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SITE.WORK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUl nsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />ln s u latio n/Energ y
<br />Drywf IATL T/t? 5 W,t L,.it4d
<br />Ext.tnllath Tra /,? 1\-t tGAT**{
<br />Brown Coat --T-----
<br />Mason
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />FINAL ttliilt 1 1.l)a,co,tu6
<br />Certificate of Occu pancy
<br />Notes Remarks, Etc
<br />OWNI:R B!N,DI:R DEI,('ARATIoN
<br />I hRt, r|rm undd F..x! of Fdln lhd I m .rdF 6om rh. codd.6' fi..a lr* itr rh. follo$r8 ra$n lS( 70:ll I
<br />t}!lin6r 6n Prof(nn Cod.): An) Cny or Counry rh.h Etlic . Fni ro sElrud, alt6, improrq &rslBtor rq[' ff!_
<br />,rudu.. Firr ro it (ruMc. d!. rcqun6 rh. apr,l{er tu su.h FEi ro fik ! 3!sn d irli@r rhn h. or rh. a l(n$.d ,uB;r
<br />k' rn FornFB ot E (onksr..s Li(ns.d lls ((ndfld 9. (.n.ffi(in* snh SdFn 7(xxr ol Dnrhn I or rn. But'ns .nJ
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<br />lprlic.nr for r Fm( subjdi rh. .ppli<ri tu a sril pdhy o r frn mn. rh,r nr. hundEn do[dt (t500)
<br />l. a ffi of rlE Fir6r. or ny dpblc *nh $a86 d thn $k mmp.Mion. will & dE sGh in
<br />'E
<br />rnEl@ . m'
<br />inl6i.d or olldql ror sl. (Sc 7044, IIBind ud PrcfsioE Codc TIE Conrrrl.r't Lt.@ ll\y &'d mr rpply to e om( ot
<br />ih. FlFy s ho h,i!l or !rsE6 dEoG rn r b dE En s.* him.lao. hdlf or rlNu8h ht n lE o$r mphr6.
<br />I"ovidat rht! !u.h 'mrroEEnr E. ml iddnLd or olI6.d aor $L lt 1oua6, llE hiildins or iryrorcrE l is $ld *ith oi. !@oa.orplrir llEo$E BnBd * h.t. i,t Ur&r of rmrns dli ,E q,E dil Bt hrild d llp.oE t E FrFr} Iix llE FlFEor
<br />l. a osnd of th. Fopdr, m.r.lan.ly.otuNin8 wnh li..nr.d odndo. to mdtud tlE lr.jd (Sc 70.1J. tt6rB
<br />sd PlDkei, Co& 1h. ( ont*r6r'r l-ic.e Ir* do6 n qDlyro eosnFofFoFnysh. hrild. o. inpmr6 rhdaJn.
<br />&d sho codrxl! fd $.h Fojd! * hr(o do(r lkdu.d poBM r. !h.(i!irdn-s LkG l.s)
<br />r m.rmpr ur& scrF. .B &P.c.orthillBr OgCo- # A-.. Co^ Z.,lt
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<br /><5
<br />lrl:clA8altQ!
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<br />Irb.r cod., lor rh. Ffon@. ol th. s ort foi qhi(h rh. psDi n isucd
<br />I havc and will mlmlain work6 conrrENrti.f, in r&c., a r.qut.d by Sdion :r 700 of r h. l.bor Codc tu lhc nqfonn0flcc of
<br />rh. sst tq *hEh rfi6 pqhi' is !$.d M\ tro 6 .omFMhn iBu.ec ceiq id p.lrr- nldb.r r.
<br />Icdilyth{i.rh.Fn\lm...ofrh."r'lforshichrhirFrn(iiiru.d.l$rll^dmpl.t.nvFs.in ,m n6
<br />$ a i.lE ft sutr.d to rh. *o116'c.EFtrnio. Ltrs of (-.j'f(ma. ..,1qc rbd ,t I dr,lrd r<or eli(r lo llx
<br />\.116 comnaethn pr.vnioN ofsaltu. i700 olrh. kbr (od.,I.t€ll. aonh*irh onnl, *irhrhos lrovilnE
<br />\IARNINC trilu. lo sE. \oil6 comFMnn o\r+. ! unhntul. .d Cull uhFl d oph\q lo ainbll FEh6 rnd
<br />.'v'l ,li6 up ro onc hundrcd lhousand dollB (tlm.odr), in rddnion nr lh..osl oi.omrmrlion. dnna*6 a prorid.d for |fi.
<br />s<ihn 10T6ofrL lr$ ( od.. trr(cn ed nhrrEv r fco1-tc^-t>\+ 5 Co^s, v -..-:,.\o^ S<--.-r.s
<br />It(ENSiD(ofiIR\(toR
<br />DTCIIBAIIO!
<br />I h<.t}, !fim un.Lr Fshyof FloD- rhd I m lickl undd F.r6io. of Ctqs q (mnffirry rnh sdi)n 7@(l)of Dn'tion:!
<br />oa th. aciB ard PoferioN Cod.- !d mv ltd* i! i. tull forc. and .fidr
<br />,"*a* -&
<br />Y" er^t:
<br />/, no., "t*,no- *,n
<br />'sEd
<br />(56 .!(,7. Civ C )
<br />ALs
<br />9b k)*s
<br />-l) (.onrn.ror 4 osgz-..e f lo._ Se.-.tq
<br />lan arcral|IIlux;n(illN(I
<br />v olp.iury rll.l rho r $. co[nn'r1'on Lndins 08drv f(r rh. Fii)mMc. olrh. sork Lr \rlrkh rhB Fn,ir is
<br />A.TIIICAXLIECI.AAAIIA!
<br />I hdtil ttrm u(,E to!l' I or FJlry oft or th. ,olhr ins d(lsd nB
<br />D.molirrcn Psmil''Arbdnl Norifi calion [cas.l Rquhtions ('1 ir1..40. P.n6l
<br />R.quri t-did .a tJ.rin<thn
<br />, c6lifylhd rh. f.d6o I r.Bu ld ionr '.[dl,nt Ettnos.mov.lir. nor appl($!. fu rhis pF](
<br />I.drf, rhd I hr\r r.d rhB rrtlE ion dt (,rc rhrr rhc itEt. 'nforn Nn a c.ftd I rBGr' compb snh rlt C'ry..d Coury
<br />onl'nnncd MJ sr .l a\r Rhr h h,ld'ry (ldrud()n. ud hsch! lurhr-cr.Iieidnsol rht(it\ ind (irnrr (. dr. trl{nrlx
<br />abnr.16r'oNdFFrlI ft,
<br />rlfno d&dts
<br />)-..,
<br />rxr"Q*/Q-t)
<br />Pool Fence
<br />I
<br />Flood Zone Certif.
<br />BUILDING. INSPECTOR RECORD
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