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BUILDING- INSPECTOR RECORD SITE-WORK COMIVIENTS O\f, NEI' B!ILDER DEL('ARATloN I lEtt.{ lftun uffts Ddrxhy ol F.rjurt thn I m cxopt 6oD th. (onlriclo6' I-'c.@ tr\v f.r th. follo\inr rCa$n {sc 1)r I 5 uusinBi rnd Prcrdrion (ld.) Aiy ( iry or C.udy *hrh r<lu'6 , Fni to cod^rd, .kd, inFo\q ddmEh or qqn m) noduc. Irfft. ns 6ue.. ak ratund lh. qElt.d fo, ach F rn to fik. s(..dlld@l lhd lEor sh. ! li..t*d puNdr io rh. FtrtiihN .f rh. (hnt*lDl3 Licasâ‚¬d r,w ((tapr6 9, ( onma.r! anh sccrion 7(xx) of l)risr.I of iI. Bunn.< d PmfcsionsCo&)or rtu h.orrhâ‚¬ n.tmpr rh<.from ud rh. hGi fr lh..lL*.d s@Fnn A.y \6Lrb..fsd n70rl r hi!.! .rph( r tor ! pqn( eubJ.$ rh. q'pli.rnr lo r.'r,l pqahr of mr m.rc r h! fiv. hun&.i dolld! ( l5(xrl L at oss nf rhâ‚¬ Fnrdy. or my orlolc u irh $.86 6 rh6r sk o'mpqMrn. urll& rrE r{'I &d rlt !tuid( i! mr ini-Ilnl .ror6.d lin st (Sa 7(N.1. Bu.stu Md Profd'oN (.dc l1r Conk6.1.r's L'.mk Laq .h6 nor rpply ro M o\ n6 of lh. pn,rdy RID hntk or nnrrorB !h6on. dvl sls dB rrh $sl( nhs.la or hdslr or rhroqfi fiir or lF .*r mph, G, FoviLti rhll 3uci mFo\!En! c mi rndri.d oroltu for $L lt lFq6q,llE trilduB or iqrsffir ir srld $nhi..n. @ of co,.pki,r ltE olrF lruild.r u,ll hd.lh. hd6 ot rm$t tlln hâ‚¬ rsh.dil m! h'Uor ir{ror.lhc I'nrE y i,rtt F4r*or L aro*ndorrh. p6pdy, m.r.l$i\.lt .o.tadinB \nh li.d3.d .o.tdoB ro odM rh. F.jd (sL X!{.ItrlKr ! hrk imc.d. thc(onlrektr.i I ico*I!$ do6 nor !tDl! ro soun6otropmr. \ho buildrn imprordrh6on. and whd..ntad!forsu.hlnojdssrhicontr.ro(3)l'cdidpuRMrbrhc(n.nddoisLi.cl,e) lrn crcmlr undr Scrn)n D.r. oind lroR(rRs' couPiNs;at6n DECUSdrIq! I h6.hy alEm undd p.n,lry.fFjlryon.ofth. nnhwin8 d(l{dnrBi IhA.ddu'll@'nr,'.r(.difi.arcol(.nsrt.s.lllBur.f.rsorlds-NnpdMnn.atrolid.dnnb,SatNn:lr(morrh. Iihr!Code lor lhc pgfomffic of lh.uo* torshi.hrn p6n 6sd I hrv. ,nd $rll moint!'n $n*6' .omp.nrdri.n 6ura..c. 6 rcqun.d orq Scr n. 17m ol rh. t..hor (-od.. for lh. p(fomn(c oa rh. *ort for *trh rh6 Fhi 6 isrl I'{) }0116' r,hFsF. ierm..air drd Flict numts s. lc.nia) lhd in !h. FfonMrcc ot th. sod fo! which lhis pdmn is isu.d.l shlll nol dDloy tny p6.n 'n any minnd $ .! ro tdn. suhicr ro rhc trod(d' c.dFa.l 'on lr$! or C!lrtom,.. .nd +6 rhd ra l shuld lE oft slF o 'lEtro 6 omrMrion Fo\!FN of s.(hn r7fiJofrh.Iit{r(d.Irlull. t nh{irh.omph snh thok p(r isn'ns WARNINC: Itilurc ro Kr. world .om!d.'ion.o\os. is unl.*tu|. Md lhall rubj.< M 6110)( ro @ind FBhE t d .nil lin6 up ro.n. hu.dr.d rlk,mnd {hllc {t10o.0(()1. ii &{i.n ro rht corl of (omFNlioi. d.nus6 6 r,Nt.n ntr rh. s<ri{r 1076otrh! lrhr(i'dc inrd.{ Md dr'f,Er'r fc I.I(EXTEDSTNINACIAB DDCtdSArIo! I hd.h! sltmn und6 F !ofFlurythat I sn licd!.d undd rortion of ChnplE 9 (comdd.iir tr hSldmn70q)lofl)nBrn I oa rh. Ilusindr ad Prcfdra cod.. arl mt l'..e i5 m tull fok. an .iTd (aNl]aqgtatsuNurclc[l(r I hd.t!.iltrn rndd Fnah, of Frury thd !hq. L. codrucli'n Lndin* astry fqlh. Froll1@. ol$. {o f.rtrhihrhsFniii 'sutd lS< :1047, Civ C I 6IILTIATfDICIAAA.IIOij lhod, rrm u!.l( pq.h) orFjuD ot of rh. folld$ihr &(l{.itun3 D.mohiDn l'mirs-AstEr.s Norilicltion f.d6.l R.3uldnns (lnt 40, lan6) Rhtut.1l t!r6olrk incdr,n I cgl ii rh, rh. ad.ral rcrrhrk)B F*rdns at*hr r@\ il {r nn redtabL kJ lhn rmFd I(difyrh.!Iha\.r.rdrh6aft,lic.rbndnr.r.rhdrh..h\.rnforMior6c.tr.(iIa3,ck,compb\irh.tlCtri( '.r!odtuft6 md Irt. rjs3 Eld{lt ro boildi.r .oldtud iotr Erd h.r.br" !uthon,. r.rn.$ratif6 olrhis ( iry sd (i,orv'o mr* ulmn rh. .ho!. ndnon.d pbtdry for iBldion pdlxts6 ,\ppllcrnt or Ag6l SiRmtu.r Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor Roof Sheathing Shear Wall Framin s Drywall Ext./lnt. Lath Brown Coat lt4asonry Pool Fence T-Bar Handicap Req Deputy Final Report Engineer Final Report Flood Zone Certif FINAL h /i"b/11 ,N-tu6tr Z t Certificate of Occu pant- Notes Rema rks, Etc DATE I ID/SIG. I I I I Subfloor/VenUlnsulation I I lnsulation/Energy I I I I