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SITE-WORK DATE ID/SIG.COMMENTS <br />Set Backs <br />Forms/Steel/Holdowns <br />Erection Pads <br />U FER Ground <br />SLAB Floor <br />Subf loor/VenUl nsulation <br />Roof Sheathinq <br />Shear Wall <br />Framing <br />ln su la tion/Energ y <br />Drywall <br />Ext./lnt. Lath <br />Brown Coat <br />Masonry <br />Pool Fence <br />T-Bar <br />Handicap Req. <br />Deputy Final Report <br />Engineer Final Report <br />./r\ <br />FINAL +-z\4 <br />Certificate of Occu an <br />Notes , Remarks, Etc. <br />()\rtt:R Bt Ll)H{ t)t:t ( \R\t t0\ <br />un<,.r Full of pcjuy lhi I e qdR lion tlt Co.rrl1oE Lf,* tr for $. loll,wils ,@n (Sc ?01t 5 <br />Prof6irtr Co&) An, Cn, or C@dy rhhn r.qui6 r Fmr ro odrw!. .ns. ituForr. &mlirt d rq.r &y <br />to islec llo r.9l!6 tlE +plis for sh Fh, ro ik . r!8,rd aisErr rnn h d ir ir lic.s.d Fed <br />of dr Conr-6 r l-i!ru.d Lr* (C14lq 9. Coimcos sith Serion 7000 ol Drvilb. I ol tlE BdilB 6d <br />Codc) or thd lE or JE ir ampr thq.fiom md fi. hci for rh. dL8.d .roFion Any violrio! of Sclbn ,01I t !yMy <br />. Fmn subj.ds lh. lpplicet ro . ciril Fn lry of nol mrc fis liv. h!.&.d dollai (1100) <br />oith.prolEnr, ohny.npk t6 {nh w+6a rh.t r,l. .o'nlmrar dn. *ill& th. wd( and rlE 3Bi@ i ml <br />olI6.d aor sl. (Sc 7(l,rl. 1iBin63 ud Pmfeioro Codq Tn. CoorDcloir l-icw ljw do6 rcr lpply kr s oM6 of <br />*ho bil& 6r nnFov6 lhs6n. arl rto &E trh m,t hinelf or t*lao. th^rsh ht or hd oM mdoy6. <br />such imFo\ErEa E tu hrdrl'.l or olIsld aor $l. lf, ho"(d, E tuil]ins or inp.lmr ir rla wi'hii oi. r;,! olrc &!tb *nl h.w tL hrla of Foins lh. lE or lE dd ml hiE or unFow th. FoFry ftr tlE Pl FE oa <br />or th. Forqry, u dclunrt coddin8 sth li.aE d coed6 ro .otu rlE FDran (Sc. ?Olr, tlatlB <br />Co&: Tt Codmoi! LEe r!r' .b6 br .r?1, ro m o$ffi of FotEl! who hil.k or Dpro!6 th6n. <br />om&lJ tor och F,j.!1r * h . coddo(, lEdE d <br />'o <br />rh. (nnkdtr r Lk@ L.s) <br />unda !.n lry or pqJury onc of th. nnhsins del&r roB' <br />uill tuur6 ! Cdrifrsl. of Colgr ro S.lf-l,le for wrt6 omFsrion. s Flvidod for by SErkrn 1rm of rh. <br />for tlE pqfo'r]ffi. of rh. N* lor stkh fi. Fni ir i$!.d <br />qill mi rin *0116 conFadioi ,lllJlea d ,.qut.d ty s<rrcn 1700 of th. Ldo. Coda h, tlE Fttuc ol <br />whih lnir Fmn u isrd M, sst6 omFdbn ilEl]l . ffir !d poli, trmb< R <br />ErpiH <br />rhar rnrh.pdi(nrn cof rh.$orl (rsh(hrhislril s isud- lshrlln{r dpk,y Mt tdarn in rnynrnn cr <br />subj{t to th. wortd' mmp.nsalnrn hws of Calitomi.. od .B@ lhal il I shoold bc.omc subFl lo lh. <br />En provi3io6 of Sdion l?L{ollfic bbor Code I ddl. aonhwilh comply pithlh.FpmvtioB. <br />FailuE b sw *0116 ontEBdioh .o!'qrg. b mL*tu|oplord 16 cintul Fu!i, dd <br />!p ro om hondr.d rhorerd.hllB (tl0o.00o), i. *ldn dm.g6 6 tfo!{i.d ao. rh. <br />u'r& posty o t F)ury lhd I M licdE d uxb FDvuio! of CbF6 I (anllffiiI3 snh Sdlior 7000) of D!$ion l <br />dd PDfsioB ( od.. ,i m, lk.e is in full fo.a Ert .ildr <br />(l)lilaucrall.I:tDllic.ll(iEt(a <br />undd FBI) olIFJuh- thli rlE. s a conrlruclrro ldxl'n3 4s\ tu rh. Ffolrr@. ot$. $orl for $htrh rh! Fmn is <br />3@7. Cir C.) <br />AITI.ICANLDIS.AAAIIA! <br />undq po.lly of psJury on o l lhc lnuowq .L.luat ions <br />Pdmtrs-Ashcros Norifi.ari,)n li.n6rl R.luLrions(rnG{0, PM6) <br />rh, rh. lal6d r+uhioB B$ed,ng abGror r6mr.l s. nd .otlrlbl. ro rha DmJd <br />I h^. rdd thir l!?lshn rn rrc lhd rlE rto\ c infonulFn s c.ral I qc lo oEpry *it lll Cnr rid Coury <br />Strc L.si Eldir! ro hlrBns n 6 of thn Cny dd Cosl' lo 6ls uDo. tlE <br />^,.,-4/rr/zc+l <br />coRoBUILDING. INSPECTOR <br />f)][lE t <br />Flood Zone Certif. <br />,r,r,'-\WZul