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SITE-WORK DATE ID/SIG.COMMENTS
<br />/,--..\
<br />Forms/Steel/Holdowns \.vtjd)
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Sublloor/VenVl nsulation
<br />Rool Sheathing
<br />Shear Wall A
<br />5-2X-4"VIIA
<br />lnsulation/Ene 5"^-lq bnMi
<br />Drywall U
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif .
<br />A\
<br />FINAL ?-1-7t KILD\
<br />Certif icate ol Occupancy " tu7
<br />W4
<br />!
<br />d
<br />"
<br />tltN d 11,."6!/rJ
<br />: ?JeV3-
<br />/t4a l*Yc,v
<br />lttl
<br />BUILDING. INSPECTOR RECORD
<br />OWNET TUII)AI Drl,CAR TION
<br />I h.Eby rlfirm und.r n lryof ,rriurr rh{ I d.\.hd tFm rh. Conrthr' Lilnr l,w fitr rh.lolli,*r3 Esn(Sa?L.trt
<br />Bunn s uBl Profc$ion C*ll): Any c y or cl)u y rhrh EquiEs ! Fm[ ro onnrucr, drd, impruE, d.mlBh or EFr uy
<br />nruduE. rr" tr, (s 6rue!, rls Equr.t rtE rfl,l.rnr ld run F@r h tu . reEJ !t!r.Enr rh.r lt ot rlE s lEn€J puN.rt
<br />b rlr Ir)vFnN or rlE Co.k-td < LNn€tl L.w (Ch.olcr e. C$n@nn8 w h Sarir ,Ol)0 ot Divn.h :l or rlE Burtr( .!n
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<br />il'rn.rni l,n r p.mr {$Fh rh. .rplr.nt hr t.rvrl n lly.lrn mrrc rhm tiv. hu*lrcd dollr! (55U))
<br />l, .r .verorrh. F,Fnr. or dy cnfr,y&! wrh wl8.. !r rtrtr $k.rn{x,{rNn. wiD &, rlr w*I.,rl tr nurE ( n,
<br />lrcdql q oltcEJ n, d.l5-.71x.r, Burcll.rd PrDLqE Orj.: Tt (i,nre'oi( lf nr llw UE! r, !t l,
<br />'o
<br />u ovFr dr
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<br />ptuvrlal thd ruh irrlrt'wd! E Di ! .nlal dofi.rd nf, qL Il how. tlE lltlllE t, lqnEft !$!r.hn(FFr
<br />o,Lrq'lcrrn rtE O*mr Bu'lh *iI h,rc llE hdo olFrvhr rhd,ror rlE 'lrl nn t!,Il or EFrt rt Ontd, ntr0E IUF{of
<br />-1.
<br />1\ n*8, of rlE F)Frly. o.r.brkly ronldrg t{h lf,.n.d .. t-rs ro lan{tui rlY lnFd (Sa ?0'|.. Bulds
<br />$l El*:ruCal.: Tn C,,drdor. Lk.nt llr dB n{ .tP|, n' e.tn., orFolky str hn'!s or 'n{nNr *m)n,
<br />.nl qh (.dtulr rtr.uh F,i{k *rrn t conido(t l(n€d [u6@r brlE Co,rral.*'r tr.n$ tlw)
<br />l.m.r.mr* uBLr Sc.r!,n-
<br />Drl.: ()*rt:
<br />!t!8f,E$:Sq!tfE!sdr0x
<br />IECI./IIAIIO!
<br />I h.rct y rlln.unds pcnrlry ol Frjuryok.r 'h.ldhwr! tl.(l{rrbnr:
<br />-l
<br />hrR Jn *,ll mmrrr r Ccnrlt{c dl (i'nrnr lo SclllnsuE nn wort.n' omFnuon. .1 F.vdcJ l hy S.cl$n lTlx) .l ih.
<br />lftrn (irrc. ntr ihc lf,rl.mDn. of rh. kllt n{ *t.httE Fmn $ 6su.tl
<br />l.cnrlyilBr inrh. p.rlormtu.,n rh. work Lrwhf,hlhrtsmir is tsu.J,l rhall nor.mtl(), rnypcron rany muncr
<br />o as n, h.(onr ehidl1,,lh. u,rl.s .on{rnsNrk)n h*! $i (lldom(.nd r3N lhar if l rhuLl l^Lom suhr.i ro rrt
<br />brr.r rrr{tnsr kr pnrvnDns oI S(r[i .17(x, of r h. lih, (lrL. l {EIl. bnh*rh coq)ly * h.nr(0n,Y!!ri
<br />WARNIN(; l.nurc t' $u( w,rtc^ a,frFnqr
<br />.Ml lik\ uI nr irc hunlr.J rlx)usnl Jolls l!
<br />Srri,n nr16 or rhc lrh, (irlc. mr.dn md rnorm
<br />o"n,ji)7i-!L+ot*
<br />L rhrll rubjftt i. .riptrFr 6 6mnr FEla ,n
<br />r{ of &qrnuon. Jtm8.! r5 p6vrl.d f rh.
<br />IASA8AIIAN
<br />I h.Ehy rlltn uBlcr F liyo, p.rrrry rhd I rm lNnrn ud.r Frv6n. ol Ctufld 9 (ollmturt *irhS(irnTmOrof D,vnkr I
<br />.f rh. Aurm.s ind P$Lson\CoJc. lrl nyh.ne tr o tull ntre.nJ.llNt
<br />6 L ,7
<br />,"3-tz- t'l
<br />66alrr (t{t)(lrNsTI(t ( l lrr\ l.t:\lrI\(; ,\l;lll( \
<br />I lEr6y .ltm uli.r FEIy or Frpry rhi ltft 6 . otr(u'lnn LdiIs .FBy fn tlE Flm! ot rlE *xt tu snin rh! Fir i
<br />rsan(sr..lo97.c'v.c,
<br />tJnlca( Nrtr: _
<br />L.ndci\ A tt.s:
<br />alSr.lgaNlDacllEAulN
<br />I hddry rn''m unJcr Fnrh y or Fijuty om .r ih. lollovrn3 d.tlrnr rn!:
<br />l).n,l($n Pcrhnr Ash.nDr NorificllIn lcd.r{l Rc3ularrn! (T 1.40, Pan6)
<br />_R.+ftrl lr(.r uf lldrf..lDn
<br />/4d,ty rha rtr rc,Ld rsrlrtrnr r![rn8 .\i*<tn Ffr,v.] e nn {,rll.hL t' rhr lnlrd
<br />rJruRrirnd Srrr. Law\ Elrrt n'l[rhlnt !h.r.6yturhtru. FF.cnrdrv.l (n rhf C,ty u! (i)unryro.ird lFrrlE
<br />l|r,r tr.ll,FJ rDp.,ry rf, hrFt
<br />Set Backs
<br />{ -t"1
<br />Framino rftr
<br />T-Bar
<br />Notes, Bemarks, Etc.
<br />-l
<br />hlk !n i wrll mrkr *o*c6 .onn n$rM usunrc. rr Rlund h, Sall'n ]7m or rh. Lrhor Cur., lor rlE Frftll F-'. ot
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