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SITE.WORK DATE ID/SIG.COMMENTS
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsulation
<br />Shear Wall
<br />Frami
<br />lnsulation/Ene
<br />allD
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Mason
<br />Pool Fence'f-Bar
<br />Handica
<br />De Final Re rt
<br />Flood Zone Certif
<br />FINAL ahb,g Dftl,rr't
<br />Certificate of Occupan cy flI
<br />Notes S
<br />.-D,
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<br />lrain63 a.d Prcfdion (od.): Aiy (ny or ( ou,n, unEh E{un6 . Fmi ro onrru( .t?. ihF!\( dnmtir! or rqEn ey
<br />llruclw. Fs ro ir3 6!e., ll. Eq!n6 tlE plkot 16, sh Fnit to tik. 3ir..d rdcml lhr tE or dE ! li.dE d Fussl
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<br />rh. FoFry $ lb trildr d rlimrE tlEa id *.tb dq sh Bdl hilett.r h.Btf or ttvouSh hi! or tE 06 mptoy6,
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<br />of .o"gk ior llE ()$.6 a{itlr will h.v. fi. turt, of F.\rns tld tE d .l'c d,l nn hliU d int .i! d,. Fl'fqry to ll F,F* ot
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<br />I m.ranfl und6 S.1ion
<br />Drrc ()nn.r
<br />ttontrRs t ortrt:rs,tttt ts
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<br />I hocbrrlirhutr(ler Fnrh\.1 pdrurloncotrh. nnh$'nr nn-,hr!!.ns
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<br />I hlr. .n! slll nrdr!'n *0116 conrEKrl,n i6unR.. ai r.rturdl b!- s(l,rn r 700 of I h. llh.r codc, n), rh. psfomrft. otlh. so,k r.r u,hich rhis pdnir is (od My rortd c mDcnsrion rBurm.r (&E dd rstk, numbr a.c* .ArLt, lttt\ Zufklt hyqnot h
<br />'r",*,,"- . ld! Q0 - O0- 854:- OL ElpG
<br />rr"4AAr,{,t}lt4 aotl
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<br />"srld fthFErhn FDriroG ofsd hn r7m of dE riv (od., I di[, todh*ih ohply wirh rtFr prcltioBl*ARltlNG F.ilu. to (!E work6' conpE!.rhr mv@x. i! utiwtul. sd shltt lubj.tt & dplorE ro 6inin l Fnti: addvil fin6 ot ro onc hundr.i rhousd doll{! Itloo,firo), n alnhn ro rlE .d of oqE!.tioG d!D,g6 s FDti.d fo, ltx
<br />Sdion 1076 ofrlE l.rbor C.&. da.n rld niorrEyi a6
<br />I hcby allrm ondc p@hy of ,qjury thd I e [ca!.d lrkls Fmr 6ion of cllal,td q (mmffiins q nh sd:rn 70q)) of t)n irD. r
<br />or rh. 8r.6* ud ProfRtioN Co&, ed my litu b m fult foG sld.tTar
<br />r.i**.."* ' C3?-7A5s6 L,'fil?tftct c."-"* pl-fu61r\ Cotg -gj\ tb(t\
<br />..n.,*,,'rnrn,rnn,n..".n,.''i?ocfn9 Co'
<br />ha. i! a mdtud nn Ld!f, !*n t f.r r hl rql"lrrrm. ot rh. ulii^ i shkhrh!D6rni i!I nd.hv amm !d6 Fn.h! of FJr^ ihn !
<br />isn'.dtS( roo7. (-ir (')
<br />l-.trdo.s Nanrc
<br />APPI I('ANTDE(:I {NAT(JN
<br />I lEqr{ allm undc rlnalrt olFjury on.olrh. Llh"ins &(l!!rio.!
<br />Dcf,ohion Pmnr-A.br{6 Nolific.rio. F.rkr.l R.suhlrB tTnk ao, per6)
<br />Rcqut.d lili6 ol Norirrron
<br />I cdi6 rhd lhc t d6.l r.8!hrio6 Essdins stdor r.fuv.t u. mr opIlli(sht. r. ihn p6jdr
<br />,\oolicrnl or.trdr Slrrrtnr.
<br />Prrmitt.nNnr(prlnrrr *
<br />>1
<br />Alvor<+
<br />/ola t !L
<br />BUILDING. INSPECTOR RECORD
<br />Set Backs
<br />Roof Sheathinq
<br />Engineer Final Report
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