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SITE-WORK rD/srG^COMMENTS <br />11\2-17*l'Y-\tLtuForms/Steel/Holdowns <br />Set Backs <br />UFER Ground <br />SLAB Floor <br />Subf loor/VenVl nsulation <br />Roof Sheathing <br />Shear Wall <br />Framing <br />lnsu lation/E ne rgy <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 />/\ <br />Y"U 110 <br />Certificate of Occupancy v <br />Notes, Remarks, Etc <br />-> <br />AUILDING. INSPECTOR RECORD <br />o\r\uR Bt ll.r)rR trt:t ( \R\Iftr\ <br />I hocby rmm und6 p.nahy of psjury thn I m ddF filE IIE Coit!.rdr' Licd& L!* tor rt foUownB t!&! (s< 70115 <br />t}rlino &l Pr6f<io. Cod.): Any Cny or C.urry uhi<fi ..!uic a Fnir !o codru.r. rha, DForq damlirh or Ep.! M) <br />3Irudc Fulo i'i isljftq &o '.+iE tlE +plid fo.snFnnro [1. ipi.d rid6r d{lEoraritli(B.d Fmd <br />$ rlE FDrisio6 ot tL Contddi Li@t d tr* tcluI'rd 9. Coffius *nh S6lio. 7000 of Div6bn I 01lh. Bcir tud <br />Pmf6ion! Coi.) or ihd lE tlE n d.trEl thq.n m fd th. b.!s for rlE all.g.d danFio. 4., riohlirn of StiEn 70:l I t try ay <br />iprJl'..i1 ior . rani ruhj6l! fi. rprli@r ro . civil p.Glty of not horc rhd frv. hundrqj dollrB (1500) <br />l\l. ,6 ow of rlE FDFi', m mt.npbla rit *.!6 - rh.ir -L of,Fdh( $in& rwlt..j0trfuirml <br />;rdrsr d oftqld fn ,l (sc 7ol{. Er6 -d tr'Bs B Codc Tn (bdr.dd ! Lim. l^r do6 mr lfly ro i o{G ol <br />rlE FlFry sho bild or np.!q lhs6( bd who ih6 rrdl $$lt hiroGtf or lE*lf or rln,ulh ho s ha orn mdoy6. <br />pro\ itl.J thll such improvon rn E mi i ddal or ofts.d l'or $k l( ho*.c. lh. toildru or unFerdF! ir mld whhin on. tw <br />of.oq&iotr rosE a{ilt6 ein lE\rtlEhlddr oapn'iry tll. lroriE dn d birl or hFor. in F p6ry 6r dE F{po*or <br />L a o*G ofrh. IrrFry. m 6.lriv.ly coflr&1m* rnh li.dB.{ codtu1.6 i' mndrucr rlE Fi.d (sc 7u4. &!h6 <br />onl PEtusir Cod. '1 hc co.krddf ! Licd. Llw do6 hor rrply k' e o*na or pr.Fny who blilds or iBpBvd lhd@n. <br />ind *ho colldlr for ruch Fnjd3 wnh. C. r.clo(,li.dsql puud nr th. Con'icrd't Lic.M bw). <br />.1 ll <br />I 7Ll <br />!l}BL'&tl0:!!rN roNl:4ljd-Elltlll <br />I lE.l,r." .rm umkr Fn n) of FJury o* ofrh. folh$ ht &(le.lio6: <br />I hdv. xd w ill mimdin a Cdific{c ofcongr ro Sclf-lBurc lL'r *dkdt conrp.nslion. i! Ftrid.d aor t y S..li6n 11700 orlhc <br />khr Codc, for rh. rEforM. of rt wotk aor *tkh fi. tEnn i! iruu€d <br />-l <br />h.E.nd slll Minllin "..t.n' corpdrbn i@.. 6 r.quiEd br S..li'n l?m of rL l!h.r cod.. for th. p6tol1j1n. of <br />rlE elrr aor $hrh rh! Frh ir isel My lglqt omFdhr illlm cdrE !d trlky numtE r.: <br />Xl (drtrhir 'nrh.p.rfo,ru(cnlth.qorl lor rhEhrh,. Frnit ir br!d.l.h!llmi ftphv.nv ps$n i..nynoc <br />$ B ro bc$m. luhjdl lo rh. mrlqJ comFurio. lNr of ('dinimh. Md d{E th.t itt lkruh ls.@ subJd lo lh. <br />srt6 Fnpaution Fo\irhB of Sdion l?00 ol rh. L.hi (i)da I sldl. tonhwith oiply sth rlrt* F.vi!68 <br />wAtIrtNG: Inluk lo su. $st6' orrFEdion olq,*. . rmh$frJ. rd rhdl $bF d dphF lo cinind FHli. id <br />cnrl lin6 up ro oE hudr.d lh.us.d &llt! ltlGl.ono), .'otr drus6 d Fo\rlal for llE <br />rr(.sr ud.ndrr'! tc <br />-1 ,)\ nrrr-*,A - <br />I hdby rlTm on& FEhy o f Fjury rhd I m licm!.d u<la pro6ion of (1tr9ld 9 (coimi.8 e nfi Sdlnn 7000) of Diviiio. l <br />ol thc Busin* dd Proasiom ( .d.. dd my li.@ is in tull nm. Ed.ffsl <br />co!srl!,ig&!..LEd[Bli-dcE!(1 <br />I hd.by a,Tm u.d.r Frhy of F]u., th, rhd ar . odtu(rrn Lrdin3 lsdy for lh. Flffi. of rlE wrt 6r rtrh rht Fni n <br />i$ucd (Sa. 1097. Civ C ).L.nd.irNdr <br />- <br />AIIIJCAILIECI.AEAUO! <br />I hsd'y!fi'rnu iq p.o,l'y ol Fjury oc oarhc aolloving &.h.r ions <br />fxnFkion Pmn!tubcro. Nor,li.rrion F.dd.l R.suhid I I [L.to. Pd6) <br />_R.qutr.d lata otNodardon <br />I cqli& lhd rh€ Ld6d EruLlioN Esrdin3 Nhslos dor !l @ @! {lPltlbL lo lhie Boj.n <br />Xl.or,rv ua I t",",oa rto oeli{ion rd ld.rld tlE rt . inro'rnn s rn.d I .gc ro Nmpl, wnt dl Cny .nl ftunry <br />rqr*ndir6 6l'hB Cn, ud ( ounryro dl6 urFo r&ordi@c6 ed st.r. lr*i Elttrrs r. bildi.g coNtudiotr ed <br />all\. nrtrr'ond lr,l{d! f$ msl(.-rtrn, <br />^pprlcrnr <br />or ^grrsixnnue F <br />Pdn'll( Mne (prtno: L <br />^ - -tlt.ufl\Dj" Fr'.k- <br />DATE <br />Erection Pads <br />FINAL <br />L..dd r AddB: _ <br />i-