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SITE.WORK DATE ID/SIG.COMMENTS OltNER AU ILDER DETIAR TION <br />I hsct.v rrm u.4r pa.lty of Fju.y fi.I I m ddF tDr rlE ConlrdoE t{cE Lts h,lh.aolbwtBlE&n(sc70115 <br />B6in* od ProaBb. ( od.) An, aiy or Cou,ny phth r.qui6 . pana ro @llntu( .n6, trtrFlE daBlih or rqn &y <br />rt!du,., Fir. ro ir! (urcc. rL. Equt6 th. ipgli.d for s.h panil b 6L r si8n.d rr.ld1Er lhd lt or !h. it lacold Pe!,t <br />ro rh. For6b6 of dE Cotl|r-rd! Lk.nr.d L!* (Ch./6 9, Comdbs $ni serio. ?m0 of Dvtbn I oa tlE BuitB n<l <br />PofBioB Co!.) or ihd h. or 3h. i! amr,r lh@from ed lh. bdB fo, lhc alkscd an ioi. Ary viohlion olsdlion 701 L5 by uy <br />rF?l,.. for . Fnil sbirr lL .!9li! lo . civil Fully ot@l mt. r fiv. hundtd &ll8 {t500) <br />L s o*na of lh. FDFdy. d my cmphlE wnh $s6 a llEir $L.onpoudioi. wiu 6llE *od !n 0E *816 i! 6l <br />darlai or o,I6.d for iL (Sd 70.L, BslB 6d Pror{ioB Co&r Tn Co.rrIlG r Li@ l& dG @1 4pl, b ! o$c ol <br />rh. prnFr, who hril& or impmE tlEsr Ed wh. do6 sh Kd hn6cr or helf or tho!8h hir or hd om mplott6. <br />Ford.d thd Mh mF\6rEtGd iddi.d orofi.d 6r ile li tos6s, trE bildry or itrFo\dd i$Li*rrhmrd <br />of6,pkbE rlEO*rs BuiBa*i! hlr0Ehrda! ofFline,r lE rlE dii ml hlld or irqnt 0r FoFl,6r trt F,po*of <br />_1. s om6 of rh. FoFry, m .rclNiv.ly conlEcrins with lic4.d conrador ro !.ndnd rtE projd (Se. ?041. eaind <br />.d Prokir Cod.: T1r. Co' r&roie Lr.e Lrs d6 6r rppl, b s oms oaFopclr $ho buil& or ioPro\6 rhd6n. <br />dd *h. o'rtut fd ruch FllGr! wnh ! CodElo(, li!!.d plEun b lh. Codtq'o Lt@ Lrw). <br />I hsd,! rtlim u.&r Flhy olFlur,vom.fdr nnbein, rkcL,irE <br />_l h!!r rd eill uirr.jr r Caifr.r..f CoMl ro S.lf-lw fn Ertd onFnaiotr B FoviLd tor by Salior l?00 otllE <br />t tor cod., fd $. Ffo!l1a. o t $. sdl for *,tth tlr Fnn . isEd <br />. I h.!. .n<t $tl mi.rrb mrl6 ofrp.Mhn iNrBc. B r.quncd by scrir. 1700 offi. bb., ao&. for lh. Ffo1rle. ol <br />rh. *ort for which (hn Fnir t ($.d My *ort6 ompaidion i6lt@..ffi ixl polt, nuEtE e.: <br />I ..ni& lhll in lh. polotu oarlE *orl lor *hah thi! Fmir i! isu64 I dEU ml apkry o, pde. io Dy m'lrE <br />$ 6 ro b.$m 3uber ro rh. *0116'@f,padion l,s of C.Itomia ud .sG lhr if I 3tbuld bdo@ $lF lo tlE <br />vort6 @opasrion provaiou ol sdion lT0o olrh. Lltor cor,4 l !hrl!. lonhwnh coeply *iin thor pr.viioN <br />WAniDiG Fnlurc b sm \vl6 onpdihn oE sG B @lntuI Ii Jdl $bj.{ 6 srphrn ro din ur F{a d <br />civil fin6 u, to on. hlrrlEd lhot dd doltd (1100.000), i. a nio. ro 'h. cor of n, dam*6 a ro\i!.n for !h. <br />I hd{,, .fm lndd FrXy of Fjlry rh.r I e licqlr.d ;d, Fvir8rofchltd 9 (eMins wnh Sdion ?O0O) of Divtiotr .l <br />of rh. &!i,B ad Pmf6.iiB aod.,.n oy l.@ ! i. tu rorin.fi6r <br />(oluar(Ilo!-L[dDaclcE!(r <br />I hcby stirm uds p.nah, ol pdlu r- rhd thd. n ! s.rruclbn todhs !sd.y for lh. p6tome.. .f rhc wtrk aor *'lich lhir pqnn ir <br />'s!.n ls< loe?. Cir C) <br />attllcaNr.DEg.daalat <br />I h.rbylfmlndd O6.hy otpajuiy on ofth.lollowing d4hr.rionrl <br />Dcrnohion PmneAtt nG Nolif(.16n l'.dd.l l.suldoa (TnI.40. Pu6) <br />Rcquircd tnl6 otNoliftdhn <br />- <br />I ccrily rh.l rh. tqidal r.gohrn'B r.gsdins sh6tor rd$vll e. iol qPl.tbl. b rhis p$j.d <br />Lar .Rri6, rhd I h.!. Rld rh! lpplrc.'ion .,'d srllc rhd ,h. rd.6r@r r cotr61. I 6sG <br />mdiM6 ud surc Lr{ ..li!tl <br />'o <br />!.ildinr @dfudil,[ ,C lEEEdihorir rq&r, n 6 o <br />.b.\! M,.n d pmF,yror Ey*"Fy"r--- <br />^x::::;::y; { },,*, _'t <br />ro compl, wirt.ll Cny.Id Couty <br />f rhi! ( iry lld Cody lo 6'r l+on rlr <br />^"'4L!(1 <br />Set Backs <br />Forms/Steel/Holdowns <br />Erection Pads <br />UFER Ground <br />SubfloorfuenUlnsulation tt <br />Roof Sheathino rz ltqltq bftnr*-t_t* k7 <br />Shear Wall ll <br />Framing <br />lnsu lation/Energ y <br />Drywall <br />Ext./lnt. Lath <br />Brown Coal <br />Masonry <br />Pool Fence <br />T-Bar <br />Handicap Req <br />Deputy Final Report <br />Engineer Final Repo( <br />Flood Zone Certif <br />I <br />F|NAL / /z- /2 d F/-.|fr.'./o Y <br />Certificate of Occ(pancy <br />Notes, Remarks, Elc. <br />BUILDING. INSPECTOR RECORD <br />;::ififiz ..=-- <br />SLAB Floor