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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 />Subfloor/VenUlnsulation
<br />Roof Sheathing ) lA l?{DP LJO/A
<br />Shear Wall
<br />Framing
<br />!nsulation/Enerqy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coal
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />I "-)
<br />FINAL 4/
<br />marks, Etc
<br />%nDzx.D
<br />BUILDING- INSPECTOR RECORO
<br />OI{IIER BUILDEi DILCANAION
<br />I ls.by lmm uidq d.lry ol psjury thlt I o sdpl &nh Ih. Contd.roE LjcGe lrw turlhc follo*ins r.en (Sd.?03i.5
<br />BGird .r'd Pmfairn Cod.) Aly Cny or Coudy *hi.n ,.quE 6 Fni to sdrud. ,!c. irrDve domLrn or Ep.t D,
<br />slo.l4 Fslo nt iwq.lo r.q!ri6 tlE +Plirl Lr Gh Fnn lo fiL.rbn d sE lhi h.or tE a li!!.d F rri
<br />ro tlE F!$.N of $. Cffid! LiELr.d t.o (Ch.Fq 9. CoMDS wdh SdbE ,000 of Divthn I of tlE BuiE !d
<br />Prcf66N Co&) or |h.r h.q3lrnddB Oa.6.o ad tlE b..ii foi rlr.lLr.d darplDn An, liohrbo ofscrbn 701I t by dy
<br />rrpliq.t for ! pqmh lubJds thc appl.c&r lo ! civil laulr, of nor @r. thd livc hon&€d doller (1500)
<br />_.1. c orE olrlr FDFry, r m, dl!lo)6 vnt !rs6 ! rltn $L.orp@iioG ril(tl dE ssi rd 0E tdtri@ ! d
<br />ida.t d or.lEld f...L(sc 7044. BuitB@d PDlsi,6 Cod? Tt Conr&ld3koEr^rb6d+91,blorEof
<br />rlE FoFty rh6 tlilr. or dForB thdulrt. -d *ho d6 lcn slt hnell or hd*lf 6r rthu3h hi. d hd 6s arpbr<
<br />Fo!'d.d lll s.h inp.l\Elfued inqdd dotu trr sl.I[ hwd6, tlE hrildiry ",pmtqEl isE wnhinorc )d
<br />of@npt rio[ tlE Oma BuiLE will hrv. lhc hat6 ofp.oviry $n hc or 3,r dil ml hild or inEsE t E FoFry 6r d. Flrros of
<br />_1. a 016 of dE FoFy. s d.luN.ly corrrdos *nh !ic!B.d.odr*r6 lo @trrr(r EFF (s< 704.1, &6iB
<br />dd P|DE i cod.: Tt. Conkdorr Lic@ t w dG mt .rtlt ro s ow.6 oftroFry *ho build! or inFovdlhsor
<br />&d sho connd! fo, rlch F$irtj *nh r Cornd.$(r) laalr.d p{Bullr h rh. Co(lrrror'r Lr.@ t8)
<br />I an.(.n,r,r uDdd S(ttr,n
<br />-.
<br />B & Pc rcr$n r@.
<br />D.t. _ Oi.n $on (rns. coMPEttsaTIoN
<br />DFII AIL{TION
<br />I ldcSr' lirm uid6 pd.l'y of p6Jury o.. of rh. aollowht d..l,r.thN
<br />I hft 1l wili uid.h . Cdrift{c ol(o.Etr to Saf.l..c ad "vla 6mDd.i.n! ! pmvid.d for by Sdi,. llm oldE
<br />t bor Co&. tui dE FIolDe. of t!. at ftn *tih 0r Fan a itlid.
<br />v ha\..ndwill mdDrtm $0116'.ohFNdbn Nu'N.. B r.qutrcd b s(rion uoo.r
<br />tht srl for qhi(hfiirtsn u B,r.d. M) sort6 cainFsDn ilwecc L!ro en polt,* /u4.,1 ,4.-t
<br />p"txy t, t*. 76 U E o- ,44 RC z- Erpi^:
<br />rh. t bor Co&, lor lh. p<folrMc. of
<br />alalz
<br />_ -l c.ni, fi.t in lh. rEfol1rre. ot0r worl lor *hi.h rhB pdni s su.d I dull er onplo, oy F$. i. dy "l'lEs a ro b..om suttd ro rll srt6'orpqurio. h*. of cdifomi ad +G 'hr if I shuld h..oft $tid lo llE
<br />mri6 omFdio. F!6b6 of Sdb. l7m or thc L.b.. C.dq I tdl. tdhrth ondy *nh lhor FDrirEB.
<br />TvARNING rnlw lo k@ wrt6' omFshr .ov6.3. i uh*'tu!. .d sh.ll $bjdr u @plora to cnml FliE !d
<br />civil ,in6 up to otu hddr.d ltousd d.lls (1100.000). in ldditioi ro rh. .on ol.onFNrion, &o4. a provid.d for $.
<br />I h.rcby rllinn un!6 p.nnh, ofpdjuy r
<br />oa rh.llrinBs od P()f6rionr Codt od my I'csc is ir |ull ircc aal cfic..r
<br />.n*.o. I?,b3ae7l
<br />ox" /l |1/ 2e
<br />corsrrtaion r r,rnrrrc ecFrcy
<br />I halby .lfm u.rld porry or FJr,y 6r rhc E .(rdtudDo ladios .ga, 6, lh. Ftull4. of rtE Frr 6r f,tii rhir Fnl a
<br />sed ls*. 1097. civ. c ).
<br />L.d6 ! NB.:
<br />-
<br />AITIICANLDICIJA TO!
<br />I b.tryrlrmudd Fnllry ofpdjury onc otthc fououinB dcla 6d
<br />D.iolirirn Pdn,s^lb<or Notifierion F.ddol R.suldbro {Tnt 40, P8t6)
<br />Rcquir.d ldlaolrlortfi.!Dn
<br />_l cdiry thn dE tsdd.l r.8!hioc Erdding Bldot rfrvrl e not q"lt.bl. lo thn prcjat
<br />\ I cdit rhd , h&. Ed rhr.pdEbn rn na. ln, th..bo\. infotubn ir @del I .gE ro oEply wnh.lt Cny.d CoDry
<br />odi.eB !d $r. L$r drlg ro hrildEa .otuio4 rd hdlht.ulhoria ET.&ui€ ol rhi Cny .,!d Cody ro .da l+oi rlE
<br />*)-7t7.,
<br />Certificate of Occupancy //,,/
<br />S<lDn 10?6 ofrhclrhrr(ird.. iotqor udltrorEr\ L6
<br />o",, 2,/l/ z-e
<br />'->
<br />9(comm in* {ilh S6tnn 7{Ir0) oft}rvErn:l
<br />.bo\. Mrion d FDF!) fG ,EFrrn pdpolt
<br />App,r..nr o. Ato,s,.n,rur. L/' 4,*;)e........--
<br />PmhEu'.,prrno: f*- rral*lz g 4/
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