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SITE.WORK OATE ID/SIG.COMMENTS 0n\uR lI I trrR Dtl ( \l{ I I r()\
<br />t ha.lD' rfm undd FEnr of Ffur. tht I m sdF ln6 lh. codtrdoE' I .6M I^' for lh. follo*in8 r.en (S< mll 5
<br />Buin6r .rd Proftst n Cod.) Any Cny ot ( ounry shi.h EquiE ! tEnil l. .oflslrud. ah6, mprov. &rnolirh or eler M,
<br />.rMue Frr lo t3 isu.E. .t Equi6 rh..Ptltol lor sh Fd $ 6L r t,*ncd lrrdhi rhi lE or iE i! li"rE il P{lsgr
<br />ro ih. F.\tioE of lL Contfttor's Lt.d.d t.* (ch.Iid I, Cotufti.8 *nh Saln. 7000 of Dilirbn 3 ofl[' BG't6 ed
<br />Pmfsi'G (ndc) or rh.l lE or $c is .rdpl {h..fron dd lh. tE!i! for rh. llkscd .rdFion A.v violdion .as6iio. 701 I 5 bv lnv
<br />splk. for r tEtu rh6ltllt 4plidrorci\ilF h) of mr mtc ll8 li\. huflH &lld (tt00)
<br />L s ow of rh. Fsltnr,.r ny drlo,6 wirh e+6 c th.n 5k 6mFEdsn. ri[ d. dE *dI rd lh. lride ii mr
<br />Iiqdal d olTn d f.r -lc {Sc 7O!t, Bci6 Ed PrefdDG cod.: TIE ( onrt rtr'3 Lke tr* dB Dl +PlY b u orG of
<br />!h. pNFty $ho builG or inrylr€ lhdln lld sho &6 ruch *s* himr.lf or hssllor rhmugh hit o. hF o$fl dplovc
<br />Folild rhlr rkh iEFD\dffi e mt licd.d t ofi,.d 615l. ltrn$as tlt htiui,s iq.naE i beld wihtoE )a
<br />oro"graln O. tX* O,Uo *dl hlE dE hnl, of FDritB lh. h. or dE did d hild m tso$ tL ImFiv ft. ttE Ftrttr of
<br />l. 6 o*E otrh. FrFry. u.tlu.'v.lj @dr&ins trnh lcoB.d conrds lo odM rlE FoF (s< 704-1. l]uilE
<br />.rd ltDtusim (o&::l hc Co.lr.crolu l-ictrc L.w d66 nol aPFI, lo e ownd otProFflv $ho buil& or imProvd rh66n
<br />. *'h mflr&r.lor uh Flj.tr. whn. cor.r-lonr) lt6!.d PBd to lh. (ofraroir Li.* tr*)
<br />l
<br />'
<br />rrcn,r! undo rNnn,
<br />D .: ()nnd
<br />rtoRrtr'[a' comPENs Tl(tN
<br />DECIA8dIOTT
<br />I hdct ) .mrf, undd po!h) olFju'r_.rc ofrh. nnh\rs &rIE.rroN
<br />IhrEii{iUmi.n.Cdiard.orcoMnloS.lf.lB@tu$0116.on{EMrn.6FDriLdforbS.(ml7mofllE
<br />tdo. Codq for ih. Ffotuc of rlt rirt tor "tth tlE FEn a isu.d
<br />I h.,-G.,n rill Mi' .i. $.rta- .o,s.Bdh" ilett. 6 r.qun.d b sethn 17m of lh. trh.r Co&. foi llE Ffdlm' 6t
<br />'h. 1,1Ii{1tr(\rtn.Fflr,\\suoJ \t\ \tit.,,, 'trtr-^ r.,tr\. trL.. tr' rt.uil**-c_ .h,*€(?/)r/ovEE.su4{fr-*lol
<br />-l c.n'ry lhar in !h. p-f.mn.. ofrh. *ork for *hkhihB Fmn ts isu.d.l3hrllnor mplov dv Fe. in.nlndnd
<br />r s ro t .om ebjdt ro th. \o*6'comFMion hsr of Cditonq s, *r lhtl if I tlbuld b.tom suhr..t ro tlE
<br />wld' onFsIir. Flriiod ots<rio. l7m of rlE hbor Co{c I Jdl. fonh$ nh o,q t $ nh tb* F\ i.i.N
<br />WARNING idituE lo !fu. *oit6 $mFEr.ion .o!@s. ir urlcwtul. tri sh.ll sxbjdl e otrploF to sin@l pashi! ud
<br />ciril nn6 lp ro oE hund.d rho6.d dolls! (ll0o,q[). i. ddnbn ro rh..or of coir<!.ti.n. .hd3e 6 Fori]'J r'r rh'
<br />sdnn .1076 .f rlE L.hor Co&, h'6d Ed rt'E._- t tc
<br />ol
<br />u(l.rr.tu1l)llB(rcxl)u'1,\tL\fl(r\
<br />I lE t, ,Irm on& Fuhy of Frury rhr I m licoscd urid Fir bion of (.luFd 9 (.omins *id sdion ?uxl) of Diirion l
<br />of rh. BBi!B !d PrtldhB Co&. i mi' li.@ i! in ftI rod dt clT.1
<br />,"*",,,'$
<br />_*"f llzgtq ,-,**€\e ttir
<br />CONSTRU(:TION LENNI'T(: A(:rNCI'
<br />t hd.try rrtrm uid6 D.i.llt of Fju.y lhi lhoc n r odddion bdts .s4! fo, llE Ff(y1:1tr. of lh. uul 6r strh lnir F nn
<br />i$ucd {sd 10s?. civ. ( )
<br />l:ak'r Nom
<br />APPLI('ANT DFCIIII TION
<br />I hsdr afm und.r D..dly or rsjury orc of tlE tollo*i.8 &(1,,.r ioN
<br />Dmhion Panns-AslElor Norifi.trirn l.dcll Rcsuhtbc (l(1.'10, P 6)
<br />R.rtun.1] Ldr6.l l\'lifi(rrrm
<br />I u6rily lhar $. Ld.Elr.xtrlixoB rgd.iin! sb6k)r,ffi\ !l e. nnr 0p9lic0hl.lo rha prcidl
<br />ay rhd I h.E r..d lhn itpltdihn uld 3ltl.lhd rh..bo\. informnlNn i! cond l.*rdl o c6.Dly s h !U C'ry .td ('omrt
<br />16;d sr.r. tNs ahii* lo boildirs coNlru.liotr {d na.6t luliFrt BFstdn6 of rhir ( ity6nd Counlr lo o16 upon th.
<br />ltnrc lFlFEd trbFnt tor iEI,<l
<br />\ppli.inr or \r(r SiEnrr{
<br />,,onirc.,-"rrr.inrr,( ?U\a fllro^^.*lE--
<br />-tw6
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUlnsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Fram ing
<br />lnsulation/Energy
<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 />I
<br />FINAL t a /-a D,IH1,7ee 59
<br />Certificate of Occupancy I I I I
<br />Notes, Remarks, Etc.
<br />.-+
<br />BUILDING- INSPECTOR RECORD
<br />Set Backs
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