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SITE-WORK DATE tD/stG.COMMENTS Owh-ERaU[DeRITELCARATION
<br />I h.rchv rlltn unlcr IEMlly or Frrry rh.r I m q.ryx lirh ltE Ciirarc Lr6- L.t nn rlr followB! qe,n (S.. I)ll.J
<br />Bu$c$ rrrl Pn'f.$nn Cd.): Ary Cir, or Counry *h.h r.qun ! . Frnu ro .rnrer. .h6, nnl"oe, .Ln$lnh r rF dy
<br />stulw. F" 'o
<br />!s B$.L., 11$ GIUG! rlE rmlr.nr rdr skh Fmr n, 6L r si!ftrl nll.mnl lh.l ,r {r nE n lenkJ !u$Ml(,1h. Frva,'B ol tlr Gmfutr r Li..n<rl t q (ChrFd 9. C.trlffir3 w h Sdlrh 7OCll ot DrvlrM .! orrh. B!!rs.nd
<br />Pnn $n'ns Co&, q rh.l h. or rhc r .icm rh.ElnD rnd llE h.r& tur llE rlksBl cbqrion Any vithrir or S^ritn 701I 5 by .ry
<br />rltlHnr ror . Jrm' sut Fk rh. rri !.rnr b . crvn Fn.xy dr ir n,Erhrn rrv. h!.dE! doltus(tsUr)
<br />_ l- .r owd oa rhe rtuFnr, o. my.nploy.-r wirn wrr.r ri th.! $h omFn ion. will t,,llE q*.,n lh. rrrc u d,l
<br />d.dal dollciql fd r.L (Sa 70.1'1. BurBr.!xl Ptof.ts6 CoL: TrE Grr.dq'r LrlB t * dcr fr, rt4'ly to .n owrcr ol
<br />thc tn)Fdy wtb biu! or iqsB rtrEr ri wh, (lE! ut srt himll {r lEEll or rhretr3h hn d tr om.iq .rr.c,
<br />Folrlol ih.t lkh u{rekdoit e ml lxs$dl q oll.bl n {!.. ll i.M, tr bu ture d !ryNEmnr i, $tl sihn m Fr
<br />or.anpL{b[llE ()vBr Bulld wiI lIE E hnLn oIF,v,{ d{ rE iEJrlrib.,ldi,F!EtlEFF,ftrrlEF FEoI
<br />_,. a! ormrof rh. rmlxny, dcklu*iv.ly coirr&rr! with lR*d o r&rm rodndBr rlE FrFr (sd.70.r,1, BurlN
<br />.,, firBqx Cu,l: Th. Conrtu'oii L*.nk !-rw dE! mt.rtlyto..o**r ofrn,Frry eho blilds nr ihterr rhcrcon.
<br />.nd *ho .odrxr! lM r*n F,Ft *nt r O,r*io(!) llc(En Frtur ro rtr C(drdd'. L{M l,w)
<br />-l
<br />m ci.nF uds Sdi,n-, A. & P.C ft,r rha E.$n
<br />D.r. Ow.
<br />laEE&N:Cr&tf,E!5ArO!
<br />DECI.AEAI,P!
<br />I rEr.hy ltl rh oELr rRn l!, or FJory or ot rlr nrl,,i.r iLrl,ntn.s
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<br />hiw .d *nl mhr dm i Ccn di.t ol Con\'nr rr S.llln\urc l,n uortqs d,nrpcn\iri,n,. ,\ rtrv .J ktr hy SRr r lTl$!,frtr
<br />ljtxn Orn.l,tr rh. Frl(trE,r. ol rh. *olt nn whrh rhc n mn ! Askn
<br />_I hrrc rLl urll mmrrn rorldi con{Ens.rir nruhtu., ts Equr.J h} S..rrr ]TOO or rh. kbrr Cidc. ntr tlr lEnomfr. ot
<br />rh. wtrk htrwh.htlis IEmn rs Eskrl My vorkB'dqrnnrxm mrurn. rdn d Fnrynu6rq {.
<br />lr.Lr- AepUolr-ItCENSffi
<br />PICIIEAIIAN
<br />I irrt, ltuD unJ., Ftulr, or Frrx.y rh l .n Lc..crr unJ.r ,,svBion or C-hrtt . 9 (dnftkh8 wnh Scl,n TUxr) of Divlbn .l
<br />of rlE BNftg.rn Petus$'B Cdr.. Dl 6y lr.e !r o tull lonr nl.fi\.j
<br />CONSTRU(:TTOI\ LI,}iDING AGETCI'
<br />! r(Ehy.fitnu .i Fnrkr.r lEryryrh:r rh(c,sr &n:rnkrir Ln,, B rtcft y li)r rhc p.rLrrotf,c ol rh. w.rk lnr whih r htr FrmI i\
<br />is\u.d (SR.. 1097. Civ C )
<br />AIEITCANI.OECIAEAIII'!
<br />i hdra,y .tim uBLr Fulr y ol Frnrry .E or ilr rinbunr J.!Lr.l x,n\:
<br />Orml,r(,n P.rhnsA$.ins Nottirr6n F.&ril R.Bulrtrfi (T[k{0, P.n6)
<br />RcquncJ L.llcror flr',kallr
<br />I (.nrl) rh:r rlE ldcrJ rc8uhrFnr rcdalms $tEn.rr.fr'rd{c Nr rp, !Nl'h b rh$ rn,Fcr.
<br />Appli.nl or A*.nl Si*MluE __ thl.
<br />Ilrmilaenkrprinl):
<br />Set Backs
<br />Forms/Steeli Holdowns
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnl. 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 />tt .,4
<br />FINAL h,t0l2r Ufr/.m ww
<br />Certiticate of Occupancy I t
<br />Notes, Remarks, Etc.
<br />BUILDING. INSPECTOB RECORD
<br />_l...t y rh,r 'tr'hctFrromtucof rhcwo rorwhrhihrFm Gh:u.d,Irllu n cmtroy.ny FR,n 'n
<br />my lME
<br />y, a ri tErm tubFl li,llr slt6'(.qENrDn h$.1Crliomr, .nl.3r rh.r f I !h{tl tEqft ou.!i ro lh
<br />u',ts! $qusa' on povl!!,nr ol S.(ion 170{, ot UE Uhr CaL, I idl. idnqdh (t!.r'flt qrrh rh!. Ftrwbnr.
<br />iIARNING: FrruE b N. hrtd onlEndbn 6ffiF Li unliwiul. $d rhrll hj.!l .n cmnlorr lo cihDl IEMIIB lrl
<br />(! ,in s uD t, oE hu L.d lh,ueri .l<il&s ltlll).cul), o rrl on tu rlE cor or conF.{xon. dtm8c! a Fovrrdj n, rh.
<br />S^rr,n 1076.1rrE L:h{ CoJ., nr.rcn rftt ir.rEr.! ler
<br />Cohrr.cror
<br />-
<br />L,ni.r'r ArtB.
<br />-
<br />_IrdrryrhrrLsvcfudrh rl'tl(d n sil i!r.rhrrrh. rh'v. DrorEIrnr B(Ddccr Idtieh.o.r{'lys hlllCrly.,nC.urly
<br />ordDrLr!nlSrerc tiw\ ELruB n, h uf (oNer$n. ml h.Etty.urhxr. r.Ii.ehr{ 'ks ol rhr Cr y &l C.nnry t) c.rd uF)n rh.
<br />.1,!c tunhomJ on)tcdy ntr \p.dotr lU4rM\
<br />Erection Pads
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