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SITE.WORK DATE ID/SIG.COMMENTS OlryI{ET f, UILDEI DBTIJ RATION
<br />I lIr-by .irm un lcr F lly or Fllry thd I m .r.rpl rbm E CoddoB Li.ni bw ror rh. rolhrin! E&,! lsc ml L
<br />Brlitu$ .Jt Pol'c$bn Cd.): A,, Ci,y o' Cou y *tth rcquirs . rEml ro crrM'. 1116, rprctc d.mlirh - EI,.n uy
<br />n ctm, pritrtu ir! Gsumc. rls E{uin! rh..pplker f ruch F..!r ir' fil. . ri8En {d.ftnr dd hc or {E ir liened pqstit
<br />h lnc l,ovirnN ordE Contirru s l-tcn*d t ! (Ctunls 9, Co'tmmin3 wnn S6tnn 7000 or Diviiion I olrn Aurincst lnd
<br />Prufcssions Cod.) ihd lEorilE t.x.r{, rlE.6om rnd rh. bdsn tor !h. rlLg.d.r.nFion Anyvknlril)nolS(r.n70ll.5bylny
<br />aDrrltltll tor ! Fmi ahFde llE rpplic.nl lo r civil pcrhy of ml mE lh.n fiv. hldEd &llu! (t5&)
<br />_I. r o*E of E rrcFriy, s mrrmphje. with *t3cs s rlEn e|c ons.nerbn, will & rlr krt {d d. {rErc n rd
<br />i, cna.d or ofi.r.d tc rh (Se ,o44, BusiE.r xd PbL*s$N Cod. T)E C.nlrdq * ticM r,w d..r ml .pply ro M owE of
<br />tlE l,hFny pth t{il! d !ryhB tltdn. rd *lD dc *h krt hiruclr or lErEll or lhmulh hk or h.r .wn.nlloFcs.
<br />Fovih 'h.'
<br />uh iq.offis c d irsldcd d olE rd rG d. lf, hdtG. tF hibina d ir+!@ml i F9 wnni! {E }a
<br />or@npLraotr tll O*E aui!,., *i[ h.E r hldor of prcvilt d! h.qllE dn 'd h,ild n lqFE dE FlFry 6. dE F,Fror
<br />-1,
<br />osowmr.rdE pmFny, im.rclusiv.lydddinB *nh [....d.odrxth ro.o.ffr rlr fftJd {Se 7()lu, ANim$
<br />!d Phksin cd.: Tt Corrdloar Lkcnr tl, &E mr lPplt r. u oem. o, prcDsry *ho hoild! o. inpmE fi.rmn.
<br />od *ho o,Irts aor 3En tr)rdr sirh. Co dciir) liHtal punu to trE C.ddor'. Li!.r t w,
<br />I Jn,.n pt trn,l.r S.crtrin
<br />Drl. Orer
<br />wr l r{(t'[a' ('( lnr PINs]rl !oN
<br />D[CLA8.trl]oN
<br />I h!r.hynliirmtrndrrp.m,iyorncrruDo'rorrh.l{nIr*Tg,](l,trlrk)n\
<br />-l
<br />h.rc dn *'ll rin[h . Ccnifr.r. of Cotrrnr ro S.lr'lniuE for qrl6 omrEN.rio( 11 p.oeid.d tor by Ssrbn ]7(xJ of dE
<br />L!8, G{q ror lh. pcrlomuffc of rlE worl for uhth E IEni n i$u..].
<br />_lhlr.dwillmi tin *ort.is mqrnnlbn iBunm., a EluiErl bt Saiion 1700 of llt L{hor Co4, for llE Frlolr:Eft..l
<br />tlE *trt t@ lhtt rhi Frmir i! ild, M, wo.t6 otr?cnr.lrn im,u! ffir .d Flt, nu,$6 B:
<br />c'n <-rt4r< TiWPvlAT(
<br />",,,*rn"**,
<br />- 1!qoo#,6'-lltl vl
<br />I ccnify rhf,r
<br />'n
<br />rh. |xrlornBtuc ofrhr worl ntr *hih rh,r p(rmir n '{d.d. I \hrll nor ctr{,|,,y rny Frvr. io rhy nunf,r
<br />w) !r ro lEcorE uhEd ro th. *.rk.B $mp.nrlLon liw5 ol Cllilonna. and n3nr rhdt rrl \hould tEcorE subFr k,rlr
<br />$o&rs' comFn\lrnn tfl'rEln\ .l Scd i()n ]7m ol rh. ljhtr (inc. I rhlll nflhuh .nnrly * ir h rlI'E pmvNIn(
<br />WAnNING Fllur t aur $o .^ .rrVxnsrirn LrNrgus unl$all ! {hau 6A.-.i d dnr)loFr b r]mul Frohii 'ni.iil 6Fi ut, k, oE hurnld rhdlqn doua Itlm.Un
<br />Sdrirf, 10?6 of rh. bEr Cod.. inrcEn ad d'omy r fe3
<br />of coryf,netirn, drm8.r 6 ,x.viil.rl for rh.
<br />D.'.: aklu
<br />DEqIJSAITIA
<br />t hc.by orum udcr FMltyofrtrEry $d I !m liend ldd tmvnion ol Chlpr- 9 (onmrin8 *ith Sedion 7(I[) olDivirion ]
<br />ol rh. Burims dd I'r.f.(io.. Crd., inl m, li...rc is a. tull roar arn .fl(t
<br />,*"*"r*, A 3 a,211
<br />Gl44
<br />(:oNsrtu(-roN I rNnrNc acFrtcY
<br />I hft6y .ffm !..t t FeI, of Fjur, $!r lh6r ir . ontto.rirn hdb! tcEy fo. rlE FthrtrN of dE m* lo, *tah tnn Fni i!
<br />it Ed (Sc. 1097. Ci C.).
<br />AIIIICANI.DEIIJBAIIIIU
<br />I hdltrylrmun<kr F.rXy otFr,lry oE of E ftnbsa.B &rl6ri).!:
<br />D.frnii,n P.rmils-AstEnor tlolificrirn Hcrll R.8uLlion. Oilk,14. P!n6)
<br />-Rdiuftd
<br />t (o or Norif.4ir.
<br />_l ccnily rhlt lhc f.<krul Esulalfnr E3edins riltrls icmlrl nc ret lpdf,abh ro rht rm'F1
<br />I cdify l,Er I h.w rcd rhk +plt i,. rn :t.rc rhd rtE ,lbh rnfotfri,n is .ffi I rgE ro drq y * h .ll Ciry .tld C.unry
<br />odimms ui Slrlc L,vr ELline to boildi.8 .onndbtr r,rd h.Eby rurtbriz r.pF{nrrivcs of thi3 Cily !d Counry ro ..rfr uF,n r}!
<br />rhNc nr r(n'.d t,(,Drny l(r htr.
<br />tlplnr or.\[rnl Sisn un l4h.l U-ol"L
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Roof Sheathinq
<br />Shear Wall
<br />Framing
<br />lnsulation/Enerqy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />l\,4aso n ry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />llt lr
<br />FINAL wt]t17/)Llozilft,7+'
<br />Certiticate ol Occupancy I
<br />Notes, Remarks, Etc
<br />BUILDING. INSPECTOR RECORD
<br />Subf loor/VenUlnsulation
<br />Flood Zone Certif .
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