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SITE.WORK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />SLAB Floor
<br />Subf loor/Vent/lnsulation
<br />Roof Sheathin s
<br />Shear Wall
<br />Framing Yl\/rc.<b#t
<br />lnsu lation/Eneroy
<br />Drywall E//tt't,i.,3\ r&
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Ivlasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />De puty Final Report
<br />Engineer Final Report
<br />Flood Zone Certil
<br />hq/fr/rl -lM'O a
<br />Certif icate ol Occu pancy IT T
<br />Notes Remarks , Etc.
<br />BUILDING- INSPECTOR RECORD
<br />O\INER BUII-I'ER DELCARATION
<br />I hcrcby rritm u cr ncNlty of pcrjury rlrr I rmcicnrpr fn)nr rhc Conrr$r{ns l-iccr\c l-iw rd rhc r(illowin8 rc.$. (Scc?0.115
<br />a!\inc\\ tr,xl Pr.ltsion Co,lc): Ant Ciry or Counry which ru{ldn.\ | }^-rn,ir t, .on{nrr. r}rcr. ltrlt,ovc. dcnnlth ,tr q,]t ,tr't
<br />{flcrurc, lrk io ir( i\\urn... rho rcaurc hc q,Ili'Itrr lor \u.h Fnrrr k,,ilc i lilncd {lrcmnr lhnl hcor shc is li..itd pur\uinr
<br />t, rhc nDvisions oi thc Conlrncttr \ l,iccn\.d lrw (Chlplcr 9. C.nnnenci,,g with Scdi,)n 7U)O of DivhioD I ol lhc Unsincs x
<br />rppli(nrLrrpcnnirn'brchlhcafpli.rnrroncivil|[mhyoinormrcrhrntiv.hudrcd.10ll.6(15([)
<br />-1.!sosrcroiIhctmtcny.ornrycmtlorc\*irhsaacsasrhcirwlccomncn\arion-silldolhctorka'
<br />rlf,\trrucisml
<br />imcndcd or offcrcd nr {h (Sm 7(N.1. Busnrc\\ atrd Pmf.sln,ns C.dc: Thc Coitkkn s Li.crsc l-.w do.s nol lmly nr rtr o*,E ol
<br />rhc pmncay $h. tn,ild\ or i'npror.s rhcN)n, ud wlm dms such *o'k hi'nscllor hc^clfo. rhmoth hh or hcr own.nDloyc.!.
<br />,r,v cd rh(r \uch i'.nr.vcrmnB re rn inrenk otieRl f.r srb ll hoNckr. rhc hnikling or imp(nrnt is $ld sirhirr onc }!rr
<br />rf.onpLrion, rlr OeRr Buildci *ill hrvcrtrbunlcnofpn*ir! rhd,Eorshd d mr t{ill or illrlrow lic F,pcn! for rhc purl,$ of
<br />l.n\.sn.rorihcnn)|{ny.rtrrc{.lu(v.ly..ftr.rir!whltrt\cil.rfhr.rrh..rnn(rrl[nr.r..rrs.c7014,Bt!.(
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<br />I incrc rl, utr.lc' SL\ri(rl
<br />rloatrEaL!ouflitt roNDl,rta&rM!
<br />Ihcr.br rlllrniufdcr tf,mllyol ns|tryoNol rhc i,'ll,,s Edc.l rrlit)n\
<br />l h.vc drlsrll rr rirrCcnilrrrcolCon\c krSclf.lNnrclir$orkcrc..rFnrx!ion.,sproyidcdntrbyS(ri(trrl700.rrltr
<br />lrtxr CoJc. l{tr ihc p.rnmr i..ofrh.trukhrshi.hthcp.irrir Nr\ucd
<br />-lhrv.nnd *ilnminriir !.rkcrr.onrFnsarion in\urlncc. r\ r.quicdbyS.crion]TmolrhcLlborCodc.fdrrhc,'critrnrnccol
<br />Ihc w.r[ ltr whirh rhi\ pcnnir i\ i\\uLl] M!npc s n,n i',\urancc.rric.rilli'l'.ynunh.r dc
<br />I'tZ.GC;iN 3 z-o ol
<br />l.cnili rhrr in rhr |[rl.nurc olrhr *r
<br />n, rsk) lr.r rc {rhicrrn,lh. (.rko\,..nrrcr
<br />workcr .omncns.ri,rDrijvi\ion\.lSc.rion:l7Ix);
<br />cn{'lo}!.lo oia,inr! F-,tu'lri\ rRl\IARNIN(; Ijrilurc h erur. trorkc'\ .oi1trtr\ii,nr.o\cr 3r n tr L
<br />.i\'l lnr\ np ni.n. huDLlrcd rhotrs nd dol['\ l1li nnrgcs r\ lnividrd fitr rlt
<br />o*", z Lj?[Iq],o16 e
<br />hcrrh!illn,tr, d.'r.,r\,,1t).,r1tr\rl'!lhn t( !1 tr 11.,1,,,!A l, s.!ri,nr ?r!{rr,,1 l) rn,n I
<br />ol rhc In'\i,,.\\ rn,l ltoli$i,rn\ Codc. d n,y li.rn\c n i'r lull lnr.c x
<br />l(rr.Nunhn lOIb6?>.9).,r-lr-.-. AV^oz-'*.o11 ra I
<br />i\\ucd (Src :1097. Cn C )
<br />l!-tXlJl:!-\Illlll!:Ular
<br />llmhyrlllnr uMd |Dn!liy ol pcriur
<br />I)ctrnliliotr Pcrnrirs. sb.(os Norifi.i
<br />-Rcquircd
<br />lrrlcr ol Nolilictrliotr
<br />l.cnily rhrr rhc fcJcnl'cguhri,nn )vrl rrc nor af|li.rhlc h rhi\,,rojNl
<br />o Nnc.r nnd Sfurc Lntr\ le
<br />rho\c k ri,nrr(i pq).d! ln,
<br />ADpli..nl or Ag.nl Sitnrlu
<br />rhni/. icpr.\cnrari!.\ olrh'! Ciry and C-ourtyni ctr
<br />r^.-n A\
<br />o"" Q?
<br />AteCZ6.\,-
<br />Io \,s.
<br />S'rq rar ?^;z{Y1 .
<br />\
<br />l.trdcfs Addrcs
<br />-
<br />UFER Ground
<br />FINAL
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