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SITE.WORK DATE ID/SIG.COMMENTS Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor Subfloor/VenUl nsulation Roof Sheathi ng Shear Wall Framing lnsulation/Ene lt Brown Coat Irilason ry Pool Fence T-Bar De puty Final Report Engineer Final Report FINAL ll'zo 17 t^. l)t (lt cs,+na4ct\ 11 Certificate of Occupancy .<;4Ptrt) Notes, Remarks Etc OwllliX BUILDER DE1r'AnAT(,X I hRby .rrE ond6 Friy of Fiury rhr I d cxmF non rh. Co r-rm Li.@ t s for rb. folto*iie lten {sc.?o]I.t Bdin* drd P.olaiin Cod.)r Ant City .r Ceny wh(h 'rquiG ! Fnt to co'Eru.t. rlt6. nr!.oG dmlth or Ep.! it nM@ Fi, to a. i!3ieq .tb r.quiB rlr +pltd tor Mh Ftrd b 6L . riC..d sraEn rhd lEtd 3lE . ko0.d FdEr to (h. riolnio6 ot lh. Co reroir Licdr.d kw (Ch!It6 9. ( oon.ncinr wilh S*tion 7000 of Divirior I of lhc BuinBr ud PmEsioa ( od.) or rhd lE d 3h. i qdq rh6.non !d r,E t-i! for rlE nkg.{ .r6Fhn Aly viohirn ofsainn 701 I 5 b, ..t +plkel for . F nn obj<$ rh. .ppli.ur ro . cival F.rhy oa ml nor.lh& fiv. hudr.d doll6 (tt00) l. - osG oldE FoFly. q iy dtFh,â‚¬ x'nh s:s6 s tlE iL onFdi.tr sill 6 tlE sct rn E tr'!E ! ml i sd.d o.ofi6d torsl.(sc.7ol4. Buins d{, Pbl*irru Cod.: Tn. Co.ttrtoi! Lic@ L.w drâ‚¬mt 4?lylomom6of lh. FtrFll qho huil6 or nr{eâ‚¬ Eatrrd$todâ‚¬uhN hirollor lErlror rllough hr d lE o*t 6l9htq Fo\d.d rh.r sh trrqoEEi!E d noi.ddolErd ft* st l[ btr6q. tlr tliUrB d irqlruEi i nld walun ox Ja of corgkrioi. rtr Oxnd Buitb will hlE rh. hE!6r .f FE\i.s rhd lE or !& did ror hild or irp.ow dr. FeFry for 0E Fl.Ix'c of l. aoMdof lh.Fnp<ny, m.r.lGiv.ly coflr.dins wnh licdu.d.odrdoR ro 6n<ru.1tlE Fjci (S< ?04-1. tt 16 .nd holsn Co& Tn. (tdrrloi! Li..* b* d6 m! .pply to e ornF olFoFty *h. buildr o. inprcvolhson, and $-h. sddr aor .u.h FJCnr wth . Cotnr*o(r) li..B.n pllRud ro th. coddn'3 Li..M b*) lmcrmpt un& sdsn I hdd!! amrm unda Fnnly of Fju^ okolrh. I hivc ed will mlinrdin . ( difR{. olcoMl r, SclHBu.. ln sort6 com!.Ntn'n. 6 Druvidcd fot by Sd ion :r 70o o f lh. L.rs ('od., tu rh. F6l1la. ol rlE rn* ft, sntt rlE Fnn i is.d I hlvc.nd*illtui sh world .omp.Nr io. iB!,4q 6 r.qun d "t Sdrirn !70o of rlr Lrbo, Cod., for th. IEf6lr1@. ofrlt trtnl fd *nah fia Fn'l i! is.d My *!116' omFdiri insllIe..6i, rn pokt-.mhd e: Poli<rNunbd:_ Ellln6: [, .-,rr,- n,,. Frrn* of rh. $!it for whih rhB Fnn i] is.d. I *trt ml aplot &y FMn i, sr mM o 6ro b.comc $biet ro rlEqo 6l ompoEaior h* ofc.lifoE,{ !l{l rsElhlr irl3huldbtomebid lorlEmrt4 onqE dhn F$vitbB orsdi).lT@ of rlE trEr Cod.. I Crll. fonh$nh ord, *nh rhor trcvi.iodWARNINC FnhE 'o ffi mrld' coDFlai.,n @v6rs. i! unbwtul. ed .ndl 3ut at u aploF to ainird Fuli. dd .ril fin6 ur ro oft hundr.rl lhors.d rhllm (ll . 'n adJiion t, rhc corr of cotrrt Nrk)n. daru!6 tr\ f'.\'tld fN rh. otrh. l,tor (0l. hrdd .d itonE) 01 n.{â‚¬P !t!( r.\r{ \ r Il)\ I Hy.trm uida FDI!, ol Fjury tt I D li.q!.d uds Fovirioo ot ch4id 9 (offiilfl wnh Sâ‚¬rbn 70On) of Dririr l ot 'h. BailB lrd Ptufdi,B Cod., r'd Ey lt@ t ir tull 6e id cltc. I 7 6o(,3dess SaitTttfuelt- I fif,ht .mrm u.dd Fntlly of pdiury lhd ltcc n . codNclion Lndin-s lsocy aor rh. D6fomoc. oalh. mrl for Bhich thn Fni it su.d (S< 11097. ( ir C) AIIII(:AIIDE(IABAIIO! I hd*,ltim .& Fmhy oaFI,,oE of t,E folhEi.s &rLrdhd: Dd&lirioo Pmir.'Alb6ror Notificllion FdLr.l R.gul,lb6 (Tirl. 40, P&t6) R.quncd ldr6 of Norifi.nion I cdrt !h, rlE Ld...lr.grl{dB Er.&dihg BIEIG rmtdu. mt {rlrclbk to lh6 Foj.cl 6d lhi wlt.lior ftlrdc rhr ih..bor. infoMior i!.ord Irycrooniplyf,ib. cnr".d cou.$ . trE Elr !{ lo tuld'Ig colBrucrrtr rn lE.b) &rlbrtt r.F.ddi!6 of rnL cn, ad comr) 'o ar6 !F. rlE .r3â‚¬Q JedrqN ,*.ffi/ 3o &ti7 BUILDING- INSPECTOR RECORD Ext./lnt. Lath Handicap Req. Flood Zone Certif. Tin,"<a')