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SITE-WORK DATE ID/SIG.COMMENTS OWN!]f, BUII-DER DEI,(-ARA NON
<br />I hddD afim u*r6 Fuhy of p.rrur] rhi I d da{'r fNm !h. Cod.rilB La.B l,r ror lhc i'lhtr ina r.&in {s( ',0 r I 5
<br />Ausin6. did Pi(Jf*ion Codr): A.y Cii! or (irudy $hi.h rlqutr6 a f6nn kJ .odtud. aI6, imphlc ddnohsh o. E atr anr.
<br />vruciuc. !.in ro ns iM.. .ho rcqltc rlE mplicmt for sch,Em o liL ! 3isEn $d.tmr lhi lE or ]lE E licdE n rurqd
<br />ro th. t'ovGiom oflh. (bnta.roa! l-ic..sd tr* (( hdl)r6 0. (irm.k'.8 *trh s(lion 7m0 of Drvhon I ol\y' &rn.sr and
<br />Itol6ibc (-o&) or rhd tEmJE !.rdfl tnsctom.nd rh. tE! lor rh..lk*.d.roFo. An, violllnn 6f Sdi,. ?011 5 trJ'.nt
<br />ippli.lnl for ! Fmil suhjcls th. lprlictut lo a civil pmhy o f nol mor. thu fivc hu.&.d dolldi ($501r)
<br />l. &r o*n6 of rh. pri'tEnr, or m, mplo\6 $nh a3s6 a rncn ark .oinpmr ion. will d. E Rot.r'd th. nru.ls€ s fr'l
<br />ddxj.d or.,Idd lor sL (S( 704.1. Bui6 xd Pmt*n6 ( od. Tn Condorr l,t6s tis do€ tul +pry lo d orE ol
<br />rh. ForEry who ttrili! or nllrord r,E6( nd who do6.uh *on hm*ll o. h6d r o. rhnrush hir or h6 o$n .mrloyc,
<br />forrldl rhd $.h trnFEtur m d dqn d q otu tq ek l( hou-s, rL hlildilE or itrgotqal ir $U *nhin uft !6
<br />ot con9kio.. tlE Oer6 llildd will hrv. rh. hr&n ofrmrins rld h. or CE dd mr hrtl or drFoE dE FlFrt [, rh. FiD(E of
<br />I. a osE orrh. FrEry. & dclGir.ly co ndins wnl' licd!.d coirr.r.6 ro @.rtud
<br />'lE Foi<l(s6 7014. Il6itK
<br />]rj Ertsihcod.: Tn.Co trroi! Li.6r.l-.w do6 mr qiplt ro e oh.6 olF.rEny sho bo'kL! o. rDptov6'h6mn.tud who @'rrr.ls tor {.h FoFr rilh . Coddlo(i) licoE d plllld ro rrE C.nrn ror'! Li..@ lrtrJ
<br />I dn.r.nrpr undd S<rion
<br />D.t. O*nd:
<br />$ oertis, ad^rPij.\sA-loi
<br />[8.CI,A8AIIq!
<br />I ffi) .m, d u..ls Fahy ol pdjur. DE .arh. folhu ins &(bar iE
<br />I h.\ c rn urll 'uid.jn r Cd'rkll. of ( oMl ro Sdt'leE fu * 0116 co'nFsnion, 6 FyiH ror iD sdrbn ! 70o of rh.
<br />l-ibor Codc. for lh. p6fomuc. oalhc wod fo, *hich rh. pcnn i! LBu.n
<br />I h.v. dnd will nrin'!'n wo 6 corrp.Bsthn i6r.n... 6 r.rtdir.d ur( sdr kr lTul of rn trbor ('o&, for lhc p6fonmc. .l
<br />lh. wnt lor wnth rhb Fnn t isEI My eorla comFdi.n iBu*. cui, r,ri polty nuntE !c'
<br />I cdii th!1 in rh. D<lollMcof lh. sorl lor which rni! !€mir i. irru.4 , $!llnol dDloy sy p6$n in any nonq
<br />3, 6
<br />'o
<br />tida,mc rtirr lo llE *!*6 omFlnn h*! of ( difomr ,.d ryc rht rll sl$uld bnjoe !ubj.$ h'lE
<br />s.rr4' snrnerio. pevtioN ol s..rio. 3700 of rh. I rhlr C.<1., I 3lall. aonhtr irh c.mply wnh lhoc phrbnlB
<br />$ARNINC Flihrc to cw m*6 ompddioD ovdre. t unh$tu|. d lnall subi.r' e @doF lo simlrl FEiE 8nd
<br />0vil nn6 up lo oE hundrcd lnors.d dollss (Slul.(xx)). m DdJtnr. h Ih.trrn. du,as.s as Ino\nhl for (hc
<br />Co& rt6d anl dolrE 3 aG
<br />I h6c5t drtrm un!d F.ah, of Fjury rhd I m hdE d undd Fovr{o. ofch,fld 9 (.dmrMcin8 wnh S.dion 7000)ofDiv6ion I
<br />oa
<br />'h.
<br />86,6 &d Fn,r6b6 Co&. nd my licN n ir turl loE,n.nd
<br />a 2-.+
<br />;:.'r tETr\
<br />6 u.'t3qh&z RcCIqI
<br />co&uatcll0lLElDlMi-acii!(r
<br />I HJ) .rm lBt . Fsh, o f Fjq- 'hd
<br />rha. ir . odrudbn knldB .3*v for lt Ffolrlr!4-. of lh. rorl to.*hEh'n6Frm( 6
<br />[$.d{s{ :r09?, civ. ( )l-rL'r Nm.
<br />AftLl(aNfDEgJ&lfIA!
<br />I hod, i,rm lnds pa.h y oi rsjury onc o l'lhc trnbq inr .L.laat nrns
<br />Dqrcl[6n Pdnns.Asbdros Notrfi(arbn l;€ilsal R.!trhronr (T l. 10. Pd6)
<br />R.q!t.n tnrd of l.rdrff,arr.
<br />I cd'6 $d rrE loldil r.*ohr$N Gsrdins st ior rmtal {. nor {plrc.bL n, rhE proF.t
<br />I csr,tthd I ha. raj rhB.r,pltdhn !d sr.r. rhi iE.lt\. innmliNn u.ord I aarrro snpl) *irh rllCn) ud(i'unq
<br />odr .Bud Slatc llws Eldurs to bu rldinr corerrur1ion. ed h6.by auihornt r.rrcsrar Nd oa rhi! C'ry &d (tunry tu anG ulrr rh.
<br />,h.v. ddlioftn proFny aor
<br />C!cl=ts-s-c".b
<br />."1 ?g b,tT
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />SLAB Floor
<br />Subfloor/VenVl nsulation I I
<br />Roof Sheathi ng ?/) l\+fn\ll?{
<br />Shear Wall II
<br />Framing
<br />lnsu lation/Energ y
<br />Drywall
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />H andicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />I -)
<br />FINAL /0/e//7 Mt
<br />Certificate of Occu /rpancy
<br />Notes, Remarks, Etc
<br />BUILDING. INSPECTOR RECORD
<br />I
<br />I
<br />UFER Ground I
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<br />I
<br />I
<br />I
<br />Ext./lnt. Lath
<br />I
<br />I
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