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SITE-WORK DATE rD/stG.COMMENTS <br />Forms/Steel/Holdowns <br />Erection Pads <br />UFER Ground <br />SLAB Floor <br />Subfl oor^/ent/lnsulation <br />Roof Sheathi <br />Shear Wall <br />Framin <br />lnsulation/Energy <br />Drywall <br />Brown Coat <br />Mason <br />Pool Fence <br />T-Bar <br />Handica Re uirements <br />De Final Re rt <br />ortEnineer Final <br />Flood Zone Certificate <br />FINAL c 8-43,, 556 967 <br />Gertiflcate of Occu <br />Notes, Remarks, Etc. <br />Offi-Buildd Dcllmtio <br />I hdb, .fiiE uidr p6dry of Fjury lll.r I a 66F fm lic Cdtrdd' Lic6r. llw ln d. fouorins Boi (G.?031.5 BBinq't <br />Dd Prefdid Co&)r Aiy Clry ..coury vhict Equn , r p.inh to cdsElcl,.11d, imFor'.,.hnolish or dp.i uy r!{crE.. Fid ro it <br />i$re.,.L. n quiE O. rprli.d fd rf,lipmn lo fi1. . rind firanat th!l! h. d.h. ir li@r.d ,uBlal to lh. Foviriot of tt. <br />C6r&td,! r.iclE d Lr (C!.pir 9. Cdt66dna 'irh S.di6 ,000 ofDivirifi ! of&c Bsind 6d Prcr.li@ Cod.) d lt.t h. * <br />rh. ir dhgi fi@fin ud lll. t-L fd dE .ll.&d asnPrid -^tr, vioLu@ of Serl6 70r 1.5 by oy rpplidi l4 . Fhn ru6jxB th. <br />qpli@i to r civil podty of roi mo!! du, fiv. hun(H dollru (1J00). <br />_1, ! om6 of th! Ft at, o.nv atployd rilll wrs6 B rtcn rok.oipG!.da\ *lll.lo thc dt md 0'.,rr{.tur Ir Dor iflddcd <br />or o(fdd fa .d. ( 56.704,1, E lin tr lrt Bof..ri@ Codq nl. Codn rorl U.alrc Lo doa rd .pply to o o*n6 of $G !.0!6r, <br />rho buil& 6 is+(oE rhaw! rd wl6 dd rBn rdt nirlf d hd.lf c rtNth hit 6 hr om 6doy6, pon&d rna sh <br />imDroiffiu s! nor Int dd.d o. olr6d for rdc lf, no!,.v6, O. hildlru d intFaan6t ir rold pilhin onc ym of .mpldio,r O. <br />O*n6-Build.r dll h.E tb. hrd.i oa Fwht Ih{ h. { th. lor blild d ihFow ad $. purp6. of trlo. <br />_I. a oms of lll. p..?6t , n qclqiv.ly qir*tl!8 wlrtt ll@.d srl6 io.!rnu.r rnc Fojat ( sa. ?oat, &air6 ed <br />Plof..rioi code Thc C6rtcd'r Uca!. Lr do€ r.. !I?ly to e 4!E of Fopaiy rho buil.b a in rmv. rtffi , Dd who <br />dE..lt f ech Fojc.n *idr . ConEso.(, lien!..! p{nut lo th. Cdtr i6ar Uc6t hw.). <br />I m dhEt ud.r Sed6 .8. & P,c. fa OL lEo. <br />UOBTEf,ICAICINSAIIqN.UECIJBA:IIQN <br />I hd.t'y .flim lada p6dry oa Fjuy 6. of th. toll@i.s d..lrrid: <br />_I hlr &d *ill rr.lDt ia . Caiifi€r. of CcEr io Sclf-l@ fo wtd' .ornp6.lrrd! a Fevi.t d fr b, Sed6 r70O ol rh. <br />t b.. cod., f6$. Ffqma6 ot$. *qt fd*hicn 6. Fnit ir latcir <br />U..e Cl.r,- U€ll. NuiD. _ <br />(nir Ed@ nc.d.o. b. dttpl.cd ftt Fmit b fq O.G hqdld dollE {3100) q ls} <br />_I c6dry d ino.,rfdDlrc. ofd'.wa* rriffct lnlrp.rrhnn inu.4I rhdl nd anpl.y &, p6roll h rI, nBM$r' ro <br />b..aft tlbjcc lo 0r. rstd ' c.!i4arrd@ lrr' ofc.lifdii., 6d {rE ln.t lfl tidl.l t cdr. $bj..l io ltc wdt4' <br />.drpdr!.ricn FDyidd ors..rid 3?00 ofthc trla Cod., I rhdl. hn vilt cmply ri6 ti4 Foyirio.t.. <br />WAAIitNCi r.il@ lo ..c@ rdtd' .mpostio .orq.a. k @ltetul. ed rh.JI tubi.d e ddoyd ro oininrl pdd s r .ivi! <br />fir6 irp ro @G iurtld rhoted &lkr (t100,000),ii ..ldirjo lo rh. .d of cmp.E.do, d.Ns€ a Fovid.d fd rh. scclio !0?6 of <br />rhc t b6 Codc, int r.r lId lnncf 'r fcc. <br />UCEN$D.CANI8ACIAES.ODCIdSA d <br />I h6cby fim md6 padt of prjury rht L,n licdd udc p@vilioo of Ch.pGr 9 (col]lMdns *irt S..lim ?000) of Divilid , ot <br />th. Bui,6 ad Ptufadw Co<,., ed my li6r. b ln full f(m sd .fi6r <br />o" .4-, ,,/a t( c*"*-. <br />--)/ <br />CONSTRU.'iIO LINDING^GENCY <br />I h.l*, .fiim md.r p6dry of p€juy $1 66 it . orlrlcidl ladiir rBatc, f6 tnc P.rfalM.. of ltc wrl fo. whid Ut Fdir i! <br />inu.d (Scc. 1097, Civ, c.). <br />aIrpLrclNI.,S Df cLrxrrTtont <br />Dqmlirim lmlt!-Atb.na Notllc.dor 8.<ldd lc8uhrid Gidc 40, P{t 6) <br />_ RlqdEd r.tE o(Irodfrcnim <br />_l qliry 6d $. fldq.l ,lsNrLid EFdi,l. .b.tt€ lqlDEl N io! .frlloblc to Ihi. Fojd. <br />_ I calit 0nt I hry! iqd ddt $licttlor od .t& 6( thc .!or hfqrldlq ir cF.d. I .sc to cdlDl, wi(h .ll CitI ixl Cenr, <br />ddin6€ Ed Strc I.w, ddr! ro hl&Il8 co nEdo, &d hdlly mlha|:! GrrEaltniE of6b CiV od CoIlt, to arn upd! rt! <br />oE ffiriod !ro?6ty fd hrp..d6 prpor.!. <br />^ppri6r <br />d.s6r ri&: - <br />I ' rhq ,!=Sor.Zad <br />BUILDING. INSPECTOR RECORD <br />Set Backs <br />Ext./lnt. Lath <br />_l hr..!d *ilt tuinnin -crd' .ditFrnlid iNrr@, a quiltd by S.dio370o of thc r,tq Cod., f* Ill. pqfoll1.e of $. <br />rqt tn wlid $it F,l[t ir ir!.4 My ,!.td' anp.urrid iI!llt*. oiq sd lolicy idta E: <br />I <br />I <br />I <br />I <br />-------T------ <br />t <br />t_- <br />-fEr0-+ <br />I <br />f,u-- <br />I <br />ET-