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BUILDING. INSPECTOR RECOBD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNM BUILDET DELC T TTON
<br />I tml'y .rrn o'xbr F".!y of F'|lry $r I u crcq,r frDh tr Co'rr&16 Litn* t * fdr rlE toll,*h8 E$n {S.. 7o.ll 5
<br />BEin ss rrt Prof.sio. Cd.): A.t Ciry o. Cou y whhh GtuiG a Fnrjr ro o.iMt. .h6. i,p.DE. &mlirh or qU my
<br />rtu'r. Fior 1., irr i$llc.. !o EquiE!
<br />'lE
<br />.I,plt.nl for ruh Fmjl lo 6t . 5krn n.r.r rh,l lE ot ,! i lk.n d ,'llt,et
<br />ro ltr FrvairN or dE Codrdofr Liu!.d tiv (C1qr.r 9, Co.tEEinB silt S.<ri'n ?lm of Divili,n I of rh. AusiElt !n
<br />Pn,r$.ions Codc) orrhd,r d 3lE n.i.,pr rlErftoo rrd rhc bcrir aor rh..lkscd €rcnlrto. A.t vioLrion or Sdirn 7011., bt rny
<br />appli..nl lor . p.rmjr subF( llE .rlli.anl ro r .ivil p.dlly ol ml mrc tho liv. hundEn doll&! (S5m)
<br />L N owmr ol tlE FsFdy, o. m, .nlploFs wnh wrg6 B dEn $E mmlEn*lion, pill do tlE "flt .,n dE rnrtE i! mt
<br />i,tcti.n or olIcEn ao. eb ( Se 704,r, Er,iE$ ed Pmt $io.s Cod.: Th. Conk&ror'! U..M he do.! nor lpply ro 6 owftr or
<br />llE F,r.ny wlE l,ild< u idrEB tlEer rn lho &a sh hrt hiNl, or h($lf nr rhrugh hk d rs o*n .mpll]y..r.
<br />prolid.d rhti *h inFEftBe d irorbl dor!6d 6r rh Itlbtw.tEhriliBdinln,tmd($!qthhm)r
<br />of coq'Lrbn, r}r Owmr Buitt r will hrw tlE trrr!.n or F)vin8 tld tE or sh. di, d hiild m i,pmE th. F,Fry fm tlE Furoe ol
<br />L a\ owM or ilE ptufdy, d crclurikl, conlMi4 *iih lisn*rl ftftrr{B b tuntud rlr Foi.{ (Sd. ?044, EurllB
<br />and,taL$ionCodc:ThcConrncrolrt,i..nrcli*dftrmrlprlyk,cnou..rolprop.,ly*hohuildloridprov.srhcr.on,
<br />rnd eho odds lc.xh I,oFr rirh. Gddonr) laurn I'!Fd ii rlE Codrrrtr i Lt.ns bw)
<br />-l
<br />!m dcmfl under SEliotr-
<br />Er)8f,!&:grMEEltA.uoli
<br />DECI.IXAIIOB
<br />I hi.by drfirm und.r FDlry nt perrury oE o{ rlE followins d(l,r.ri,nr:
<br />-l
<br />tur.dwill minr.i, r C.nifr.r. of ConF ro S.ll lnruE fr Mrt6 NrD.nrdion. a rllned for by Ser hn l?00 ol rlE
<br />t bor ad..lbl thc p.rfornw. olttE *orl for whah th. F mil ii i(ucd.
<br />fft*.* * ', *.o. *.rlcR !nmp.n\rt.n mu,rr., c ,.qu!rcd by sdisn rID orthc lrh.r C'.d., ror lh. IEio|llgn! or-trfr qtrl,D.*hrhttu p.nrrr r 6$cJ My*ifkdr. NnFnsrtun,nrurmc (rri.r drl FnErnun*q @:
<br />t 6*, 5#a r at:E-
<br />d,^,*,.*. BN-Uke elL)-Zf o e,n*,,e{/o9/zoLL
<br />-l
<br />c.nifr lh.r .r i,E rErfoi,tw ofl,E *ort ltr *hih thr Frml ir issu.n. I rhrll mr cr'I,lo, rny Fftn in rn, nstr
<br />$ .r kr tE.om ilbj.d ro rh. uor*m' con{f,nd i.n Lwr ot C:liromi4 and t3r lh.l ir I rhould tE om .ubFcl to llr
<br />Nrt6r otr{tN.rbn prcviirN of Scdion l?Oi of tlE L{ta Cad., I {Ell. lonhwith o'q,ly *irt rhoE Ftrviri.trr.
<br />WARNING: Iilurc lo sE ert E'o,Endbn oErra. ir o.Lstul. .,n !h[ ibFr u snploF ro qiniul Fdir .d
<br />civil fincs up b orc hundEd thous"d dolh! (llm.(mr in dniotr to rlr .osr of .oqrisinrn, <Lag.s ar rovn.d for ilE
<br />S.cthn 1076 ofrlr kbor Codc, inr.E( rld rtro.ry s fe!.
<br />>4*,oz /a. /z-l ,.jt,.n 5iL5 e \^.t,^.gl. \ LI!E!.5ID.CANIIA1:trIB ,
<br />Dra.l rlr?1oll
<br />I h.nlr, .ffrn udcr Fd[t of p.rrory
<br />'h.r
<br />I !n li:r-d un&r Fhbn ol Ch.Fd 9 (mnEErn8 *nh Sd bn ?(II)) or Dri.rr .l
<br />oa rh. Busiftrs md Prof.\rkrns Cod., ,Jld my li.!M ii h tuU foB rld .rftr.
<br />1,/*,",, B/c lo
<br />\'" oc/z' zt
<br />-r.Rn{ Nudnq tO ZZ 4Z-7
<br />Or^\L ( o 4^+-V 3ol4v./
<br />L.rrl6'r AditB.
<br />-
<br />APILISANTDECIJAA.IION
<br />I hdtnr dim udar Fnlll y oI F rr.y oE or llr folkt*ina &rLniiotrr:
<br />Dcmliion Pc,mih AstErrB fiorili.orion Fcdml Rcs!l.lnrns (Tirl.,l0, P!d6)
<br />-Rc\ruind
<br />L.tr.r or |5rirdnn
<br />-r.cnjfyfi,r
<br />rh. fcd.ftl E8nbriotu rc80rdin8 (bcr.r rcmvll!rc nor rypli.lblc lo rhh poj.cl
<br />Ej.drry rhd I haE rcti rhs rpplr.,nn rn n!r. rh{ rL 'lnw inromdion s cffi t .sr ro @n91, wnn.u cny md c.unry
<br />odiilKr od 5lrr. lj{r Elllirs to bu,ldrtrE conrrudntr drl lE rby rulDri4 E[irFrr.li6 orrfi Cilr.trd Counlylo.nrd upon llE
<br />lbow nEnlioEi p6p.dy for hrperhn purFkr
<br />di"Mmrpllno: f?jisc: Eot/ ^-4 -n-QE/z3,12L
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFEB Ground
<br />Subf Ioor/VenVl nsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framing
<br />lnsulation/Enerqy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Itr'lasonry
<br />Pool Fence
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />I I
<br />FINAL 4lL J.X^ z.o
<br />Certificate of Occu n
<br />Notes, Remarks, Etc.
<br />7
<br />.C1)Nr.rf,r]l:Il(]NrllDllrirrlili!(r
<br />I hri.h! Jrnr u'xl.r F'ulryor pcrlury rhf,r ihlr
<br />^
<br />x.o.!fl.rsn L,rl'n! +.h\ nn rh( Frturtu'kc rlrh. $ork nJr uhih rhn Frnnr i5
<br />hsxJrss Jn7,civ. a )
<br />t McCr Naft:
<br />SLAB Floor
<br />T-Bar
<br />Flood Zone Certil.
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