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SITE.WORK DATE ID/SIG.COMMENTS OWNER AUILDET DELCAI'ATION
<br />I he.b, lfm lnda po.lly of FJury $, ! D .rdpl nom lh. Cod,i(.1o6 l-'ca& tr* tu th. aollowirg rastr (Ss.7O!l J
<br />BsilB ,rd Pmlsbr C.d.): Any Cny or Coudy *han cquit6 . Fn! io odM. .!s, urFDrt drElirh or @., &y
<br />3trud@ p.nr io it! suoc.. ollo rcquna rh. rrplicd for ruch Fmn lo 6lG . ri8Ed ndoMl lhd lE o, JE i! li.dt!.d pi,e!,!
<br />ro rt FDvtilB of tlE Conrr-lor't Ltcdod t w lclupa 9, Conn*in, whn Sdrio. 7000 of Divnion 3 of Ut tlulilB ed
<br />Prefdbnt Co&) or $.r lE or 3lE a aanF rhdlfom ."d rlr t sit tu llr .llcgcd ddirrioi Aly vFlni.n oascrb. 7Ol I 5 by 6r'
<br />.ppltor lor r laDn subja]l! th. rpDli.anl lo r .ivil posly of mt mrc lhd fiv. hui<t d doue! (tt00).
<br />--t, s o*nq of rh. FnFry, or ot oplorG wnh *$6 s ih.n $E conpcrsdior will & llE *oil &t iE iMm i! br
<br />i,{d!.!.d or .lldql ltr eL (Sa.r044. BdlB od Pilr-diod Cod. Th. (bntfiori Ltdu Lry &d nol sgly lo & ow of
<br />ilE FFi, $lrr h*rr d ,r!.!rs rlEa !n wh dE st mrl hielf o. h*lf or lhrcuxh ha d hd os onphr6.
<br />prcvid.d thrt $ch ihp.llq6E e d dad.d oroltdld t'r src If.lb{4G, rh. tuldii* or inFwaE{ !' Dld eilth w idr
<br />ofonplibtr rL O*G Boilda *ilt ,re tlE hn., ofFDritt tk lE s 4. dij Dl hriE or ,qrcr 6. FlFy 6r tlE F,F* of
<br />l. 6 orE of rh. Flpqly, m dcluiycl! coriil1he *nh lt@.d conEro6 b orutud tt Folcl (Sa ?0.1,1. BrEilr
<br />rd hoi.m C.d.: Th. Cof,rdo Lkru L.* dc mt +?ly lo e oen6 of Foldry *ho hi d. or impovq rhdotr.
<br />sd pho colnEclr for 3uch Fortl! wnh ! CoitBlo(, Ii.6ts d pB@ h th. Codrdois LicN L.w)
<br />I mcrhpt undc Salon-
<br />--.
<br />B. & P.C. for rh! r6on.
<br />Ir.rc: Or.E:_ _ _
<br />lvoRxFc{-coMDFnsATmrii
<br />IrFCr AX TTOj\
<br />I hdtD'llrm ui(b r6at, of Fj!ry oE oltlt folLlirB dclr.rEB:
<br />I hrE !d *ill tulain. Colfrd. of Cot@r ro Sclf.ttB@ fo, mrl@' @n slrbc 6 Fovid.d for by Sdnr l70O of dE
<br />t bd (-od., for tlE F6ffi. of rlE s!* ror shkt llE FBn a isu.d.
<br />Yh.*" &a ",tt -*.. "ort@' .orq6.tio. ilMe s rEqlr.d by Sdbn l?m of rE L.hot Coda ro,llE Ffolrft. of
<br />Nl)comD.Bdion iBuruc. cmd rd rDl'.y numhq @
<br />*,t' n.r-, Ufi1 to qt?e t?4
<br />I cdrrfyth inrh.Frformlnc.oflhcwork fo, shrchrhrFnit t i$uq!.I3h.ll Nr otloy lny Fson hsym&ns
<br />e B lo baoft $tixr ro tlE *. d o,rFqbn L*s olcdifolu !d cE llld rl I llDul:l b..oe ebj.tl lo rlE
<br />*nrl6'c6mFdb.FntilioBofsdion:l?00ofrh.trtorCod..ldtalLfcdh*nhonpty$nhrb*FovaioB
<br />WARNINC: fulur. lo FW worl6' amrqE li.n .ovatsc ! u.ltwtul. 8d !h.ll ubjd 6 dploF lo aiBin l FuIb 3rd
<br />dvil fin6 uI, ro oE hln<lroi rhou$d &)lLB (t100,000), i! ridnFn h tl! ..i ol conFMior d!tr{6 a Fovn.d for ll!
<br />Sdi)n 10?6 oath.l,bor c.d., inrd6l md dromy s t6
<br />?tl lt
<br />DpclatallQ!
<br />! tcd, ,nm un<td !d!ht ol FJury ri, I m ltolr.d u,rld FDvirion oror6s I (ffii,3 *!lh SGrb. 70m) of Oitnion 1
<br />of fi. Bcu* &d ProfahG Cod.. and ny lic@ i. h full forc. an dfcl
<br />,.'**.o* f?lr(
<br />-"\Lzrllg
<br />?oy^-trv
<br />,^"'* X A,
<br />COlgIBSqIlalIEIDIxGAC[l.(f
<br />I hdtt y .rlm urdd Frnt of Fjury thd tha. ir r oNrudion Lldrs !3fty lor llE Ffollje. of th. mrt 6r $tit lht Fmi i
<br />isu.d (s6 1097, ciu. c.).
<br />Lcnd6 r N.mc
<br />-,
<br />-
<br />AIIITCAILDECIJBAIjA!
<br />I h.rty lfrf, uidd p@rly ol pajury oE of lhc aolloqi.8 d.cl,rEt iod.
<br />D.tmlnDn Po ny^lt 36 Norifrabn a6d6rl R.guldirN (Tnh,O. Pd6)
<br />li.qui..d 1116 otllo{ftnbr
<br />I c6lii, rhd rhc fcddal r.8ul.rioB Esedins dlEslos rooval d. nor qrl,.abl. ro (hi! pNjdt.
<br />I cd rt lh,I I her rdd rhE !pplE.l6. an $rr. rhi th. !hov. infotuio. n corral. I .sra lo conply *nh .ll Chy .nd Gunry
<br />ordiMrcB &d Slal. Lr*t Ehrlls lo t ildais coili.liDi\ ad n6.b,.llhotirc r.F6oldivd oflhit City ed Coul, ro @tq,F!dE
<br />.tr\. n6rioE\j Drrnd\ ror i6ldnn pqrEs.
<br />eppu..nr o. ar-, srr-r.*--.10ft- ^, .
<br />pM,,Errh.,,r,.o: )o{l,ttdn lLlt}cl"t/\" \7-/tt (t1
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUl nsulation
<br />Roof Sheathino
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy /-?E - Zo Dqr{ rsr
<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 />Enqineer Final Report
<br />Flood Zone Certif.
<br />FINAL I -ZE'2e 9ci€t ao)
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc
<br />BUILDING- INSPECTOR RECORD
<br />,lbQ Erwl
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