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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE IDiSIG.COMMENTS OWNEI DUILDET T'ELCARATT('N
<br />I tE rty rflnn u.&r Fnolr, oI Frjury lha! I m .r.mrl lmm rh. G'nl.rt'F l,itn* lr* Lr rh rolovinE Ern ls.( r0ll 3
<br />Butin.r\ a&l Pror.$n (it ) Any Cily or County whi-h r.rluirr r Fd ro onrtu1. ths. i,trott, &mlirh .r qir !n,
<br />nME, Fn ro it isll.E..le tlun.s rrt,0ilirnr r,n ikh lrmil nr fit0 listr d {dcmnr lhd lEor slE t lic.ntd l)nmnnr
<br />ro rhc ptuvnionr or 0E Conlrsdols Liccncd Llw (Ctofl.r 9. (omftmin8 wirh s.cri,n 7mr of Divnitn.1 ol rlr Aulitn rnd
<br />P$f.snrnr (ild.,.r lhll lt ( {E i\ cx.opr rh.Ernn lrd rh. h.ris n, tlE .lLr.n .rcrlritn Any vitltlio.oISBri,.70lI li hymy
<br />.I,,lr6nr lor r Fmt \uhFB rlE .0plk.nt h . cir il ,EMh y of d,l nrm ihM nr. hlndr.d dollsr ( l5tD)
<br />-1.
<br />as oeBr ol rlE Ft)Fny. d ny.i{llrF! w{h $.!6 r lEtr <|t srr{Ineri,n. * l d) rlE rdt !i rL rnn@ k d
<br />ilrdLd qo,tcr.n tu qk(se?o{. auiF. ud Pn/c$bn\ Co&: Thc Co ncrtrsl-ieneL.wdo$ntrittl'I,'oin.wrol
<br />lh. pDtrdy wto tdikL or irpFws rlEE,tr-,il wh, d(6 kh *5rt hrmtllor lrrtllor rhreoah hil or lE os.cn{,k,,!.r'
<br />FoliLd rhsr tkh irrE\.Idt e d idcrr.d d.frd.d fd qh ll tn$s. ilt ltilding or inFrEmd n vrB *iinin om Fd
<br />or$lrpLliotrrlEOIE Buiud *ill hxt rlE tud.n of fovinS rhd hc ot shc dil mr t{ild nr irlnrE rtE lmFn} fttr rlt IrrFE.f
<br />-1.K.umrolrh.Fop.ny,rr.xrlu!v.ly.onrrerinswirhli.cn{dco.ffhBr)conjrucrrh.roj.tr(st,oq.06!E\a l Pr,ftr.rncu.h TllcCo rcnn \ Lte n* br d(( n rfi'ly h !n or'rc, ol I'lolrd y *lxl t'uild\ or imrn sth.r(t.
<br />d f,ln onrdt rr* (kh Jn,Fts w hrC.nircdonr,ltcnsdt'rr\urnrrorh.('onrrcclr'sl-tctr\cLr*).
<br />I rm.r.n,pi u'xJ.' S..rx)n
<br />lr.t. ()sn..
<br />tt0R(rLs conlPlNsAl'IllN
<br />U[g.rXAIlUi
<br />I h'chy rfri,n'undr tf, !lr) f ttrrrtrl !'E,'rrh. n)lk!"!n3 JNLrri,trtr
<br />-l
<br />h.E !d qill mi'n.i,. C.nit. dr of Consnt h S.lf-lM. fq wrdr'onlmi.lhn. s FoYirLd to. by strlion:!7m of rlt
<br />L.lv Cod.. ftr rlE Ff(,lrlB. of dE wrr tu whkh lh. Fmil is nrEd
<br />-l
<br />hrE rnd,ill minuin wdt6l mqrulbn iBunr...r Eqrird by Sclion l7tl, o, rlt tlh6, C.d. lorlli P.t Dmrc.f
<br />rtr *irt fin whrh rhi( Bmr ! irE d Mv *orlrr o'mFnrorx in ,n{nmc 6mr Dd Inlq nbmh.r dr
<br />.1,* 1l<.1" {o,^ A t t
<br />l'^*,."-* 1z33l3T - >otg ,.,,-. 6ltz f zotl '
<br />-l
<br />.cnify rhol in thc FrformN. ot rh. *ork rff vh.h rhr Fnir is ilscJ. I drll n cnirk y .ny lErsn i. .ny lMrr
<br />r! ( h bcr,ft ruhF{r tu rlr mrl6'coriEndb. L*\ ofcdifomis. slt .tr rh.j il I strrnld lrtoft.uhFr lo lhc
<br />*0d(6.onpcneli,.pmvti,nsoIS$ri,n.l7molrh.tihorc.d..l$tnll.nrnh*irh(,mPlrrirhrh'rFovnbn\
<br />WARNINC: rrnurc ro rtrt qrtm owEnsritn 6lm!c is uoLrfril. nl {h.ll rubFl u cnPloF i. diniEl Frohis nn
<br />.,vil fim3 up ro oB hu,nEn lhouend dolhr rlllx).fl()). in rddirion lo rh. corl ol .onp.n{drion. d0mB6 at PF!tri.d hr rh.
<br />Sr! rni J{}l6 or
<br />'b.
<br />Lh( Grdc. mrcrcfl uftj .Ev . rr.\ ,Y^,,tz/,5/t g ^ *,, AJY,olL t.,2qteL
<br />Lr( Fr{sEl, c{tNTIlaLTox IllElul IIo!
<br />Ihcrbyslfumu l.r lEMlryof rEquty thll I am lic.n{d oftLt pfl,rnn n Df (tulrd 9(slrnfting *[h S(trn TurO) of Dit6an:l
<br />.r rtu Blrifts ind Pi,rd.x,.s cod.. o,n hy licnr i in full to@,n.,I(r
<br />V":;2fuffi LnMNun*E /oq Lzl4/alv'a--kt>{bL
<br />gB.trA!,lgl0NJ.ENANirllif.lll
<br />I rFshy arrn und.r Fndrrof p.,ju,y rhlr rhcB i$ con{d.r$n knins is.E, tur rlr Frolmm orrlE *qk ft, *t.h lhr Fma R
<br />trsu.d (se 1097.civ. a )
<br />t.rnd \ Nrr
<br />AITI.II;ANLIEII.ASAIIA!
<br />I hdtty rrm !nd.r Fn.hyorrsJuryofr orrh.folb*in8 &{lDri,nr
<br />t}mlni'n P.roB ArlEror t{difr.rhn ftd.rl Rcauhrir.. (Iirk ,lO. Prn6J
<br />-RcquiEJ
<br />I!tr$ of f*nfrdrr
<br />I enilyrhlr rhc f.Jcr rrsxldirns E80dm8 lrtEsnx rn$vul!rc Rn rnplf,rblc r. thr PmFr
<br />-l.dify
<br />rt{ I hrvc Ed rhn .{lt'lilrion 8n n(. rhll lh. rti'w inlonrEri, is.onNt. l lsR ro comnly wdh rll Cnv.d Couir,
<br />onliuner rd Sr!r.lr*r rcL{in8lo hoildinS con(ru.rhr dn tmhr.url$rft r.In(.laxtB olrhri Cnyrn Counr} r,,.nrs uF,i r,t
<br />'ieryt
<br />icb-
<br />Jhtrt nEnrnrd nn,rEny lq iryRri.n/)ur
<br />2pprr.-r*e'-rs;-r.- 7Q[t
<br />\.mr,ftn.m.(prrn,r, 4v
<br />@)r@2.
<br />tz4-VL€L
<br />Set Backs
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Sublloor/VenVlnsulation
<br />Roof Sheathinq lZ- 20-/8 J)a.hb 'qy)
<br />Shear Wall
<br />Framinq
<br />lnsulation/Enerqy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />FINAL tl*liq'T,v*,r.9r4/A)
<br />Certificate ol Occupancy ill l,-,'
<br />Notes, Remarks, Etc
<br />-,.t2/r!/tS
<br />Forms/Steel/Holdowns
<br />Pool Fence
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