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Qo'*o- rNsPEcroR REcoRD
<br />SITE.WORK DATE tDtslc.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUl nsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />ln sula tio n/E ne rgy I *
<br />ltDrywall.Pkfi1at s.1
<br />Extltnt)Lath bttype-t 4e2gro!firCilat Jctz.tctl lzzlt4 riioot-#t1
<br />Masonry rI
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />FINAL t aoV-o b&r}n nt*-81
<br />Certificate of Occu pancy rI
<br />Nqtes,. Remarks, Etc
<br />/.,/c 6L
<br />t ,t[4-L2n c
<br />--+
<br />Oi{NF]|t BUILDEX DELC NTTION
<br />I hdq !,T6 uldd F{[y of Fi!.y $r I n qcq. toE 0r Codr*ror' l-kor L.E for th. follo*.g ,6rn (S< ?olJ I
<br />BditB !n Pmfdir C.d., ny Cilr or Cody r'hi<t Eqlir6 . Fha to odrud. da, nqrorq &Flih or rF o,
<br />nnd@ Fi,ro ir. 6ll,N..L r.quiB rlE @lid,or *h Fmd b fi!.raet .ffir rn lEor ii a li.n6.d Ftun
<br />b rlE FbriiioN of rlE codrirdi t-irn .d I^ (Ct+d 9, C.min, $ nh S<rbn 7(m of Diribn I ot dE BslB &d
<br />PmfdioN Co&) .r rhtl lE d dE i! .r.,9 rh6.fmn d $G bGir for rh. .ll*.d ddFhi. Ary viohbn ots.(ir. 701I t t, o,
<br />.pplicur for ! Fhn $bjEl3 tlE {plK&r ro . dvil p.nah} of tur tur. rh.! fi!. hui&.d doll6 {1t00)
<br />l. B o$n6ollh. FrFn). or me.mrl,,r6 $irh \.!6 a rhdr slc..nn nerk)n. srll&, rh. rorl {d lh. rnri@. frn
<br />'nrqFJ ororLrqi f{n elc(S( 7(!1. ln 'n< od Prol6sioN (i r lh.(innrr(tr'1|.'.oElasrh6.or.l,fl!rorno\ndol'
<br />rhcpnrFly *hoh ldr or nnf(r 6 rh€$n. Jxl \rh) doB such $!* h nr.lfn.hskllorrhoushhxorhdo+n.m0k,J".6.
<br />prcridcd rhar such inlmrcMk tur hor rnod.d or oftdd for el. ll ho* e d. rhc hikl'nr or tnFo\ dnor is and *iih .nc )fl
<br />ol..mFl.rion- rh.(nvn6ltuills "ill hr\.lh. hrda ollrovin! rh,lh.or $. rlid nor tuld.r mFov.lh.Impd, t r rh. I^4rs ol
<br />l. a otrffi ot rh. FtrFrt, m .rrlGivclt ..nrari.8 *nh li..6d (odtelo6 rr. o[{rud rlE rmj6r (Sr. 70l,l, ti4.6
<br />irn hotst Cod.: ft. (tnti*toi! l-i.s. Ls do6 .or .!ply ro o 0116 ol rroFrl\ tr ho b!!ld! or inpmvd ih6on.
<br />ed \h. .o.rm. aor r.h Fnj.it $nh. (hddo(, lioEai pslld b ih. coddori Li.@ l.E)
<br />I o.rmF ufrl6 s<r{n
<br />D.re ()rnd
<br />$oRKERS', (',OtlPrnSA I rOt\
<br />OEgrlBAllO!
<br />I hntby.mnn undd rr€.rh!.trrrlin on.ofrhc tolhNn! d(l,a'irB
<br />Ih6v.., \ ill 'Minllin 6 (-dificll. of ( oNnr ro Sclf- lBur. fo. n 0116 comp.ordn ., a Foridcd for by scrion 1700 of th.
<br />hhr (bdq for th.FromM.. of th. u$ fo.whichlhcpmil ir isud
<br />I h.r. a.d will nai.t.i. sorld ..nFrod tun iBurr.., s rc!!n.n by S(rnrn I 7(x) .l lh. l,bor ( od.. lor rlE psfomlnc. of
<br />lh. *. for whgbrr6 ponil i. ie.d My rorld compasion iNu6c. cuis !d [[li.y nunhq rc,*^' /-t+Rfi6tzs
<br />,.,*,*,^o !a21 3e3-E ,*"* 'f/L?D
<br />I dit ltEl in ilE Ffolmtr. or rh. *oit for *'hkh
<br />'his
<br />Fn n sql I tll.ll rcl orhyutF$n u u! meffi
<br />$ a ro bao@ stirr ro rrE qdtd smFaaFn liq! olcrlifomi& !d +E th. if I rlDlliil lEL.m $tid l. th.
<br />s.nd @np.r6dio. Fnrir$6 ol s<i io. lTm oa rh. t bor Cod.. l rlEll. frnhr nh 6q{! snh
<br />'hor Fo$tbB.
<br />IIARNING: flihE to su. $or!d' .omFMion o\d.g. b unL$tuL ..d .hdl sbFl u c.pkF lo onud FJ.- dij
<br />cnil ntr6 up ro DE hundt.d lhousrl &rlls (ll0o,oool. h ld4nrnto th. (r of (Ep<M'on. d&usd ! pmrid.d for rh.
<br />sdr'.. 1076 olth.lrn ('.& ddd.rdrhllE ! rE .l I,.,,. ll-/t/-/Q^"",*,,.4/L,l- :
<br />u(E!5ED-(0 Ita(rlB
<br />DECI.AEAUq!
<br />I hftby rliirm u.dr tdllry o t lfqo, rhd I M I'c6s.d undq F$raion of(lurr( s (..m,6.if,B *irn Selion 7000) ofDririon:l
<br />of rh. ttsind dd tn,a*nN ( { ., .ra my li:c i3 in fuu lorc. lrj clT(r
<br />6 ,^rrrr.r;UW-//-/l-/f
<br />CAISIBUSIIAdI.IIDI]IGAGT!(I
<br />I h(br !flim ui&r F$lD o, Frju.y rld tlE. ir r mdrudion ladrs !3dy aor lh. Frollllla orlh. sort tur sh(h rhi Fh'i !
<br />is.!j (s(.10()r, civ. c )
<br />AITUIANLDESASAUO!
<br />I ha$_v olIm rndn p6!lrv olFjurr_ otr. of Ihc followinS ddldarions:
<br />l)ornnnr. P6nnsA.h6lor Norifi.dion F.rlorl Rq.uhr$ (Ink{ll, Pd6)
<br />R.rtut.d L.tid of Ndifidhn
<br />I cslii lld rh. f.d!d rqruhFro (trdm3 dtEsl8 rdnor d u. R{ qlil{.hh h rhu Irr)<d
<br />I cdit lhn I lEr.6d lnir ra'ltrlion !n srd. !h, fi. rt rri.fotunn.(.rd I .3rE
<br />'o
<br />onlply * ilh tll Cir' . (i' rr
<br />rd,NN6 0d Srar. liu: Ehrhr ro hri io( !d lE.lD .urhror r.r!66nd
<br />^
<br />6 ofrhn C,r-\ &d Counij r. drd uFn rri
<br />Applionl or Agdl Sitr.hr!
<br />u"""n*-.",0rr,,}( UtF qt4/t04--//!+-/7
<br />Erection Pads
<br />t24tq
<br />JI
<br />1015J{7
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