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SITE.WORK DATE ID/SIG.COMMENTS Oi{'l{ER B(lILI)EN I}'I,CARATI('N
<br />I hercr,y !fitm uBlcr Fuht (!l Frrr.y rh.r I m .tcn{, fmm rtr (i'nrrrron l ...{ lj* n, rh. follt['irl8 rclst (S( 70.11 t
<br />li!;rmrs !d ftnf.\\i'n C(xlc) Any Ciry or Counry *hich rcqutc! tr lEfln[ k' .o.{ru.t. dllcr, nntnovr, dcnrnth I El.n Y
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<br />r,' rh. rmrtrtrm ol rlr Conr,.tor'\ Lic.ns.n l rB (( hopl( 9. (i,mmtuir3 *i!h s..ri)n rO r r of l)ivi{ i,n I ot rrt Bu\itu( N l
<br />l\uL$x,.s (ii. r o. rh,r horrlE t.rc.ri thr!.fton.nd rhc h.ri\ ror rrx rlkB.d dcm0hn Anyrdiri'notsdbnT(rll lhtrny
<br />nlrliont ror! p.rnit suhjech lhr upnliclar ro rcivilr{Bhyornor nr,E rhln iv. hundtd d{'Unr($5u),
<br />-_1. ar osrcr .f rhc pNFdr. (r my .mnk,rrri with w!s.s !s l,Eir slc .omrf,nd i(,.. $ill do rtr w(,i a,n rE (drft i\ br
<br />id.ntrl or oll.Rl f'r ik ( Sd ,o1l. I]usm\s ,nd Fn cs\i,n\ Cii. I i. G,.rd.i ! l-r..c I j* l!t\ d[ !Pp!, ro rn .* Er ol
<br />rhLtmFiy *ho h,ildr or inqlnrr rhcFn. uxl urs.l,r{ sEh M't hi'n(lfor h..Ello. rhmugh his n.lxr o*ntmplote\.
<br />tr)rildl rh, \xh lr{,nrv.mdr e nn i shl M on.rcr, (, {b ll h,*c\s. rhc lo'Ud3 or inlmltmd n qru {ihin ,,m rr
<br />nf.otrl)lcrirn. ltr (t*nd BuiHd willh!rc tlE trRlcn ofpmvins lhallsor ttf, dil ftn t{ild or in{n,t lhc PoFr, n, rlrrrl$sor
<br />I. r\ ormr of th. Iir'tdv. !m cr.tu\ntly codrdin8 * h lKrn{d .ont..rr ro .o.rer rh. ln,Fl (S( 70$1. BBrm$
<br />u tt,k\fiCodc:'lhc Cont&1oa{ Li.cn{.1.!w i,(f,\ nor lpllyn, soshcr.ftnrPc y*tx, huildtor im[oecr rhrton-
<br />rnn uho .odrdc ntr sEh Ir0Fr * h r Gfirrn,l o li.nsrl tD^@d h rlE (i)nrar,r'r l.t.n* l:$ r
<br />I nnr.rcnr[ unir S$rnn
<br />lrslr (lin.r
<br />1}l.lB5-Ell5.:cllllllNl fi0NDf(Irr]Illlol
<br />I lkrrht rl,n 'undrr It rl,) orp(Itr') oncolrlx nnl,,r gtl..h'rrtris
<br />-l
<br />h'\. ul *ill fr,nrrin a (td iaE.. ol ( on$nr lo S.lt ln{urc nn $orld' .omp.nrlrnnl. d\ pn,vidcd for by S&trn :l7lXJ ol rhc
<br />trtx, (irlc. ,,tr rh. rr.ri,,tutuc nr rh. *o* tu rhi.h ltE It nn i! a\\u.n
<br />J h3r lhd *rll'Ei.cin ro*.^ conFn\lrhnilslrrEe.!\.cqlirdhysdbnlT0o.lrlEL.tnr('nk.rMrlElEfot'*_.-.ol
<br />rlE $\nL ,or *hich rhh Fm r rrEn My uort6 o,qrn€rhn in{nBr.tftr s Fni.y numhct rc:
<br />."* ' S. k^ t< €r^^ cl
<br />r,,r"yr,-r.,' QtlR? B?- z,p'.* ' t2-'lZ4B
<br />I Gnrty rh.r rn rh tErlorEr. nfrh. $ork f., *hrh rhr |Ermn F tr\ui.Ithill ,.mllryrnyJ'(rsn in rnymank,
<br />{, rs ro h{(,nr ruhr.r i) rh. wl*cr'mnD.ner i,n h*\ ol (,lir(nnia. , lENrhd ilI lhtnld u(or \uhF<' k'rl.
<br />sutsa roqf,.qrr,n thr isi<,nr ol Sdhn .t?tx) of rlI I rlrn Cd.. I stDll. tudttr iri .orDlt wirh rls{ Pn,v$i,n\
<br />WARNINC: l'uilui. b scrn worl.^ (mlEnsri,r d'vcfl3c is unla$tu|. a l rhnll iuhFl o cr.IrlDlr n' (nmiMlFeIa: ani
<br />.nrl liN\ un t, oft hu nd rh{s'rl dollr( llll
<br />S..rotr 1076ollhc lltnr( ixlc. i' trc{unirrronry
<br />"".. ' l-?1-13 Appric..r:
<br />IIECIIBAIIIA
<br />I tFEby.ltrn uidc, FMh, of Frrtny rhd I !h lrinrrl und.. Ftrvti,n ofCh,rrd 9l.on.Erin3 *_irh Sdx,n 70([) of lhi.nn.l
<br />ol Ih.llusift*and fDlc{ion\Cnlc. {rl !yliccis n in lnll loredi(llNr
<br />' .-3 1
<br />/-z?-1 t
<br />-7143e 3
<br />srliBulllrlN.LllDllaaiEN(I
<br />I h.Eby oftrnr unLr rEulryofrrquyrhrf rh.E s! rcn{uti,n b inr rscry rl, !h Frli{mm. ol lhc ${xk f *hahrhrFni i(
<br />$kd (sd lltJT.Crv C)
<br />Ixn,lc''. \xm
<br />dXlUlllIfD[giIi.\UlI\
<br />llhh:- rrln uklcr trnrlry rr purt'try om olrlr nnL'wmF dc(fufuti( \
<br />ln xntrxtr, Pcrrn \ ,\\tr$o\ Noorrnr! F.n.ful l{.!ul, ('n. r lil. {r. Pnn6)
<br />k.qtrtr.d l.(.rol M{'riJh
<br />Ir.d'rlrhdrhct.icnlrcgulri,n\nlrd'ngJ\r\io\rc rtJl,rrx{rtPlE I n, rh^PnIltr
<br />fl .diry rhar I h.!r rul rhr rml(arir.,n nrr. rh:r !hr( nLrn i tr' tr.ntr&r I JsN h.un{'lt q h rll Crrr r il (-({nrt
<br />rltr'r (.\ J rlsrn.l-ntr\ rclrrtr! r, htrrl(1tr'g (otrnn(r $y surhon,. rcrrenllrne\ ol rhi! ci'y s l Counrr t,.nrd uFn lnr
<br />ltlrr. rnrirFd pn)IEnv for inrFrrxrn N,rrk\
<br />rDpI.$r or lsenr sisuruF X r,.rr t-zS:/8
<br />r"*lr-**rpanrr, (
<br />Set Backs
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf looriVenVl nsulation
<br />Rool Sheathing qll ;/4 5.V \lEn+c(
<br />Framinq
<br />lnsulation/Eneroy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />It/asonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enoineer Final Report
<br />Flood Zone Certif
<br />FINAL {/ct /,c 5.Yt izm-4*
<br />Certiticate ot Occupancy
<br />Notes, Remarks, Etc
<br />-4
<br />BUILDING- INSPECTOR RECORD
<br />Forms/Steel/Holdowns
<br />Shear Wall
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