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SITE.WORK DATE ID/SIG.COMMENTS OWNER BUII,t'Ef, DELCAIAIION
<br />I h.Ehy .llim ud.r p. hy of rErrury th, t m .r.n{'r tNm rrr (inrf,n6' Li6c Lr, rar rL lolrr*n! E.s'n lS< 70}l t
<br />Burm( ul Prur.$in Cai.): A.t cry or cN , *h.h Eq!ftr r rE nr nr o({Mr, .lrd, urvr.E. d.nnli o. r.Fr .D
<br />(tui!(. F, ro n. $!e. .l$ Giur! rlE.r'tlIur ror I._h Fmr t! lik 1 tgBd .t.l.mr rh.r h. or nE . [orn F,rd
<br />hr rlr rmvF$nr ot rlx Conrtukx i L..r<J Lru l(]EP.r e, Co.twBu! *'rh Sth. 7m 6r DNr]n I or rh. Buwi .ftj
<br />Pri c!q{r C,xL) o. rh.t h. * {E ri .(.tn0l rh.F nm .rn rlr h.t6 kr r,r !lk8.J .r.q{ Dn Ary !r'Lrx'n ol S-lnn 7011 5 by ..!
<br />.JI f,..r ld . JEmr rubFk rlr rrd$r b r ov'l Frxy.l n{ fr'E.hu trvc huBlhl Jolh^ rst00).
<br />l.:. o*rrolrhc F,Fny. q ny.nplo!<r *nhw.!.tr\rh(! y|k .r,n{En.:lx'n. *ill Jo rlE *dl.rl rh. {urG tr rn
<br />ur.n al roli.r'l n, \.L lsr 70{4, Blrtr$, Pt!)r.(r'nr C,il.' TIE Ci,nlrelois La$c trrU{tnd +plvkrtiowmrnl
<br />rh. |ft{Eny *h, hr!} or E{n'F\ rtrd)n.In wlr, d{\ un $,* hrnMll or h.Rl, orrhmu3h hn d h.r o*n.r{ll'y.cr.
<br />pn,vrl.J rh{ such rryh'Emnrs s nx Dr.trt l," otL,.1l l,r qk Il. h,w, rlE h{ lul8 or lqowmd tr {'U *irhu oF ra
<br />.l(ompLrrr, rlr O*ncr BNl.lar will hlvc r,. honl.n ol In,vn! lhd tr n! dr dd n rilli or 8{iuE 0r lrrFny litr rh. prr,{or
<br />,-!\,)rtr.rolrh.pn)tdy,!mc\clrh'v(ly( lld rI *[h lNn\u] ..nh(trs tu (l'n{rucr t h. pnrrc.l ( Sc. i(!.1, tlu!fr rr
<br />i,n l,li'lrsrln(iiL lhc(i ra.ntr s l-'c.o\.1.r*(L).s n rPtlv n) .n .wncr ol pr)Fdt who h rl'lr or 'mPovc\ rhrrc,n.
<br />rnJ *h, $dfrr\ tu \eh pDl..B w[h a ("nk!.nfisrli.n{J ounu]nr b !h. G).h.ktr s L(.nsc lj*)
<br />_l rn.r.hfl rnLr s.dDn
<br />lvolNrts' c(titpaNsaTloN
<br />rElldtallq!
<br />I h.r.bt rlnrh !.&r lrMlty oi Frrur! oE or r|E nib* tr3 Jtrllr, r{\
<br />-lh.E.d*
<br />l mdu. Csrifirr. ofc.nk ioS.lr.ln Ei srtn {rp.6rio[ ! Ftr\a}nl ror by S.rh..!700 ollh.
<br />llki CaL, fn rlr Frrffi of ttl qrt l* eti(h l,r Ftui ! !ti,.J
<br />I hirc rLl *rll mr rnl'rn *ortcri comrnrari,n 'n(rrh., r\ rcquu.] hy S(lr,tr ]7m of rh. l:lxt c,rj., ttr rh. n rlodrh. Df
<br />lh( r$rk hn rhrtrhtrlxmr L\ rfl.n My wDllcr'.nnFtrr.rr n rn\ur!^... rrfurrdlbltynumh.t :
<br />-l
<br />..dny rhrr o th. tEnorrum. {f rlE *o* ntr *hth rhn Frnnr r (red. I th.ll turl.mtk,y.ny Fnon 'n
<br />tny .Mftr
<br />(' .! 6 ti(rE tut'Fr io rh. trrt6'6dp.N.rDn hw! dl C.!f,)ru. .nl a3ft ih, d I {DUll tE od suhrd b rlt
<br />*ort.^.oiltnd.nl,bvishtr<ofSer.n!7(Xl.ftlEtlrrC,rt.IlhrlLronhwuhconplyuilhlh'*Fv!r,nr.
<br />WARNINCT [.nuE ro su. srt F .-rntcndrr cotnr. s bL*tul. .,n rhJ ohjRr & dighFr ro tMl FMls {rt
<br />.Ml likrull,rorhuriFlihouqtrl&L^(!lOl,UXr),r.&rii'nrt'r,l.o{oforl|.nern.d.m!d.rFoBl.ttldrlE
<br />Sdtr'.l{)76ol rh. lltrx CdL- d.Er arl rtmy'(l(r
<br />,(-,rffi
<br />DSSISADON
<br />I lrEby.Ir!n utrbr Fndry ol Frrq rh, I m [dn<J unLr F]vBrr ol Clu d 9ldmmBn8 wrh Selu ?(D) or D,vtr-. J
<br />ol rh. aurm$ ud Pnnc$bN Co,ic. !n ny lx.tr{ tr u tull ,oht !n crtd
<br />cglilE!]cuJNrE$Jxliri.Ellf
<br />I h.fthy n,lirn u.d.r Fnalry oI JErjur.v rhar rlrrt r {.on(d.r$n LDlnS r3.n(y tu rh. pcrfomm. nr rhL eorl ttr Yhrh rhs Fm, 6
<br />FrFtl isd .l(r97, Cr c.)
<br />aP"LrcaMI pfcirtllloN
<br />I hftrry din ud., Fn.lty ol F jury oE of rhc n'Ul{n! &{lri rr(
<br />D.rnri,n P.m i^rlHor t{drE{nn Fc1l.r.1R.luLrut lT!l.tll,, P.n6)
<br />_Ratumd lr(.!.1 MritirrEn
<br />l(.n'lyrhrr rhc l.Jc,rlrc!ulrronr ktiod 13a\rr{!^Knovrlr'. or.,ml'(rhbt)rhfPn'F(I
<br />I(.nrlyrh lllvcrc lrhi\rmliuri nl nrrcrhrrrtu rh,vc 'rhtmrr!)tr hrotrc.r lladb('nlt'lyw hull(iyitr,l(i,unrv
<br />'dnrncc\!.nSr.lrwsElirmgk,hu'ldtr,ernndtud(n,dlh.r.bylurhorrcrcrr.\cmar'r.sofrh6C[ylni(i,unry(,.nr.ruF,nilxrh)vc ftn(tr,ft(l pn)rEny lir hsp.ulion nu4rR\
<br />Appll..nl or AA6l SlAEluE- Dr
<br />P.rlr( rmrDriro:
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Roof Sheathino
<br />Shear Wall
<br />Framing
<br />lnsu lation/Enerqy
<br />Drywall
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif .
<br />trr-.*l- p.r.n ..--^rf 'tlK /'c
<br />FINAL c lrr), s 8.t, ,b\
<br />Certiticate of Occupancy
<br />Notes, Remarks, Etc
<br />BUILDING- INSPECTOR RECORD
<br />lrxr._
<br />lrftl.ri A&lr.$:
<br />Subf loorivent/l nsulation
<br />Exl./lnt. Lath
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