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SITE-WORK DATE ID/SIG.COMMENTS OWNEN AUILDET DEL(NX TION
<br />I rrrchy .lim udj.r FElr Il ll.r,jry rh.l I h .rcf,$ ttum
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<br />Codr-.r.F tilnr ll, ln llE tnL*u3 Ea$n (Sd 70.11 5
<br />B!(ftrr {n Pn,lcsi{ GrL} Art (irt or (i{d, lhtn rcquc . Fh, h e.{n.r. .!s, Elon'r. itDl]]h or EFn ry
<br />{turm. Fr ro [r Nrun.. rlo (qum( rlx {rrlx&r lu rrt timi ro rrh . !l!FJ i.rftnr rhd lr or rrr 6 lEKn Frrd
<br />r, rlE F y!$n. ol llE Co.rr-tx ! l,Enql l:w lch.F.r 9. ColtEBrs s'rh Salr. 7OO0 or D'tnFn I of rr* BBms .n j
<br />Pnrr.{tiin\ GrL) d rlEi lr d itr r .r.nir rlftrnh ul ih. b.a. for rlE llL!.d .(ntrbn Any volrrbnotsdbn 7o1l.Jtlysy
<br />.pnlsnr rorrFm runjcr lh. {Tlr.n' !i,.qv'lFdl',orbr mErhi nv. hu,nr.J ddltr (slt(x))
<br />L ar owxr rf rlE lx)Fny, M my.r{rt't .r * h *rE.r rr rh.r sk on{Enqrir, w l&, rlr k't.rn ltr {ulE i{ mr
<br />l cnLl orofi.rcd lor sl (Sd'rll1-4. BurE(rJ th,rc ons C'dL: Th. Ordr&ror'r l,Nnc ll* dxt ml q,,l, ro o*kror
<br />rh. F,rrny rlD blihts (, uqn'ri rlrhr. d eh, d(f,! h u)rl h,h*lt or h.klr d thn rh htr or lxr ow. .mnby..!.
<br />,nr!il.d rhar s ch inpnr(rrr! E d, nlcDhl r oll.En l;r qh ll h'*cka rlx ho Jrg or dF,ktd B $U eirhr oE Fd
<br />ol (nrplckr,
<br />'tr Ouncr Bu Jd * l hrE lrE bunlcn o, Irdvrt rhl b or $c dil dn hur! {r mtmE d. IntEly for rh. r ,Fr o,
<br />_1, n\ owmr ol rhc [r.Icny. m crrlr(vcl, .odrr(l ht wirh l(.n{d .o,nra(r t' on(rud r lI rn,F.r (S.. 7Or4. Busm$
<br />lnl E ft.srm Cod.: l-hcC nlrruttr \ l-tr.nr.l:wd,f,5 n{ aptlyro.nnqhd I pn'IEnywh(} hurld!dr mpflrvcs rh.rcon.
<br />rnd whr .odB.r\ Lr \u.h ln)irh * hr(i)nr,{n,lln lrorJI,ururd hrh.O'nkeloi\ l-f,.n{ trr)
<br />-l
<br />u.tnfl trLr Sdrn-, B. & P C for lns ren
<br />D.r!: or*
<br />ratrExs:coltfEdsAllo!
<br />EECIASAIIA!
<br />I lErhy rrrm un&r lEmhy of IE.Jury nB ufrh. (ntlrng Jdbnr.Nl
<br />I hrt? mi *'ll romrxr r Crn,lrd. ol (i 'n{nr n, S.ll'lnsurc ,,, *orkc^' .oryx.uri,n. !! l(,rrJ,:d lor hy Sclri)n l?m .( rh.
<br />bhtr (iil..lor rhc FdnrmN. olrh. *.lt l', *hrh rh. pom! s Rsucd
<br />I hlvc ,hd wrll mrmtrn p rtfrc Dlrnrin tr fflratu., s EqumJ hySerkr l7(,1).lrhc tjTitr(iilc, l.l]rrh. pcdnm. ol
<br />rh. *o* li,rwhichthn permlr rs rsn'. My work.6 NnrF.\{on msurikcrMr, ! On.y nunrhr{.
<br />I .cdlfy rh.r n rh. Frfmr ol rh. wolt fir whrh rhtr p.mit n (!rErl. I rhil r{ .m0l'y .ry Flu h uy lME
<br />5 nbtroGlutFrkrrLh 6'd'ngtB.ru Lw!orcn,fomL ul!3c rn! af I {E!! t ror {bj.{ rorh.
<br />hrtd' ori{Ens.t bn pnrhlpB 6l Sd|rh llU} ol llr Lrlrr Cqj.. I rh.q adri*rn @.91, *.h rhor rrrv6b.r.W RIIING: F{luE ro rm qrt .' LnqrN$r $16{. ! unEwtuL ln rhrll luhj.rr e.rrllbF b qlEd FutE .,n
<br />.fl1 rmt up ro oE hurlr.d rholqnl &rlLn l!l{D.fiD), 6 aLl.6 lo rlE .or ot Ls.rFtrqlD.. nmr.r .! FDvii.t for rlr
<br />S&l.n 1076 of rll t h, Co.l, d.N .ri rtmy,. fcr
<br />DECI.ASAIION
<br />I hcEhy rlrrn un&r F.nryorFrjuryrhll l.h [(.d und.. pnlvnon ol Chrllcr 9 (.!,mrEh! wnn S(.thn'7000) otDivBn,o ]
<br />ot ihc Buiinc$ aBl Pd8\nns Cod., {rl ny kcn\c s m ti'[ ntre at! clLcr
<br />r-".". cr"* 1J 9 <,/
<br />t'l/( o,//A a ),1 7 (.onrtrV-"2''
<br />lalslauglqNrEdDlEclcslla
<br />I h.Eht.rfm unLr Fn l, ol FrIrry rn rlE ! r !-nrBi.n llnrn3 .!.F, lq rlE ttnolM_-. i)f dr k*t td rhrh rhr. Fm, 6
<br />xu.J r*q {,9, C'v C t
<br />ATTLIIAILDECI.A8AIIA!
<br />I lm! lrlim rhJ.i FnaXy ol Frtury or* or rh. k,lk,*m! Jcrlrrrr('n!
<br />I).fr'l ('n P.rhns \h. N.r',Kar0n l..Jcrat Rcfuld(nx (Tilc 40, Pd6)
<br />Rcqumd k($ot M{rlirdnn
<br />l!.nrl! rhn rh.l.d.rd rutuLrk)ns Fprnu3 tr\h(or rcm,vrlrc on 3rpl'LrhL n' rhr pn)r\r
<br />_l(d,trrhnIh.kRrlrllir|ltxrrx,nann{.rh,rrlErh*ulotuh,Lr(frrIr8rk,o,n0lyrhr[Cry:dCoudy
<br />!f,Utrtu.r lrt Srd. Ls Fhry b h{rlln! o.{M rr hl hdt, ruthrM BF.gdrq .f rhr( C.y 1n Courry lo ctlls uF,n rlE
<br />ah . mnrk,mJ Po[xnv r{,
<br />,\pDlicxnl o.,\!El Sirmluft
<br />'zrcm (( Bnrip.inlr:
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Su bf loor/VenVlns u latio n
<br />Roof Sheathing ry//o,/1?n+4//L
<br />Shear Wall
<br />Framing
<br />lns u latio n/E nerg y
<br />Qrywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handic ap Req.
<br />De puty Final Report
<br />Engineer Final Report
<br />Flood Zone Certif .
<br />FINAL 4//2//O g)o4frTh '16-v
<br />1Certif icate ol Occu pancy
<br />Notes Remarks Etc
<br />BUILDING. INSPECTOR RECORD
<br />a
<br />l,Ekr'. AUIF*:
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