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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/VenVlnsulation
<br />Shear Wall
<br />Framin
<br />Ext./lnt. Lath
<br />Brown Coat
<br />T-Bar
<br />ineer Final ReE rt
<br />Flood Zone Certif.
<br />FINAL
<br />Notes, Remarks Etc.
<br />BUILDING- INSPECTOR ECORD
<br />I OWNEf,BUILDEI DEl,aAnrrTlON
<br />;lfm u!d6 Frh of Fjury rh. I D q.nEr fion tlr Codr&ro6 Lrdg t * lor 0E aolo*og 16. (sa TOl llj
<br />.,i Profenioo co&) A.y Cny or Co!,iy what Equi6 ! Fd ro onnru.r, !na, uqrovt doElit or l4.n &y
<br />Fior to it isu&cc, .I!o r.qut6 th. +?licet for ruch Fmir ro ilc r 3i8rcd nd6ar rh.l lE or dE i! li.d!.d plnllM
<br />i.c ol tlE Conlrdols Lko!61 Llw (ChrF6 9, Co":lrBins vnh Sdmn ,000 of Di!i!b! I of 0E aBilB Dd
<br />Cod.) m rhd h.6 rlE i dcnF rhddroB !trd rlr bB lor dr .lLs.d adnF... Ant r hldb. of Sdion 701I J by ay
<br />for r pdini s!q6a rh. rFrlic. ro a civil ,.uhy ot Rrr mE rhe fiv. hudEd &Ue (1500)
<br />of rh. F.Fny,.. m, mplorG wnh $.86 a rn ir $L onFEdior n{l do tlE sdl.d lh. nrEr6 ! bl
<br />n .fiq.d for el. {Sd 70{4. Aui!6 ed P.otdoB ( .d. Th. ('odrtld 3 L.aE tr* do6 d +9lt b 6 osc ol
<br />wb hi[l or i,r{m\€ rh6oc !i Efi. ,lB $$ $rl hiF*lf or h@lror lhmush hi! or hd o*n @plo}.6.
<br />rh6l such inFoffiB e mt idsxlal ororl*d 6r sL lt how6q. rhc t{ilduu or inp.lvffil i! $kl wittin on yEr
<br />rlE(xrE E{iBa $iU hsw rlE hr&r oarmli,rs thi lE orrh. dii @r hriu or inpr&. E F.Frt lor tlE F,porof
<br />oflh. Fopqiy, d crclBiv.ly co.rr&1ms uilh li.tu..l c.nt..l.R ro o6rtud th. B'l(t (Sd 7044. Bci!6
<br />Co& Thc Co.krrore l-'..M ti* d.6 ml .pply to u otr nd o f Fopdry * ho burl& or ispm\ d rh66n,
<br />od6d! for ruh Firl wih . Coddo,ts) ltasl Frllld ro
<br />',E
<br />Codritoi3 Lrcg t^ )
<br />.la8xEtrLCAllIEdnUIar
<br />DICI.ASAIIA!
<br />tittm und6 Fdty of Fjury oE of rlE lolhu ul8 &.larlhB
<br />drl will minrain . Cd iff,ar€ of ( olMr nr Sclf-lNur. for worl6 comFsdn n.6 F.ldql for b, sdio.1700 orth.
<br />for lh. Ffoffi. ol rh. vorl for which rh. Fnn b isucd
<br />!trd slll dbEin uorliB conr.luion i6uKq a r.qur.d tJt sart. !7m oailE tlbor Cod.. for rh. FfM. ot
<br />lln shtrh thB Fnr s isu€d lil,compcradion iBudc. cMn dlrFli.y nunbr E.:Zuzu-L 9t--
<br />**- /o//,2a1/27 J -a7
<br />!ry th{ !n tlE Ffolllre. oailr r6rt( for shah tht pan! a s!.i. I lrDll mr nplor uy F$n in er_ nlllE
<br />t $m{barrollEN 6' snpqBdi,n L*r ofcdifom4 ad .sr rhll rl I CDdd bao@ $ttirl ro rh.
<br />ampqsltun perBioE of SElion I700 of $. L.hor C(jde I shdl. fonhvnh cohply wih $ok F!6n'6
<br />C railur. !o ssr workd' $mpds.lion .ov@8. G lnbwaul rd shdl tubj..l d orlo)€ to ainind FuniB ud
<br />!p lo oE hun<!.d ttou3.,yi d{ill6 (tlm.ooo). h rjdnion lo th. .o, of .omFE lFn. d. sB B Foridoj aor llE
<br />!0?6 or'h.l,bor Co&, nr6d ed .lbnEy ! 16
<br />ltcrlsEDlatrInaclpa
<br />DECIdAAIAXrm und6 Fn6hy of Fjury rhd I @ [c.r!.d lnda Frviio. of(nrflo 9 (comm.rn! slh sdiof, 7000) oa Diyi.iod ]
<br />Itur[B &d PrcfGioN Cod.. lrj my ltre ir iI tuU lorc. {'d.fi6t.
<br />,.cn\.Ntr$., Y r t/o/
<br />(.n,n.r 7,a€Z;-Wr1y
<br />I>
<br />ATEIICANLDICI,ASAIIOB
<br />!trm u.da F.lD oI FJur, oE .l rh. follos ns &.larm
<br />h. P.rnr-Asti.rG Norifr.dion Fcd6.l R.suhDd (Ink.rc, Pd6)
<br />otrcd L.trcr olNorifi .ari,nr
<br />rlt,ry Od rrE f.d6il Gsul.rioa Esrdins sbdG r@orrl E mr lpplE.bk b riir ProF
<br />ify thd I hr!. rod rhi! ,fi,ltdion dd 1.1. lhsl rh. atovc infom.dion i codar I !*r ro snp!, whh .ll Cn, uiJ Cou y
<br />hs.l'y &rlDrt EF.ddr6 ,.,Zru,/
<br />Roof Sheathinq
<br />lnsu lation/Enerqv
<br />Drwvall
<br />Masonrv
<br />Pool Fence
<br />Handicap Req.
<br />Deputy Final Reoort
<br />)l 1-./l ./.) -h -7r/I ,L I,\IYT D-7
<br />Certificate of OccuDancv
<br />&
<br />,*11
<br />I carlIalcIIaNIErDAljlGE .gI
<br />lHlr'JH# ny * F,u) rh' rhd" ' odrudbi ratditB 'sftv rbr rrE Fiorll.e ordt wt &" *tin thi! FE i
<br />.t !. ]drn<l p.olinr ror
<br />E.nd sbr. tr*s Rhllg
<br />'o
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