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SITE-WORK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />x,rLJt)69.-fr Mf,lD- jlrr.,^v, 0r.[Forms/Steel/Holdowns 2 tv
<br />Erection Pads .l/l.y )aPt C/Pr.
<br />UFER Ground
<br />SLAB Floor
<br />Roof Sheathinq ,^
<br />Shear Wall /'{,t- J1 h)4{iLt)
<br />X,IKW.IFrami2-1r10
<br />lns u lation/Energ y l-:l-/1 0
<br />Drywall 2J1* t
<br />,1 u"\4rO
<br />Ext./lnt. Lath U ,A
<br />Brown Coat 6 r't6'/^'t'U hMltt)
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />//\\
<br />FINAL 1 x)I+JO
<br />Certificate of Occu n
<br />Notes, Remarks, Etc
<br />-3 *ll^t 11,/t ^,
<br />OWNER BUILDEI' DEI,C RATION
<br />I tE B.,Im undd Fd, of Flury lh.l I d crmlr lion llE (otlcrou Uc.nE lrw fo.lh.lollovirg .E$tr (S<70ll.l
<br />&!i,s lxl Prof6i6n Cod.): Aiy Cny oi C&n, riah '.qun6 . Fnit to odrucl. .hd. ioForq (kml6! or rP.r Dy
<br />rrNclE Ftu ro ilt isiec, .!o qun6 th. eplasl for so.h Fnn lo filc. sisncd tlltod fid lE or Jt . lt6.d Fmd
<br />lo rh. FovirioN oa LtE Conhcroir Lienrd Lr* (Ch.pta 9. Com@in3 wilh Sr.lion 7000 ol Divilio. I of lhc Buind &d
<br />Pmf<ioN Co&) thd lEcrlE u6d4 $d.tod ald ilE b66 for d: nhs.d.rog$i Aiy lbllion ofs<dion 701I tbrey
<br />.r,pli-r ror . FEn oti6L rlE solrmr ro . ci\ il Fohy otmt rcE lh!, fiv. nu.dt d dolle3 (t5@)
<br />,. s o*c oflh. pr.Fly, or my mplor6 w u!g6 E !h.n $F omp.N.lioo. *ill do tlE wo* .,rl tlE shrlE b ml
<br />idq'd.d oroFatd rt ql. (Sc 7044. BBIB od PofdbE Co& TrE (o r.cld ! Liru te'dE d 4ply r. E olE or
<br />rh.FFry vho toili or itrg$r6 tlEa rn rrE dE idr w.l tih$lf or h.t*laor rtmuBi ni! c id 6rt mphvG
<br />provid.d rh.t such inF!r@n! G mr idaiol or olE !d ft)r ut. l( ho*@, ltE hlildrg or inFoffr i! eU wnhin on. )s
<br />oa@rpkriol! tlEO{B lt{iha willluw lt hrdn otpr.v,! $i lE c !tt. dn hl build or iniproE th. FoFty lor 0E FrFsof
<br />-1.
<br />sosE 6lrh. Fordy, or .rclsivcly.oddcl
<br />'nu
<br />wirh li.aed .otut.loB ro cotrrrud rh. F.id ISG 70'14, OGtr6
<br />&d Protusir Cod.: 'l h. conr.ctoa r Li.6!. Lrw do6 nol apply ro o o* bn of p.oFn, r'no b{ild! or impro!6 lfismn.
<br />..d rho (offi! fn *h For.nr *nh r Co.rndo(, lid!.n Flllld tu llE codr..rlt t tx6g l,w)
<br />I m.ra.d h,ldsErion ,ll & Pc n\rh$ rd"n
<br />D.r. Oin.r \ottxfR( ( truPEi\s^r rol
<br />lllicl./r.BArlllN
<br />I hsrbylmnnunddFnilr,ofrdruryon..trhcn,lL\r s{ldlrrhotrs
<br />-lhrv..dvitlmi.i,!Cd'rEdcofcoMlloS.lr.l@ror*uk6t6nFston.6Forir.dforbtSclior1700ofih.L,hr Gdq fo' th. Faolruc. o f lh. *olt fo. wnich lhc Fhi n (n.d.
<br />-l h!!. !.d * ill s.'.r.o wst.6 comFurion ilMue s (quir.d bt Sdhn l7m olrlE L.bor Co&.lor rh. Ffffi. ol
<br />s isd My srld' omFEarn 'due..6E rd policv runbs e.
<br />CJ U
<br />n\-z l lol
<br />-I
<br />cdift thd in rh. Ffolmnc. ollh. {ort for which lhb Fni ir (lu.d.l slEll not dploy ay F$n in.ny n@nc
<br />$ 6 b b6or $bcr lo rlE *qLa @mFuiion L$ t of C.lifomr. rd {G rhd if I JDuld h.cor st ilt lo tlE
<br />*! 6' omldurhn I'$irio6 otsdhn ltToo of th. l,t r Co<lc I C.lL rdhrnh 6mP\ $ nh rbr FlritEE
<br />\VARNIN(;: F!l@ ro sE *srlc conposnhl cov6lcc s u.l.wtuL &rl rtall tub.cr d ploys ro ainuEl FdB md
<br />.ivil nn6 up ro onc huft,r.d lhoMd <,oud (ll00,lD0 tc co, ot conFn aion. rlm.sd a providcl for $.
<br />tidrhn m76 .a rh. l,t-r CfrL
<br />I hq.nt ,llm un r, Fuliy of FJu
<br />'-
<br />tha I m hcs.d fctupra 9 (codmi.s $nhSdion 7(Xr0) of Drsitn l
<br />ol rh. llulr6s ud I'tua6lions ( odc, ed nry lic.N B ,n lull forc. ani .rT(r
<br />S,-l K,o. tN;v---.-
<br />C0!SIaXCIION.L!dDr!CrIC[!IjI
<br />I h@by !firn undd ln.lly or Fjuty th, rh6. ie a .odruclbn Lfldins asd.y lor rh. ,aforrrrtrc ot lh. trod tu *hich lhn rdni it
<br />AIIIJCAII.U!(IIAAIIO!
<br />lhd6y.Ifmnunda p.i,hy ofprjuryonc of|hc followins ddl4 nrN:
<br />DdDlirEn Pdhr'4.b.36 riorirkrion l-.ddd Rquhioc (InE {0. Pd6)
<br />-R.qun.r,
<br />L-drq of N.ii6.rb.
<br />-,
<br />.d ify rh, fi. f.dsd r.suLrb6 ,lsldry 6baro. .mv.l &c ml $9lr!bL b rhir FDF
<br />-l
<br />csiry rhdr I h!Y. €d rhir ion and rlltc th,r thc !tsr. 'nn,mdio.
<br />6.016l. I r*ra 16of,dy *nh tll ('ilyud Counr)
<br />o'i !n.tr i.J Srdr.l rs\ r.latiqr
<br />.tr\c lMrio..d p.oDar) 6r
<br />AoDlionl or sql sknrl!r.
<br />-)O.f \.€
<br />--;;;
<br />A'J'.w
<br />BUILDING. INSPECTOR RECORD
<br />trfrU,fl
<br />Subf loor/VenUl nsulation
<br />\A
<br />:::ij?+rr
<br />isu.d (se 1097. ciY c.)
<br />L.,rld-r Nm.
<br />L.6d.f! Ad&6: _
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