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SITE.WORK DATE ID/SIG.COMMENTS OWNT-i EUILDER DELCANAION
<br />I tEr.by rfitm un&r lEnrlly or lErrry rh.l I d.k,ll h,m rlE Conlr&tE lj..nc L.* f{tr llI folbs!'r E.en (S.(',1)!1.5
<br />nu,Bt .,n Pnr.si,n C,iLr Any C y or County wh(h rqurcr a FmI lo coNitocr, .lro, iqtot. &mn!h { rFn sy
<br />{ddE, Inf, ro nr F uB., rrn qoft ltE {drd fttr ruh Fd h 6L . $rEn 3lllffir lh.r tF or nF is lr.n*d r@.nl
<br />n' lh. nn'!s[n\ ol rrr O'nrrekn r LitnBl L,e (Chrri.r 9. cl,,lemin! qnh Sdrr{ 7fixr or Dirnr{ .l or rrE Bur'r$ ,rd
<br />PNt rsk)n. clxl.) M rhrr lI r rlE r .kmll( rhdrh,m d !h. bNB ntr rhc rlL8cn .r.'llllnrn An, vioLlnr of Sali. ?01 I J by tny
<br />.I,,lx{r nn r p.d" {brrB rlr +olid h r co FElr y of nor 6k !h{ nv. hunlr.d J.llri (l5m).
<br />_L rs owFr ol rh. Fopcny. or hycmplor.i wnh w.tcs.s lh.r $L dmpcn$lDn. *nl do rh. w,{k !d l,r rlul@ ! !n
<br />dcntdl rr oflcrd rn ql. (lEL ?(l4,r. 8u!E$ ..d t\.1.$r8 C,rk TIE Codrrnnt trmt t]w rl$ h, rJI y t, & owr or
<br />rhc lm,Fny wh, ho d!.r r{nrrcr rlEm,n. rnl whr d<B frh uft hrnEllo,lErcll or r}mr8n hr d h., osn.r{ (,y..r,
<br />nordd!rh.rlkh ulnlwdrednrsrl.jdonddtrsl Il, hxffi, rlEt{ n8 or ur{h'Em nsll]w(hhorcFa
<br />{1.'Erd.[x! llE o*Br Bui!6 si! h.E rlr honbn ofF*lu dd tI,tr tE dl mr tri! r EF0E tlr ttldy nr rh. I[qrE o(
<br />_1. $ owxr of rh. F)ndty. rn crrlBiwly rodrturD8 wiih lE.nc! $nrdrn lo.t,BrBr rlE FFr (ss ?o4,l,ltcuB
<br />!d tbtM Codc: Th. G'nh.rDir l-ic..s L.w &H mr rtply lo 6 owr.r of ,'otEn y wh,r blildr or inltov.s rhc.drtr,
<br />rnd *h.r"reltfulEhFFlit*nhrAnldrodnlir!$tlp!.u!ihr,rCo.trd6.tr.n*1,*r.
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<br />d .rchl unls Seri,.-, a. & P C. ,ot lnlr r.s,n
<br />]laBf,EES:SqlUldtAI10!D!4IAMIA!
<br />I lEJ6y rllm uhLr Fn n, of Fnlry oE or th. ro[o*o3 .L(Lr.rbnr:
<br />/-, t* - *r, *,r,.. . C.n frr. of Cdn6i h' sclilnsrc (tr worksr $,{Ensr o.. .r F'lrLJ ror by srdr bn .trl,xl or rlE
<br />Irh, Cdr.. rd rh. FrfffiL. nl llI u'l ftr wh.h tlE Fnt a Lrsu.J.
<br />irtsE.,rl qtl h.m'.'n u"t6' ( qtn.ttirn ,nrmfrc. .r Eiuirql by ssr,on l7o{ oI !n. bhtr GrL. li,r rrE Frolljet or\r* v,f,r n{ -[*h ths rm it sqnl Mr vorl6 rsrymunn NqB. (!fu !,rt rohy nuniE c.
<br />&,.,LI
<br />_l L.n rry lhsr ,n rhc p.rrormnc. or rh. wo,k rd *h.h thr tErm i$i(uLl,I{.ll n .ht'L'y .ny ncrar r uy ffi,
<br />s, al. tE oE lubFt l( lrx vort(i u,tr{EndNn L*.fc.!nrmu- rJ {N lhrt fI ibuLl h.rom {bl..r h rh.
<br />*orh.' (rmFnsrx,n lovrskr.s ol s&rrn lTuJ ol rlE trh, cdL. I a![ ({hs sEaly wnh ihE tr,y!xr.
<br />WARNINC Fdturc b **uE work 6 .rmFrabon cov.rilc 8 unl,wtul, .n! \h2ll ohFt .n.nl,loFr b siniml FEti6 .rn
<br />(rd liks up h oB hldftl th{eJr, dol,G tllGJ.GJO), n ..rl[i'n b rh. $c ol.on{Er.rtron. J.BI.! $ F)vrj.{ nn rnc
<br />Ox.i.. irrcE( iJri .nomr'r !ftl futD*- Gooo2'2-o
<br />Ll!!tsEll(aNr&r1l!13l]E1:l"!&tull
<br />I h.Ehy d ltrm ur.kr lEMlry or p.rrury rh4 I .m u..n*tl ud.r Foqri,n .f (lu,'r6 9 (.1,l'EEtng ,nt S(rrm 7un) or Drrbn .l
<br />or ih. Bunm$rnJ PnrcshnrsCqlc, drj nry li.cn* is !' flllrnrt ul.flsr
<br />C-ro "+\ q 04.{
<br />\L -Z-.)l ola-r
<br />CAIIIAIJI.II,I!..LEBDAC-&AEIgI
<br />I hLrchy dlnr!'r]., Forlrroincrtury rhrr rlEr r r $nnl^-ri)n hnJr!.fcR, htr rh. Fn,mnc nr rlr *r* n{ *n*h rhs Fftn n
<br />Fsucd isd. l0r?, c,v. c.)
<br />L.dcrr Nrm:
<br />atEl.lcarl.tEcLASAuqr
<br />I lxr.hy .rlim u cr Ftulr y ol Frury oN of ilE nnk'*r3 J.tLrrr irn\:
<br />rxn,li k,n l'.im[\ Ash.n's No nirx,n rtl.r,l Rctrl,hrns (I 1.40.I'rn6)
<br />Rcqukd L.rrq ul N,xdi{i),
<br />_1..n'ly rh,r rlf, l.J.rrlr.lulJrr).\ nSrJm! r\tx{!\ r.m,ulrr. ni /mlr,lhk !, rha Irn)F!
<br />I-ffcuy rrra t rur rca.r rrrb.ndr.rr,n itn {.'.,h., 'rr rhrv.,nr,,mh,n tr!,nrtr I rpc1,,1"".'.nrs,""r..'"lrqi'tu,lmg.'no.ronorlh.rbt.urhtru.r.Fc*d.hEr,,k, $hlly wlh r,l Cny rd Counly
<br />lrha C'r, r,n C.unrrr0 m(s qnn rlE
<br />rh!!. u*nrx,EJ FnF y n, 'n\Irar('n
<br />y'pplion( o. Ar€nr si* roF
<br />\rnnircc n mrrrir|:f?IDA 6ooD
<br />\zl,'Lo
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framinq
<br />lnsulation/Enerqy
<br />Drywall I
<br />Ext./lnt. Lath ?,,'a/zcz/ .,,&a)
<br />Brown Coat -[tt
<br />Masonry
<br />Pool Fence
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />I
<br />FINAL -)
<br />Certiticate ot Occu n
<br />Notes, Remarks, Etc.
<br />BUILDING. INSPECTOR RECORD
<br />T-Bar
<br />lht.:-
<br />I
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