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SITE.WORK DATE COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />UFER Ground
<br />SLAB Floor
<br />Subfloor/VenUl nsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<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 />Engineer Final Report
<br />Flood Zone Certif .
<br />t1 , il/t 1.)
<br />FINAL blnltj ,ll /
<br />Certificate of Occupancy \-z
<br />Notes, Remarks, Etc
<br />OWNl:R BI]ILDIIR DI:ITAR IION
<br />I hftbt .mm undd Frlry oa p.9ory ihd I m .rmpr fmn rh. Gnrr..loR l.r@ tns for lh. folhn in8 ,c(r (s( 70r I 5
<br />LisinB! ed PrclBnJn ( Gl.) Any City or ( ounly qhich r.qund , Fmil lo coNlru.l. ill6. rirtov.. donolitrh or (Fir sy
<br />srru.ru., Frtr to tu isud(., ate Equn6 rh. larlicet for sucfi Fhir to filc ! ri8n.! srndd rhrr lr or shc b li.6*J ,uRu.,
<br />to lhc Fn sn'6 of rlE Co ftroie Li.aldl l.* lchrprd 9. ( onmtrinE q rh sdio. 7)0o of l)n ision I of rh. BGin6 tnd
<br />Pmf6'otu (i&l or rhd !Eor ilE irdmd rlE.non di rlE trB f.r rlE.llq.,l (mplion An) rhLlionofs.dni 7011 1b\a.t
<br />lrplicd ror . Fmn iubjdR lh. alrlicei lo ! orll p.Ehy of nol mG lha livc iundcd &ilt! (1i00,
<br />I. 6 own6 ofrh. FoIEny, or my .nplorc wi'h walB rs lh.n vn. comp<nsl i(,n. {ill do th. q orl ud lh. 3ltudB ir nur
<br />irtdr&l orolf6.d for sl.t!6 7Ll4.4. B6inBt ed ttofsioB (i'd. lt Co tur,r't l.ic.M l,tr d66 nor lpplyro rn.$nnof
<br />lhc FrrrEn) tr ho triil& o i'rqmr6lrE@( ,il tr rr &E sch tr.* himsla or htrll.r lhmu8h ni! o. hd o$n drl') 6,
<br />For dal rh.r su.h imp.ovd! & mr indial ofid.d lor sk lt tF(6a, rlE lu'llrlB d lllnrid it $ld trrhndft \d
<br />ol.onpki4 rlro\*ffi llnlklf *ill lulrtlE buftk ofF.\rBrh, rF..slEdild tuUor i,s.s\. th. FrrEi) 6rthc Fqrxor
<br />l. 6 o*ffi of rh. Fop6ry. m crcbn cD co. r&-lins Nirh licas.d codraclon r{, (onsrud rhc In!.d (sd 70,1,1. lrulins
<br />a'Il Pnni:sm(i)dc Ihc(i,drac(trtl-'cdr.l rs,n)6nor.tflr t,uotrnd.Il)l td\$ho I'uilds.r impro\6 rh6s'n
<br />.nd sh. .odks for 3uh Fnjds unh. (nntro(3) liccar.d p{M ro !,E ( onlrlc1q! I
<br />! m.\mpr undd s(no.
<br />D^,"OV'tq -l 7 /t ob- i+ - l7
<br />DflIJAAIA!
<br />I h6.t! .fim u.d6 FMhr of FjoD oE ofrh. follo$ins &tlJii'B
<br />Ihr!. l, * ill @ntain r C.dili..t. of ( olMt b S.lf lBDr. lor sdk6 conlEosr ion. a rrot id.{ tn by S<rn,n 1700 o t rh.
<br />Idor ( ode ld rhc psfodd.. ol rh. No'k aor $hich lhc pdnir ii isucd
<br />I h,\. ..d *ill f,.idrin s 0*6- ..frp.Guio. i6urffi.. d Equr.d b Sar i,. r 700 of lhc l,U, (ird.. tor rh. F(Jl11lmc of
<br />th. f,.rt for $ni.h thi! Fnd B isFd M, sdl6' orn xMio. '6u,ffi..ai. rn l[lal_ mnb.r ..
<br />IrdrftlhdrrrEFlo,mnc.ofth.trorklor*hkhlhnFmnBa.d.lslullmldplo!e)Flonrm\D nd
<br />$ a b tE(om $bid ro lh. trst6' smFEnFn L*s ofclliaomr a'd ,ed rrd il I slbuld hdom. rut!.n to
<br />'lEI odd compqsrion Fov6ioB ot s.dion lT0o of rlE Llhr Cod.. l $rll fonn{ irh $mpl} $ hh 't E pro\ Lbni
<br />wARNtltC f-ails. ro sd. sork6 Nnpdsbf, co\'dg. it urhwfol. ud 3h!ll llbjal dplorq lo .imin.l tFtrhk md
<br />.ivil lin( !p k, o.c hundr.d rhouend doll6 lll00.L$0). nr iJd tr h rhe..{ ., .. penr(rni.
<br />sdion 1076 ofrh. tltn (.d., inr6.i ud nhE* s fc
<br />,do-ti - t7
<br />D&CIJSTIIAN
<br />I hftby im.m u.dd p.n.lly of Fdjury lhal I n ln6Flund6 Fovision ofchapls r) i comnhcins sirhsrtirn 70tr0) oll)nnion 1
<br />of rh. BurinRr sd PmfBri,,B ( od...nd my li.mr b i. aull nn.. dd.lIdl
<br />(at xlclloxLtrDltclc[ltr
<br />I hclb rmm undq FDh) rl FJrr- ih, rh6. s . c.dtu.1$n tftlms r*tr) tu ilr p6fol1r14. oa rn uo,k hr*hihIh6,Emit is
<br />isu.d(sa !(r)7. cn c )
<br />affLllalirllli(lJSallo!
<br />I hod, tllm und6 porl'-v ol FJu, r-' ok of rh. folk'Rins d..le!tx'N:
<br />D.'rclitun Pdnrits-Asb.sro! Nonfi cation f.d(!l Rcculaltrft ( l rl. 40. Pan6)
<br />Rq!r.d ln16 of NolifHtan
<br />I cd,ft th, rh€ Liigal r.*ulrri,c :.sidm{ st-ros rfl\,1 r. fln .ptlklbL t, rhi! ,roFl
<br />I rotf\ rl,n Ihr\cr. ih'\r,Dl'. iNr iscon< lnaralocornpl' $'lh rllCiryand( r nr!
<br />ordinanc6 lnd Sritr tiss nblinr ro hui
<br />.bov. m6rhn d ,,6rd! for inipdion
<br />n6 oflht ( ny ed Coumr ro Mr( utFn rh.
<br />Appli..nr ff ,\rdr shn.rur(
<br />c-for H:tJo Gt,"ll , r ,
<br />,.,,0b't4 - (J
<br />EiL:I
<br />BUILDING. INSPECTOR RECORD
<br />rD/src. I
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<br />Erection Pads I
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