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BUILOING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loorNenUlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<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 Report
<br />$qoQ, Zone Certif.lt -2Zft,Xd/wuut,
<br />U :t 'l It /A
<br />FINAL
<br />Certificate of Occupancy I l'
<br />Notes, Remarks, Etc.
<br />OWN'T BUILDEX DETTCAN TION
<br />I hdlb llfm ur& pa.lry of Flu.y rhd I d qmpr ton rlE C.lnrrr6 Ltc L.u for $c rohwins lrn (S.(.rO]l.J
<br />BGindr md Prof6io. Cod.): A., Ciry o. Couiry *nrh .diuic r tamn to co,attuct. rlrq. inFovc. dalolilh or t!p.n ey
<br />rlru.luq Fs lo it' iMe rEo rcqun6 dE r,'liul tor sh FDI lo 6l . ii3i.d ard thr lE or tE i lko!.d Fnrd
<br />lo lh. FovtbB ol tlE Conldoi Lic..!.d Lrw (Ch.F6 9, CoMi.8 vnt Serio. ,00o of Divnio. I of
<br />'lE
<br />Bsin6 Ed
<br />Pbfdtutu Co&) or fial h. or shc n qmpl rhaclrom Md th. b&n for rh. lll.scd doFion. Ary viobrion ofsdior 703 I 5 by &y
<br />.rplkor ro. t Fni sbjcl! th. .rrli.&r ro . .iril pddry ot mr mE Oo fiv. huidr.d &U6 {t500)
<br />l. a oMs of rhc FoFly. or my mplo,6 with w!96 6 rfi.ir sl. conptui.n. w 6 rh. wo* dd lh. *lxrm n ml
<br />iddld.d or ofia.d fo. sh (56.704r, BBilB ad Prcfdb6 Co&: TL Conrdoar Licg lr8 do6 rol qrly lo a oEd ot
<br />rh.FDF sho hril(B q lrsDE rlE@ !n $no &E $n rst hiMlf or h6*lf o. rllouah ht d lE ou arybrG.
<br />p.oviddl rhar rEh mFDrolIfu@d i ad.d dolIet 6.nL tf. hoe.€, ilE bu ci,Bdinprw.!1dnbBwihdm,E
<br />oaonulab{ $c O$c Buildd wil h.( dE hdld of pNvins llld lE or 3hc d].1 6l bild or in!rD!. lh. FlFty h. tl! Fnpoe ot
<br />l. 5 own6 oi'h. pr.Fry, m cxclNiv.ly contdinS wnh li.a&d .ontrclou to mtrlrtud th. Fojel (Sd 7044, srnd
<br />!d PruE ir Co<l.: Th. Conrdrorr Lic* L.v <b6 mr .ooly ro d ouna of FoFry *lE build! or hpoa rh6@r
<br />d $ho offi3 for Mh FoFdr $nh . Cod.aro(r) laclGl pllsld to rh. C..rEiorr l-rdg I.*)
<br />I m.r@pl uft!.r Sdio. ,8 &P('tordiren
<br />D.r. Ornrl
<br />uo.Bf,E8:i:ca!,.eEd&ullt!
<br />DECIJf,AIIO!
<br />I hs.Sy llim undd Fdy of pqu.y orc ofrlE tollowq d..Lr.rioG
<br />-l
<br />h.v. &d will irr.in . Cqlifd. oaco.Er ro Sdf-ln!@ fn mrl6 obpddioe E FoviLd for b, Sdioo 1700 of rt
<br />ktor Co& lor th. Ff.tllE. ofth *qr fd *ti[ tll Fnn i ie.d
<br />Lr4 r,,rc oa *irtuUa. *0A6 .onipqt]nioi iisum., s r.quiEd by scrbn rToo orth. t lor cod., fo. dE Froll!.e or
<br />'h. {qI ld *hih rhn Fan a is!.d My sdld
<br />f.6
<br />@,,r@trE nd pori.r!eb6G
<br />S1--l< E
<br />4 zeaf 33 ,*,^, z/ t o/t-o t I
<br />_! .61lfy $!l i! tt pGfolfuc otrh. worl tor whth rhir Fn i i!ru.d. I irll Nr onploy Dy F&n in u, ttlllE
<br />s Bbh.<oEetcrtorlEh d'orqdrion Ls ofc.lif6mi.. !itgclb. ill Jrdi tcom otis ro tlr
<br />mrt6' comF$aio. prctuioB oas(rio. 3?00 ofrh. t bor Colc I stEll, tonhwnh mmply *nh thor pbvnio6.
<br />W,{RNINC: flilur. lo guc wrk6' .omDdssliotr co!6re. is lnkwtul. ud sl'.ll rubj.rl u @ploF lo oinirrl Fdir ud
<br />rivil fh6 up lo o* hu!&.d rhouslrj &llq (tlm,ooo). 6 .rllnion ro rlE or of onp@1ior d&rr36 ! FoviLd for fi.
<br />SdFn:1076 otth.t bo. C.dq i cdsddtorEyrlc
<br />-* c f tlf 'totr
<br />u(l)$:!_gtnl&r(l!at2[c.Ll&lro!
<br />I nq!ry dt@ ondq F.!y of Fj{rt rhd I e lic@.d ulda Flvtbi of ChFd 9 (@@iry {'ilh S<li,. ?000) of DivnioD l
<br />ol dr ttailB !d ttof4i'6 Co&. &d 6y lidg a d tull fore .n dfBr
<br />Lic.&cr-: R ,C lO
<br />o",, T /7C /t^otl .*"*",,
<br />to{taY1
<br />)ela,FT , o.t-., I
<br />colErBrclqdrEdDtlslcrdq
<br />I h@by rrfm uda F!I, of p6jlry rhn $E. ir r @irru.tb. lqxling ry*y for 0E Ffol r. of lh. worl tu vtih thii FEi ir
<br />ie.d(sa 1047, civ c )
<br />L6id'. ND.'
<br />-
<br />AITIICANLDECI.AIAIIOX
<br />I halary.lEn u& pod, of Fjuy oE of E fouowi!8 d6hrioN:
<br />Datulibn P@ite^.b.no. Norific ion F.ddll R.suhrioB (ThL 40. Per6)
<br />_Rcquirld rara ol Nolftaih
<br />-l
<br />cdriry lhd th. fcdqll rcsulalioN Esadiry Bb6lot rmov.l e rd @Fliclbk lo this poj*r.
<br />k4r.oriry rrra rt.,.roarn 4dsdioned.trl.rbl 0r.bo!G i.ronn ioo !@.c. t.eG ro @ody wirt dl cny.'d coo ,
<br />ordin46 &d srirc lrw chilE lo htildins co.rtudo!\ td hacby turho.i4 cFsndt6 ofthi! Ci, ed co6ry ro dr6 upon rlE
<br />itov. Mrion d Fopdry for iEp.dion F,F36
<br />^ppri6nr
<br />o. Alar std..n: t 1- '
<br />e-i,--.. rpa"rr, W ,' l!
<br />-, c/c6/*4
<br />Llt7?[?lm
<br />'illh
<br />Tctyrt
<br />vr6)
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