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SITE-WORK DATE tD/stG.COMMENTS owNl:ta StrlLDDta D]:t.(-alrAl tlN
<br />I h.r.h, il&m un!.r Fnrky dlr.qud rhd I !,n.\.,rrt iio,n rll Ii,fu t'. |,(.trs l$ ror rh.,oltoun8 Eu,n (S..7o:\l5
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<br />{n:dur., rrr r,irr Awk.. rtro aruftr ilE lppl$d tur {.h lrnrur r' nL r itEi iJr.trEtrr rhr E or {f, ii I'dc'L\.J p!6uel
<br />r) rh. r{wL'oN or (. codreroar l -.ord l f,r rch. ., t C.r'ed'n8 w rh Sd n. 7(rxr or DivNir } ol rh. Auqm\s .nd
<br />Prolt$kff (iile) o, thrr lEorih. N.r.rv rht..ior, !d rt* bars ntr ll* Jl4.i .r.nri'n nyiohridnrS.cii.n?0ll5hrrny
<br />npnlicrtrr lorrp€rnnr \uhF.rih. lPplicurl', r.'vill.nihyoitror ryn.lhrtr liv. hundr.d dollm ($5lllr),
<br />l. a+ d*mr o[rh. lrorrd]. fl m, .q)ht..s rnh u4.r 1\ $cn $b comp.nidiln. sIl d) rh. s.i* rn rh. {de s d
<br />id.nl6l or or.r.d fr sl. I sa ?ul,l. BtrsiElt &d Pnrf.*i)ns Code Tlr Codh.lr'i Lt..* lr[ Ur\ trol dpply to a. owEr o,
<br />rl*Inll).ny wlb hrilll ur i,ipn,vlr rlrd( dl slr doA {.h *,Jr! hnn\.llor h.alll orrtuuulh hn or h.r own.mnk'yar.
<br />F.ri.kdrlt iu.h nnomwmns {. mr id.nld,rolt cd lir sk Ii, hu.w. r ldldrU r mlto*dd ! rrd w{hq dm }{of.oit,LiiqrlEO*Er Bxi[.r *'llh.Eth. b{ntnorpmr]! rh lrnr\h.Jil r{ 6!il1trnqftcrh.pqEr, fori& llrFEol
<br />_1, ^ o*ns of rh. pn'rny, rn .r.isn.ly i,nh.xD! w(i l'...erl ..Dr*M! r, coNrui rlE pmFcr rS( ?rlL. Bu\es
<br />J'rl Pr{^i,CoJ. Th. ConrBntr'{ L'c.trr b* dG( 'rn lnply !, (wH ol F{r!.dt $tx, hrilds o arok. rha.on.
<br />and rho r.nkrh ntr ru.h |roi{r wnh r cl'ddh(n lr.lMl ptrrtnd (1 th. O'nt.d,tr \ L.rtu. ti-)
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<br />DECLARATl(}N
<br />I h.rchy!llnmlidn ft nrlrvdrrr.iur!on.nlrhcn,ln'wins crlIarx'^.
<br />-lhr!.n
<br />*nlrun nrC.nrriclEofau!*n'roS.lltNtrEntrv{rt.r'ronqEnrdrn,i\ F'vid.J ntr hy Sdi,n :1100 or rn
<br />lrlxtr C' trld, lLtr rhc l.lforru(. ol rh. rork ntr*hihrlf Nrtuir i\ i$ucd
<br />_,h!!.rnJsilln nrrm*u . rmlhyli(a D]7m olrrE Ll'or aixL, lor rlE Fntr"EI. ol
<br />rh! worl ntrwhthrrtr! !qm{ x r$xd My *orls r' .rn{xndDr Drurrnc. cdf,r ullrlrtnumh.r{.
<br />-l.cnilyrlrarinllE|xrldnunccolrhr\orlr,,whtrlrtl$It.nnrnn\u.d.lillllru.q,t,yJnyp.rv'nrnrynlrmrw, 3\ h l!. trE suhr.r ro rh. *nrlsj .oqrnsrnn b*r ol Cr'n)m'r. dnd rgrc rhd 'l I \r$uld llc.om sut!.cr to rtE
<br />*o.1.^ NnqnNUonpDrtrrn\ !rs.dsn l?00 ofrh. lihtr Cql.,l \h!ll, n,nh*ih NnI,ly wil! rh)< povsDn!
<br />WARNING Iiilurc r' r.cuc q,rk.h c'nlEn\noo. .ov.rutr ir trilnwlul, an(l \lrll iuhr.r rn .nr[)y.r n' !trull,f, tE! lnd
<br />.ivrl rjm\ trI r. .n. huklr.d rh.trMnd doll s 1!,rxr.lrrr). m llldliotr b rh. .on .f con1ll.nNrD, d!ru3.r d troeid.d ror rh.
<br />s..h)n 1016 0f rh. I ithtr Lirk, ur.r.r anJ aft,m! s fc\
<br />ADpllonl:-
<br />LIIjIIELC9NISA!:IOA
<br />UESAAAIIIA
<br />I hcrb) rrftm udcr tcMiy oI n riurv thd I rm I'c.B.d ul.r FovBron .r (lDnrcr , rmmmm
<br />'ng
<br />*nh Sdnn nrn, .l Dnnhn 1
<br />!f itu Au{ncir d PAnc$i,}n Oxk nt my ld.n* ir ntu hruc dl(lt.cr.
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<br />Nurh.r
<br />lr k (innrudtrr
<br />caliBt]l:ru)Irxlurc.d(ix!(I
<br />h\ur.dis$ :1rD7..tr cr.
<br />lrnd.r'\ Nlnr _
<br />l.ldcr r An']rc$
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<br />\Pn_t! \\I Dt( t \R\TIr)\
<br />I lxEtlyrnioundd lrnrnyolp.rlury on. ofllE f,,llowng (hr i,trN
<br />I).nslirtr'P.miry^\knosNorir'rdonli.d.ral R.gtrhins(T k.lU,I,!n6)
<br />-R.quftn
<br />Utr.rof tJd'frd[n
<br />-1..n'l!rhir,rl(k
<br />lrc!(lrno$ Rld,lnur r\h.ro\ N trrlrrmrrrrpl'.rhl.[)rl'ati,r(r
<br />I .drri rhd I hdvc oJ rhir .lIii.bron .ll $ . ih.r rh. ihoE raotup. ii.rnd I !3r€ ro .!'rply snh !I Cny rrn Coud}
<br />oiln!tu s lnd Srrt. lj*r Ebrira tu hoildin3 uoNru.1io[ urJ l*cb] lurhtrr. EFeddiB of rl$ C y rrrl Q)u.ty ro . 6 ulD. r
<br />0hrc nrntidncd F{rn, tin insoc.lhn pu{rscr
<br />,lpplicnnt or ,rs.trr Si*nlrDft
<br />-
<br />lhl.
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framinq
<br />lnsulation/Eneroy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />lvlasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Beq
<br />Deputy Final Report
<br />Enoineer Final Report
<br />Flood Zone Certif.
<br />FINAL
<br />Certiticate ol Occupancy
<br />Notes, Remarks, Etc.
<br />BUILDING- INSPECTOB RECOBD
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<br />tlev.08'o/-2015
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