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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OI{NET EUILI'EI DELCAR TION
<br />'I lErchy lffirm onjn !e ulry It rrrru,y rhd I un .r.lrni frod rh. (i,nhioE l-ii:cn\c rjw lor lh€ folhlin3 rcu5n ( SN ?01 1.5
<br />B!\imri arn ltorc$ion Cod.r At, Ciry or counr! *hah 6q!n6 r Fmil lo d'n(ocl, d. iqrcE, &mlnh or EFir Mt
<br />nMr., lri, !. i $un.. .t$ EauiF llr qlpli.onr fi, rEh Frmi t' filc. ii3En {d.mnt rh.r lI or rlE 6 lasEd puunr
<br />n' rlE rmtrin or rlE Co.t-ror'i LE.(n Lw rchr|,d 9, colmN'n8 wnh Ssrhn'7 r, ol l)rviri,n I orrh BuriEri.nd
<br />Pn'f*sn,ns Cod.)or rh.t h.o.\hc is .rcmrr thcrcfrcn !frl rtE hasn (r lt. lllcgcd.rcfrflion Any vnlhrion ofsc.rion ?0.1I J byu,
<br />lPl'lic.nr ior . Frnir suhrc{k ihc anplksnr ir' ! .ivil p..slry or mr er.
<br />'hln
<br />firc hundr.n dolLri I ll0))
<br />-1,
<br />$ oqrr or trE FDFny. n m, cqio}rr wirn wtac3 .t llEn $k n,qu{i,n. w[ dr dr qrr .d E <ErE ir [{
<br />hrcd.n o, orcrcd fm ql. {S( 7014, BNir( and Phrdrhns C.i.: Thc conlrrnri l,iffi b* .tB rer +!ly ro rn owmr oa
<br />rh. IlnrFny wh' huilds or in{ln'Er tlEEr. lrl *tn d.E lwh s himsclrorh.rElrorthbu8hhno.h.roqn.mploy.c\,
<br />llloviLJ rhlr rkh inprowdr G d id..iLd d otu f(, {L li h'rw. rlE hiuin3 ry inF&rl ir 5B *nhh oE Fd
<br />o,cnt'ldin rlt (rF Bui!.r *ill hrk rlE hldcn or F,vi,s rld h. tr {r dn d tu d d lrFo\r tlt tmrEry ld rlE F,FEor
<br />l. !s o*ncr ot rlE pfl,pcn y, s'n cr.lu\iv.ly cont..rin* *irh ln{n{d .nirdctoF n' (n(rucl I hc ,ln*cr (Sr 7044, Burircs
<br />thfsi- (ixl. Th. Conridor'r Liccnt. l.!* dm. ftn lmly ro rn o{ mr of |ln,Fd y rh. huildi .r inprows ltcrsn.
<br />$lr .nddli fd ruh FoFdr s{h r Co.hlon n lirn<d Nr\ud h r& Codrrrois li.cay tlr)
<br />I rmcrc rln unl$Sccri(rr
<br />Drl. ()Nftr
<br />l!l,tf,ri}:85:!Uuf}:Js IIl,\lr!(laaAlMli
<br />I I'r'.hyrllnn'utrdrrpt rlrrolrd)ury. .orrl'rl,,ll!,! rB(l(hriri'!\
<br />-l
<br />h.E an raU mintrh . ('.nirri. .t conc,r ro s.lr lnruE rd q,Isr' mqtNlbn. I Fniti r(, by sdi]n l?u, {r thc
<br />L.hr C.dc. ,c llE rEnIxlfu of lL \t t rr ini.h rrE Fmr ir i(El
<br />I hnlc rnd willnsinrrin sork.rr .otry.trrurio. itrsurah.. ur rcquircrl hySccrn,n.iTlX)ofrh. LtrtltrCodc.lttrrhc I'craortuR'c ol
<br />rlr xrrk for*hth rhs rsnir i. nnEd My worlsi .onrrEnslion inrurlkccrar rn Fli.y nun*t. e,
<br />-l
<br />lcnift rh.l
<br />'n
<br />llE rr ormt. or rrf, *ort tq *hih rhn Fmn r (rhd. I rlEll ml crphy !.t F$n i. rn! nmffi
<br />r, r\ t! lrr,nE rubFd ro rlE u.*ds'..rIEtrq n. Lrr ol C.lifomi!. .ti 0Ar rhlr ill rtnuld lFom subFd tollr
<br />worr.u smFn*tio6 pmviion( olSdhn:trrxJoflh.lihn Codc,l \tull. fonh*irh.omdy sirh rhr{ rmvirionr
<br />WARNINC, Fuil!rc k, rm *.rrc6'. mp.ndhn (n.r8. h unh!tuL atld rhrll \uf irr e oq,hFr k, ffirul FBIIA ! l
<br />cilil nEr uI, h oE hnrdrn lhouqd dolh6 (ilfiJ.(xxD, in rilirx'n k,llE co{ ol coq.drion. d.m8.r I PmvA.n lor llE
<br />sdbn 1076 or rlf Llbor c.*, inr.Er .nl dkmy r fer
<br />D.r.r Applldnl:
<br />r tcF{sFn coNTn (-ToR
<br />I]ESAMIIIN
<br />I h.Fby irrm uni.r F..lr, or Frny rhd I rn lierEn ud.r |lrriiion of Crurrd 9 lt,mmEt.8 lnh Sdhn ntn I or Dn,rion 1
<br />ol rhc au1ift*lnd Pdr.$hnr Cod., rin rry li..s F r rull f.N rnl.ffd
<br />qIIIIAI,IJITNJ.EIIUIGAGE!!1
<br />I h.Nby rfirm wkt Fmlry of Fpry rh{ rlFft n a s.{d$n HinS.t Ey ro, rlf Fr()dr. nr rlE wk lm rtah rhi Fna i
<br />ir{Etl 1S... l(,9 7, ( iv C.)
<br />AIIIISA.NLDECIdS{IIQ!
<br />I hdrhy .ffm undr Fn.h y of F.rury oE of rlt ,olk *in3 d.{hBri,nr
<br />t cn,lir5. Pcim[r A.h.nor l{rirEathn fqj.El Rqularlnt (Titkr0. Prn6)
<br />Rcqxncd l.rrs nf NoliaErlinr
<br />I (diIy rhd rh. t d.trlrcllLrio.3 E8rnt.3 .{tE!tx r.mr.lsr n, {Dli,bk t, rhir tmFr
<br />l.rdityrhrr lhtr. r rhArt,plf, r rl {rrrrhd rh( ihrc i I i8rc t).o'ndly rirh all(-irvr0i Cn!irr
<br />, rnd a.unrylo cnrc! urrr rlENrnr.rr{. il hcrnr-rfl hurtrc EF* rliw! offtk Cn
<br />-
<br />Ihlr-
<br />t4,3-r\)\^.{)
<br />{r/n
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />SLAB Floor
<br />Roof Sheathinq
<br />Shear Wall
<br />Framinq
<br />lnsu latio n/Ene rgy
<br />Drywall
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif .
<br />FINAL u1/81'7p I .fzq )
<br />Notes, Remarks, Etc
<br />Il & l'( nn rhtr '.)!tr'
<br />I kcn{ Nun$.,
<br />UFER Ground
<br />Subf loor/VenVlnsulation
<br />Ext./lnt. Lath
<br />Brown Coal
<br />Certif icate ol Occupancv
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