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BUILDING. INSPECTOR BECOBD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNER BUILDEI DELCAI(ATION
<br />I h.rcb rfltm u .r Fnrlry,)i Frjury lhll I m ckrPr ritrm llE Conlr&n'R Lr.nr Ll* liir rlE ltu*iry uern lsa.tull.J
<br />BunE( .rl Proll.!i'. Ccj.) Ar, Cr, or Ci{.iy *hrh EruB r Frrn n' ..n{tul. .lrd. n{ntk. d.mlsh o. EFr !,
<br />ntutuc, prrtrr{, (, i$urfrc. rL$ rcquircs rlr.ptlf,sl ntr suhFmr r,' nb. eirn(.jsrl'.Bnr rl[l ,r or ar n uc.oEd pc!@r
<br />ri, rlF FUvsx'ni nl rlr G)nhnr's t-F.rir l.lr (Chl|{d 9. Co'lftEo8 w h Sdr.n 7(lD ot Drvr.. I .l ik BB,,s .rn
<br />Prnisiotr\C(xL)orlh.rh.orrhcnci.tr{ rh.Enomcnl rlE hrv! for rh..lks.d.i.mrinin Aiy t!,ldi,,n or S(rion 70.r l 5 lry uy
<br />.pdk..r rr, . |I.rmlr iubr.l! rh. .lolErf,r lr' . dv FMhy or B,l B)E rh.r nE hldr.d &Ur3 (Jt@l
<br />_L B ow6 ol ltE FDp.ny, s my.npbF.r with *l3.r.t rh.t $k (orrFMlto[ wi[& lh. un.rn dr nturE ! a,
<br />d.nlcl m oif.nJ loruk (Se ,O44, BusiEs md ProLss.B Cdi.: Th. Cbdr.Llr'! litM L.r &E rn 4rlr lo rn.wr of
<br />rh. lhllrny ell, hi r! or d+.Er Llssr dl th JiE ch u)n hilMla or lErcr or thtrSh hs d h.r om.i{'lrtEr,
<br />Fovrial rh.r $--h mF,ffir & ri datd r otuBl ftr sl. ll h,EE, tlr t! llA r lrFErnl ! r,ll wnhe rn Fa
<br />or!$6FLu,.,0E owrcr BuiLLr wil hr€ ttE tt^rcn or Fovrv $.rtEorrh. did ftn t'orJ or lqmE dE FIsry ror tlE FqnF I
<br />_1, rr olEr of rlr F'Fdt. m crrlunv.ly ronh rn8 r h I(.n*J .odr*t!,n lo (on{tul llE |n,rd (Se ?(X.t, Bu!trrs
<br />rBl lt\rL\qr ONi.: Th. conlr(ttr-r l-rcnr. rlw.,€i ftn.p[ly b rn o*Er orlll Fny vh(, t'urld! o npn'v.. lh.r.on.
<br />,nJ *Iv, rodE.r\ ntr turh ljff,Fri wfi r 6otr.nr1, ll.rEJ lu^u b rhc Conkkkr's Li{n* hr)
<br />_lrnqcnp( unJcr Ss.Iion_. B &PC lnrthNreq'r
<br />gl8f,t8E-cqutENAlq!
<br />DECIJEAIq!
<br />I hcrhy stlrm unJ.r FMlty oI Jrrrury o* .l rh. n'lkrwinB d(l[rrk'nr]
<br />_I hsvc drl eill minrlr , Ccnrlirr. ot Con*hr !) S.lrl.srE tur *orlds .nmn trs&on, rs pnrvrlcd ntr ty Selnn J?(f,) of rh.
<br />trhr Cii., r.tr rtE Fnr,tEft. ol E qrl t{ }tr.h rtE Fmr F {nxn.
<br />-l h^r anJ *rll nrlinrIn *orL.r' .onrrn\rrpn nrulh.. rr ,.quKJ hy S&r nn :l7l$ ol rh( tilxtr C,xL, n, rhr FrlMtum. of
<br />rlr l,rl n{ *hr h rh^ Fm,. h.rJ My },rld\ romFn\r,r,n,h Jr..rfl Jrl F,h ) numt(r {..
<br />,."., ' J\rd,r lrde*n\1v'ts"^.e Lr.il-l
<br />'-1)urlS..,l ,.t{iol d l0.o\2\
<br />_l r'milr rha' in rh. FrturrBr ot rlE *o.l t)r *hrh rir 0.rnir ir nrxJ. I nul B .nnt,y y Fhon o rh, lmtur
<br />o .! ro b.$m ruhFr n, tlr uf,t6 on{rnet.r lr$ of C.lifnru, rLl +r th.t lr I d$uld b.t1rm ruhFr brh.
<br />qorlar conrEnstion ,n,visio ol Seru :l?00 ol rhc L.htr Orjc, I nul. ti'nhwirh.omnly *irh rh,r F'ti{iotrr.
<br />W,{RNINC: l. uE ro sm urt6! onqENtir oEr.a. B unL*lul. .tn d l rul'Fi x -rll'hFl ro drEn l FfliB.,n
<br />uvrl lnrs un nr oN nun&lai rh,,usan! loll.r ($|fi,.(xNl
<br />Se..'r).10?6of rfi. Ljh, Oi.. n(c,.j.,rl jnrny \ rd\
<br />knr. J uScs r\ FiNLIL.J r,tr ihc
<br />rpAlci s'a24c7,a
<br />u!!$!urgr.rr JaB
<br />![(:l.AB^.I(lN
<br />I lEEt!.fim llLr Frlry or Fjitry rhr I.m lirrEl utLr Frwion orclr.Fd 9 G{Mrus w n Sais 7tur) otDivBrn l
<br />ot th. Burm$.nl PNrcssilnt Co!., .d my licnE is n tull i)M e,rl clu_1.
<br />Co@ .n{Nutrx, PMtv
<br />Acm *rorlreaa, s.rsilas. ol I to I zo".l )\
<br />lqNlI8gg:t9N..LElDAli-eGEBqX
<br />I lrEby rttun uuLr Fulry ol Frpry !h.i rlEc is r !i,nner.. LrisS .Ftuy tM rh. tErr,'lfr*c !,f E wk fttr *h.h rhB Fd !
<br />issucd lscr..lo9?. Civ. C )
<br />ATTLII]ANIDECIJIAIION
<br />I tEEtly .nim undcr lEnrl'y ol Frjury oN ol rh. foli,wins ddLBr tr'ns
<br />Drblrrcn P.mrl^rn sk* l*{lrE.ri'n FdLrd R.,ulrt-ni lT{L rl0. Pd6t
<br />_R.qurc! L.llcr of Mffulih
<br />-l
<br />Lcn ify thrt llE f.d.nl EllLrb rc3lnin3.lrEnor rmv.l c rur.rru.bL ro rhn Fnid
<br />jlt ..n,ty rh"r t t'.'" r"",t rt ir tnda.rbn un irrc $rr tlE rt$v. infondi)n r coGr. I rsc to (o.Oly sarh rll C yrotj Courry
<br />odmn6.Jrl Sr.tc trs ELrrA b hrJdng oniddr'( lrl .'rhtrE FF*.'l.r'E ol llu! Cny tln Coonl, n, dl6 uF,n tlE
<br />.h'vc,Bnrnkd t'n'f(ny Lr msF(rDn purf'oscs
<br />\l,Ili. d ur \lcnlSixn"
<br />s-
<br />o3lo/al
<br />Formsi Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathino
<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 />Enqineer Final Report
<br />Flood Zone Certif .
<br />FINAL B /5 /tt IDfl
<br />Certiticate ol Occupancy
<br />Notes, Remarks, Etc.
<br />Dil.
<br />-
<br />^,. . 6\ln l'Ztt\
<br />Set Backs
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