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SITE.WORK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation^
<br />Roof Sheathins a/Nn 4 FZsllL,'d4 J f,0 a,vU. -,Shear Wall /
<br />Framinq
<br />lnsu lation/E ne rgy
<br />Drywall
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Fleport
<br />Flood Zone Certif
<br />FINAL ffi
<br />Certif icate ol Occu pa ncy 7 L
<br />Note R ark IC
<br />z?
<br />/b
<br />I
<br />IlRl
<br />BUILDING. INSPECTOR RECORD
<br />or\\tR lrl I trtR trt:t.( \I \ I Ir)\
<br />I h.rcl'y .lirn !d.r p.Mh) ol F JU!-, 'h.' I M .r.q, rmh rlE Co dm Lrcnc trr lor rlr aollo*h8 E.$n (Se l).tl 5
<br />Btrrinc$ .d Profc.shtr Cdc) Any City or Cddy *hih rcquiG r lrflil lo m.{rucl. .116. inlrot, .lmlhn or EFir'lny
<br />itudur., rrid b it\ issuGr, llqr ErtuiB !h. q'plionr t, rlch Fmir ro lib r (iBmrl n'r.ftnr rh,r h..r rh. k li..nsd lllr{id
<br />ru rh. rovisnN ol rhc G,'lrrl,tr\ l.iccnscd L.q (Ch!pr.r e. c{'moErcitrs sirh Ssri,'n 70d) ol Diltion I of rh. Burim* .nd
<br />Ptr'lc(ionr Cod.)orlh.t lE Mrh. k cr.npl !h.i.tmm ud rh. holis f{tr rlE trlklcd.r.nllriu^ AnyviolrtinnolS.clbnT0ll.Shy.ny
<br />npdi.r n, ! Fmil abFF'h. irpltlnl n..ivrltEMlrt ln mm rhan 6( huftlrcd ddlas (S5u)r
<br />l, .! o*F of rrE lfrEar, d nr.rphFr *nh *.s...r rh.n $L oqm!.rion. *ill d. tlE srt {n rE {dE a mr
<br />inl.ti.d o.otrd.d rd.h lsc 7(Xa, BuiiE$ rnd ProlBrbn C6d.: TIE Cdrdd'r Iir.E t rd(Bdt i,rouo*Bol
<br />rlE rhFny wlb t{iLk d i"th6 rlEu4 t n eb d.E rdr n*t hi'Mlf o. lEElr or rtlolth hir ft h.r om .rpbycl
<br />provi,.d thtr fth inFffid! e d inrai.d oroltu fd qh li t-w. rtr t ihinan inprffid b $ld elfirnnrc Js
<br />ot conritrion. rlt (n,tu, aui!.r will h.r rh. tu&n of Frvitr8 rh,r lE or slE dil Dr t{ild tr lqmE U! Fqdr, t, ttE ltr4m or
<br />L r.o*Er.trlE FrfEflr. .m.r.turihly enrd in8 *iih lic.nsn.onr*kr k,.odM rlE ,n$i$ lsN 7(x4, Burffi
<br />rnl Fllt<ir Cod.: Thc Conrrdoi! l,k..E Llw d*r nn .nrly ro x o$F or rrorEny *tn boildr or inqrov.i tlir6n,
<br />.nd rb 6dds f.r uh |n,j.rri onh. Codftkn li{rd llM ro rlE (tddn r La:.m ftr)
<br />-l
<br />rn.r.npr !nd.r Sdrx,n , I & P C for rhis rlvrn
<br />D.r.
<br />l!08f,lxf-1;lraltENtarllJ!IKLAf,AIIA!
<br />t ttrch!rflnnx.d..If,nalryolFr,nrt tu'rrrhcr',lk'*intd..l .rin
<br />I hr!. rn will mhrrii. C.nifrl. of Cotrhr ro S.laln@ f( wlB orFrF.ri.( r FDviLd to. by S(h t7m 6r rrE
<br />Lrlr, C.n . fa llE Ff()ffi of rlt 6lt fc rnih rlE Fmn ir kqxd
<br />lhru. r'!l *'ll'tuihiain *o't.r! ro'np.nurnrn in\urum.. tr\ r.qut8l hySccitrrn lT(,0o1rh. tltxtr (-(rh. nrrhc D.rimurr (l
<br />ll* *ot tur whi.hrhr p.nnd r\ s{ra! lily workEri cnnr|raNrri, nNurdkc(ftkr trlF,lkt nxmb.r ml
<br />PoltyNunrtEr_
<br />I .cn rry rhdr i. rh. p.rrorfrnc ol rhc uorl f.r * hih rhn Fm t n.krl.I $'ll n c.lllhy .ny t'f!'n r .ny mnF
<br />$ * r! kanft shrd h rrt *odoi mm{Endion h*r.l ( llifitmi,- rd 4r rhd if I rlblld iErotr shFr h rlE
<br />*ork.F drurn$!bnpblnhnrofS&rirn ,'7m.f rh.lrhr (ixi..l dBll. fonh$irh (rnl,lr sirhrtbr l,mvsi('n\
<br />WARNINI; ljrilurc to {cur. $rtrkn c nrcn$rifl d.km8. r\ unlnwful. null suhjcd in cmpk,rr
<br />civil firc! np h orc hunt r.d lhourrkl dollaG {ll{x,.ux)). rn lddirion lo lhc ro{ or !,
<br />Sc.rr,n \oi6olrhc lrhtr(iilt. ir cbrdxl.rlork) ' lt.r'
<br />r,,,. ?- to -(.( n,**,, K KuZ_-z-u$;.:rtJrl.arlraCtrBo&qJSllr(}l
<br />I lFFhy lmrn u'rdcr Ftulr,otFrrrr, rhirI 'o licnsj tr.dq Is ision of Chsnrd cr(,mmking with Sd1a. 7(XXl I oa Divirhn l
<br />ol rh. Bu\iEs dlrl Pro{.ni'niC8lc. rd my liccnc n in fullthr lrt.fisr
<br />l<
<br />-* ?atO lL X Ytu4)
<br />ralsrBucurlx.tBDllrucEact
<br />I h.Ehy rfll.n undd ,rnalry of Frury ihrr lh.r. is a .\,n(ru.rDh L lin! iecky n, th. Frfmmre of lh. uorl itr *hih rhil Fni k
<br />n\ud (s( 1097. civ c ).
<br />L.'n l\ Nrft
<br />-
<br />t tilcr'r Addrs
<br />Attll1:Alir.tllil|a8aullN
<br />I ['{rt lllimt ! M.r !.nal, ofFrjlry or.f rh. r(nk,*in8 d(lar{i(,nr
<br />I)rm,lili,'n l'crnir\ A\tEnoi Noririctrri(r F.dcrul R.BrluriinR l'rirt 4)- Prn6)
<br />k.qtrn.(l l.trcr.l Norill.ron
<br />I.drrrrh.r rh. tcdchlrllLhrB E8!d,n! 8h.rkx r,r{.rd. n rrd.!l,k n, thn pmF
<br />-l
<br />(dityrhd I h.rcE d rhnqlplr.ron0d {.r.rh.rih. rlik info,n iM(i I lllcrooq'lr r'rhrllCdyln Counry
<br />DnliME--cr lnd sr'r. L,*! Ehrn8 ro rnildi4onnnrlin ei lt . rqrNnrrri\ci orrhn Cfiv ! (-rrnry !, cnrs uln.llr
<br />Jlrrc trxnrtrtr*J ,)tr,rEny n in\n$ri)nnu
<br />Arplionto.Ar.ntSiBBluF (.
<br />[1evu
<br />7-/0-/7
<br />Forms/Steel/Holdowns
<br />Exl./lnt. Lath
<br />futwrq
<br />U n/t/,t
<br />l.ac.\. NumtEr
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