SITE-WORK DATE ID/SIG.COMMENTS I h.Eby .rrrm u j.t rEult of Frirr rhr I m.r.n t lnn rlE Codrds- tlsE br ntr $. foll,r6a ltsi ls...?olr.J
<br />Bu.trrt .d Ptordr,. col.): AIy C y or Coultt *hth E{uG r FDr b onrtu1 6. !4rcw, &mlilt or EP.r tt
<br />riur@, Ff, id 'rr nrlter- r!. cqu6 rlE {II^*er f'tr uh Fmr lo r't r rtEt! {d.ml lh.r lr o. rlE . li.rEd IxN.,r
<br />to rlE F)vBrnr ol ih. Conrlct LEn<J lr* I(lntrr 9. C.onmBr! * h Sdrrr rm or D'vtrln ! 6, ttt BurE( ftt
<br />Pmrcr\ritrr C.J.) q th.l lE q slE i! .ktrt, rlEr.fnm.,rl lh. h.rK ro.llE dl.s.rl tkrqn. Any v!hr&.orsdbn 70]1.5 bv.n,
<br />.fl f,. nn. Ifdd bi{k rlE .rpll.nl lo..'yn FrlyolEr mcrhr. nv. hudEJ dolllrt (t5ttr)
<br />-l.
<br />r\ o*mr or th. f.m)F(y. itr hy .nploy..r , i *r8c! !r rh., $k d,n{tnrak,n. w Jt' rlx srt !i rrr {turft i( n
<br />ur.Bl.{.rolLrcJl,rek(Se.?o44,Btrtmslndlh}!.(r,ntC,ri.:TltCoik&ktr'rLE.nkL.wJ&rfr rpnlv lo eowrcrof
<br />rh.ld,|Fny wh'hu k or rtr)Er th.E'n, 'rn whr .Lt! {lh w'l* hmr.ll or hcM lt or r hn,u3h htr or h.r osn .r'rlov.$.
<br />p!,lrlcJ rhsr ru.h mpn,Ernk E ml oi. lcJ u.ltiRl tur eL ll lx,*E, rh. hulllr8 or :n{k,EE.r i! q'll enhi. orc ].{
<br />ofcotrrLlr[ rlE o*mr Burlid *iI hlE rhc t{nlo.l |n'yhg ihi M or rh. dtl ml bo jorqn,t th. ln)Fnv i,r rlE FrB){ of
<br />l.rt *Br ol rlE F,Fny. n.GllliEly c.dr&rmt wrh lf,.nrJ (o rd6iir..nrrr rlr F,Fi (stc 7044. Busrs
<br />rn Pn,kilrr (irL. Th. Codh-.roi{ l-Ec.k bw J*! nn q!'ly h u.*Fr of FoFny r}kl hur[t or mln'wr rh.@n.
<br />.nl wr$ LlnBri (r rkh FoFR urlh l Cod*l.(t) h..rtl po^d rorrECdrrkr'r lr.n< lr!)
<br />I h.kd uLLr S.ur. .B &PC lorrhKEton
<br />woRxt Rs ( (lnlPENsATloN
<br />IIEIIJEAI]ON
<br />I hcruhr,,ltrn unJcr Bnaltyol !crjury orc ol rh.l,,ll,,str,t J.(ldrrirN
<br />-ltuvr
<br />i 1w,llmn rn ! (tnifEarc o{(i,nr n' S.ll lnru( ntr w'rk.6'comFnuion. r\ F,vdcl n{ hyS.tron lT0Oolrhc
<br />ljtx{(iiL. hrrh{ f.rfor|1m..lrh. uo* l;rrhih rh. p.rmn E tr\u.J
<br />I h.w . i *rll Enr.h wort.h $nFnur0n m.utrkc, .r GturcJ ht Sdrin !7m df rh. lih, (ixL, Ior rlE Fnlru. oa
<br />rtE *{t t,tr whrt rhii F@r . tnxrt M, wrl6 ..n{EnrrFr hrodt ..mr.,n Flry nunl,., ft:
<br />PohyNun${
<br />-Erfr(
<br />Ir.drl,ihlr 'iihrFrl EBr of rlE rnlt r,tr *hf,h rhn Frnn s (ru!.,.I (h.U nn c'rflt,y rn, F^.n 'n ynud
<br />$ s(,ll<rrE uhrirbrh.k,rtd cohFnqrrln hwr ICrla.r.!.1r1:3N rhl rfI.hu!l trtom \ohj&t rortE
<br />w)*cr' (dml'.ns.r !,n ruvs'onr of S.rrb. !rtx) dl rtr I rlltr Crlc, t duu. fonhq h ltmnly * h rh,t l]n,vsi'nr
<br />WARNIN(; F.rlurc fu $.urc worlcr' (oryrnrar[n roEtug. F unlr*tul. .n! \harl rubFr r. cr{tl,y.r b lfual Folr.r.nd
<br />Urn [n.t up rt' oft hundrn rhods d dolld! (Slfil,(X$). in ,.ldtk)n b rh. cdd of ("mn nr.lx,n. drroa.r rs Pnrvn.d nn rh.
<br />s.cr( 10?6nl rh.ljhnCixle. ht.r.{ rd{omy'r 1..!.
<br />\Drlft'rnl:
<br />L&E!5ELCONIBA!:I9E
<br />IECIJAAIIO!IlrEhy.rrrhu.rFrxyolFirylh.rIsl$MnurkrtnvsonolctqrsI(o'|erurswdhSdlDn7@0)6rD'vnrrI
<br />oI rh. BulEs nl Pnrr.MN Col. rn ny lr.,E ! o tull 6d rd ciler.
<br />D.r.
<br />-
<br />conlftlor-
<br />SI!$ATIIIONIEXI2ING.ACENSI
<br />I h.Eby rlrtrm xfrl.r Fn.lry ol lErjury thll lhcr n r rotrn tucrnn ktulm8 a3.ncy f{r rhe p.,rortuK. ol lrE wrlt i(tr whrh rh( Fm B
<br />N\'.d (S... lll)9?. C,v C )
<br />lrtri.i! Ar!K(
<br />AITLTCAILDECIISAIION
<br />I ho, lfm uftltr F..hy or Frjuy oE ol rlE loll'*o! d.Ll,nr.nr:
<br />DcmnrM P.rhnl^rlFnd Nirfr.r$ Fols.l R.luLiDnt (Tr1..(), P.n6)
<br />-R.1lruBl
<br />lJit.iof t*rrr.rbn
<br />Ic. rlyrlr rh.lt .rrlr.!uhrx'n\N,.iJhtr\lr{!^Nrkr'rl.nc nor aPll'(rhlt i)rhA|n"r(r
<br />-l
<br />r.d'lyrhd lhlvc rc*i rhF crpliurion uri darc rharih( rh'vc hntrm i'n i\romrr I sstcn,.dnlPlyr hrllCiryrtulC untv
<br />orJfl,R.( and Strr. l:ws ELIiry n, hr
<br />'Llinp
<br />coidd(x,n, !to, hcr.by dulhrE€ rcFc\.nrd 'v* ol lhtr C y ud Cou.iy ro .nlct uFr ltE
<br />ah'v. rnilk, th)Fny fttr iniFdkr I'u4r'cs
<br />Appll.dl o. A16l SLEtuE:- Drr.,
<br />P.mlr( r rDrlhl):
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsulation .----\)
<br />Roof Sheathinq Ll -t1-11 iZc ts rt €-<"r{ 2V )
<br />Shear Wall
<br />Framino
<br />lnsu lation/Energy
<br />Drywall
<br />Brown Coat
<br />Itilasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Enoineer Final Report
<br />Flood Zone Certif
<br />FINAL ///zt-/t/t t 7Wk fu-w
<br />Certiticate ol Occupancy I
<br />Notes, Remarks, Etc
<br />BUILDING. INSPECTOB RECORD
<br />Ext./lnt. Lalh
|