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SITE-WORK DATE ID/SIG.COMMENTS OWNI]I' BUII-DI]R DEI,CARATX)N
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<br />ipplri lsr p.rnn( \uhj\_h r1r rnphrnrt) r0v'lIxnrlryolnormor.rl,in lrv. hun,lr.'l JollaF(J500)
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<br />rhrF'xny wh. hu ild\ or illtr',vcs itlN)o. lwli,d,N{(hunth,nr.llorhcr\cllorrhhuthhrorhcr.wncnn[,y.cs.
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<br />l. r\ duNrdfrlr pr)Nny. imc\.lNrvclyconrrr uswihh.ns.JcontJrrtr\k,c!trNruc(rlEpn!.crrS..7OJ4-Itu\ncs
<br />! h.t $MC*lc lh.O)ntaL!tr'i l-'.rh\c Law(|,f,\ hor rff'lyn] n dwnc! ol r)p..ry who htr'l'l\or drpn,vc(rhcre.tr.
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<br />IIITASAIIO
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<br />Lrhtr C,'J., ktr rltr l-_rlornrnL..f ihc work lar whi.h lhc lcmnr r is\ucJ
<br />Ilr!rcr wrllmr .rn wDrtcrr .oml}. n{r!n trN'rn... r\ r.qtrtr.'lhr_S&ri lrl[, irhclihor CoJ.. nr rh. F_rlornBncc I
<br />rl'( tr 'l n sl'trh rl'a Nnnir ^ r\
<br />'#ole f<rnc)b3/4- tZ')7 20
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<br />$ xsr,lr$tu suhjdr brlf, wo,k.s . n[cDidrtrln h*a ol ('ihlffr'r.3nJ llsn'e rhrr,l I \lx{rLl tE..nr n'hFulbrhc
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<br />WARNIN(;: lrilurc b scrurc *orkc^ (l,mn nraoon (vfirg. '\ unhwlnl. unJ \hrll suhjc.( rL.'npl(,y.r n) umtrml B'trrti\ (tr(l
<br />n, oN hufti,.'l rhotr\xnJ dollk\ r5l(X),(XX)), r dld(rr rqlhc (o{ ol c,nnNn.rrrtr, dr R!.\ r\ |no\L,lr,l l,r rh.
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<br />2.I
<br />DFl]t.ARATION
<br />I hcEhyallimun.lcrpcnrlrlol p(rjuryrhar I atu I'ccn{dond.r nvr{oh IChr q,(.ommm'tr! *ihSrdrf70llr)otl]Nrion l
<br />ol lhc Btr\ncs ri Pdcs$.n!Cnlc. I nryl'.cns. '\ 'n
<br />lull nnr rxlcli.rra bt?G37
<br />IOIf,IEIJCIION.LENIINEIIi&NII
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<br />^frlltANLUECt
<br />&U!A!
<br />I h.N$yallimrunds pcralry ol pcrjry onc ol rhc k)lli,wn,B d(lxrrr(,n\
<br />Dcnrr(n)n ltr.rih-Ashcdos Norili.ari,,, FcJcBl R.guld('n\rlih.l0. Pdn6)
<br />R.quna'l lruc' ol Nor'liuton
<br />-Idnnith.t
<br />rhc lcdcrdrceul nns rcrdrns a\tcnos rcn,val &c nor tDluhh to lhr Pr+.l.
<br />n(ccnnyrhll t havcrca,rrhir apdicarn,naJ nare rhd rhc rtx'vc nnnmri('n iscotr .r I.3rech$nnlyw hallciryrnd counry
<br />onlortu.\ rn,l Srrr lr*.'.1 'trtni6trLlJtr,p(!n, ul tur.br_ rur l$rrc rcnrcscnrxrir.\ o r rhtr C yMdC trnrynr.nr.rutrnrl'.
<br />$dtt nnr 0D.d nn)s..ny ntr m\F.rion
<br />.\Dpli.rnl or AEenl SiAnnr (
<br />/-)
<br />Set Backs
<br />Forms/Sleel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Sublloor/VenVl nsulation
<br />Rool Sheathing ?ln/ts b7b/b1
<br />Shear Wall
<br />Framino
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />FINAL z/r s/t.,Eirr? ,o!
<br />Certificate ot Occupancy
<br />Notes, Remarks, Etc
<br />-,
<br />BUILDING- INSPECTOR RECORD
<br />N{kd (S.( 1097. Crv C.).
<br />lrnJris Namc
<br />Lcnd.r( Adrlrc*
<br />Pool Fence
<br />Flood Zone Certif .
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