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SITE-WORK DATE ID/SIG,COMMENTS OWNER BIIII,DlIR DET,(' RATION
<br />I hn.tt .rrE u.de Fdly of Fjury lnd I m datrF 6.n rlE Codrrdoa l,r@ r^ for lh. aollo*n3 rasi (Sa 70tl 5
<br />trurind .rd Protsbn Cod.) Ary Cny or Couilr trhicn .rqu,6 t Fd ro {ldrucl. dl6. iEFo\q d.mlan.. qtt u}
<br />rruclwq Fu lo n! isure. tto r.qun6lh. ?d.d lor kh F.hn to 6k ! si3..d {.g6l rhd lE or ltE ! ltd!.d p{edr
<br />!o rh. For 6hN of r Conltrlo.s Lica5.d l! lcluFa 9. ('.mftins s nt s.dhr ?000 of Ditilion r ol rhc lraln6 rd
<br />PrefdoB Co&) or thtl h. 6 3lE a da4r rh€.6om d rlE tt ! fo. rh. Jh.d dstplio. An' viohion olsdion 70! Mt &y
<br />.pplrd ror . FDi !tij<r. tlE .pplk l ro r ciril FulU of mr m..lhs nr. huidtd d.lbs Il50O)
<br />l. s otrF.frh.FlFny. or dyanplor6 *hlt*+6drh.i $LomFrsnior. wll& trt*ut id rtulGsmr
<br />dar,ld or oltd.d l sL (Sc.7ol.t. BurilB ud PFr6id Co& ltil. ( odrdoar Lt.e t s (lE .ol qft! r. m o"ffi .r
<br />th. Frrd, * th tn'ld. or dr{mvd tlEa ni $ lr &E sh qa,l hiN.lf o. hs*lr or rhrcush hk or ha o$ n mnh}.6,
<br />Drovid.rl ihi iush inFo\u6ii e mr nratal.r oltud tu xk I( hr"6a. rlE tuiuiry or inqsllrd s sld tr irhn orc !q
<br />ofs'q,ldhn. rl' (xi6 tlllilds rill ha!. lh. hdar 6f Fnrio8 thi h< or rh. dil mt hild or imFov. th. F.rm, tu rlE F,Fs of
<br />l. aro*tr.rorrhc Fopdry, d.x.lBiv.ly..trti.rin8 *nh li.as.rl tunx!(ns lo coNrrucr rh. Ftjd (s( TLvr.ln!,in61
<br />ift, Ih)isin(l'J. Ih. Conlractois l iccntc l-a\ do6 nor !pp!yt! Mo\rna.lprotEiyNho buildsor impoverh6.on,
<br />.nd *ho.ontdsnysu.hFojsk$irhscodn.hnrll'ca<.dru$anrrorh.ContadorsLicmslis)
<br />I un.r.nrn !ni6 s(rion
<br />!r.r. oird
<br />\\oRt(pIs' ( oluPE\5A f toN
<br />DliclJiaM!
<br />I hd.6r .m,n u.Jd rE h\ .r Fjurv om orrh. folt,* n* &alsrl Fm
<br />I hA.,n $ rll midlr 6 ( diasl. orconml to sdr'lN( fo \.rt6' omFsh.. 6 p.otiH aor b.v s<ihn r7 )ofrh.
<br />Ll$r cq,.. ln rh. Ffollffi. otlh. mrt fG *nrh
<br />'h. Fnn ! Bu.d
<br />I h.v..ndsrll montlr sorl6 .oip.Nln,, iBudr..6 rqun.J q(sftti..1700of th. l:tEr Co&, tor rh. Ffolru.. ua
<br />lh. srk tu q'hich lhi! pcnn a secd My *0116' onFsr*'n iButM. cMi6 arj polay nuohq n.:
<br />)Yq
<br />r,.r,., \","". \t1-\L/(/01 *o,,., lL/t ftl
<br />I cdit rh.l in rh. tdfnrunc. of rh. sort for shi(h rhi.Fmilir iasu.d.l rhlllnot oploy yF$ninrn,nmF
<br />$ $ to b..o!E.ut d lo th. f,ortG'comp@sdKn lisr of( ll'tum'r od tsE rh, ifl shuld bc(otr $h ro rh.
<br />N 6' onlmrion prnriioB of S{ion 1701 ol rhc lrh, ( qL, I Jull, Lnhf,irh conEly *nh lhor pmrdir6
<br />w^RfllNc lrluE ro s6. \ot6 snpqEnn. o\as. n unl!trtu|. od ihrll $bid o drh!( lo sinnd F[lF dd
<br />.Ail lin6 uf t'.R hun .rl rl$u*nd {'n ro rhc co3l oaNnFBrion. d!ru*6 a lto\d.d f{tr rhc
<br />Sdt.n 1076ofrh.lrh.{ ( c:k. mrdd
<br />l.t( t_\sil) ( {)\ tA\( I()R
<br />lrf,ll,tBlrl))
<br />I hortD' .rm u.da F[lry or Fjury ih, I m h(.lu.d u.&r Fovirhi ol (1l4'ts 9 (a,illimrg *nh Sdhn ?&r0l of l}lt 6r. :l
<br />of ltE Bu'nd.rd ftofsioB Corlc, tt dy li<.e 6 in full ftic. nl .lE.ar
<br /><C q q5c
<br />tsl23l&
<br />cqNtlaufllalt!fdDl8li-dcEl(1Ihfth! lmrn und6 F.!h,ofFjury th,lh6. k ! coElrudion L ins lsfty for rh. Ffolruc. of lh. u orl tor shi.h lhi. lEnn it
<br />8u.<l(s< l(,97. ( iv C.)
<br />AXtU(l fDE(JtaArIa!
<br />I lEtrr ln und.r rEnrhv oa FJU) oft of $. follo$ 6! .L(le.' ionr
<br />l).nnldon P6mtrs-ArtEcos Noticnir. F.n nl R.SuhoNl Inl.,l0. Pd6l
<br />R.!ur.n I .1rs ol N.n tuarbn
<br />I .dif, rhd rh. f.d@l EglLtioB Esrdins at-ka ,mul e nor rppli.abk io rhn projdl.
<br />l.6rity rhar I havc r..d rhi! stplicarion dd rbt.thd lh. !hv. inaomdion is.orcd. l.gclo compu wilh tll( iry dBl (i,ul,
<br />nrd'n,n.6 dd sr!r.lrqi Eldm& ro Fildins .odrud ion. .rd h6.by uto.izc rcFds$liv6 ofthh cnyed (ounlylo 6t( upon th.
<br />dhor. mdr'on.d DruEny tfl 6occr{on rtrms"^;;";".,.:"':.:::;:.::/wo" z4/-_ ^,. tof z.fl
<br />p.-r,-,.mrprrno: // St<.U,e fn UCrZ ctU €Z-
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUl nsulation
<br />Roof Sheathing t/-L.17 -l)c5,14 r/,/
<br />Shear Wall
<br />Framing
<br />ln s u lation/E nergy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />1
<br />FINAL tll/3/t)-ffi^ant^ lQd
<br />Certificate of Occupanci T 7 vu _\LJ
<br />Notes, Remarks, Etc
<br />L,
<br />c/lt'
<br />c t v a t
<br />BUILDING. INSPECTOR RECORD
<br />'"""'r;( \+24 <fu41.
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