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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 />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />ln s u la tion/Energ y
<br />Drywall
<br />Ext./lnt. Lath
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />,l
<br />FINAL zJrq//f n.&t rat
<br />Certificate of Occupancy r r 7-=wI
<br />Notes, Remarks, Etc
<br />BUILDING- INSPECTOR RECORD t
<br />()$ \t.R Bt ll.[)tR t)t l,(.\R,\ I t(]|l
<br />I hs.ty .,Irb unds FrXy of Fjur] fir I d .roF 6om llE cdt.dd! U..e l.* for rh. folt mS rdn (!G.?01I 5
<br />acin6s !d Profdion Co&): Any (ny or aounly shi.t r.q!t6 d rEnil to oNtrucl. rlld. inp.o& {bml6h or 89., uy
<br />nn(luq Fs ro ir islllE. .&o rcqu6 rl! +plf,er for sch Fnn ri, tu . s*n d nd@ar rhd lE o. JE i! licdB.d poEu!,r
<br />to rh. FlvirioN oa rlE ConrErr'r Lien!.d L.w tclrBq g, Coffibs wnt SarDn ,000 of Dr$bn I ol tlE Bci6 ad
<br />Proldionr CoJ.) or rh.r lr or th. ir .rdp rhq.ton rd rlE b6! lor th. .lhr.d adF6i Any riobliotrofs<(io.7011.5 t,&'
<br />4pli.Dt for . p6trn $bj(lr rlE .pllicmr ro a civil p6.hy oa ml ho!. rhM fiv. fiundr.d dolle (1500)
<br />-1,
<br />6 omE of rht FoFly, or ay dnplo'6 sirh *is6 a oEt $L oniFdbtr $ill <b dr sal rn E ,urc a r{
<br />iddrLd M ofia.n tu rh (sc 7o{.1, Buiru Md Prof*ioN Cod.: In. ( ont.dort Lt.M lrw do6 not.ptly ro x.qE ol
<br />rlrFrEt! *lb bil& d i,rFor€ $.Ea rd $ ho dE st Mt hinrlf c lE*lror dmugh hB or hd om oPloy6.
<br />provid.d lhar ruch inFDvqElr n ful irdrd.d o, o,H 6rrt.l( lFI6!, ttE hilltiry d io{,6t!d b$lds'ihomra
<br />oa.orptdi,( l& Om6 Builib sil h.w tlE tud.n or Fotirg $a lE or !n. dil ml hoild or hFo\r 0E Fspdy 5r llE F!F* of
<br />l. 6 osn6 .lrh. F.r6y, m Rclusiv.ly .onr.clins *nh licNd co, racloE ro (BrDc1
<br />'lE
<br />Fot <l Is6 704,r. Aui,6
<br />srd hDkincodc, Tn co.rd.ro La.d t I do6 mr @ly lo u 6u na of Fopd, sho build] or inprerd rh66n.
<br />ad who o md3 lor sch FrFdr * h.Co do(r) li!!.d pulld to rlE (oirEcrd ! LilE Lr* )
<br />_l m .rmF udr sE h.B &PC nY
<br />'hB
<br />r.!an.
<br />lLaatrEELCgUlI:LrdnO!
<br />DTCllBAIlq!
<br />, h6d,, lmm u.dd F hy of Fjury onc of rhc follos iu d{![r ioG
<br />-l
<br />hiv. !d will mirr.h r Cqi'frcdc olco6at ro S.lt'lM. lw *dk6l comp.ndiri, 6 Forii.d i)r t! Sari.n t70o o f lh.
<br />L.h, (-od.. ao rhc pafolll4. o f
<br />'h.
<br />*ort for trhich lh. p-ril i! isu.i.
<br />I hav. and will nlinldn wo&(t conFEnion iEurm.. s .c'tuitld oir s..l o. 17m of rlE bbor Cod.. fot th. Ff(llrlec ot
<br />rh. rort for *fiich rhs pchir ir is.d. My Fo.kd' onFEdion iBudcc .dd ald Flicy numbd a.:
<br />_t cotii lhn rn th. Ffollrm.c.arhc worl for wh(h lh'3 pami i isual, I slDllnot 6l,n,y &y p6en i. ey@E
<br />b 6to bd.E $qer ro tlE srd6 omFdion LN of( rlifomr r.d rsR lh, rf I rnould bdon. sbid b th.
<br />woltdl .omFsrion ForirioN of S6rbn 1700 of th. L.&r ( o&- I rh.ll fnrhwirh omdy *nh rh6r FlrirhE
<br />wARNINO: FlilE ro lcft wrtd onFsnion co'6.sc 6 unlr*ful, Md ,rdl subld M oplo)q lo oinlrl Fdrir !i
<br />cn'l finG un n) on. hu r.d rtx)trsnd di)ll$ (.omDdsron. d.rus6 a psvx!.rl f.r
<br />'h.rh.ld.rCGl( inr6d Evi
<br />2->-v
<br />l)l(l\r\rl(rN
<br />I lErtry .rm unda Frny orFr[} rhi I e li.qE d u.<lq FlrBioi ot OtrFc 9 {6mm*tr{ sft S*lion 7000) or Dn !'on 1
<br />of ln. aBics .d PmfdhB Co&, rn Ey lk.E i h tuU roR !d.,tcr
<br />1
<br />I h6cby d,Im uid6 rEully of Fjury lhal rhft t 6 conitudbn hding igd) fo. rh. Flol:ffi. of lrE sorl &'i ufii.h rhir Fna a
<br />su.d (sc t(J97. cir c )
<br />Lcnda ! A.nts.
<br />-
<br />ArILI(AIL.DEIIASAIIa!
<br />I hddy aIIm unds pd.lry of Fj!ry ok .a rhc aolro*i.g .L.Lr.r 6B
<br />ILmohior Pmir!-A3b616 Norifrc ion Fata.l R.8ol, i.n. {Tn k 40, PM6)
<br />-RcquiEd
<br />L.rtdof Mdn rbn
<br />-l
<br />cdiS rhd rhc fald.l r.suldhN rcsrdi.s stElor roordrc.ol t9rli.,bl. ro rhis projal
<br />ictlion 5d sr.t. $a th. ah'v. infomdhn n cotr*r I rrrd ro omplt *nh nl Ci y .nd
<br />rrcr.Ti.gilltr6of rh(('ir, d( ou.ty
<br />< t'C-v't)o b la-22-
<br />-Z;
<br />Subf loor/VenVlnsulation
<br />Brown Coat
<br />/o/ 2o17
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