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SITE.WORK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subfl oorA/enUlnsulation
<br />Roof Sheathin
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />all
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Mason
<br />Pool Fence
<br />T-Bar
<br />Handicap Requirements
<br />Deputy Final Report
<br />Engineer Final Report t]
<br />Flood Zone Certificate
<br />FINAL
<br />Certiflcate of Occu
<br />Notes, Remarks, Etc.
<br />Ohd-Buildd Ddlr.ri6
<br />I tott, rmm und6 Frlty ofFjuy 0tn I !n .xanF fo.n rhc Crn .1c' Li.!e Lrs f- otc following lalo (3e.703 l.J BuiiD6t
<br />dd P6f6i6 Co<L): An, cir, 6 Cdnty *hi.h Eqrlr.' . p.nn io cl,:ful 1116, iEFovq rl.mtith d Ep& uy rtlcrqc, Fid ro irtit'rc, .ls r.{!i6 th. Tdiou fd rld Fh! to fil. . .i8n n rffii tha hc d .tc it licd.d p6er ro rh. Fwti@ of rh.
<br />C6E-ld'rLlcd.dt (Cl+la9, Cd!'EBin!widt S.dld 7000 6f Dietid 3 of6. BGins 6d Prcfoi@ C6d.) q rl h.*
<br />rh. ir .rqnli 6@tn md tlE bqt fa d!. .lle8d aqi9d6 .Any viol.de of S..d6 70! L5 by sy rp9licrt fr r Fmil ,ubj..n rh.
<br />.ppli@r to . civil F.lt/ of ic. nm thh 8E h6dtd doll$ (tJ00).
<br />_I,s omr of lh. Fq.dr, d my ErtPloyd ridr u86 s t.ir rolc .@F!.ddr eillrb IhG rql ud rh.3lructwc iuot i Gnd.d
<br />d ofcr.d fa ..t. ( Sc.?04. Euit6 md Prefaid Cod.: Th. Cdt*rd t Li6c hw &,6 ro( .!ply 10 { oh.r of lh. prop..ry
<br />*,ro bdldt (i F!6 6a6, nd wio <t € sh *dt nitu.lad ha*Ia@ lh@8h hir d tq oh snploy€, povid.d lh.t.o.n
<br />inprcvmaE c not hladcd 6 ofi.Ed fd rd.. lf, how.v6, ri. buildins or ihprcrllmt i, sold wnhin oft y of.onpl.rio., rh.
<br />Om6.Buil.t r wiu trv. lhG trrdd of prc{.8 thrr h! or 3h. nor hild or inpoE fd rh. purp6. ofu.1.)
<br />_1. a M6 of th. FoFtr, m Gctrlv.9 Mtdir, wnh [a.t d 6fut6 ro 6.rr!cl rhc Fojer ( Se. ,o:ta. Blrird Drl
<br />P.of.tlion Cod.: Th. Co.lrrdodt Uca. Llw dd not !p9ly !o 6 oM6 of prcFry rho buil& a iriplDvB rh6d , dd who
<br />cdu&u ror 3uch prcj.cn rilh . Coifuro.(, licd.d Fnwi ro rh. Contrrdat Li6s l,lw.).
<br />_l m cxmpl u&r S..lid .-8. & !.c' fff lhir ra@.
<br />WoRKER.S COMi'I!SAATOii DtCt-A&{1rON
<br />r hc.b, .llim 6da F .lt, orFj'r, d. of lh. foll@ina &dr.d@.
<br />_l n E 6rl,ill ht/rbh. Cadfid. of Cder !o Sdf-b'w f6rqt6r'6rFEr!i6,3 Fo,id.d fd by Sc.ti@ 3?OO of ih.
<br />LrlocCod., for dt Ff6.tn ne of tc r..l farvhi.t tic Fnit ir iu!.4
<br />_I h.E sd *illndarin rata' csrponttioo in sru6, .3 Fqlitld !y Scrd@ 3700 of th. Lrla Cod., fd lh. psfcfue o(rh.*ot lor rlic! $it p.rhit It l!,*d, My rqt.rr' cnFd.!i6 ilttlme oi6 ed poli.y nmb.r rc:
<br />(ni!,dd icd
<br />J*r,r*^'or b. ffiplcrcd if rh. Fmir ir fr oi. hun&.d &llo ltlm) n
<br />thc Flo|tM.. of lhc 36t f6 ahi.h drL Fmit ir inu64 Ib6s!tlbjctroln.wt6' cdnp .ti6 lMof crlifmi.,6dr8Ethrl
<br />cmFrrldo FDvilior of Sduat
<br />-a
<br />WA-RNINGi F.ilw b !.c@ r6td' c6po{d6 @vds.,t nploy.r to qimiill p.fulrid ed civil
<br />ni€ rp ro 6c ho.&!d rhol6d dru6 (l loo.ooo),h rddidd ro lic 6r of c6pd.rih,
<br />$e trbd Codr, intaql rd tro.n.rl fc.
<br />& p.orid.d Id $. Sccrid 3076 of
<br />I h4by !flim und.. Fn.hy ofpdju., rhd I 6 li6!.d un&r prcvnio ol Ch.Fd 9 (
<br />rhc Buiino, ed Pbfdnw Codc ed my licdo ir in full fd@ .nrl .Oer.
<br />6
<br />I h6.ty lfiim 6& Fdty of Fiur} illll $d ir t @ri.u.1i6 l6din8 .8sq f6 rh.
<br />inu.d (S... 109?! Ciy, C.),
<br />of lhc *qt f6whidlhnFmitir
<br />AIIUCANIIDDCI.AIAIIO!
<br />D.molni6 Pctltr-tubdrot Notificldm fcd.-, rcr{l.riod (Iid.
<br />_R.quiEdarnqof Noinc im
<br />6)
<br />Cily dd Corory ro hr.r upo, rh.
<br />EUITFE
<br />Eiry
<br />BUILDING- INSPECTOR RECORD
<br />F--+---F
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