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<br />BUILDING. IiV,SPECTOR RECORD
<br />cSITE-WORK DATE ID/SIG.OWNER BUILDER Df, II'ARATION
<br />I lE*t rmm u.dq Fdly of Fjurt rhn I 6.rdB fton rh. Coi n<ro6 Lkru l,* f6.lh. follotrii! iaa,n (S€7rll.t
<br />BBind rd Profdion Cod.) An, Cny or (oud, stth r.qun6 a Fnir ro mdtud. .lts, in rore &tmlilh or lF.i rr.
<br />3rtu.ruE, Fbr ro n! budq rlo r.S,t6 rh. n licm lorroch ltn ro fik.risrEd'liffir rhn lE or lhc i! l'.6&d O,$r
<br />lo lhc Fovirio6 oarhc Conhdo.! Li.d$d lrw (CtuFq 9, ( om.fting $nt Sdi,n ?CiJo of Diviion I ol lh. 0rird -<l
<br />PrcasioM Cod.) o. th.r h. or 3rE a! cidnpr lhfttrem.nd rn. h'!ir for rh. !ll.s.d.rd.tiio. Aiyvioltrnr.ofsc.riin 70115 Ly lnn
<br />.!?lics' for. Fmh $brdr tlE @lk.d b r.irilp@hyotmr mr. rhe fiv. hun&.n &lle3 (ltur)
<br />l. a o$E otrh. F.Fny. o my.dplo,6 E rh *116 B rhcir hl. mrF ldion- $ill& rla $tr( id rl'. sr(1B.3 mr
<br />inldrkn .r .|I6.d aor sl. (Sa 7u4, B$ind 6nd PrcfBion! Cod.: Th. ( onterorr Lird$ t w d'6 not qlt,ly h' {n os'n6 or
<br />rhc FoFr, r lb bild. or ioFor6 iha@tr rd *no &6 kh s,i hiMll or rE&laor rhtuush hi. or hd or n anpl,'t.6.
<br />Fu iLd rtd ru.h imDmtqEnl ft m' ird!&i d ofir.d i, nl ll lbs6s, tll hlil,h8 G i,{scnEn it $ld tr ahh @ !r-.l mnpllin! rrE O*c tu'tb *:ll h\r rtr hdd ot Flinlg lhi tr or sh. drl hl h,ild or m!,.t tir FoFly lhr rh. llqE of
<br />l. a o$E of llE FnFrr, m .r(luri\.!, codr.<r ins $ nh hcnr.d .oiRroB ro .oBtud rlE F.i{ (S< ,O1 1. 111618
<br />,nd htrke Cod. ln Conlrrloir l,E.M bu'{kE mr qrl) ro o or n6 orForEnr sh. h{ild! o imrD\6 rh..r.
<br />md *h. coddr f iu.t Fnj.$ $ h r Co,rndo,ls) liatral Flt:@r ki rhc co rdor'r Lk.M l,N)
<br />I m.\.rrfl 0nd6 Sdtrn
<br />I l6.bt trrtnm undc p.n lry of Fjur,! on. of rh. nnh$ inB d..lod b6
<br />-
<br />I h!v. axl sill dint.io ! Cclifkd. of Cotgr b S.lf-lBuE fm trlrtd! onp.dion. B Frr ilsj for b S..ion !7uJ olllE
<br />Llbor Code lor llE pcltnlMc. of lh. wott aor *tkh rfi. Fmi t i$ud.
<br />I h.v. drl *ill @inr.in $orld' conFudion ierec. s rquilrj t* s.nt\, l7flr olrh. tltrr (inL. lor rh. tldn,lr!ft. of
<br />E r$l fd $hti ltit Ff,it i erd. My uortd' snFErion i6ulu. tuE &n F lry iuhb< r.
<br />I c.niry th.! in lh. Faoomnc..IllE $ork an $hich rhi Fmi E ku.d, I !h6lln.t oDnr.! anr rElon in an! Datrtr($ a b t8.6. 3ubj-r Io rhc trorld' conpoEll ion hws o I Cslinrmia. ed arr d rh, ia l nr'rld b.<o'E rubi<r tu
<br />'lE*!*6r' $'nFsrion F.i!i.N .l sdion 17m .f rli tlhtr ( .{q I .hrll. fonh{ nh onrlr tr irh 'h.r nd iliom
<br />W RNIN(; trluE ro s@ *0116 onFMrn ovd8. ! unk{ful .nd shlll3ulxL! !n 6'pk'r- l.finiulFrl; d
<br />*H-.-----Kffi-"]
<br />or rh. trGind Md Pr.f*ioN (-od., ,n m, li..c i! an tull nn€ it clTd
<br />cotslBlcr0tl[Nl)txii-acrtcr
<br />I ha<?+ dltun uad6 rmalry of pdjury lh4 ths. ir . conslocli'. L nis asd(y aor rh.pen,n'uc.orrh.$oll ntr \h'(hrhi!Fnn i
<br />Lsu.d (s6 1097. cn (-)
<br />dltt&aNfDt(l.A[Allat
<br />I hod, !fiD unds rmlt y of F.rury on. oI lh. Llknr i.B ddl,ri' bnl
<br />Dc'nolilion P6'nits.Asb.rlor Norilicdbn l:.d6.1 Rqul6lio.r ( I nG 40. Pan6)
<br />Rcqur.tl ldl6 ot tld'rrcdF.
<br />l.rrllrl'nrrl'r[aic'l'.SUlnrtr,n\'.!,u(|tr'rxnEr.s'rtrnrrr.tro!{,r,ltrrl)]cr.rh\t)'.r(r
<br />"-M I h.\. ral rhi .Frlrd ilr ,d.
<br />'hd
<br />rh. rtn\. '.LlM ir ir nrd l.rraro omd! rrh rll(ilt id ('ounly
<br />io( rt lEch, rurh.ii7. r.Fstd n 6 o, rhk (-n! $d
<br />("-,4,fC).^,-1/J-t)
<br />II
<br />'bfii;'"
<br />Set Backs .-\r?
<br />Forms/Steel/Holdowns (
<br />r l*'
<br />Erection Pads
<br />SLAB Floor
<br />Subf loorA/enVlnsulation I
<br />Roof Sheathin s )Ulz/tt tbcorA ,' r '"'4 lYsn'
<br />Shear Wall (,<:)t
<br />Framing (,/2/i1 5 \>t 16t4
<br />lnsulation/Energy 7/i,/,<i\$
<br />!rywal.t4t/s
<br />nt:).ath l, /8[kl
<br />BroWfi-Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Q puty Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />.tl
<br />FINAL 2/rn/m pM//&rr.16
<br />Certificate of Occu pancy
<br />Notes Remarks, Etc
<br />o J
<br />z-
<br />6
<br />UFER Ground
<br />arl
<br />/z//o/f I 4/- .187 /.,
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