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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS Olf,NLA BUIDBT DELCAI TION
<br />I lEEby .rrm u'icr FMlry ol F+ry rhd I m .rc,pl 6!m tlr C..!fun Lar.- tiv for trE r6llo*in8 nr$r lS< rcl I t
<br />Bliin$s dd Polcsi.n C.<lc): Any Ciry or Cou y which rcquiB ! Frnir ro onsldcr. slls. iry,rcvc. &mllrh or rplir my
<br />*Brm. Fi, !o ir! ir.lec, .ls aqlier rlt qrliur for *h Fmn ln 6I. r rirxrd id.mnr lh.r tt m t ir licnsd puslr
<br />ro rlE FDvtbn! ol E ConE-rd . tr.nEd Uw (Ch.prd 9, Co,lmEir! * h Sdb. 7dl of Divni,n 3 of rlr B$ir!. .!d
<br />Pba.sioB Co<lc) or rhrr lE oth. Lt crc'ryI rlEcfom rnd the b.sB tor rhc.llqcd crcq{lon. Anr riolarionolS.cliotr 70ll.l by my
<br />+plicrit ior r Fmn rub,.tB rlE .p?li.rn' to r .ivil FEly or @r NE lh.n nv. hund.d .to[I! (it&)
<br />-1,
<br />ar owmr ol lh. Fn,Fny. (tr rn, .mrk,rr.s wirh wig.r !. rh.i 3r. ..trp.ndion, *iI &, tlr srk lld rh. nMm ir tur
<br />ini.aLd or ofi.r.d for qk (Sd 7t)44. B$irrs !d P$fcsrbnr Co&: T1E Codr&1or'r Li..c t-e &ir d lPply to an olrr or
<br />rh. rrerd, $h,hildrsr+nB0Itqn!,n*b&Euhh h'Nl, or lrrFlaor thn,lrn ti d hd o*n.r?k r.r.
<br />!mvilL\, th.r ruch inFNwnh m mr i .nlcd or olI.itd fir sh li hrkE, rh. tuildiig or i4hkmd n iB eirhin oE )as
<br />ofcoq,Llbr lhc ()lrEr Buiu.r will laE trE h,rt n .f FDvint rhc tr .r !E dit dn toB r npr.w llE pEtdy lor dE r. rFs ot
<br />-1.
<br />dr owfti or ihc l)nrFny, rn .rclusikly codrr.rins *irl' lisnai .oturdon t, $n{tucr r}b ltujdr (sN 7or.,r, BNir$
<br />ad ltl Esi{ Co+ Thc Conlrrlols La..c L.w dms ml .ptly k' r o*E of pmrEl, *h. l'oil.li or inprcEs rhcro.-
<br />rnd *ho .lnrBB ri* trh l,oFrs enh r C.fltulo(.) li.r'd plrluiu
<br />'o
<br />rtr Colnturu\ Ltctr Li*r
<br />I amckmDr unLr S6rrn
<br />D.1.. Owtre wonxris-coiprr,rTrron
<br />OEql4TAIlqd
<br />I tErcby !fi.m unrrcr Fndry or F,lry oE ot tlE lolhwiiS ik<Lmbnt:
<br />I hrw rd *ill oinro r C.niafl. of Consr ro ScU l!l@ fd kt6' onFNrio( B Fovilcrt ror bt S<ri,n l7m orrlE
<br />t,' Gnc, t( rlE Fftu oallE wt for shth llE F,ni b tned.
<br />_l hrt rd *iU Einr.in *o*cr' .oqEnrllbr in unrc, .{ EquiEn by S.{l hn 17q) or dE bhor Cod., ,or l,r Faloll:Ix. ol
<br />rtE *nt fq rhih lhn 'Imi it lqEl Mv *ql6 olE
<br />9+u*" ('"f 7n'
<br />",,,,,,," * - 11j8 3 /riI'3 o
<br />/.*vrP|tvnontnR
<br />&, / t./- I
<br />-l
<br />anify rhll i. llE Frformd. ol trr qort rd whf,h rhn Frm t i(u.n. I !h.ll mr c'q,by .., FMn h .ny lME
<br />e ( k, bc\iE subjrlr ro rlE krtn mnFnsdbn h*s of Crlifomi,, nn !3r lh.r if I fi,lld h.tod sotFrr rorh
<br />*oA.R con{xnerion pmvirirN of Sdion 1700olrlx Libor Gic.l rh.ll lonhwnhohpl, wni rh,{ pmrnioB.
<br />WARNING: FrtuluE b ffi mrr6 @oFB.,t'n oM!. i\ u.L*ful ard rh.I obF<r d qrl|lloF io diniul FDti: &n
<br />cilil 6Rr ut !o oft hunlr.d r,rrusrl &,116 (JlU).@o), r. rdd to rlE con or or{raBrEn. d,nqcr a provil.rl for rlr
<br />:::zZfZ nr.a{ *"irh""! . l*<> I -><-\-
<br />lppliErrl
<br />UTl;INJLrcliIX]lrIAB
<br />DfglrX.llrQf
<br />I lEr.6y lfrm und.r F !yof Fi,y fir I m lidtrd un& Flvnbn ol Chrprd 9 (6ilmEin8 wnh Sdi.h,m) of Divi.bn l
<br />of rlr auriE$ .rd Pmfcssion. Cort , irn ry l!.nF is i. tull for irlt .ltftt
<br />,-,.-.r., -4'/ tt!
<br />^,,, //1721 Ic> <,, /9 C z_
<br />IQNIIAjTSII0NIE l).lNlirttilNll
<br />I h.rtr,firmu ir FM!r!olIrrjuh_ rhar rhrc is,..n{tu.rrr Lftl'n! {.Ny tur th! Itno,'BL. rr rk rut tlr rhrh rht Frn,! tr
<br />x{,rr (sN t(n7. civ c I
<br />L.ndcfs N,mc
<br />-
<br />Lrrxlcir Add.rr
<br />-
<br />AIfLICAXLDECIASAIIIIN
<br />I h.!*, rrm !.d6 pcnrlry o{ Frrury or of lh. follo,inB dElur ionr
<br />Dcm,lilion P$n ri-Asb.nos N.lifk.rton rid...l R.suhtiom {Tnk 1(). Pan6r
<br />-R.quircn
<br />l.rtcr ol llorifrrM
<br />_l .d,fy rh, rlE f.rLrd E8lhrbN cBrdi.g riEnor Ed)rd e en +f larblr io rhii pbFr
<br />I ({r'lyr[nr lluvc rurl rhis Dt'r'(ltlotr (lnar(rl[r .bvciDfo.nutDnisculNl.la8ero.o Dly*dhullCtlrnndCounry.diMErr and Sllrc L!s. Ehri,ir k't{ildrnR rd h.r*'y rrh{iE rcFcrnrd ntt of dk Cny arxl Counly k' c.r6 uFn rtE
<br />otort rn'iomtl prcFdy (x iBFd$n
<br />ApDIi(anl or Al.nl Sitnrlnre aL/?-t
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Ereclion Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/Enerqy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Reporl
<br />rl I
<br />FINAL '7 Ala DM rl
<br />ICerlificateof Occupancy
<br />Notes
<br />Flood Zone Certif .
<br />, Remarks, Etc.
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