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SITE-WORK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />Subf loor/VenUl nsulation
<br />SLAB Floor
<br />Roof Sheathinq
<br />Shear Wall
<br />Framing l.t-Z? - 11 * 16>
<br />lnsulation/Energy
<br />Drpvall la-23-lq
<br />''r.P
<br />tot
<br />Ext./lnt. Lath
<br />Brown Coat
<br />It4a so n ry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Flood Zone Certif .
<br />Enoineer Final Re port
<br />FINAL W.r?-1a l*;r<l to
<br />Certificate of Occupancy
<br />OWNII BUtT-I'EI Df, ITARATION
<br />I hscl,, .lfm un&r pdalry .I Frjury tha I e adpl Iiod rhc Contrxlo^ Lic* lJw lor rrE followrg ,.&n (5(.7011 t
<br />a6,n63 ..d nof@u ( od.): Any Cny or C@dy $lrth rlquc . Fni ro @,unxl. .t6. irDp.oE &rclilh 6 rp- x'
<br />tuu., Fior ro it! b.@.. .ho Equi,q
<br />'h.
<br />rppl.ul for uh Fai ro liL..ig..i inaMr rhi tE or dE i licd.d tr$!
<br />ro $. t'osioE ortlE Co, dd! Lr.B.d Llu ((-i4(s 9. Connfths wnn Se1i)tr ?.J00 orDivBrcn I of rh. Acir 6d
<br />ProldFB C!d.) d $.1 lE or tE u crdpi thd.6om !,i rlE b.b aor th..lL8cd qanp.ion An, ti,Lli..ofs<l.n7011.5 bt&'
<br />lpplicer for . !.mn Nbjetr th. arghcdl
<br />'o
<br />. civ il ptuh y ilml moE lhe fiv. hun&d doll$ ( 15001
<br />L a owo6 ofih. FDFrr. or nydDl.tB sirh w.aB G lh.t sL omFndion. *,lldo rhc wl "nd rlE {M@ i! Rt
<br />ddrL.t doiid.d lor eL (s< 7o{-{. auli,B -d PhldrB ciL: Tn Cmd{tliueI.*Jo6dirpbloeo*Ecf
<br />rhc pDFrv elr, hlil(t ofunFole lhda( rd who dE $ch u'Il hinklror hGlf or lhFugh hir u h6 oM dploy6,
<br />Fot'd.n lhn sh imrrbffied ir.i.ddolbld tuel..l( hoEs. tlE hildrB d lrFll€rH irddwihhw!-
<br />orconpklio( tr(,l*id &!lds si[ lEw . hida ofFrMns dlr lEmiEdiiml ttiE or ihprow thc FoFry tur E F,Dosol
<br />l. B oxG ol rh. FFr,. m qcl6iv.D adrdfu rth lica!.d conrdm b odrd llE FoF (56 70,rt. Bai6
<br />ad I!D[3!.r ( od.: T1. cootrarofr LiccBc Llw do6 oor rrplv lo e ownE ot prcFny *ho build! or improv6 lhoatr
<br />$d sho oddr lor $.h F.F3 trnn . C. 6!ons) lt.,sd pIlld ro llE Codmd't Lt6e l^ )
<br />- I m.rmF urd6 SEtirr
<br />traatrE85:(oMf[lsArla!
<br />DICIJAAITO!
<br />I k.ry .mm onda Fn ll! ol Flury on. ol lh( aolLs ,V d..hrilhB'
<br />I hrw dd sill flidrh I Cdift.r. of aoMr b S.lf-lBur. for Nrk6 corrds bn. D FoviLd for br S61aoi 1700 of llt
<br />lrk Codq for rhc Ff()lll1re of th. $qli for whf,h rhc pdoit i! ie.d
<br />I hr\. rtr'i * ill m.rnrai. $0*6 .orp.Barion i6!r!nc.. 6 ,.quir.! b) sdxon .17($ or rh. trtrr cod., nn rh. Ffdmd.. of
<br />rlE NrI tor rh.hlh6Ddh( ! (tEt Mt *dI6'c.mp6srn
<br />/.^" Zt-'^t 'cA'4",",,.n,o qjc 36(.) Ll 67cx'
<br />ilva( sir rn pok, trubc G.
<br />",-, tllhi>
<br />I Erib rh, in rh. Ffolmx. olrlE $!rk ltr trhrh rhn pqin i! i$.d. Lrll mr drphy &, tE&n an !t hDrlr
<br />s a lo b<6f,. tubj<r ro rhc *0{6' coipdsd 'o! Lw! o t Crhfomi,, ed !t|E rhll if I rh.uld bdom. ubj6t lo tfi.
<br />mlt6.omFMionFov6kNofsdi.r.UtrOofrlEtr!,CodcIidl(nhuh@ndyrnfirhorFlvtoB
<br />wARltilNcr ltilG lo s@ eorl6' cornp.,sdioD corElsc s unl.wtul. ud 3lEll subjd o dploE lo oiminrl FuhB Dd
<br />.iril 5E up ltr .m hurxtr.d th.Bd d.llE (llm.mo). in rrlnhn lo lh. cor ot cnmrE@lntn. {i!@r6 a Fovxl.d for lh.
<br />S.crhn :l(,76 ofrh. Llbor ( odq iolod ed
<br />X.,--re - t1 -lq
<br />NECLAIATION
<br />I hdltly .lrm u,lda pa.t, oa Fjur, 0!{ I @ ticqlcd 6ds Fovirb. of CIElra 9 (offiu{ *nh Sdlbn 70ol)} of Druo! l
<br />of rhc BBi6 ltd PDtir.bd cod.. ai oy li.@ b b tuI bc rd.fli.r
<br />"* 6*c
<br />-+-ll-1-(
<br />tq
<br />g^x (
<br />I hd.hy ,mrm undd Fnrhy o a tEjury lh,l rh6c n r odtud i.n knd,ns lsocy for rh. FfolMG of lh. *trt fo. *hih $6 ,Enr a
<br />iqEd (S< !097. Civ C )t6di.! Nm.,
<br />apPr rcatT nrcr ^rl rroN
<br />I hsd,y aJrmu& Fmlty of p.rju.y.ft of rh.follof,ing dEbdionrl
<br />Dnelni.h P6f,i}^.b6ru Mrifrdr,. l6da.l R.euLhN Onk 40. Pel6)
<br />R.qri'rd ld6 of r(rft.lhn
<br />I cd'ry rfid rlE Ld6rl .c*uhrnN r.lrrdas abdos @vrl 4 d @lt.bk 'o
<br />thi FsFl
<br />I .drt rhd I tfl. iad lns lrdidFn En ,!t. rlld lh. rh,r. infonnrior n cooEl I lrrc ro corpl) wnn .ll Ciy .nd Cou.ry
<br />orJinan.B 8d Sllrc lrss EhilJ ro blildinr. conc dion. dd hd.+ry !ulhr;! r.Ferdir6 dathn cny Md counlylo dls ullh ttE
<br />.tn\. ffi hnd tmFn, for usF Kn
<br />y'ppli..nI or \rd,l shmlu..\(\c o 11'
<br />\){t \q
<br />BUILDING. INSPECTOR RECORD
<br />Notes, Remarks, Etc.
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