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SITE.WORK DATE ID/SIG.COMMENTS Ot,INET AUILDI'R DELC XATION
<br />I h.r.t'y r6rm u.Jcr Frrlry ol Fr,try rh.r I m .r.n!i h,h rh. O).tf,tn Li..nE lrs litr IIE fdlowDs Eroi (SamJt.5
<br />Itusn.$ .nl ltolc$,n Colc) Any Ciry or CN,ly whih rcqurcs r Frmr l,' .or(N(1. rlrd. rImrc, d.Rnirh ir EIrtr lny
<br />nturE, Ftrt, n. N!frq rlo rcguircr rll .llJ'lIsr fM luhFmt r' ikr $8n J .r.mnr rh.r h.or.lF x ldn<rt au d
<br />r) rlr F,yirhtr\ oI lh. Conlr&lrtr r LNnEd tll IChn cr 9, Comcmhr w h S(oM ,mo ol Drvntun J .f rlE Buws . j
<br />Pnrr.si,ns C*L) or rh:r ,r or si* s .r.mfl rlr.ctrom ann rlE bri! ntr rn .ll{.n cr.nr{,r!,n Ary v!,Lrm of Seri,n 70.11.5 by .ry
<br />lp,rhcnr tu ! Fmur iubrc.h lh. rnPnrlnr lo ! ervil ,l.nrtyorR frtr lhrn rrv. hunlt.d Joll.B ($5m)
<br />_1, 6 o*n.r or rh. FlFny, n dr.hploFr w'rh *{.r.r rlEr oL.unriNrD., w'[ d, rh. un rn rh. {&1N ! Br
<br />doi].l or oIlcEJ rtr sL iS<.7O4a, Burms ril Pn 6!$d GrL: Tll Co.rrM'' tl.M lrv &a fr{ +pl, b r oqE of
<br />rh. F,td, *h, tlillt ilqtEr rlEsa,n ub UB *h *xl himEu or lE,slto, rtmu8h hr or lE oen.n{ibyccs.
<br />FovrLJ ihrr rkh mFrmnr! e Bn iddia.l d olrdd n* eL. l( h,kE, ilr ttu,!,nS or nlnrwftnt a aru wnhin um F
<br />olonlllLtr)tr LIE Oumr Bu r.r ril hrw th. hr&n ol F)eng rhar lr or rh. Jn nn h j q !tIn* tlE F{Ery nr tlE FIFE.t
<br />L d osEr or rh. F4.dr. d.irhl$Flr .onrrrrm! w i h.rrJ .odretr6 b $Nrurr rlE F'J.rr (s( 7044, B!r@s\
<br />,i Eda\rr (o&: Th. Contkktr's l-f,cn$ Lw J*i Rr,!t'ly n, rh.qncr ollruFn, *ho bu'lds.r mllnrvca rh.r.on.
<br />rnd vlx, odrkrr rtr sk h lr,Jc.rr wnh L (i)nrrldtrr x ) l(cncJ purud n' rh. C.trrr$tn r Lr.nr lje )
<br />I dtrrrnpr uhl.r S(r(,_,ll & PC nrrfiAE!{,n
<br />lhl. _ Oeftr
<br />l&xaE&5:cauEararrN
<br />DECIAEAIIa!
<br />I h.(by .ll trm unJcr pcnrlly ol pcrjur) nrc ol th. tull,r me rk ldri,n.l
<br />/ I h.E.rn *,ll r'nr.u . Cd'fr.r. ol CoMht t. S.lt-ln!ur. tr sxl6' onFsrsn. s F vrLd lor by SerDn ]TUJ or0r/ l+x GrL, ir rlx rEfqnln..irlr qfi nr shah rlr tEmr a E,kJ
<br />ft r',* ,*r *,rr *,,r,n *,trI.^ rur,rkN( tr'n fiurB.. N r.rl!r.d b, sdr r,. rToo or rh. uhor ciil.. ftn rh. Fr,mN .r
<br />\t/itu h* hr whrh rhBFm! ^ tr,6r My$nrrs lDnFErri Bu,dr.ffi rrl,blr, numh.r e
<br />\ t*., sTAfF rL,Nb tv\,*,n",*, qt4(Fal ***. t/z.t/zo zr
<br />-I.6l
<br />y rhil rn tlE FnormN orrh. work ntr ph.h lhr Fhr n B!Ed, I .llr .rq'L, /n, --l..n, **
<br />$ $ io b.dft rubFr ro rrr k!rt6 6rp.Gdir h*! o,C.lia@.:nl rsE rh.r iI I nD r lttrE bFr rorh.
<br />s 6' LulENli'f, tmv(irn!olS<lr,n lrmof lh.IflirCuL, l tdl. i,ltwnh.!qiyrilhlbr tmvi3i,niTf, RIIING: l.iuE to su eort6 .$,r{tMrir NEnlc ir unLvtul. r,rl shlu $tr.l u .rq oFr lo ffid FMiB.rn(iv rm! un ro oE hut r.n rh,usnl &,1h6 (Sr0o.(xx)). in .J!ili,r lo rh. .oit ol (ImrEnsror, d.m3c! .i nrovildl ror llr
<br />tr (irlc. intrr{ rtrJ rno'ncy s t(.c\5r {clltuer /r., -frZZ-e
<br />ult\.t]r-!]1!lt ctlB
<br />!]}]Crz!8lM)f ,./.-,." -o,., o,,,"." .I h.rchy t,,tr urlcr IEMlry ol tE4ury lhi I rn lklnsal uLl.r [lt,vs6n {fChll)ld 9 (ontrkrn8
<br />of rtE BuriE$ aBl Pn,fc$b.i Cirl., cnJ my lf,cnsc r 6 tu! nE! rn cfiirt.
<br />C-3 /Dat f77
<br />Z(14
<br />Z-c>l ctr$rxrcI&u.l;lDlllrlinrr
<br />Mlry of F4ury rlDr th.F s. roNrdcr$n lc ls3 if.ncy l$ th. FrformN..f lh. Dd ir*hEhrhrFm, !
<br />ktL..' a.i&cs
<br />-
<br />AttucAlflE(lJxarra!
<br />I h.r.l'y!rmuflicr FnrXy ol |Erpry or of E ftnbe'.8 ,L.hr.rnns:
<br />D.mltlon P..m ]Arh.skB Ndta..rpn &&rrl R.glhrn.s(Tnk 40, Pd6)
<br />_R.q!ftd Irrtcr ol l*rri{iiJn
<br />rxi Counl, !, cnld uFr ltE
<br />il,/,u,,/7
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUl nsulation
<br />Roof Sheathing lt )rt ^a)Shear Wall tlttilbt ardrll /uEa(ry
<br />Framino I I
<br />ln su lation/ En ergy
<br />Drywall
<br />Ext./lnt. Lalh
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />tl I l^.a1lt3/2.t ttrl/ltr)w(w
<br />Certificate of Occupancy I t
<br />Notes, Remarks, Etc
<br />BUILDING. INSPECTOR RECORD
<br />Set Backs
<br />T-Bar
<br />Flood Zone Certil.
<br />FINAL
<br />Bnei (Se, 1097. Ca!, C.).
<br />L.n L Nrm: _
<br />I cdrlyrhrt I h.vc r.&l rhs rt l.lron
<br />lrl sr.rc llws Ebrrl. r)
<br />rhrE m.rrrrJ n$Fny (tr in(Ftiln
<br />f
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