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SITE.WORK DATE ID/SIG.COMMENTS <br />Set Backs <br />Forms/Steel/Holdowns <br />UFEB Ground <br />SLAB Floor <br />Subf loor/VenVl 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 />Handica p Req. <br />Deputy Final Report <br />Engineer Final Report <br />Flood Zone Certil. <br />FINAL lllklrs 5\$ <br />Certificate ot Occu pancy <br />Notes, Remarks, Etc <br />OWNEf, BT'II,DER DELCAR TION <br />I lEcby rfirn lrkr FMhy or trlf, rh,r I d .t.ri rt,m rh. Coddou l-i(.n- t:* fttr trE (,lhEhs Edm (S$ 70]l 5 <br />Aurin.$ arn Protu$nrn c(n.) Any Cil, or Counry whi(h r.quncr ! IEnir lo $ntlrucl. rhcr. irlrot. .hrlnh or EFt dy <br />itru(ruE, prior ro nr isu!rcc. sle ,q!nc! iE elpltanr n, roch Fmir lo nb , rhftd {,r.md rhll tr or stu ir li$ncd Fursnr <br />ro rrE F,vrrrft of 0! Conkdd! LiNn.rl tiw (Chrfl.r 9, G,nmtrinB enh S.clbn 7000 of Dirtion I da llt BlriFr\ !.d <br />PbLr.ilni C.d.) or rhd lE c slr ir.r.q, rhftfilm.,n rh rE$ lor rlr .ll!.n cr.q,rion Aryvi .rio.orsdirl0ll tbyuy <br />lprlarnr frr . Fm'r rubFk lll t plt.nr ro r civil FBlr t oa mr mE rhi iir. hodlftd dolhi lltm r <br />-1. <br />ri o*rcr ol rh. IroFny. r ny.npk'Fr wilh *!3.r ur rlEn $k comp.tr$ri,i. will {t, rL *6t r,'d rlt {dw s n <br />iirr lsl oroficrcd nlr sk (SE 7Or4. Buriel!lod PiolcstnN Cndc Thc O,nt!.ttr r Li...sheJ..sn q,plyloono{mrof <br />rlr lltIdy wtn tlilfi or iqil)G rlEc,n. in *ho d6 h trd hins.lfo, hcrcllnr rhrcu3rr hn m hn o*n.r{'klt!ci, <br />pmvi.H rhli such in{mEftft e bt ir.nd.d orofi.nn for qt li lbkw. rlt lnitiiry $ iqftrrftd N $E *ihin (ft lrrol(nrlllria E ()*E Buiga vitl ,rE 0E h!&n of Foruu di lt G \lt dA d hrill r inFN rtr Fld, rd rrr F,FE or <br />l. tr\o*n.rolrh.ln)psry. rmerclu\i!.lyronrsdint sih l'.cn{d conrx.tn\n,.r,n{dd rlE l'l,Fr (S.c 7nl-l.llu(k$ <br />rd lhlissionConc'lhc(i'ntrrktrsl.(rtrr.l-!ud.crfrnl,rDlyt'rtrosn.rrlrin'rrnywh.huikl\ori'nri(,vc\rh.rco, <br />rtr *lx, o.rrn nn \och tm,j.rk *[h r QriBcti\rltctrwl lx^Mr r, rh. ( onrrctrtr'\ L-(.tr{ lrv} <br />l!D.r.opr ulid *Lrx)n ,B &P('nrrhsrcJq'n <br />Irrl. ()rn.r <br />MBlirlll;lll'lrrll .rlr! <br />D!(lAnArlQ! <br />I lrkhv r11rn, utrd.r F nrlrl_ nl ,xrJU' ) or olrh.l,nk)un,E,l..Ltrnrn\ <br />-l <br />hlvc dnd willouiruin sorkcs'.o Fnuri(,n in\ur0ftc.,i rcqun.d ht S.(ln'n J'r(xJolrhc lrtirr (odc. forrh.,f,rl. tun.cor <br />rh. *ork nrwhihlhis Frnir ir irskn Mtaoltn .onFtrw i.. iNurrft-c.!riq unFlicyoun$c, uc <br />/** <br />&'-n,,,*, \. t* (-t') l yr\ I ,,**, \ I <br />r i(n\.N!\$.r GoLr r t <br />E1 <br />-lcnily <br />thol in rh. Ftormmc of rh. *o.k frtr *hth rhn Frn l n nrEd.l stull nor cmPloy rny l].M. 'n <br />rny n$ncr <br />r, $ h he{c rubj.lr rD rh. wortdr cortEnqrt. hw. orcrliromh..nd rgN <br />'h!l <br />if I srFuld tEoE suhFl ro rlt <br />*o&ds sn{f,ngrir. F vi!ii.! ol sdIi,n .17u, or ilE lrtr, (in , I {!li. ronhsirh mrdy wirh lln! tmtni,N <br />WAININC: FatuE t' BUE sGt6 d,rqEmlion mm3. ir unhstuL .In $.I sbFr &.n?bF ro diminrt rml6.d <br />cNil lims up to or hu'nrd rhourd drnl6 tilo0.ur). in lri'lhn ro rll o{ of oqEeriotr drnrr.s .r Fovr.rl tor fi. <br />Sdrnn 1076 of rlE trlr: Co& in!.d rd dbftv 3 ft(il";:i. ru**;ffi:il[t-L'' r rcnrsso rlffiacrut <br />DrcI rIAT.I(|N <br />I lEEh, rfm !ftLr FEn, olFt yrhd, m li.!.rd und.r,mvirirof (.lr+td I (offinrg rirh S.crion ru)r or l)ivi.btr l <br />of rlE au.iEs rd Profirkbi Gi., r.d ny li..e 6 m tull ri,N.rrd.fi(r <br />l*"*."* B cu\\. 1!Er,(':t <br />\-. <br />c()NsTnu(jrl(N LnNDlNc actrNa! <br />t hcrhy altrrnr undc! r.Mlly of pcrju,y l,u( rh.rc n 0 c,n\rru.li)n Lndin8 rs.'ty l(tr rhc Frron**c orrha rork ti'r *h.h lhi\ pc,nil is <br />n$cd(Scc.1097,Civ C ) <br />dtg,(alillDu.a.EausB <br />I fmtyurlinnuRl.r |Enrrry ol Ecrrury om ol rl.. ralk'$irx .l.rlrrtrri,rr <br />I \-dr)li ion Pr'inn\ \hc!D\ N.r iaNrk l..&tut Rc8llrrxnn rl 1.41. tan6, <br />Rcqurcri L crnr Mn'rtd.n <br />fi,.! nrdi,Rri nrt{ \ 1,tr tr, <br />4pp,krn, or rcd, \,snr,u.'4(' \L-- <br />\r, ri,mmm.iprinr,: K*'- S,l'l'- <br />lrd'lyihd th. ld.rul nguur i,,n\ r.I di',3 a\tf,(o\ rrmn rl r. ton rtflrrhk t, rhi\ pir)Fr <br />-l.cnrryrh.l <br />I lw. rcrnrhn {'pli.arlr un (rtcrh{r rh. rr$vc itrlormri,,n n.onlt! l.sftlod,nplr}irhlllCnyrnd (tutrry <br />ontiMBtr nnd Shrc Llqr Ehin! <br />'o <br />hlildln8 .o.rN.1hn. i,n lErchy.u'htrir. rcpr.{nhrn?s nfrhn Ciry.rn countyto c.rd uFn rtr <br />i"l(/p <br />I <br />BUILDING. INSPECTOR BECORD <br />Erection Pads <br />-l <br />h.vc !n *iU minr.in r C.diarric ofco,lmr ro s-r hsur. (tr ro.t6' drtEndbn..\ F,rdai tu by Sati,n.r?ur ofl,E <br />ulrn ('o&. rq rlt n rlnmc or rlr *,1 tu $nth rtE Fn i irqkn <br />Ac G A.-..', ,-"^-