|. .id sn ll bFr u drpl,rtt to 6imi.al pdlrnix rn
<br />civil nmr up ro oft hu.drd I
<br />Sdr h. :1016 .f rh. lin (k
<br />Drh: t lolz,
<br />h,u.nd d.ll8 (1100.0m).
<br />inr@i .!d .rtftr'r f6
<br />-- ADCaor:_
<br />mgq u Flvltdl h. 0E
<br />DECIIAAIION
<br />I h.Eby arm ud.r F..Iy or Frrlry lh{ I m lk..rd ldq Ftrvilion ot cnlpr6 9 lonmai.S wnh serirn 7uD) of Divnion l
<br />of rrE Eusiass.,ri Piof6irN Cd&. !n mt lt.M 6 i.6lll roN.d cfial
<br />1v IP
<br />(I]ILIIBUCIIOUI}IIINCJIjEII]I
<br />I h.Bh, sitm udd Fnalry or ,t!!ry lhd thcE is r larrMlh. Ldins .scr, lor rh. rEfolrmc of irE *ur fot *trh rhn Fnjr ir
<br />$su.d ( s$. 1097. civ c.)
<br />AITIICANLDECIJIAIIO!
<br />I hod, rfiE uids Fdlry ol pdrrry oc oa 0E n bwiig &.lmrb l
<br />O.mhi,n frmir.A6616 tlorif.lbn tudd R.8!ErbN (T{L /(), Pd6}
<br />-RdtuiEd
<br />t ll.r of Nrrit rir
<br />-l
<br />.dit $!r rrE fcd.El rcsuhriff Es.dins ldxdos r.B,$l a br ,iDli.$k ro rht pmF
<br />-l
<br />dity rhd I h.r Ed lhis {' sttu.,n r.B$.1dErtioE inturllbn irod<r l.8Bb$nplywnh.llCay]nCoul,
<br />.diBBrs un Sbr.l.wx Elnlittr io hilinB i'tr ad rtrc$r rdhoriz qr.srdi$r olrhB Cn, rnd Coutrlr ro drd uF n 0E
<br />ah,v. nr.tiotrcd ln)tr.ny ror iFFdbn
<br />AtlPlirmr or Axdl SiArlnr
<br />lhllF Em.rprtrl):*NDrz&J 1'R-rH\)
<br />-,. zllolu
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFEB Ground
<br />SLAB Floor
<br />Sublloor/VenVl nsulation
<br />Root Sheathino
<br />Shear Wall
<br />Framinq
<br />lnsu latio n/Ene roy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Beq
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif
<br />([, ^,,*rJ ,l
<br />FINAL ut\{9 \r0 ,111 D /
<br />Certilicate of Occupancy
<br />Notes, Bemarks, Etc
<br />Rev. 0B-07-2015
<br />looAo I 5
<br />tard.r'. ArLt $
<br />-
<br />l
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