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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE COMMENTS OWNET BUILDER DELCARATION
<br />I lEEtry.,rro uid.r FAIyof p.rjury lhc I m.rcdrr fiDd rlE C.nndc ti!n.Iru,r.i E [otrori!! M$n (sd.r0]1.5
<br />BuliFss &l Pmf.sbn Con ): A.y Cny or Cou,ry whih ,EquiB . p6mjt ro 6n{rud. dts, irrpmE &mlnh or EF! Dy
<br />3nudw. Fi'r ro irs neurre. n$ EquiB rlE .Irrltur for 3Nt Fmir ro ,ik r ltrn rrlr.trtrr thlr h.6r rh i! lkrnrn plNur
<br />io rtE FDvirbN ol tlE ConrErdk t-tuB.d trw (Ch'pr.r 9, ColtmEi.t eilt Sali,n ,o0O ol Dirirb. I ol r! dutiE$ rn
<br />Pmr.rxionr Cod. ) or rhrt lE or slE n cr.ns rhcrcarcm rnd ttE t.!i! nn [E rlLsd d.4ihi 4.,vrlr'ion6lSelln70]1.,byoy
<br />.ptk. for . Frmn ubi.<r dE r@lisl h r .ivil FMt, or ml ,E rh.r fiv. hurrdEd &lk! (t500,
<br />_1. rs o*M of tlE FDrEny, or my .,r?b j4g ,nh *.F B rlxn sL 6n{Edi,tr *i[ dD rlE srI !n dE tuE k r,
<br />in'.d.d or ofi.En f.r rk 1Sa.7044. BuriEs rnd Profi$ions Cod.: TIE (t,nirocroi r Ltcn* ll* d.ci .d +ply ro .r o*mr or
<br />rlE F,Fdry wt hir{i d irv.oB Ed! dd slb dc trh qrt hilMll or hftllor llmugh hn q is om .nphtr.i
<br />tmvir.d lh6l s.h inlmvm s E ml hlcrkd n of.rEd for $1. IL lFws. llE hiildin8 or itF&m h sU $ilhin nrc ,@
<br />oao"?Liiofl 0! Owd Builid *iI llr 0r hldd orFDli'E $r h.dt {,rd in hild d iiirck lr. FrFi, for.lB F,FE6[
<br />L x\ oHrr ol rhc pmpcnt, !m cx.lunvcl, contd rg s(h n.ciscd .onLdo^ n, cotr{dd rh. lrn L\r ( S.c )O!l. Buqm$
<br />lIId lhrlair ( odc I hc Cont mkr's l-!.cn! tj* !e\ un rflrly r,, un o*ner ol rr)n nt *lx, huild! or imt(rcr th.rron.
<br />r.d *ho.onrn(ntruchl(,r{hoirh!('onrrrrro(,lrca{dlltfuMrr.rh.conrD.nn\Lt.n{lnw)
<br />-l
<br />m .i.hpl undcr SdIon-
<br />Ir{r. ()in.r
<br />w( rRx ! R{, co\r PFNs,t Tx)!a
<br />UECLIaIIQIi
<br />Ihc(h, rllnr utr&r n mliy f pt,ury m ol rhc l{'llo*i',! d('lnrrrrn^
<br />_l h,k rrn *iI minrein r ccnif.rrc ol coe.r ro s.ltlM for hrt6 6,{EMio( f,r F)vid.d lor by serirn lTco of rh
<br />tjtrr C.dc, td 1,. F rl,lffi of llE u,n fG enah lh. Fmr i! iiuqr
<br />_l h.r id sill miflrin *ort6r contEtrnrhn in.!mrc. 'r equiEd by Sdri,n l7ln o, rlE tlt.r C.ld., for dE Fn lm o(
<br />lrdY ,a]a
<br />-l
<br />$nifr llBt in th. rE.formrc ol rhc *ork lor *hi.h r[n Frmir ii i!!ucd, I shdlnor.r9hy My F6o. in any Mncr
<br />s a ro b.<om $bF o 'lr edt6 strp.nEriin Lwr ofc.lifomir .,n .Ec lhd il I r,lnuti h.(r 06,..! ro rlE
<br />wortffi mn{xn{lion Imvhions of Sdion 37mof lh. L,lnr Cod..Ine,L fortn*nh corply silhllDE tmlirioN.
<br />WARNINC: F.i,uE ro ffi wtdr onFndan 6EEg. is unhwtuL .,n n l rubi{l ! .nploF lo siniDl FEtir tln
<br />cilil fi.cs up b om hlndmd thousend .lollas (Slm.om). in ion to lh. cor of.oqxnslion. duq.t a Fova.d for lh.
<br />Scr.n 10?6 ol rtE t kr C.&. hr.d .rd drmv
<br />".", -G-4']\
<br />^-"-,,;.
<br />Ih.'.[y.rllnr n,]rr trM rr.ltultrt1hr I rn' ]..tr iolCharrd9(..mtun.r!wirhS.cri,n70fi,of lrv6R :r
<br />of rlr BuriErr rn Pn,fcsion3 c(n , rd my li.cM n in 6il
<br />,-o-*"n*, 'C
<br />,",., .(n-Z\-)\
<br />4I na.c Nu 'hcr..,,-.,..!l-)U,1|LX
<br />glrgalJcrMNrEdDBtittiENgx
<br />I h.Ehy am.m untld |EEIryof FJ!ry 'hd'
<br />rh.E t, onnru.ti). lcftIinS !8cEy lor llE tEifitr.tEft. of lnc hrk for whth ltir Frni t
<br />iasu.rl (SN 1097, ci! C.).
<br />-l
<br />ccnir!rhlr rhc r.dcrll rc8uld ionr r3alir! a$!(o\ rc'B'virc tror rpdi,bk t' rhi\ Ijn,j.{r
<br />!(l.diry,hr r hrtr rc ,hnlp.rf,ar
<br />ordiEtucs Md Si.r. tj*r Rlnrnig h h0
<br />.tx'vc nrnliorc'l l1n,plny lor in\n<{ri{,fl
<br />(rr,nrl{rt rhri rhr Jtrtr. u,ln,"L i(rr A!o"(r I !8rc roouly uirh rll Cnr!'d Counry
<br />EJAty .uhoriz. EFsndiB ol lhit Cily !n Cou]r, to dld uFon tlE
<br />ApDllonl o. a..l Sianr(uE
<br />l'om l.e nrc(prl :D<
<br />Sel Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsulation
<br />Rool Sheathing
<br />Shear Wall
<br />Framinq
<br />lnsulation/Energy
<br />Drywall
<br />(ffi.Bnt. Lath -t.z(-z-l (/-L'Z )
<br />B-rown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certil
<br />2 -z/rZc
<br />I
<br />FINAL
<br />Notes, Remarks, Etc.
<br />ID/SIG.
<br />Certiticate ol Occupancv 0 r"t'l
<br />AfILICANI.DECIdXAIIII!
<br />I hdlnydlmu c. FMlr, olFrrryor orr,t folt wins &rLnib.'
<br />D.mlir6n P.mirr.AslEnor Notiarltbn [dLr.l R.8uhr irnr (Tilk .10. P.n6)
<br />-Acquitd
<br />lJns of Norifrrrion
<br />I
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