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SITE.WOBK DATE ID/SIG.COMMENTS OWNER AUILDET I'ELCAN flON
<br />I h.'d, rrlm urit r Fmhy of F rury lh, I u.r.rpi 6nt rt (idr.1,n Li.tE lr* ht rh. tillhrinA B$n lsf,< 7)ll I
<br />BurlBr !'r, Pmfdtnn Cd.) r\., cit or Cddy sh.h Nrumr r Iffia ro oniM. .!d. .n{,mk &rElilh or EFn u!-,
<br />rrB16c, Fd io tu h.lm. rlql E1urc! rlt {,t'licd ftr qh rrmr h fiL. sisEn rrcd rhd h or rlE ir lilnEd ltd.Ir
<br />h llE rmvtbns or r,E Conrrrk r l.E.*d t w ( Ch.tid e, ConrmFin8 *nh S..rtn lfixr or Divtbn i ol rlE 8u(iN.r tnd
<br />tn,acsiionr Co<L) or rh{ tr rrE t.rr{,1 rlEEftom.d llEtE\ir rrtr rtE tlL8cd crcr{'rhn An, vi'l4rn ofsNtnn 70.1I Jhyrny
<br />dFplrrnr ror. Fmi su6r..k rli lltlka.r ro r.ivil Fndlty.r nor nrnc rhan llv. htrndEdd.llar (l:ill(D
<br />-
<br />l, .r owcr of rtr teFny. or my cnploya\ wilh wuscr $ rh.i. {'k .ot{Enslhn. wiu &, l,r *(I rn [E {urE n mr
<br />inlnldl n ofi.Ed for sl. 156 7(14a, Blrir$ rnd PrDfc(io.. Cnl.: Ti. C.nrr*ror'! Lk.nE Lr ltx! mr +rly ro d osE oI
<br />rlE FFriy wlb hriLls d irtM rrEcn rd *h. &3 eh k* himr.lf o. lsElf or timulh ht d h.r o*n.'phFl
<br />,notiLd rhr srn irF,ffit e r{ ir.nd.d 6otu fq ql li hrffi. rlE hiildir{ - iqt*Ed n $E vihh ffi FE
<br />or dard.lrn. rlE (rE Blilb n[ lEE rlE lurln of FlvilB d. lE q ili dil d tliB d ,qmE dE F,t.ry ft, dr F,IDr ol
<br />-l.
<br />rs,NEr of rlE ImFny, ln.r.lurEly o r*lins w h lf,rurt conrturrm ro on{ur rlt FFl (sft 7(}r'l. BusIF3
<br />lnl t\.k \bnCod. TrE c(,nr-u \ |.rc..{ l:s dft\ rmlyt, ano*rcrofprcFny*b hurltt.or iml'roEsrhomn
<br />itrJ qh, snnnd!turlchptuF.k*irh!co hclontl ltcn$d Dunud b rh. Conrack 3l-tcn{ lrw,
<br />I rn.rcnrfl utrdcr Sccrnn-. B & l'( lnr ihi\ r.rn'n
<br />l)ek ()sm.
<br />.I])a ;&tgruu:rLi-r0:
<br />l,lllJ.,lts Iur
<br />I lrleh).rrtrmunJ.' p.tulr\,n lirr \,tr*!n rh l')lL'{tr't dr(li'rrr,tr
<br />-lh.wrd*iltri.in.CG(,f.d.orcon-.tbS.lr.l.ruEfGturl66"rFdion.ttFovitdrorbys(ri,nlI0ollkuntr C.d.. lc llE Frfoffi oa llE ktn fd thich dE Fmil it itru.d
<br />I h.,rc r willn,rinrrin *orkurr.on{Etr\rri{)o insur!,{.. s! 'rttutr.d hyS.(ri.n.17(xrolihc l)hr(i c. itr rtu Frf,rnu'nN nl
<br />rltr work ntr whi.hrhis Jf,,nriris ihtrd My workcr' comlf,n\trr trnr trtrurrtrc. (rtricr rrl Fniry no !h.r rc
<br />.."", Slq\t Fqr^L
<br />-..*. :)?)Jlr,."r",.*, - 1QL\Q 4
<br />-l
<br />aniry rh.l in i,E Frfd.Im ol llE turt fd $hth rhn Frnu n i(rEd, I rh.ll mr crPloy rn, Fmn ir Mv rutr
<br />a, ( t' lEarr sbf< b dE hnsi onFMbn Ls otcrlitum!, !d 4r rh, if I ih.u5 lE$r rubF.r rd thc
<br />hrtri on{Ennii,n lmvnhn\ of S.db. l70O oa rlE Lir* Od., I sldl. fdrh$irh 6,ipl, wirh ll,c Pnrirk,nr
<br />WARNINC t.liluE h Efu. sdLr' onp.Mic'n frwElc ir unL*tul .nd shrll subFr m c'ior,F io siniml Ffllir.
<br />ciril fi.ci uD lo oft hundEd rtFlnnd dolbn (tloo,(Ix)). in tddni'. |o rh. or ofcomPcn{rion, dm!.. !t ProvidrJ ru rh.
<br />,',,,,-\b L7l (&'
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<br />I rmh, .lrrm und.r FMl, or tsrtly rhr I d liurd ui.,.r F,YnrD or cluiid 9 (6nmrin! eilh S..lir 7m), .r Div,sin l
<br />ot rlr Buriffi &d gordr.B C{n . rn my lt.trE is h tull r{ft .,ri .rTcl
<br />L\]C4 -j ,*, q5r38
<br />tr.* lO L)rg'
<br />caN]Brualll}:JlNi,ll,l;M
<br />I lEahy olIrm undd FMxyorF rury lhd rlE. h. on(to.ri,n Edin8 lstNy for rlt IE i,tuft. or ilE mrt fo, *hih rh'\ Fnnr N
<br />llndcar Addr6r
<br />-fiflll Nllllll!$llllali
<br />lrmhr_ r,lntr,undrr tf,trrlr) olttrlU!_ rDc tl l,[ roll,)r inS l..l Irrrnn
<br />l\.trn'l'ri,nr l'cnnir\ A\ixno\ Norl(nrtrtrr lc,lcrrlReguhrtrtr,\ I I l..h).l'itrr6r
<br />Rqtrtr.J l..rrcrrl Nor liino
<br />I cdiry rhd rh. f.i.rol EAlhi.nr Elrdin8 arhcilor r.nrnol d. rn q'IlirhL ro rhir pmFl
<br />-lcsriryrhdIhawEdrhh{''r.tionu,{.i.ihdrLrtlrwinnd$ni1ffiiIrgen'N'qywnh.[CnrlnCdnr,idirsrr .rn shr. h$ Elina lo htitdi.* &'d.Erhtr nn tEEt, .ultrtriz r.Fedi6 or rhir Cily !n Coory ro .nrd upon tlr
<br />ihr. n.nri,ki pn,Fnt 1,tr n\
<br />AD|,liunr or aent SktrIluF
<br />Sleve vt zqqez vltl l,e'
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Rool Sheathinq t0 -1- tg x\Lpq Fc,N/\ LEFr
<br />Shear Wall
<br />Framinq
<br />ln su latio n/E ne rgy
<br />Drywall
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certil
<br />0
<br />FINAL
<br />Certif icate of Occupancy -vtNotes, Remarks, Etc.
<br />Fnlct*th,,OL P
<br />BUILDING. INSPECTOR RECOHD
<br />Subf loor/VenVl nsulalion
<br />Ext./lnt. Lath
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