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SITE.WOBK DATE ID/SIG.COMMENTS OWNI:R IIt'It,DFJR I'I]LCARAIION
<br />I h..chy rlllrnr !trd.r p{.!hy {,r Frtlry rhd I @ .r.npr ft'n, rh. ConrrcrB l-i(.na Lw f.r rhr follo*r8 Ea{n rS& ?0ll 5
<br />llurircss nl Pn)f!(n'n C,xl. ) ny C[ y or ( ,rdy whrh rcqun!\ r lEnnd r,, !\'nn rucr. !lrr. impr.k. d.m,lnh rr rclllr !try
<br />ntucrurc, J,xtrnr i\ tsu&frr, ckr r.qutrc\ rh. qlPltmi trn \uchFnnirr, riL! riSnci iarcmnr rh8r tr or shc n liccnrd pur$ t
<br />k) rh. Iro!i\i'n! of rtr Co a.lrtr r Li..nEd ljw ((hrpt.t g. (i'nrmxinr *ilh Sccri'n 7flx) ot Division.] orrh( au{n.\\ ulrl
<br />Pmtc\\i('n\ (idc) or thlrli or \hc ir.rcnpr rh.rcfronoftl rh( tEq\ lor rhe rlkscd crcrFri,n Anyviolarx,nofS(rionToillrhyrny
<br />trlfl'(ltrr ktriIrnn \uhJ&krh. +!l'.anrk, rc'rilpcnrlryotft'rr)rcrtun firc hundrd d.lld\ r S50O
<br />-1.
<br />r\ o$Er of rlE rroFny- itr my cmpl'jtr! virh u8cs !i l,Et w'k .onyrnqr i.n- uill d, rtt $rl ,rn rtr il]fu i n
<br />inknldl or ol].(d for ak ISR- 7($1. Bu\fts rx! Pnra.\\i.'ns ( cl. Ttt ConLmftr\ Lt.nc tjs ddj d .prly ro !n o$kr o!
<br />rfi. F'Ffly *h' hiB{ or oIh)F t1E6,r lrn sh. dB sh rn.t hns.lf.r h.Mlf or rhrcuAh his or lEr own.tphrd.s,
<br />povrl.1, rh.r $.h rtnwnr & r{ nr.fth, rr olld.n frr {L ll h,ecrr. rlr h{rulna or nrymEm ksU*ihi.om)ir
<br />orornlr,n- rlt ()wmr Buitls *ill h.w r,I txtrL.olI'uins lhd h. or {E dil tuild or inrn,E rtE Fopdry fo.dr O,F€or
<br />L 8 osE of rlE ltrFny. rn.r.lu<rr.ly codrrrrS }irh lftnrd.odtu,ntoNntu rtE FDFd lSa. 7O,l. BurFr
<br />l1.f.sir Cql. 1,E Conrdo. . l-{cnr lr* dEr mr nrpl! lo M o*F of pmprly *ln boius or i,qNEr rh.rd,n,
<br />slb mdB* ld qh FDFr' sirh . colllBl.nl i] liln<d rmun h rtl conrdoas ti..e b* )
<br />I d.rcnfr unLr S(rnn
<br />tlf,t&tlrluE;titArlor
<br />DI;IIJ.BAI]AI
<br />I h.,.he xlrnn u .r F-'ulrJ_ ol Frjtr! ort. ol rh. ii,ll,$m8 (le Lratln\
<br />-l
<br />hrr.,n *ill Brr.in . ('cn if..c .l (inEnt b S.ll.lFur fn *n (. orqEnelion. as Fr\ ik fur by s(ibn l7u)ofrlx
<br />lrhn (i{., nrrlEFndlltEcorrh.hrl rd whrhrh. lErm[ i\ trrRd
<br />I i,k rnd will ru'nr!'i worl.rr .or{Etrrrli,n in\uraNc. !r rcrtuir.d l,y Srrirn .r7(n ot rh. Lib{r CdL. fo. rlE FrforGL! ol
<br />IIE *o ntr *h(h lntrFror i. irgEl ily*orls mn{rnr{lbn 'nsurrN. mrir ul JFlry numb.r Rl
<br />-l.cdrlyrh
<br />irrl*Frf(r!'rkcnlrlkworkl',trhrhrhtrJrnrd|(!hdl\htrlln.r.nuhtatrlp.rw,ninrntnrnkr
<br />!, n\ nr lr..oR. {ihN.r r)rh. $trrlr^ onlp.tr\rr(n, l.,s\ ol Crlil,trtritr. rrtl lgNrhxr'f I \hruld hcconE suh]cd nrrhc
<br />$rrk.^ mn!*n\rrrtr'pn^atr!\oisc.rR)nl'rrxr|lrh.lrhtr(i..1\[']1,tunhw[h.ofnlysirhrk)cpmvi\t)n\
<br />wARNIN(; r'ullur. r, {cur. $orl(er\ uinlttr\nrk roLrr Nc r: trnlrqlul. rtr,] \hrll {rhjc.r an employcr h (r'nri'[l If,trri\ r
<br />SNrk r 11176 or rhc l]h{ (ixlc. tr .rc! trnd nnonry'r r.r\
<br />Drle: AppUrul:
<br />r t( r'NsFIr coN'tRdcll|n
<br />IAIIdSAIIOX
<br />Ihcft.hyrllnrund.rFuhyofpcrJrryrhtrrItr'nlktr{dundcrttr,vi\inr.tChrfl$9(ruxrn.,n!wfhS(tbn?(XU).1l)ivisi,'o.]
<br />ol rhc lnNirc\on(l Pr.ri$i,,n\ (i'G. nrl nry l'(.trs i\ in rullrn,.c lnl(rtirr
<br />SII|IIBI]I1ITTN.LENDIIiG.AAEdCT
<br />I lEEhy rmrn unlr FMlry or Frury rh! ttE. n r $.{d.ti,. Lndns iscry r.r lhc F.fofut darh. hrk for xt*h rtu Fmir ii
<br />hiu.d ls( lG)7.crv ( )
<br />lpfl rc,{NT IrEcr lR^Trotl
<br />I hfttry !trm u r.r F.iXr rl Frrury om.t rh. tulhu,nB &.bhtrr<
<br />D.nr,hi,n Pdnar! Alh.rtoi |{ln,rrdbn FdLhl Rcgobri,nr (Tirl.Ll0. Pd6,
<br />R.q!rRl Ir((.f M{fia!r)6
<br />,ratlrrhrrl{lnl(llr8Ulnri'nsn!!'nErtrdo\(nrnrlrrrtn{I rlbk(,rhF pnrFl
<br />lcdrlyrhni I h!!. Rrd rhs 'pllarr$n rn rrdc rhd rh.'irrgnftrtur!. '\ coRt I rgG ro on{,ry rnh .ll Cn, rd C.uniy
<br />(,litutuG uri Srrrc l,*r rcllins h ho dinr Nnr.rlrrtr .,i lF.b" rdhdr Etft(ddns ot rhis ciry .rn Counry l. .nl6 uF. rlI
<br />.h,r. rnrnEn FoFny n imFdin nurF)€l
<br />\ppl'Lrnr nr \!(nr \i!trnrurr
<br />Set Backs
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUi nsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsu lation/Enerqy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />De puty Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />1\rt^\r0"ult{y(r\
<br />Certiticate of Occu '\ \Ipancy
<br />BUILDING- INSPECTOR RECORD
<br />Forms/Steel/Holdowns
<br />FINAL
<br />Notes, Remarks, Etc.
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