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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 loor/VenVlnsulalion
<br />Boof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/Enerqy
<br />Drywall
<br />Ext./lnt. Lalh
<br />Brown Coat
<br />Masonry
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Reporl
<br />Engineer Final Report
<br />FINAL /o/rd/1?-,M14 ?
<br />Certificate of Occupancy
<br />Notes Rem arFs, Etc,.n
<br />0trI uorz*q oreru,.
<br />_,
<br />BUILDING. INSPECTOR RECORD
<br />OWl{I]f, B1]ILDER DELCATATION
<br />I h.Fbt 0frtrn untt r Fn,lr, .l lErrury 'hr! I m.r.d!'l ft.m rh. GnrkloF l-t..k tiw lor rlr nnb*in8 Ersn ls..7o.ll 5
<br />Butim$ dn ProLsbn Cod.): A.y Ciry or Coudy f,hah qun$ . Frr o sndnrl. .lrs. inqmr, &mlnh or qrt ..,
<br />dr*rr, rrr kr iri i$uld, dvr rcquirc! rrE lpllicur lor $ch Fnnir i,' rik d ri8ftd nsrcft 'h{ lE nr rlE s lic.osn puNad
<br />ro rrE rmvnbns of rlE ConiEtoir Liened L* (Ctunlcr e. Colmrin! rith sNrnn 7lrD or DivnDt I ol 'h. Burims ad
<br />P,$f.\inn! Codoor rtur hc o rlE ir cr.n!, rlEErrom.nd !n tr.ii ror rh. rllc8.d.r.nlrhn Antvi.ndionoIS6rbn7(,JI5hya.y
<br />.mlrr.n' ror r pcirni' subjNc rh. lmli.inr lo . .iv r I p.nalry or mr fr,E rh.n fir. hudrn 'jnlh^ 15500)
<br />-1.
<br />or owB of lh. poFrlr. ir m,.mployt.r *irh sucr !\ lh.t $lc omFnilion. e L!.r
<br />'h.
<br />snk.d r{tElwkn,l
<br />intind, or otrcEd tr rL (Sa 1X,1. auiE(.nd Pibf.$i,N Cd. Th. Cbdrdrt Li.tr lrw &B dn .mly ro - o*tr of
<br />ItE tmrEny v,D lxilllld irrn,B rltE,.. s,n wh. dB uh wrnt hims.lr or h.rull or rhmqh nn or hd own .tpk'y.6,
<br />pmviLrl rhrr och r+n,ffir c d d.rr.d d oft Ed Ir qk l( lnkw, rhr trillit d inv.owffi i( $5 sthi. E )s,
<br />of.rnplri,tr tlE o'rEr auB.. ril hrw th. hud.r or ptuvin! rhd lE d slE dil L, blill o. inpmE th. F{6y nn E F!F,sor
<br />-!.
<br />orowE ofrrE FrFnr, rm.r.luriElyconre'[3 wnh li!.€d onrrtE lo.nnind rlr rmr<r lS(. 7044. aorffijn Pl.6irinco& Thr C6ddt \Lkc.(t*&.rfr lPply ii, d nwnd of proFn, who builds or inprov.r
<br />'h.r.on.lnd who sfltu1r nn tBh proFr! *irn ! (I, &1ono lt.ncd rocud ri' rLc.llnr-loir tjco€ t *,
<br />-l
<br />am.xcnpr uftlcr Scction-. B &PC nnrhirdav,n
<br />Drl.: (lwn!r:
<br />worx rrs' iorrrpr"lslrron
<br />IIE(UaA.rI0!
<br />I lraby rmn unrrcr Fmh, .l Frury oE .t llE ,rnhrin3 ll.\_bn' in{:
<br />-l
<br />hlw .rd r ill nrint.i. r Cdia.x. of Consnt t. S.lr.lMm ftr *rt6 oqrnr.rion. r( FrriLd fu by Sdrim lTlD of th.
<br />Lrlj(, Crn . fitr rlE Frfo.mtur of rh. w)* Io. *hkh llE Fmir n k\ud.
<br />- I ha\ c ad $ill minllin wortcn onwn$r ion i,{ur.Nc. rs rcquiBl hv Sccr i(,n .17fi, nf rh. Iitrtr Ci)dc. ntr
<br />'h. r
<br />rh. {' l rfl *hi'h,hrn(ryur '1r!r{ M} {.4n!.nn{rn{rir m1u,l,n timr rl F,lr} nuf,h rc
<br />,,",,, .5:**f+ C--zlz t4--o.4
<br />":."",@ -,*.-/A-t-/1
<br />-l
<br />enilythrt itr rlE rErfornErcc of lhc *ork for *hichlhn pcrmi n nrEd I shlller ctrqlhy rFi,ninrny.mE$ I b L.etu ilhFr ro tlE wl(r orFrdir lr*r orcrlitom4 $d .!R
<br />'hd
<br />if I {ruld hc.om abirl ro rtr
<br />wllaa sq..sd hn ln,tiiions .r Sc.r ioh l7m of rb. hhtr Crdc, I stull. fonh*irh omFly wilh llrs pmvtionr
<br />WARNINC: lliluE t rs sntcr' oqENrbn dNri. ir unL*tul .id rn $bFr ! crpk'Fr ro dilffil F ltir r
<br />civil lims uri ro om hutnEn lk,uqnd doll$ (tlu)
<br />Sdnn.l0i6.lrhc ljh, Gxk. hrftc. rrromy r
<br />rhe .on .l .on,tNn\rr(n,. dnnlrc\ d\ tnrrlcd nt rh
<br />t)bt1
<br />I lrEby !,Irm !nd.i p.Elry ol Frry rhd I urtny lln)r'\in, ol(-lurrd 9r.onmr'krA $irI S.cIi,r TlXx)) ol l)ivtrr)n:l
<br />li.en{ tr rn h,llhr.. r'rlclli.r
<br />,-t "r,"r^., t C49 ,*14 9c>o4
<br />,,,,.'3)t'ti
<br />I ffiy rfiirm ud.r FElry of Frrury
<br />irrEd (Sr_. 1097, Civ C.l.
<br />Jhn lcndiq lrcEt fq itE Firffi of rh. s$t fr *hah rhir F mil is
<br />Irtrd.t \ Adrlr.(
<br />AfII.ICAILDEII.ASAUA!
<br />IHry.ffmundd p.n.lty orFJury.m of rh. f.lk *h8 &.lanrbnrl
<br />D.mrlir.. P.rnn r A\hrol t{$rif..t ir. Fa&r.l Rc8uld b.\ (Tnk &. P.n6}
<br />-R.quiEn
<br />rlrd ol tldjldir
<br />-l
<br />Grif, rhd rE r.ncd c!:rhin E*.di.ll .r!.!ros EDrJ e tur +rlirbk io rh& t,oi.s
<br />-l
<br />diry rh, I lrr E d rlni rp?ltri,. !i c.r. rh.r rh. .t E hlo rrin i. (r.ci I +E ro ody *nn .U Ciry u, Coudy
<br />.ilrEftc\lnd Stlrc trwr Eliin3 l,) buiLlinS ii'n. {rl h.Ehylurtnlur rqr.cnrltiv$ ofrhN City rnd ( ounry ro.nrn ulr{ rh.
<br />ah'Yc ftini'tud ,nrpcny ftr 'nrltd
<br />,trplirsntnr lKnr SiF{u
<br />l',.-ir," -,-" rp.nr, X .14 a rct
<br />I -2a19
<br />Pool Fence
<br />Flood Zone Certif .
<br />oi rh( ltu\irEs\ un'l hDfe$i()n\ (odc.
<br />(, S t t
<br />It-
<br />I
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