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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE )COMMENTS
<br />Set Backs J a
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing lolriltl .l 'Mrio
<br />lnsu lation/E nerq y toln)rB -,
<br />Drywall oll rti re D
<br />Ext/6aLattr)rolrL,lv'..4,14J6.oE *o u,tY 4i."'r< *,hle.
<br />Brow-n-eoal--
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Beport
<br />Flood Zone Ceflif .
<br />FINAL 9lrr\t9 'o
<br />Certiticate of Occupancy T
<br />Notes, Remarks, Etc
<br />OWNET BUILDER DEL(NRATION
<br />I trrch, !finn undcr n .rhy oi pcrjury rh.r I n qcmpr 6.m Ihr Conriu.t,E Li..nt tjw lnr th. ft'llowin8 rca$h ls.( 7o:rl I
<br />Businc$ arn L\olcqn,n Cnlc) Any Cny or C.unry whhh requirc\ . Frmit ro onrlrucr. .ll.L inq,otc- &'fl,lnh r ftIEn !r,
<br />iru.rrrc. rbrb ira irruarc. also rcquics rhcrpFlkanr lor suchFrmir ro fih, \isftd ni.mn' rharh.orsh.irliccn{d nurunr,
<br />nr rhc F,visi,is olrtF Conkr.rd ! Liccns.d bw (choplcr 9. Com'mrcins 'irt Sccrion 7lx[ of Divnbn .l or rh. Busrc$ rnd
<br />Pnncs$dns G)d.r or rhdl tE or sh. i.rcnrpt lhcrclhnlnd lhe basi lor rhe alhe.d crcn{rio. AnyvioldlknofS..lh 7lr.ll5 bylny
<br />orFlicrnr for ! Frmir slhjdsrlE applicrnrro.cieilpen.lryotturn,Erhan rivc hu.drcn doll$(i5(x))
<br />l. r\ ower or rh. ImFnt, or my cn{,loylrs *ilh woBc. as lhen s,b ompcndion. $ill do ttE srt rl ErlrElEi{r,l
<br />anrcnlc'l or oilcrcd lor sL (Ss.7Oa,1- Busires and P,.a.ssions Cdlc Th. conk or's Lacne Lrw d4s nor q,ply t' rd owftr rt
<br />rh. rh,Fny rh, hoildsor iqm6 dEmn. un wk' dc uhw* himscltor h.Rlf or rhhu3h h( or ls own.npkrF.\,
<br />pn,vil.d rh't such imlrtrrmnts e rur inrcn&rl d ordrd fd q!. ll trwE. rtF trildiry tr nq Mmni h eX wnhr oN )fd
<br />llf.onphrr)r rh. Oqmr EuiBs *ill luE rlE hd.fl oaFovins lhd rt or \h dn mr build ot irImE r FstEly fo, r,t lorFrt or
<br />_1..3osmrof thc I'rIEry, m.r.lu\iwlycoftrirS wirh lE.en co rdoF to conrul lrE FoFl lS( 7O{.1. BunFs
<br />.nl hr .six Cdl.: Th.Conlrrlois Lkcns L.* dG mt lPplyli, D6*E ofpmlEny *lr buildi or impmki rh.rsn,
<br />lnd who odEds ror !r.h FoFG wirh. Co mrdl3) Iir.Ei purrur ro rlE O,tudot s Litne b*)
<br />-l
<br />rmcxcn u'ns Sarion-, B &PC.forthisE.sn
<br />4.
<br />D.l.
<br />-
<br />Otffi-worxrrs corlrFvslrrolr, DECIIIAIITB
<br />I h.ftt, rrtrm m&r Fnrlry ol Fllry om ol E folloshS dsLr.lhtr3
<br />-l
<br />h.r !n rill rinr.h ' Cdif.a. otco.sr ro s.lr.lnM fc vct6 mrrEeritn. e Fovikn tur by Sdhn lrm ol rlE
<br />llln Cd., for rlr pdfffi of rli El td stih ttE Fnn b isEd
<br />*rll rinr'in f,ort r'sqEnr.tirn iNur.E...r rquircd ty SEri,n -l7l of rh. L.lsr C.d., ftr llE Frftu of
<br />@b .rn tbliy nun$c. E:sh{h rh6 Fmi is ssxi. My $mk6 omFnr.lion '7"o7 h/n3ar
<br />-l
<br />aniry rh.r in rlr F olrr'ft or E *ort td snah lhn p.mit c 6!Ed. I rh.ll ml drloy My Fs. i...y trmEr
<br />$ * ro h.om sbj.{ to tlE wt6 o,Frrrbn L$ of C.lifomb. rd rcE rh{ il l nhuB lEom $bFl lo ll!
<br />m,r6' 6dp.mrbn FoviiioB of S.rlih l7m of rlE L.E C.d..l {rll fdh*nh onply *ih rlDe FDvi*,nr
<br />WARNING: FnhE lo :@ *,t 6 onFGrri,. 66rgc i! u.hr6rl .rn sh.ll sbiTr u 6i'roF b ainiEl Frl; In
<br />cril nE up lo oE tlu'dEn ri.lrid ddur6 {l lm.frn), n iddr Dn ro rtt co{ nf qrrNrru. d.m3.r .! ,mvn d r.r rlE
<br />Sdrn ikJ76 of rh. lild Cod. i d .d r|mv r 16 , -an,.' '^l!L-L ^*-, K AI - {
<br />, |I(ENSELCOmACTUA
<br />DSL]AXAIXJN
<br />I h.r.6y .lfrn unllr FDIy of Fr,ry th.l I m litdr.d or*r F$vnb. or Ch.prd 9 {oItrEins eilh S.cli.. ?uL, ol Divnnn Ioa rL BuiBt Dd ProE .i.d Cod.. &n ny lt.m i h tull fora ]n.iLd.
<br />r o J-*;**
<br />(aluf,l]cltal{rlalacl0ENtr
<br />I lENhy afinD udcr Fulryol Fr,lry rhd rn r Lr r.onnMi'6 bndin8 4cm' Ior llE FitrB^_c of rlt rlrl ro. rhahrhn Fm'l i\
<br />r*ucd rsN :1097. crr c )
<br />AIIIICANIIIECI.ASTITON
<br />I lEr$, .fl]m undcr |cnlXy of lErjuty om of rlE folL*inE d(Lnrr ii,ns
<br />I)rmn i('tr P.rnirs A\h.ibl Noifi.rrtun l;aLral RcEll.rions (Titlc,{). Pd6)
<br />Rcquncd larr.r of Nrn'link)n
<br />-l
<br />cciiry lhar rh. r.d.6l ESuld ionr E8{rnin8 6t {or rcmval sc nor q'nltablc lo d( tmi.rl
<br />-l
<br />c.nrlyrh r I harc rcoiriis ltplEnrn,nifll dar. rhar rhcnh,rc inlnmrn)n A.orc.r loArLtr'marPlt*irhtrllCiryrtr,l(-')u ry
<br />n i.rn.c\ !fr1Silic u*\ rliin8 k, buildrnS.otr{d.rirn. and hcrcbyourhorizc Bprcsedliivr\ olrhi\ Cir, snd Countyr. cnrct nlxrn rtE
<br />0h,vc 'rcnri'ncd l'rotEny ior itrrF{rio
<br />^ppllcrnr
<br />or
<br />^*enr
<br />slsmrun >4
<br />I'rm r.. n{N(Drlnrr: K /qt r,.-^r,'/7/d&
<br />Z'^ZZ'
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