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<br />BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />Forms/Steeli Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framinq
<br />lnsulation/Eneroy
<br />Drywall
<br />Ext./lnl. Lath
<br />Brown Coat
<br />N,4 aso n ry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Fanal Report
<br />Enoineer Final Report
<br />Flood Zone Certil.
<br />FINAL to.70.M
<br />Certilicate o, Occupancv
<br />Notes, Remarks, Etc.
<br />OWNET au[Dl:It DDt-CAt IION
<br />I t4l, affm lBtd Fuhy of Frrry thr! I m *.npi fiuh rlE ( ldtulo6 tite lrw td rlE lollowiry E.etr {Sd.7o!l.J
<br />Busin.s ..d Pr.fcnhn Cdl.l: An, Ciry or Condy *hich rcqut.r r Fmt (. onnM, .lrd, improrc, {hmliih or EI'.n rny
<br />irudN. prir ro iis rumq .I!o Equi6 rh. rppli.sr for su.h p.mir tu fil ! skEd std.Drt th! lr or .lE is licctrd pudu
<br />h rh. nmv*6M or rlE C.n(ftrrt l.ixnr.d l* (cnl[{s 9, ComrEinS uth S€tir.7l[o .l l)ivi'i.n ] olrlE BGiB!.nd
<br />Proi.sFN Cod.rq $, tr q $. !.r.tr+ rlEtomud rlE h.rii for rti L!.d.kn+rfl Any viLtii ot Sarid ,03I.t by tny
<br />lllpl.Jnr fd . Fmr 'ubFB rh. .r?lanr ro ! cril p.Nhy of mr ma th& liv. hund,.d dollsr (t5lxll.
<br />_1. s o\'* nrrh. FnFdt,6 my.q'hlr.r Mh s{* a itrn lik c.npcMsi. *illd) rh. krt rt dr rdE, d
<br />'dd.lal or or.r.rl fir {l. (Sc 7{X.,l. Bo]Bn dd Pirf.*ri'tu Col. Tt c.dr.r.ir Lr..€ lrr {ltB d |9pl, ro e off of
<br />rtr p pdly wb loillr or intrnB.tEad !i wh! rftB *h krt hm:.ll or lr&lf or thDurh ht d ts own.nploy*!,
<br />forid.d rharsu.h inlmkB r e d id.rt d .r olT...d lq !i.. ll, lrr.ri rtE ttrillnu or iltth'wfld k $ld wnhir oE rr
<br />of.orptrir\ ttE O*E BuiLlr win h.r rL b'rd.n or l,nvle th,r tE or dE dil d hlin or inpr€ dE proFly t . rl' F)IFE oi
<br />-1.
<br />aowrotrlE F)psry, h.ruiEly.ffib3 *.h lar.el.odBr6 ro @nriE tlE Fnjer rsd.7lx1, aurJB
<br />rn lnl*in Cal TIE Cod u. Lt nE L.e &a d.ppl, h u o,F o, ptoFy *ho boild. d f+reE,.lEa
<br />Ml vlr ..dar fd lxn FDFj di r Codrtr(n li n!.d p{ q h r,r codrE i l-i.@ t *).
<br />DICIJf,AIII!
<br />I tftby .trtrm u.d.r 0.Mty of tEiu.y oE ol rlE lollo*ifi daLd.B
<br />-l
<br />hrk ard wnl Bi.rin t Cditrn ofcoE h S.flsua lm *(tqL $trrFdna r I'lviLd for bysdr.n lr00 ofrh.
<br />lrtrn Cod.. fo. rk IErf(mB of rlE slt r qh.h rlE IE mjr B !$u.d
<br />I tuv. '8i *ill nrinrrm srl.R oft,D.6.i,r in$r.r., r! auiFd hy S(rioD 37m of rll Ltl{ Cod., tor rh. Il.tullur ol
<br />rh. $qt iq whth tl,u F.mr ! r$.n. My*od6 mnT.Br!, rurcc cllrr rnlllky.utr 'd,.
<br />P.lay Numb.. EroiEs
<br />I .cniry rh i. rh. F<rnlrnra of rh. vod tu whrh rh! Frnir n B\u.J I rhrll rcr .mploy qy Frv,n in dy ,Mm
<br />e h h.c.r $hl..r lo rlE srtsl @'.I.trslmn hws ot Cllilomr. .rl lgrc ltut if I rt uU t {om subr.d r.rrE
<br />NA.h 6n{ENrbn rtuvsioB ofS.!1bn l?0O urrh. bbd O)d.,l Jvll, i'nhwnh lDrrply *nh rhoe lrcvtbN.
<br />WARJT{ING FrhE t, m wt6 arrlrdhn 61113. n lnLwtul. drl .ldl $bFd r .trpllF b ainiln FMIE .d
<br />cnil lic, up to oE hudrcd rls!.rd dollrd (lllrr,lrU). m ddns. h rh. cor oa ,ry 'd, d.E3.t a pmql.d lu trE
<br />!t{r ir lO75 of rl: lrrr (id., i*ftr !d
<br />DECIdSAIITA
<br />I h.Ehy.lli.o und.r p.Mlry ot p.rjury rtd I m licnsd undcr pmvNn orCh.prer 9 (6mtutuii9 *irh S.diii 70m) ol Oiliihi l
<br />ol rh. Bsir$ al Pbr.s6G Cod.. Id my l.cn* n in tull for rnl .lf.d.
<br />LiiM Nun*r
<br />colsrBtiquoNJ,xNDllcJcti!.q
<br />I h.Eby rrlm uftLr FMlryof p.'i!r rha rttr ar r onntu1.. kduu.3.tuy ror rtl Frft,l1lBr of rlE rql fq enrh tlN Fm, ir
<br />nrkd I sd. I)97, Cr! C.)
<br />AIIUCAiIDES,/IBAIIQd
<br />I h.*y lffim un&r IEMlt, ol p.rjury oE of ttu folk wi,! d.{ldioil
<br />D.hl,ri,n Pmilr^lb.nor Ndfdi,n Rtl.nl R.Subrir$ (TrL .lO, Pd6)
<br />-&altric!
<br />trtrd olNd6.dih
<br />_l udif, rhi rlE Ld.hl cBlrbd E3rrdh3 alEsta En,vrl .E nn qrl..hL to rhil p@F(]
<br />I cnrrr rh.i I luE rcld rhir lppli?riotr.tri nor. fi{ rh. abov. info'mriun n.or..r.I rBE ro.!r{,ly wirh rll clyrni c.unr,
<br />o inrnu.r ldl Srar. L,!wr Eldi,U ro hd,ldng ,YT
<br />v'
<br />ctEEdariv.\ of rln: Ciy md Couiy ro .trr.r lFr r]E
<br />ihr. nEnrtr,n.n nn)rr nv ntr 'ntN.r 7 'joaA
<br />r\ppli.onr or Ator SitDr!r
<br />-/eee 54 eR 6 -Z_
<br />Efit.;1
<br />llev.08-07-2015
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