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SITE.WORK DATE ID/SIG. <br />Set Backs <br />Forms/Steel/Holdowns <br />Ereclion Pads <br />UFER Ground <br />SLAB Floor <br />Subf loor/VenUl nsulation <br />Roof Sheathing <br />Shear Wall <br />Fram in s 4-1,1 -c7 J)-{4'AD <br />lns u lalio n/Energ y <br />Drywall <br />Ext./lnt. Lath <br />Masonry <br />Pool Fence <br />T-Bar <br />Handica Re <br />Deputy Final Report <br />Engineer Final Report <br />Flood Zone Certif <br />FINAL /"-/t -/7 J/"J"4a .J!) <br />Certificate of Occupancy <br />Notes, Remarks, Etc <br />BUILDING- INSPECTOR RECORD <br />OWNER AUII.I'ER DEI-CAIi,\TION <br />I I's.b! am,m undd Fn.lry of p.,lu.r rfirr I m .\mpr iiom rfi. (.odrdoB' l.rG l!tr to, rh. tultrs'.s <br />Burin6s !.d PrcrNnrn ( ql.l Anv Cilv or Counry $hi.h rcqlir6 a rEr( lo cotrrrucl- rh6. inl'o\.. &iml <br />situdE., Fhrro h! isle.. rt Gqui6 rh.4drer for i6h Fiir lo fiLrltftd ni.lmr d lEo.st i! <br />fu rh. F\"nrns {tlhc (onrrfl(tor'r I ic.nrd lis (( haflr'). Cf nncncing qirh S..rmn 7(nr)ofl)n(nrn r oill. <br />Prnf6ions co!.) or rhd h.r ih. i!amF rhanom dd rlE ticis fo. rn i4.d.rnFion An) rhhrionoaS.(ior70rI5h rn\ <br />al,I'lrdrl lor. Fmn sbjdiJ tlE rt licdnltrr!ciril,.n!hyotmrmr.rh lil. hundr.d doll6 (lt@) <br />l,6 orcofrhcF$Fn), mr dplorG $nh urs6 6 rltn $k omFdio., $ill & E(ctin EriurE6ml <br />lndxLd o. olI6.d f.r sk (S(.70,r,r. It6ins dd PrufdhB cod.: 11l. Codrd( r l,t@ h*' d,6 tur +ply ro s o$ffi or <br />lh. F)rEry {ho hrikl or inFov6 rlE6r ,t vtr &6 sh slrt hitu.lf or h@lf n rhre"8h his or hd o"n .mphy*. <br />Fo\ri.n rhd r.h ,nF ffi e d id6'.!.d olk6r$]. lr, tss6s. rlE brildi,E d insltffi trEuniinN'a <br />oa.onphhn. trE (xnd Bliklr will h.\. tlE hr<kl olFoyins $n lt or JE dd d h,ld or nqro* dE l,nFrr ir rlE ErrE of <br />l. 6 o\end olrh. FoFny. m crclGiv.ly .onrN hr snh lic.n*d .onrrroR ro codrucr rlE prel.d (Sd 7lrl4, BdmG <br />rnl ltlnfs$ Co.k l h. (ir.krkn'r L-icdk L& dr6 .or ,pply lo d o{ n6 ol FotEdt $ h) ndiEr or inro\ 6 1h66n. <br />6d wh, .on'BJ lor $ch p.oj.dr <br />"nh r ( o donr li.Ncj pllBuar k' rh.Codrrio.! l.Eo* I.trJ <br />I m.\mpr untla sdn'n <br />D.l. Orn.r <br />\aoR(irlr. coi!Pr'iisirroN <br />DES.dBAIIA! <br />I h6.by.mrnr uhd6 pdaty of pdlu!, on. of rh. foln)si.s dnldariom <br />I hav. !n *1ll mrnran i Cd'axa. of ( ongn lo S.tf' lnrurc for sorld' cotrrFMhn. d F.rid.n for h! Sa-l ion r 7({ o t rh. <br />Iitar Codc tor th. psfom.nc. otllE srrl to utich th. pqrrit G isu.! <br />lh4..nd*rll mlnttu *qt6 cof,p..eirn iNurrtu.. a r.qu!.d b! Sd'6n:r'ltro of rh. ribor (-od.. tu rh. psfolrMcc oa <br />rh.\o'llq*tu.hrh!!.rntrEsu.dM\$nrldi'(.tru.u,on,tuu,Mc.cffi.ndFlrlnumb.rm <br />,^"lxaArtLltrrnauL <br />".,.,"_-l* <br />gtl3Dlb1t , ,,,,- 3f t / tO <br />I c.nitythd in rlr Ffonnft. ollh. tr'orl for qhichthirFnil ir isu.d.ldEllnol flplotlny Fs. i..nymont <br />$ Br.hrocebFrroirE* t6 onFMion l,s!ol(rlilo ( ind irc rltd ill druld tr.om ebd! rotlE <br />uo.I6'conFEdio.proyirF ofscdio.:u00 ofrh. kbr (odc,I thlll. aonhwith cdmply snh rlFs ForisnB*ARNIN(; Fiiluc tn su. $rrl*' comp.Mhn o\dr. is !nl$tu|. ltd dEll tut'Fl M aptr)s lo (miDl FEhi6 Md <br />cnn 6n6 uF to oE hun&.n thounnd &lls itlm,ooo). in rddnr). ro rh..or of comFrE lion. &ms6 8 Fo\d.n 6r rh. <br />S(r o :r07(, ol rtu I ihn ( . .. nntlN ann i f'nc\ .lRs <br />b-t\,t-i <br />DIg.6aAIlO! <br />I h6.-try rrm unds ltn fty of Fjury rh, I M licdr.d undd I'ov6ri of (1qrd et.omlljftmS $hh !E lion 70(x)l otlhirrn I <br />of rh. a$inN md Proldions Co&. dd ny licft. i! in loll fora ad.ft6l <br />,,..,,.".,.,,, 4lK9tflV <br />,,,," 5 u.t-'7 <br />B Llqs$)q <br />,"",...,".( <br />(alllautrll)drf;lDlltc]Ic!!(I <br />I hdcbv amm u lsncralrvoIFjuryrha!hE.isr$nsrrucrionlddmsrsd.ynrrh.tdfomw..olrh.trortn)rrhrhlhisr(n'ilr <br />!a\!.d ts( 1I)07. ('n c) <br />AITIICAII"DE(]JAAI]OT <br />I -elJ.rm u.da Fn.h! olFjury on. of lh. followinS .L{lrarion! <br />D.nolirion Pdn. Albdro. Noti6c{i1n FaLr.l R+ulario.r (TnG {0. Pd6l <br />Rcqurc! hr6orNo(frdirn <br />I cdily rha rh. LnsJ r€*uh'nN r.8ad'u dbcsos rm\ala. fr{ arloltrltk 1,, ih6 F.Fl <br />l.sli!lhd I hdG @d lhn 4rlarlirn in nd.lhd thc !IF\. inrorndion n.otu l.rrdt\6mdv\nh.[('n].Dd(i,uil] <br />ord,n,N6.nd Slarc l$i ElanE to hu'Bing Fn. nn h6.b rdnE.rqr6tddn6 olrhtr (-rtdndft'!m! <br />'oot( urDn rh. <br />ob.r( mnrnnr.J prord' for <br />Appli(rrl or Aaml slltrrlnrt ,",. S -q-l ) <br />COMMENTS <br />Brown Coat <br />8t\- <br />pmr,( n.me rDrir,,: -\h-a -"!6to./e.r1 S