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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE IDiSIG.COMMENTS OWNER Bt]II-DER DEI,CARATION
<br />I lEcl'y .ftm undd F.ht ol Fju., rhd I d c\.nrpl nlm th. Contrido ' Lk.* t s Lr rh. tolh{ ins rffin (sN 70:r I 5
<br />ausio6i 8j Pmf6rn (od.,: Any ciie or (oud] {hth E{uir6 r rEh't ro coldrun, itd, nrror., rLsolln or Fp.n trv
<br />ntu.'u.. pridr b ir3 BUeerE Elirn6 rh. lpf'licd for s<h tEnn ro 6LriEn.d n odt thdlEorslEilicmEl pued
<br />k rh. Forn{'d of llr Contrtm r Lkokl ri$ {(t!rt( 9. Comm.icrnr \ilh S(rioo 7(xD of Dnirhn :t of rh. BGirc dd
<br />Prof*ion! ( on ) or th!! rr d .lE i crmd rhfttom $d rh. h n tu rh. .lke.d .rmpri'n Ah rirld6dofs.dnn7011lrru I
<br />qd'(i tor.lEmn lobJRcrn. atplk.m r. dc,v'IrEMhvoImt mr. ths fir. hu.&.d &llc ( t5qr)
<br />l. a oMs oarh. F.Fn!. @ or.nphlG $nh r.s6 d lhcr $k mmFG.lion. sill do th. snl drd lt. nMiE i 'lrilod.d or o,IF.d lir d. (Ss 7(!,{. Buil16 Md t\.f6hB ( od.: IIE cr'ftdoar L'cm. t,w rL6 nor +pl! lo rn o$E oa
<br />th.plopcny {,h. tlild. m iiF 16 rhdo in $ h dE kt {nd him.lt 6r hcll or rhmuel hir or 8( o*n .orhy6.
<br />pruvid.d rhi {.h idF.\qEi! e ml ndi.d n nildrd Rrr sk lf. lr$6,6. rh. hoildiry or inFordGr ir $ld riinin (E }r
<br />of NtrpkiE
<br />'lE
<br />(hE &ild. $j!l hlr rlE h,&n otFotilu rlld tE or CE dil mt tuild or "qmr.0r FrF! nr rlE F FEol
<br />l. 6 osnF orrhc Fordy. dr .rcluriv.ly codr{uU \ ih liftn<rl .. r.croa ro .oi!.tud rE Fj.{i (Sd 701{, B6'n*
<br />dd Proftsh. ( od.: I1. ( onkrcr.r'i Lic.M l,{ rh6 mr .F?b to o o\ F .f F.F y { L tiuild, or inpmvB $ndn,rnd trio.on!6cr!fo.s.hFDr..rr{ihrcddBro{r)l*a*dl!n6trorh.(odrdor'rLic.GLr\r)
<br />I ncr.'n unlq S€r0r
<br />D.r. (rnrd
<br />\roru(r'r<i conrirNa^iraN
<br />DESIAAIIAI
<br />I h6.b! rmrm und.t Fntr) of Fjury on. ot'hc foltrrins d(lddioB
<br />I hiE,n will ru'nr.in r (-dlin..r. or(nisr h s.ltlMr. for trorkB onrEshn.6 Inllirdj for hr sdio. 1700 of rfi.
<br />l,tor (-od.. tn rh. Faonnm. .l rh. tr od( n{ $ hi.h rh. Fmit ii k u.d
<br />l hn\.dnd s,llhrinrainsorlas corntEs.rhn iBnrirc.,6 r+utr.J h S(rrn:r7(roorrh.lntr)r(i,d.. inlh.FftroR-.ot
<br />rh. *d& ror\ rhrhi p.rn'l is is*d ,i1' n.rtd. m6F s'oh rBu'Mc.c,tris tudllrl(vnudhs M.
<br />,-,*,-< a?71-€ 10/
<br />hnr\run,,{- ?assro 5/2,/7-
<br />l.cnifyrhtr in lh. ,,sforronc. olr lE \$rt aor$hrhrhBFni s is.d. t.h!llmr o )y ..y p6$n rn lry ounss trt ro b<$In. Nt <r ro rrt s.rld comFFalhn lss: of C.lifomB. .nd rsr rh.t if ! sln uld bdomc slhjd ro rlE
<br />$ o*dr' (onrFsrtun F.\ ntr6 of sar irn !7() oa rh. I lhr G'j., I rhlll. fonhq nh comply *n h Ihrs I'N ithB
<br />WARNIN(;' t!ilu,.l. su. ulrld' omFdn,n coras. n nnh\rtuI. ,nd shall subt<r e mrrorf ro dinitul F$h6 dd
<br />ciril nnd up tr o( hun&d rhousd &lls (tlrn.ffi). in.ddnnn ro rh. $n ol.ompisri.n. d,n 16 s [r.\iLil aor rh.
<br />::*'21"il"-:i
<br />I hd.by tmm unda FellyorFrury rhar I dn liE$l uBLr Fn\iio..a(1apta e Gnmfficins $nh salion 7(D0) ofDrisio.l
<br />ot
<br />'h.
<br />Bui.e rnd PrtBhE ( od.. !n m) lk.e k in ful! foR &d.fid
<br />Z?a,
<br />v1z/k
<br />/Oo ?2 /a
<br />c9Niral](Italli;trxlcAcl: (I
<br />I ho.lD .tnrm und6 ,Emhy or pdjon rhar rha! i! B &tr{ru.rnn Ldinx r[dc\ lor rh. Ftolrrr4. or lk \ork nn ] h'ch rhr Fn i
<br />isu.d (sa 10e?, cir (-)
<br />ATIII(A,dI"DECIAATIIII!
<br />I lE!t!, allm un& Fllry of Fjury or of rlE follo$ i.s .k(ldd n).r
<br />Dnmlilrn rmils' lb61or Nolifiq'ion F.d6.l R.8uhio8 (Inl. 40. Pd6l
<br />R.qurd I dr..tN,i,6r!rir
<br />t cd 'ry lhnl rhc lalqal ,.3!lal$N EB,Jf8 atBk{ r.frn lrc mr qrli(rbl. ro rhl\ pmFl
<br />I cd it! lhd I h.r. ratj lhB apl lrrixri rn ,!ic rnd ihc alFr. infomloon ir cotrd I tr3r* !o connly wirt ICirj_ul(-ounD
<br />ordimE6.ril Srd. riss EknE tlil(lins.oleruclrq mn hftt! aurturi,.rcFMl.lir6of lhis Cit! !d('ounl] lo ol(
<br />alnr. imri,Nn lnlFn' fnr
<br />C L'O/v4-
<br />,\ppll(rnr or.tror \irnY.
<br />PmilN..nc lprn r: l/
<br />7/z ,/?
<br />Set Backs
<br />Forms/Sleel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathin s
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Mason
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer F inal Report
<br />Flood Zone Certif.
<br />rl I /,
<br />FINAL 7W^1dv, ^,wL,
<br />Certificate of Occu rlxr 7v v'Zn
<br />Notes Remarks, Etc
<br />Shear Wall
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