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SITE-WORK DATE ID/SIG.COMMENTS OWNEI BUILDER DEI.C iAT('N
<br />I ffiy .ffh ulild Frty of Fiury thi I n adnF to6 rlE comrdO Ucru t * for rb. 6lt wi.E l@! (Sc.rol l.5
<br />auiK &n PmfdbD Cod.): tuy Chy or Ced, shih rcqun6 . Fni lo @tdrur. ds, 6p.ott daetn or EF, ,,
<br />3rrud4 Fni ro il3 ililee &o r.@6 rh. n lter tor $ch Ftin lo 6L . 3A,.d nioFr rhd lE or iE i! li@.d ptBld
<br />ro thc FovirioE of tlE Conrlcrd! Lic.nDd llw (Ctlprd 9. Codnming *irh sdiotr 7000 of Divilion I of lh. BuilB 6d
<br />Pofdionr Cod.) or rhn hc or 3n ir a.mpr thqcfron rd th. buir for th. .lk8.d ddflion. Any viohtion oasetb. 703 L, b, my
<br />+plicur for ! Fnir rubj6l3 tnc lp9lic.rr ro ! .ivil p.dly of nor erc rhr. n!. hun&.d dou&! (!r00)
<br />-1.
<br />s osG of rlr FoFty. 6 o, oplor€ *nn *re6 c tt t DL snp.,Eriotr sil & llE wrt -d dE {rd@ ir Er
<br />illad.d d ofi6a, tu .1(Sc 7O+4. Buir itd ProfdioG Cod.: Tt'. (onicd'. Lile tn &6 bt +ply 'o
<br />o ow or
<br />rh.FDFq *tD hritl d i+o6 Ean rl *,ho d6 nd' **r hiNllor hd-lfd rhreuah hir r lE ou.4by€,
<br />FotiLd rlE sh iI!.ovqrdr E tEl nsrd.d c otu 6r rL. U. ll]lw. lt hilios d aryoEd a sld wiii! @ )r
<br />ofcorpttb! 0E Orc Buil& wil h.\t rh. hnt rof FDvirg fi. lt or iE dil tur Uild d nrttoEdEFDFi,6r tlE F,Fs of
<br />I. s os,6 ofrh. FoFry. o ercluiv.ly codr..tins {'irfi licdEdl co ralo6 ro odetu( tE Fojc.l (se 7044, B$Ir
<br />.d Ftllsin(b&: Th. cortrdol! Li.@ t * &< rct @ly ro M o*.s of FoFly who boild! or inFov6lh66(
<br />ud $lb ftffir for sh FDlcrl wnh . Co rEIo(r) lia!.d pu,!u.d ro rh. coffid't lIoE l,w)
<br />I eddd ur&Sdir! .B.&P.C lDrrh. .*t.
<br />Dir.r 0r.6:
<br />sllBxEE aMl}:!SAUq!
<br />DEC|dAAII]!
<br />I h@by aflinn urjs Futty ot pdjury o.. o r rh. tulbwinr ddl&6rir)B
<br />-l
<br />h.vc tid *itl inr.nr . Cdrif.l. olcolgr 16 SdfilE4 ld wlat mp.N.rio4 E p.DrlLd for by Scli,. l7m olrh.
<br />L.bo Cldc 6r ll! Ffrrc ofdr sn fti *taa rlE Dd6i b i.u.d.
<br />_l t$..nd *ill tuDrd wort6 comFMbn r,M.. 6 r.quiEd 6, sdrhn 1?00 of rlE l:tor Cod.. fo. rlE pqfollln. of
<br />rhr *orl ior tr h(h lhB Fnn ir isxn My wt(.r' .o@@.bn m ffir rn poky ndbd ft
<br />Nc,-Sl.^\p F,
<br />0o 9- gq1
<br />I .arit $d in tlr Ffolrffi. of llE ro* ld gtth th! FEn ! BU.d. I $dl mt drpht my F$. in Dy ffi
<br />s clo bd@. !t*{r ro rh. rqr6'@oF6rFn hB of C.rifomi.. .nd.gr $r if I nDUk baotr $bjdt ro llE
<br />wlt6 orFlnion Fotirio6 of s,erba 1700 olrrE t t . Co<L, I td!. aonhwin omgly *nh tlIE Foyiii'B
<br />WARNTNG: t.illE ro s@ *uI6'onFErion ova.s. L uLstuL !d 3hrll &bF o 6pbF
<br />'o
<br />aiBirl FEl6 rd
<br />.ivil fn6 up ro .rc hurd.d tlruerd &lld (1100.000). in .dd i.n lo rh. cos oa comFBiion, tlrruSd a Fovii.d for lhr
<br />sdlion 1076 otrh.lihor (od., inrr6t sd ntr
<br />,.,. , \f tg lt(L.l <-N
<br />DEcrltarlotr
<br />I h.rtt .tftn uib pa.r, of Fjiry llr I o li<td urdd Fviir otcllpia 9 (o)l!l!1!ro8 ${h sedo! 7000) of Divtirn l
<br />ot ttr BcilB !d Prol6i8 Co&. .il D, ltcc 6 n tul foc tn.ftd
<br />l+tltgsncL(
<br />,,.," ' rf rt| &,",***g_ \l t:
<br />cqlllal,tcl:lq!.LEulllGlcElc
<br />I hs!6y lrIm udr panly of Fjury lhr dE! i . oD*rrlib Ltdi8 .Sc, tu th. Fforlte. of llE wrt f,r. rtdr $ii Ftl .
<br />is)d (Se. 1007, Civ C )
<br />AfIIICAtrLIICIJSAIIO!
<br />I hddy.trm und.. Frhr of Fjuy oE of llE folh*hs d6b.lio6
<br />Dablitioo PmneAlb.s@ Norifsri,n F.(b.l R.auhi,6 (TiL,t0. P.n6)
<br />R6qun.d t raof Ndiidin
<br />-l
<br />caiS rhd rh. tcdaal r.sularioB Egddins ab<ros rmovdl e nor q,pli..bk lo thi pej.cl
<br />-f.dil,
<br />fin I h.v. @d th; .9pli.n io. a'd r[r. rhd rh. !hv. itrIomd'on b .@nrl I .ge lo Nmply snh .]l Cny ..d ( ounly
<br />ddiM ud Sr1. ljs ELrq ro boitdiq coldru.rrrE rd lEclir ubrn. ,.!.6.rnniv6 of rhn Cily !d Couty lo 6td uFr l,E
<br />(--.,.- _
<br />C e.i c-
<br />*__ I \ 9,1!t
<br />.bo,i l6ri6..d preFry rd traFtio.l2gi
<br />^-[.-, n. nt-, st-,n. * ( '
<br />,-n--r.,rnr,, K C?, (.
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subfloor^/enUl nsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handrcap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif.
<br />/a Y.UtrtI
<br />Certificate of Occu n
<br />Noleg, Remarks, Etc
<br />)t.I
<br />4
<br />t I lJl
<br />v-
<br />Sr
<br />I
<br />\x
<br />I
<br />rl I
<br />I
<br />BUILDING. INSPECTOR RECORD
<br />-*pi*.
<br />I9
<br />FINAL <-1t
<br />l '{ --:El
<br />I )
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