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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 />Subf loorfu enUlnsulation
<br />Roof Sheathinq {-
<br />3tze-18 .Yl,iL
<br />Framing
<br />lnsulation/Energy
<br />Drylva ll
<br />Ext./lnt. Lath
<br />Brown Coat
<br />[,4 a son ry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />FINAL *l-6-D (Lc- r
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc
<br />I ?-I't r,r:irS rnxtol o
<br />\L n Uoz- 3\"-a\ts
<br />I
<br />II
<br />I
<br />a
<br />OWI\Ei BUTLDER DET-CAT TION
<br />I ha*'y JIm ur& Frry of Fjuy ftr I d B.nlF tom Ih Codrxr6 Lilg Lr* ror rlE ft,llosin8 l@n ib 7011.5
<br />B6ilEs rd Prot*n Co<l): Ary Cny or C(dy $hi.h r.qun6 r Fmi ro codM. .ha. iEForq drmluh rqu ey
<br />$nr@Ftr'oit iltl.E rlo lquic rlr +pltur for shFshro 6l..rei.dnra6r $rhorllliliG!.d por$&r
<br />ro rh. Foylbd of 0E Coirrrlq! Lk@!.<l L.* (Grpl6 9. coMins with sdlir ?000 ol Dirition I 6t th. Buil6 Dd
<br />PbaNioN Cod.) or thll lE or lhc L ddpr rh6.6on dd rlE b.ri! tor t[. dlc!.<i q@Fion. Any vioblion of Sdion 70.: I 5 by my
<br />lppli@rlor.Fni$6j4trrlE.ppli.srro!.ivilp.mhyofmlnorcfienv.hundr.ddoll6(S500).
<br />L s oM6 ofrh. FoFry, d nt aoplotG wnh tr.gB s rh.n $L odrFldEn, wlu& Eworrd'd6.nd@iN
<br />iddxlcl tr ofdtd fd rL tsc 7044, BuiB 6d PrDfBbE Co&: Tii Codr-rd t l{qE tr* &6 ml +ply h e of,c of
<br />rh. FoFty wlF hil! G irFo6 rhd@ -d who d66 ixt! *dt hielf or lErlf or lhrcssh hi! or lE om 6r{'hy6,
<br />Folir.d lh, iuch ituFtr\dldl c ml nc'd.d or dH 6r dc l! lb6d, rlt hiuiB d rF.sqrd i' Dld r'.nt c )a
<br />olotprra.! th. O$c A,ilda *i[ hE tlt h,th olFDtdt ir ll c JE dil
<br />'Dl
<br />bdd r,qtE $. FDFi, 6. r F,FEof
<br />I, s olls ofd. ploFy, o .r.luiv.ly .onrrdinN rnh licas.d corlrxlod lo.otr{o!1 rlt Fljd (Se ?0.1.1, ltNiK
<br />!d P,o&siD Co& Tn. Contrrcroi. Licce ltw do6 mt iptly ro M ow.6 o f rroFry eho buil{ts or inpord I h6@n.
<br />&d who comr&.r! lM ru.h Fojdls with . CodEdo(!) licos.d pllMr lo $. Codr!.locr Licc. t w).
<br />I m.rmpt un(ksdion-. B & P.C. for $i! rajn
<br />-l-b>--Q.6==-".,"'3,aS - \k
<br />M(L\B!tl(D
<br />I h6cby .lIm urds pqdry of D6lur, oe ollhc lolb*rB .L.h.iio6
<br />I hav. d uiU tunoin ! Cdliftdc of Coen lo S.lal6uE fo. srta orpsudion. E FlviLd lor ty s<lio. 1700 of rlE
<br />L.bor Codc, for lh. Ff.tuc of llE Nd( for f,'li.h th. Fhil a is.d
<br />I hrv. &d willmlinr.in sorl6 conp.Edion iNuluq u EquirEd by S*ion 1700 of lh.lrbor Co&, for lh€ Faol:llm. ol
<br />rh. *ort for whi.h thi FDil it isr.d My Mrtd omFurioD ilEfu. @!, ltd polky .@ba a.:
<br />C.ffi
<br />Policy Nunbq: IipirB:
<br />-
<br />-l cdiry 0!.l i.0E Ffo,rj1.c of tlE eorl fM whih fiir FEn i! isE( l.ndl hl6pby Dy F$. i. uy trtllE
<br />r atoh...mulicrroll!w 6'@dFlraon Ls of C.iifotui.. ad.!rErhr ill JDUU taom bjcllollE
<br />m*6' @npqetbn rrcvi'ios olsdtiotr 3700 of$. kbo, Codc I ddl, fodn*nh ehpty wilh tlF ptovbios
<br />WARIINGi Fliluc io su. work6' omFlnion covc$. n unhwtul. md !h,ll sbjel m oploFr lo oini.ll Dautb dd
<br />!i!il nn6 ur lo on. hundr.d lhousd dolla (ll i. addirion to rh..oi olcomp.M'ion, d.msc! d provid.d r.r llE
<br />sdion 1076 ofrh.l,[,r('o&, int6.s d
<br />u.*,.2 3 o9- 1Y --Gs<- 9 6.,--
<br />DICIIAAIIA!
<br />I hdltt .lIm o!d6 po.n, of Frur, tnr I m li.qE d urta FDvirbn of Cn prd 9 (@@i'E $ih S<i,n 70@) ol Drbior I
<br />of rh. BBiB rd PbtdoG Coda !d ay lEag b i! tul lo@ !n .,Id.
<br />Conlr..lo.
<br />co!$alclloNllNDllclcllg
<br />I lEdy r,IEn un& Frty of Fiury lh.r lha. it . @ni^Eibn ttdi.g r€sE, lm lh. Ffoffi otllE rsl 6r *lid! rhi! Fni ir
<br />i$u.d (Se. 1097. Ci C )
<br />AfTUCA I,I'ESdAAIIOB
<br />I h.dt lrrn und6 F.dr, of Fju,y or of rh. louowins &.hr.rioa:
<br />Damh6tr P@ng^rbdot t{orificdior Fcd6.l RqlluioB (l nb {0, Pm6)
<br />R.q!i,!d tdE o, f*ri6.!ion
<br />I cqlit, lhd rlE f.dsllrcsuLrrcG tsddr.s ah6rd dor.l -. mr applic.bk kr rts For.cl
<br />I cdilyrhar I hav. rdJ rh6 .ptlicdion ed srd. rh.r
<br />ordinan.d md srar. Llsr rhiing to hildinB coBlr( i,'
<br />rh..bv. infomdion 6 cor(t I a*rd ro snply wnh all Cily ind ( ounly
<br />n. md hs.by !u$on7t rqrtsrarild ol rhis City md Cou.ty lo ql6 urFn lh.
<br />G--- n. 2-o5 - lt .ffiffiffi;Lu
<br />BUILDING. INSPECTOR RECORD
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