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SITE.WORK DATE ID/SIG.COMMENTS OWNER ETII,DF-i DEI, 6N
<br />I h.rct'y dtuB uri.r Fuhy in Frr ry rh, I d.t 'rqjr lmm rtE G{ra{r' Ltrns l.* i,r rh. follo*in8 rce,n (se 701r.!
<br />Bu'n.r( r,rt lrDi.(trm cdc): Any C y or County *hrh r.1utrc! . Fm[ tr .ondtu.!. ilr(,
<br />'n'pn,v.,
<br />J.B rh or Ei.r uy
<br />(ru(rur., Frr r' irr Fruer. rh. r.1tu(5 rlr rfi'her ln lRh Fmt tr lrL r q8rd nd.mnr lhi lr or {x ! l(tn!.tt lorud
<br />k, rl{ lhvlsi,ns or r C.ntr.rktr r l-i.cnc! L.w l(n! q e, C.mmcBns , h Se'i'n 7mo ol l)rvr$n .l or rlE Burrrt,nJ
<br />Pnn.$inr (iNic) lh.t lr or rlE i. ...mfl rtE.flom rd rlE l4\! nn rM rrla.n .rnl,i$n A.y v.Lirn of Ssrrn '70.1 I 5 by rny
<br />{plunr lin r Fmr ! hFrr rh. an)lrsr t' r.rvil t ..lrydl nt mr. rhe nvc hundEn dolla^ (t5lxl).
<br />l. I owx. ol rlr Imlrny. u m, .q'loy.cr wnh wis.i rr rLr g,k .t'r{Enql$n, w l do rIr *qt lrl rtE {.{m I mr
<br />,r.Eld or olr.Ed tu alc (Sa 7(x4, Euim$ rtl Pnr6s,rr C!rk: IE Cnllrdq'r Lilmr L,* (l'8 d {r,1, lo u owt ol
<br />rh. rnrrny rt hl*is {tr ultn,tr tlEma !n *b Lnrt uh s},1 hid{ll or hcr.lror lhDush hr or hct om.mlhy..1
<br />|rrvrLd ih,r !!.h dpi,Emdr ft n, ddlal d ofi.rtt ft, .l ll h,ffi, rh. hrllin, r urtnEdd ! ill *!ho ,E Fd
<br />oir-lildDn. th. Ow*r Blrllli ril h& tlE t nl6 01n(,vmt rh, lr o. rh. drl ml tu! or qa'E r. FDIET, fir rlE ln4bs of
<br />-I.
<br />.r o*tr orlll FIdy. m.rclunElr.o rdq ri.h lkrn3J.r' rrrrB k, Lxnrtui rrE Fjr\i (Si\ ?oail. BuruB
<br />rn hllEsimculc: Th. ConrBktr t Lr.n!.I,w&B R tprlyro ow..r ortmFnywk' buildr or mlrcE! rh.r.o..
<br />rnJ whr ..tufi rd *h FrFlr wrth. Ol'llrartx$) lrcB.J plnud (' ill Codrard-r tr.re L*]
<br />l.nrc\cmp u.d.r Se'i,n .B &PC l,trrhtrrc:.'n
<br />lr.r. OeNr
<br />1!AXA[L!:!AM[!!SAII9!
<br />IIECIAXAIIO!
<br />I hcrcht r,ftrnr un,l.r pcDlry ot pcriury onc oirh. loln,wmg J(lf,rlton\
<br />I h{vc .,n sill minl.h . Ccnifurr. ot (tn(nl k SclllnruE r,r k)rtc^ eo,{xtrsn..lt FDvrrdl li,r by Scu,.l?fl}orrlr
<br />lr$r Ori., L* rlE Frrim! ol llE s.t fu *llih rlE Fmr u sru.!
<br />- I hrv. !n l *rll m,d.u *ort.^' .or|l.n{t nn r{trrft.. r\ r.qorc, hy Serr)n l7($ .l rlr tilitr Gxlc. tu. rh. F.l ,rrre. o!
<br />rhc *ork ld *hahrhtFrmr ,\ i!{cd. M, wDrk.E' (,dtEir.oon
<br />'fiuntuc enEr.,n Fn.ynumtx, e:
<br />_I(nrlyrh nrh.tl.nnrmfrcutrhcwork ntrphf,hrhr!.rmn ArtNJ IihrllL .mpL'ydyFd'n m rny lMB
<br />q' .s nr bc$m !ulr.!r t' r,x urls! !:rrFndnn l,*!.1 (rrl,rohB. rnJ rtr rh.r n I {h)ulj lE om ruhjdr ft, irr
<br />woltcr .onpc.llrion ,'nr!rnn\ ol Sd[i ]7m or rh. L:hr C'r1.. I $.U, fi'nh*lh c.mply wih rh,e porl\r,nr.
<br />WAlNlNc: Flhr r, rk qrrt.r ..mlEn.tri)n lrncrlc tr unLwtuL ,irl ih,ll \!hj(l r crlllloy.r lo qmiBl p.elr$ rd
<br />(r'l lmI p n, oN l"xlrnl rh!trhxtul ,inlr\ rll(xr.(xN id.l[!)n r' rll. !o{ ot ({kn d,!8.r $ povn J ror rlt
<br />,,",,,3 -A7+7
<br />llEcl4EArlox
<br />I t$hy !lltm undcr p..drrnt p.r!ryrhd I.m L.tnd uni.. F)virrrol (]ud( I (rEEBrt sift Sdbn 7flD).lDrvsrrn I
<br />.r rlE lutms .rn Pn)r€rirr! Cd.. Dl hy lr.n{ 6 r ltll li,d ,J .fr(r
<br />0?'/clr'
<br />COIIIBUJTqNIEBDAJi.{qEICI
<br />I h.Ehy rlrtn u .r FnaI, ot FrJUry rhr llE€ s. (mrulDn lcnln! .!cry ld rL Ffulla. ol rM c{ lot rhih rtu F.nut ir
<br />RiEJ (S<. Ir7, Civ. C.).
<br />L.nLrt N.m:
<br />la.,lcis A.lirc$:
<br />-
<br />AITI.ICANI.DECI.ASAIIA!
<br />I h&r, rnm ulk. Foly df Frr{ry oE ol rlE tuLr*m3 &.llrrir!:
<br />r!frn/ion P.m eArlEdo! Nol!rirrr Fal.rd R.8uhrobr (1trI.40. Prn6)
<br />_R.qurcd trn.r of Nd,tidrIn
<br />I ccnrlyrhir rh.l.ilcrrlrc8uLr$n\ (grl,n8 i\h(no\ rofrNxl trtu nor {!'lk!nF n' ihr ImF.r
<br />_l (.dilythit lluvc Erdrh6 cmltrrt
<br />,nlfrdr (rt Srrr. t*r rl|d\a b tr
<br />n,n !,n ({c rh!|hc ,vc mtumrr'tr E roBr.I rrG
<br />'o
<br />or'ply wih.ll Cny.nl ('ou ,
<br />lr3 L.n(er bn. .DJ tmhy
<br />,nu. trf,drnRlI'nB v l,n N
<br />Appli({nl or Ascnl SirnhluF aLs
<br />hr Cily mJ C,)un!v r,.nr.r uF,n rlr
<br />^,3'e9r'2
<br />Set Backs
<br />Erection Pads
<br />UFER Ground
<br />Subf loor/VenUlnsu lation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsu latron/ En erg y UW? z '"qMfY r>
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif .
<br />FINAL VA14 t 7md-,at--v
<br />certilicate of occup-ncy ry
<br />Notes, Remarks, Etc
<br />BUILDING- INSPECTOB RECORD
<br />P,,lna Nuhh.r
<br />-
<br />ErDr.
<br />Forms/Steel/Holdowns
<br />SLAB Floor
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