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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 />SubfloorfuenVlnsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framinq
<br />lnsu lation/Enerqy
<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 />Enqineer Final Report
<br />Flood Zone Certif.
<br />t,
<br />FINAL ll
<br />Certificate of Occupancy /
<br />Notes, Remarks, Etc
<br />OWNET AUIT-Di:R Df, ITCARA'IION
<br />unrtd p6.Iy of FJuy lhd I d .!6,1 6oi th. Coinr&lm Lr.@ t w for 0E followiry rasn (se 7031 5
<br />lnt Poi*rion ccL): Any Chy or Coudy whi.h rcquE . Frit lo on rud. dls. impr.v.. &rclirh or tq.n uy
<br />Ftr ro ils islleq .bo rcqur6 rh€ +dad ,or rucn Fmr b il. . nsn d ndoMr $1 tE o. dE i licoa.d Br$!n
<br />of dE Co.nrloai Li.a..d bw (Ct $6 9, ComftinB uirh Sdion ?000 of DrLirn 1 of th. BGiB ad
<br />Cod.)or dlEd3h.i.rdF iha.6.s sd rh. b6u tor E dlqcd.r@FDn An)virllirnofsdbnT0ll.Sby&y
<br />for . FEil $bjar! th. .rplior ro ! civi! p. !yof mr mG rha li!. hunrLql dolla ($m)
<br />E of rh. F!F!). M Dy mrht6 wnn *.36 B rh.r rh conrEd{n. *il & ttE wt !n rl' ,,ure a Bl
<br />ofr6.d for eL {Sd ?Ora. Bdig ed PlofdirN C6d. TIE C6nd6lr t}aB lrw .hc oor .pPly h a o$c of
<br />who hill q trqlE tlE@tr rn * ho dE is,l E,t h'nklror hd-lf or ftoud nit n lE ow .ipblq
<br />3u.t imFo!ffi e mr ildrd.d or o|Isql fr'r gL l( ho*!q, rlE hrldus !r nnForrd ! $ld srrb oG ]-
<br />tlE O*c &ild. eil h.E [E hn&r ofFttB thi lE d iE dd d hltl d ,r+.tr\. th. r.trFl_] 6r tlE F,poa ot
<br />of rlE FoFr)', a cxclulilcly codr&lu3 snh lrqE d cod'd6 ro @dBr ltE F.F (sa 701,1. B6iB
<br />Co<t Tn C6.td6r'! Licac bw do6 mr .r?lr ro e o*c olFoFry vtr bu'ldt or
<br />colnrar lm ech Fojcr! *'nh ! co'llEro(, l.6B.d ,!oEn
<br />Dfcr axlTloN
<br />und6 pdlxy olpqjury oe oirlE lollosi.U d<ldaioN:
<br />mdsill@i lnreCdific.t.ofconerroSclf-luucfo,*orkd.onFsdion.a F.vid.n aor byS6tion 17m oflh.
<br />tor th.Faom c.oflh.sod for whi.h lh. pdnir i! n!u.d
<br />* ill nai.rain wor!6 .onp.N{ion iBuran ., d r.quiBl l, sd' ion l',00 of lh. Lsbor Co&, for lhc p6fo!1i1e. of -
<br />for shich rhls p6nn b isal My {or[as' conrpas ion inru.e.. .Mis ed policy oumbq e:
<br />rhar i, rh. p..fomuc. oarhc s,o l whth rni! Fn B irsu.d, I snall nor mplo, $, pcMn in e, mMnd
<br />rubrdt ro rh. vod6 .onp.idni, h*. of( .lifomii. $d {lr 'h!l
<br />if I dDuld b.(om rubdl lo lh.
<br />;.onipoEr6n p,Dvir6c ofsdio. l7(l(l ot !h. Iltor Code I !h!ll. lonhwnh $mpry *nh $o* prllnDa
<br />Fcilu. ro sE srt6' omFsdFn cor6.sc i. uLrtul, Dd lrdl $bier u aphF lo
<br />to orc hui&.d lhoG..d d.rlhn (tloo.om), 6 runbn b rh..o. ot
<br />of rh. Liho, Cod.. ddd dd alloft'\
<br />DECUSAIIO!
<br />ui&. Futy of FJlry rhr I @ li.6!.d !,rb FDvirhn of OrFc 9 (offin* *th SdIbn '1000) of Divisi,o l
<br />!d PrDldoE Co&. ,n nr l(o& 6 'n
<br />full tu(. hl.lTd
<br />u.d6 FEly of Frury ttrd th6! t. codMion tdrtus.sdy fot lh. Ffolrtffi. ofrh. elr! fttr *tltn thi. Fmi i
<br />1097. Civ. C.).
<br />affu(^!fDl;(lA8 I10!
<br />undd Fnali, ofFrjury o.c oith. followins daldalnrnr
<br />PmiteAsbctd Nolificarion F.dr.l R.ruhrhis (1nk.I0, tM6)
<br />ly thar th. t d6al r.sul4ioN cssdms 6LEl$ ro$vd e. nor dppli.dbl. n' rhi! pn'ld
<br />thd I h,!. rod rhb dgpliclrion dd 36r. thd ftc dborc htumdurn r0 &ndy qnh lll Cny sd Cou y
<br />$orc taw! elding io bnildin8 .odtudrotr drl hs.by tuthtr,t it6 ofrhB cny lld coorylo 616 r4on d.
<br />lLAQ-..-
<br />t-24,2/
<br />ECORDBUILDING. INSPECTOR
<br />1E-frrurtzzvti
<br />I#;
<br />4"""f'w:h
<br />B#:
<br />ffi,:,::,
<br />!tt!c maioo.d ropoly ror
<br />Xu,.,"*^*.,,
<br />/Prmir.rlm( rprlnr):rya
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