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SITE.WORK DATE ID/SIG.COMMENTS oIVNB BUII-DEN D}:I-( RATION
<br />I h.Fby rliflD undn p.trdlry or p.riury lhol I an ci.nfl ,n,m rlr G,nr&hri l-i.rs Ljw lor
<br />'rE
<br />lollo*iry rdvr lscc T0lll 5
<br />au\in.$ !d Pnntrion (in., Any Cily or Cdnr, *hi(h rquins ! Fmi ro r\ r{ur. ,lld. nq'r,t. &m'l[h or Nttrn uy
<br />stutur., ,ntr n' ns i$urtrc. olvr Equns rlt .rplica.r tor \uh rE.mi t, rik r riston nd.mni rhd lx or JE ii lienql Frsurll
<br />h rhc F.li\idnr or dr Contuctnls Li..ned t w lchst'rcr 9. G,n th-'ing uirh Sdri T(xn ol l)ivni.n .l oi llE l,u\it$ &d
<br />lh'fc\sr,n.(in()orrll1r|rorrh.t.rcn{ [rcln]m a'n rh. tEiir ror rh. !llc8.tl cr.trqr(m A.rri.rlri,trofserr.701r thylny
<br />,nfli.lnlairrp.nnilsrbFlslh.0|lPlic!trlk'ncieilp('uhyot.ormErhuri'chu,rlr.ddou{(lS5ml
<br />l.r..wrrofllf,FIEny.o.mycngrlrFc\$nsrsr.\rhcnsbon{Envrrn,*illd,th.*'la!r!rlEsldtri\mt
<br />inr.ndcJ M oncftd rd sk lS( 7().l4. aunk\! und ltoa.r\ion\ C,xld l lE (idrkktr \ l,iuc.E l rw &Ei r rpplt h m o*mr .t
<br />rhc ,,.Fny uh, hildr or in{|tu\s llrG{L ari $h. &B \*h k hinr*lf ur h.MIf !r rhn'u3h hn d nc, osi cmlli,yc.\,
<br />rn,! cd rhrr \u(h nnl,oErEnrs :uc (,t ircnLrl o. oftGl tor qL lt h,kr,. rlt tIillms nt i'rpmtmnl ir $tj vilnin m ,rr
<br />orso{,kti'n rtr osftr Burli.r eillhdE rtE hrd.n uf/ vin8rhd ltoi{r Jil tr,ltDild or itr{rofe rtE rmFrynrlhI]xlII4ol
<br />-1.
<br />N osrE ot rrqs'lEnr- !d crhfii'cly co,nrados eiih lkcn.d tu rds ro &n!(ru.llfu I,!J.{r lsc 70+r. Buits
<br />a l ftirfl\ri,r c(t.: Thc cl,nhlol\ Licctrsc La* does nol lpply io !no**r oli,hFnr etrr huildiot impxrves lh6$n.
<br />and *llt <oddsfd sarh ln j.alr qnh r O,n'dlons, litnscd lrNlnl ro rhcCo r(ld sLk.M l-aw).
<br />litr .\rn'l u trrr' s..rntr'
<br />ull8trtr&::l!&lftl$ra
<br />DEOAAAII!}N
<br />I lrrby rrnflnuNhr Fmlry.f trriury onc oflll tolb$ins dehnrn,ns
<br />I has {d $ill nrn lin a C.n rlr0ru ofcoi{nr ro Scrrl nrurc li, w.rtc^' .u{Ennl ion, u! rroeidtd a{tr by S(li,. r7m .I lh.
<br />t U cIrl.. r.tr trE lErromBmc of llf, so lor *hi:h inc F,mr r r$uHl.
<br />I hrt! ,nl \ ill ,E'ntuh *o*di .1nnp.n\aho. irNfirrrc. h r(tlrBl hy Sc..r knr .17(x) ol rh. I rh.r Gxk, for rtt ltdrnrk c or
<br />rhc uorl ttr shi(lr rhnlifln A n{d My *dk.rf .on$n{ri,n ntrunNc m' rd rxn(y nunh.' m
<br />-ErPn.s
<br />-l&nrfyr}!
<br />nrthcJErfo,rMNcolrhu!.rklrrhichrhtIltrmihA{rc{.1shrll rcnPloyunyItnotr lny runtur
<br />v, n\
<br />'o
<br />B(oN \abj.d t,
<br />'rE
<br />sffkrA (o'qE.{ti,n L'*i .l cll ini!. lrl dae rh! ir I rh,uld tk.ft suhrct! kr trr
<br />worlc oDlnrNuri.n rovrioN rlsccliN:l?t()ol rhc uEtr (id..I arll I ihsilh dnndy wiih ltnc !m! isn,nr
<br />W RNINGT hilur( lo arur *trL^ con{En! irn c.!d!. is u l,$lul. !d \h,lr \uhF.t onnh'tq ro nninll Ffr r** dd
<br />(ivrl nn(\ up rr onc hundrd rh,us dolh^ (!l(n.ffrr). r rddnirn kr rh..o( ol .ortxnerbn. dam*cs d' In)*l.rl for rh.
<br />Scdioi .10T6 ot ttF tjhtr Qrlc. tr cE{lrt lmmyifes
<br />I)ercr AppUon!:'' LrcENSmaONrr C-ru[
<br />DEIIJXAIIO!
<br />I h.(by nlnm uftid ,rir!|ry rf Frjury thd I !n liN*l u ds ,rolhkrn ol ctuprd I (onmkirS *nh sd hn Tiroo) of Dilnn,n l
<br />of ih. Bn\i6* aal Pn,r.sbn\ C(k. .nl ny li..N ii i'r tull roR! sn .rf61
<br />l,ienr Nnltr:
<br />-
<br />C( }NSTRUC'TIoN LENNINC A(;}N(:V
<br />I h.rby llfirm xB]., FMtry I lrrrury rhd thm i\ a d'n{tuctir lcdins rBctuy ad rh. Frrommt ol rh. ro* nt *tEh lhk Frnt s
<br />AIILICANI.DEq.ASAIIO!
<br />Iholrlyaflion ndcrpr rh,olFrrurroncollh€ltl,owinrdcchruriotr!
<br />Emn(ion Pcr.rirs-A\ltii.l N{iificdir Fc&.rl R.gul.lonsOnk $. P!n6)
<br />L.nuiEJ L.ncr or Nri ifEdhn
<br />I.c li rhnr Ihu l'cdckl rc8uh!i,'n\ ru3!nlin! r\h(nos rgmvrlrR rxn ll|ltlt$k to tlh ln'ttr
<br />_l .!n,ry lhd I hiv. rca.l rhic lprlilrtu !,n {!r. rhll rhe ah,v. infor@r i(n ii .r,81 I lgN !. .oiply rht lll Cily .'d Counly
<br />onERls 0d shrc ljwrEbril{ lo h{ildinB con(tu'in( and h.(hy (urhor!. El,rs.m,tiKs o, rhis Cirrlnd (-ourly ro drd uFn rrt
<br />alitr rnr hEd n&Fny f(r inlKri,n 0EID$
<br />.i$olirdl or Ardl Sirmlum
<br />Pcmild nrneltrinlt:
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />SLAB Floor
<br />Subf loorVenVl nsulation
<br />Roof Shealhinq
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />[/asonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Beport
<br />Engineer Final Reporl
<br />Flood Zone Certif
<br />Ll
<br />FINAL letlzllxc , DA.+'^f /
<br />Certilicate oI Occupancy
<br />Notes, Remarks, Etc.
<br />F.lev. 0B 07 2015
<br />BUILDING. INSPECTOR RECORD
<br />tr\u,i rS( rrr)7. ( i\ (- )
<br />lrtrLl\ r \ Nr(
<br />UFER Ground
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