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SITE.WORK DATE ID/SIG.COMMENTS
<br />Set Backs 'arForms/Steel/Holdowns ,
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/Eneroy
<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 t1-lrltq DAo0/>+84
<br />Certificate of Occupancy I
<br />Notes, Remarks, Etc
<br />I
<br />BUILDING- INSPECTOR RECORD
<br />()rt\l.R Bl ll Dt R I)tl,( I
<br />I h4b, drm u.da Fdly ot Fjury lhr I m .!dF tun rlE Codr.r6 L{og L.* for ih. lollowi4 rasn (Sa 7ol LJ
<br />OBin* en ftof6$r Cod.) Any Cny or Count *hih rcquc . FDt lo @diM. .nE. ihFovc ddmlith o qrn &y
<br />rru.n& Fr ro ir3 assl,.N. r&. nqut6 rh. .ppltol fo, sh Fd io 6L . !i8n d rrdE thr lt .. rlE i lEo!.d pui.n
<br />io rlE FoviioN of dE Cotu-d 3 Li.trt d t r (Cn.pr6 9, Coffios trnh Sdrid 7000 orDirirb..1of rlE B6i.6.d
<br />PrefBbE Co&) or lh.r lr G ir ir .rdnpr rhddiom ild rlE b.sit to. rlE .lk!.d aanp oo ,{,, violdi,n ofsdioo 701 I t b, Dy
<br />lpglicdr ror ! p6rn $bjctt rh. qglxer to . .tr il Fqtt of mr mr. th6 lir. hud,ld doll8 t1500).
<br />l. s o$M ottlr FDFy. d ny cnplo)6 snh sos6 a rh.r $k orpduiiol! rill .lo lt. rat trl rlr rMm i mr
<br />ins'd.d dofrd.d 16slc (Sc 7(x.1. Boil6od P,nldirN crn TlE C.nrdoi! Li@ lrw<iE'or @lyro eovc of
<br />llE FlFty \r! Uil6 or itrF6 rhd6r nld *tb dc sn w fiiEllor lErll$ rhFusll tn tr lE ou .iploy<
<br />Foli&d rtu sh imFlvffi rc mr it6&l or o,H fitr $t. l[ h6lrt6. dE hril,ig d lig!ffi ir $ld wihh m ]E
<br />of orplriE dE olrc B{'lds vill lIw Ltr hrrdar of Fotrg 0u lt o 3lI. dn mt hitc or imFw tlE FoFry for llt Flpor of
<br />I. ao*Mof rh. FoFry, m.rclusiv.lyconralinS with licoFd contra.loE ro conrEcl rhc pfli..! (sa 7(x4.IldmR
<br />ud tlokrba Codc: TlE Conrrstr\ l,iccosc Llw do6 .or !ppl, ro m omd orpropdy who b!il& or improv.. lhs6n.
<br />uid who .o.rE(3 aor su.h ptujdts *irh r (i)nka.b(t lic$.{ pu6@t to lhc ContBcloir ljc.N tr{)
<br />I @.xdpl ud6 sdri..
<br />woRKFis, conrDf, NsaTtoN
<br />DECI.AEATqj
<br />I hd.5r lllm sdd Fut! of Fjrry oE oarh. folhwiry d..la.rio6
<br />-l
<br />h.E dn vil oinl@.C<rif.d.of CoBar ro SdtuEe f *aI6 onFErior B ForiLd for ts..li\i ]700 olrlE
<br />Lbo Co<la tq tlE Ff(lllil.a ol $. ell lor {'hEh E FDh i isld
<br />-l h.ec &<l *'ill mirr!'n *{rld antidroi '6uaq ! 6qot.n b, Sdb.l7m oarh. t bor Cod., for llE Ff(ffi. or
<br />rL sqt fd rtlan rha Frnn i ieEd M) sorl6- onFqbn iM. .air !d polty nuhbs d:
<br />(diay lh.l b tt p6tollM.6irh. *orl for *'hi.h rhn psd( a &ucd, I 3h,ll mr anploy.., F$n i...r nuffi
<br />s B ro b<orc subj.n to lh. edd conpdudi6n bM of cdifomi! .trd .BN thr if I {ould h.codc lubjcl lo llt
<br />qolt6'codpseliotrprDlnioroots..rio.l7t(lofrh.LrE Co&, l JEll. fonhwnh otudy wnh lho* provi,rioB
<br />WARNING: Failu. b sr. wort6' compsurirn vmsc ir unbwtul. ed sh6ll subitl u on loF b qimintl Flllit rd
<br />c'!il line up ro oE hundr.d rho$dd do lld! rllou,uu.r. m ild n. n, rhfo, cf tnf,p.Bdiun. dtun.*d a pr'trdal for t.
<br />"",,*,,.
<br />/-. --1,11' 1
<br />U([ SEDTANINACIAA
<br />s..ri.n m76.frh.l.rl. r ('.d. intnNr .nJ
<br />DEclrilllotr
<br />I ncby .fld un<l, Frny of Frju., rha I m licaqj "n&r Folilioi of ChFq 9 (om,lmitu snh S.<r bi 70Oo) ot Diuion l
<br />of rlE B6i:B &d arclsbB Co&. rd my l(.M n an ftll fore nd.lTd
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<br />CO!IIA!,I(IA!.IEdDIICAGE!(A
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<br />ir . .odrudion lddos 4fty aor llE Ff(lfue .lrh. hrl fnr $t.h
<br />'hb Fni a
<br />is.d (Sr. 1097. Civ. C )
<br />ladosAd&s:- --
<br />affll(atrr.llEclJaau(x
<br />I h66y lmm uad6 !.nalty o I !.rlury on. ollh. aollovinB d..lettions
<br />D.molilion Pdmils-Asb6los Nolifi c.lion r.nsal Rclluhlio { rilb,10. Pai6)
<br />R.!un d t.tr6of Norificdion
<br />I .diry ih, ln. f.d.r.l r.8lhrioB rcSsding rlBror rff\ il r. not rprl@bl. ro rha t'ftjcl
<br />I cdiry rh, I her red rhu .rrlrd nn sn tlll. rhd rlE .br. infotu id. b cold I rSre lo omply snh .U (ny ..d Counly
<br />ordillmd &d Srdc L.q: ELrqr ro hrildq coNrrud rdh.rt. EF.sdn6 o f lhis C
<br />.bov. odrrn d proF!, for i6p<rirn F,pos
<br />ipplicrnr or ,rgdr Sipn ur.,(LOL
<br />IVry 'ILEZ'*
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