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SITE-WORK ID/SIG.COMMENTS
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framinq
<br />lnsulation/Enerqy
<br />Drylvall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report I I
<br />Flood Zone Certif
<br />A\
<br />FINAL /r- ll- l'l h.\&)10\\
<br />Certificate of Occu anc
<br />Notes Remarks Etc
<br />BUILDING. INSPECTOR RECORD
<br />OWNEX AUTll)Ei DELCAR TION
<br />I h6.b lmm uid6 pdalry of p6jlry lhll I h dmpl fmm lh. Contrclott Licd( r,w tor lh. folloPing @1' {Sd 70ll 5
<br />Bsild !d Prcfohn Co&)r AI, Cny or Coudy whth rcquc ! Fmi lo onrrud. .hd. it!Fov.. daEluh or l4.n ll!
<br />ifu.t@, Fbrro il! iwc rlo tr$ri6 E tplird tu Mh Fmi b 6L. r'8r.d n.sEn OdEor$.iliaB.d pcur
<br />ro rlE Eovi]ioB of rtE codrrrd! LieN.d Llw (c14r6 c. cotMding rii sdtun rom of Divnb! ! otdE EdilB ii
<br />Pr.faionr Cod.) n lhd tE or slE !t nmlr lhc.noft ed rlE !.i! lor (h. .lks.d .xdplbr. Any lrrldion ot Sdbn 701 I 5 by &y
<br />lprhclnl lor ! Ddni iubjd! th. roplicu lo r civil p.rhy ol nol mrc lho tu. hund,oi (hllar (1500)
<br />r,- o* ot,t* D.oDoty, * Ey n Dloyd *rh $.3d ! rlE $L@n4@rE( s & E*tIrndEtuic.lr,
<br />oxtol or ofiocd f., !r ts6.?oa{, truB 6d PEfBioG Co&: Ill Co,rr..lo t Ltae Llw &6 bl 4?t b d ogE of
<br />rhc pr.Ddy vno h!il& or inp..6 th@r dd vtb d€ s.h wrt hinsclr or hn.laot rhmu8h ht or hc own dplott6,
<br />FoviLd rhd $.n inF!\qrds c hl iiod.d orotutd 6. !.L lf.lDF6. t,E tlildi.s or irirorqd it 5ri wini! w rd
<br />ofs'qnnnl\ dr O*G atrlk wi! llw d'. hlrld oI Fo'i4 th. lE q !E .lil d hild m iigoE rh. FlFrv 6. tlE FrD* ol
<br />-f,
<br />*.."**,*. ".-,!, s qllutrclyco d'nr {irh lica!.d co.tr&roEro 6rwu.r rlt Ford (s* 7044. &!ilB
<br />' ;l ftokih cod.. Th. conhdoi! Lr.4 Lr* doc ml .Drl! lo d orE ofFoDdr, who boil& or iepmE th66n.
<br />@d sho @,rrr! f- ach FDFI! rilh . Coff-!c(3) lt.el F66 ro dE Cofr.dr'r tiqE t e )
<br />D.,. tall-i
<br />s(uu ,B &Pt'n{thirr@,nf,L--* s""^U M.*\osst $ok(ERs'( oMPENs,allbN Ll
<br />DES.6TAIIO!
<br />I ha.ty .tfm uida porny of Fju.y ok oflhc folhssg .LtitrtlioNl
<br />-l
<br />hrv. sd *ill mirrlh . Csrifr.rc of Coer lo S.lt-16!a for *vkar' omp.urio.. 6 Folit d fo. by SElion 17(lo . ath.
<br />L.bd Co(L ror d! Flblrlr. of rlE rut lm wlfth tlE Fdn a alad
<br />! n6v. lnd will mainriin vork.rr' comD.6.ri,. rMurm.. .r rcqun.d by ser irn l70o o f lh. &bo, Codc, lM rh. p-tmcc ot
<br />lhc srt lor vhth lhi! Foi ii iqEl My *orld, smpolalioo iGufu.. ffi6 Ed ,Dlicy Nmbd ac
<br />Policy Numb6:-ErPnB
<br />.atit rhli i! ilE Ffoffi. oflh. worl lu uhih lhL Fmn t is.{ I thlu 6r opht ut Fen i! &y nmE
<br />tcam $be1 ro rrE m d onrFMirn Lrr of Cd,tumE &d +d rh. if I nnuE tEoG ruti.( to tlE
<br />s d' $npasri.n r.rbioE of Sdrio. l7@ of lh. Lt!.r C.<,e I ndl aonhsnh e(dy wnh rhor FolitioN
<br />\,VARNINC ltilurc to s@ w d omFMion covc6c. n lnhwful, ed s5all lubjdl M ftrloF lo uiminrl FEIis ind
<br />cMl 6n6 up ro oE hudr.d rh.utarl dou6 (ll0o,0ol)). in idd{ion lo !h. cor ol $mP.8dion. d, !d s prcvidcd for th.
<br />cod.. i 6d ad.ftorB ! tG
<br />,vl
<br />DECuSa:uON
<br />I horn, .,Im u.d6 F!li, of Frury lhi I 6 lEq8.d urxl6 Fnyiri,. olclllFa c (otlllr4i.8 *ih Sdlb. r00O) of Divilbo l
<br />ot rlE lruits &n Prof.l,os Cod.. rd my ltoe it in tull fora di cfi6r
<br />Li..M Nuhhq
<br />coNsTnucrloN r rNt\rNc aGFNcY
<br />I hqdry .IIm u!!d6 Frtry ol Frry thi lls. i' r @lsnrlbn lqdiE .gtr, lor th. Ff(fuG oarlE mrt tu *tih rht FEi it
<br />it$.d (sa 1097, civ. c ).
<br />AIIUCABTDECIASAIITI!
<br />I horby !trhn unds polhy oa p<jury .n. of tb. followi4 d(lu.lions:
<br />Damllhn Pmtu-Arhdroe Noriicdh. Fqr6.lR.gulrioB (l nk 40. Pdr6l
<br />-R.q!ir.d
<br />klc of Norif.rib
<br />-l
<br />.d iry rbd $. f.ddd rcsuliioc ,tsddi!3 ebd6 lofiv.l e mt 49lic.bk lo rhit FDiet
<br />-l
<br />.dii fii I lrw Ed lb.! OpliIbn .d rd. lli dE .!ov. infomibn a c@El. I .sr lo @ipv *nh .ll Cly .tn Courxv
<br />ordi,@6 rnd Siar. t,sr
<br />sborr mdrnncd pot ny
<br />lE.by ldlnM r.EsfiivB ol lhn Cny ..d (.06l, lo dl6 upon tlE
<br />rh,e t{ '-s/ r ri
<br />0c"r*1c,\ Dcu;-\".<)u,lrv -/
<br />DATE
<br />Set Backs
<br />Pool Fence
<br />\"\Au6t
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