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SITE-WORK DATE ID/SIG.COMMENTS OwlTEN'UII,DF,N DII,CARANON
<br />I h.Eby nmrn u.dd l.n,ky or Frjlry ihr I m.r.'r{ rmn llr o,ddrod Limcburorrhtulh}in8E$nrsan,ll5
<br />Busmrs {n Pn{.rs{'n cdLr Any Cir, or Counry whth rcquiB r Fmi! ro o,n(Mr. rlr(. irDmvc d.6li\h or mFn dy
<br />{ndur.- Fior b irt isuur- rt1r rarn.r rlr or tlnr for ish Imir t' fL ! r'Srd dlrcftnr rh.r lE or rh. is lic..sd purs.nt
<br />b rlr pmvtionr ollh. ao.rr&k,\ l-irnEd l,* lcn Dto 9. CoIftrint wiin *.-.ti'n 7ux, or Diviri'n .t or ilr aurimta,nd
<br />lhlc\sion\ Cod.) o, rh.r h. or shc n dcm,,r rh.rcfiom.nd lhc harn for rlE dkrcd.rq,ii,n Any viJhrhnofs.dhnr0:lr J h!.ry
<br />riplirrnr forr [.mir ruhFk rh. rfillkrni ro rcililFmhyofn ntr. rhrn fiv. hu.dr.d dollah (SJU|)
<br />-1.
<br />F o*Ernfrh. FnrEdy. o rycmployrc $irh worc{ !s rlEt $L (n{eDvrion. eilld. rrE rod( lrd.rE rtrurE k mr
<br />inrcd.d or.lT.8{ iir qL lsd 7(*t. AuriE(.rd Profc<i, Cdc Th. Gdr*rm t l-a.n{ l,* dft. n al'ply ro '. .*Er of
<br />rh. pn)rrdy *lx, hilds or nqihEr rtnstr r^l *tn (k* uh k himtclf r h.rrlf o. rlmuah hii u ts o$n cnllbt!.'.
<br />Iovirdl rh.l rsh itrF mli. e Dx hlcid.d m or.F.l fm slc l( lnEs. lh rnil(lina or in{'.Gm r h i,u Qnhn om Faofsnphri'n.rh.OlGrBuilkrwilhrErh.hrd.nofF.ringrhrlEor{Edd,txiEdnqn'k0E,rntdyfdllEIr4rEol
<br />L r\ owicr of rhc lt,p.dr. rm crclur rv.ly .onr{.r i.8 rnh la.n(l .onrarnis k, n,nqtu1 rh. FrF.r lsc 7(!,1. Bu\ixs
<br />.d fh!46i. (-rd. Th. Cont&1f c Licc.E l-rv dEr nor rpply ro ri our.r ol proIrrly who bd ilh .r intfl'vc( rh.r..n.
<br />rhJ rh, conru-k l rucht oFB*irh' c. kttn\r lianf,n ,'rnud t, rh. o)ntdoasl-itnc tju)
<br />I n.r.nnr unLr Sdir
<br />Drt. (r*n.r
<br />$aaf,l8s-rllu8t$saJQx
<br />DII(IJNAUON
<br />Ih(rcht zrrtrhutrJcr txnrh\ (l Frlurr om.lrhc l,)ll){trrg (r(l arr$
<br />lhn\.id *illfrinra rd (id',icar.ofCon{nrh Scll ln\urr ft, su'kc^' ron{Eneriotr. rs nn'v cd hr htScrrR)n.lr(f)nfrh
<br />Ijtrtr (iic. fo. rh. Fformr-.c ofrh. co* rin ihih ihc nrmi F t\ocJ
<br />I h.\r rLI wrll mrnr.in u orkm .on{rn.di,n in(urrmc. ar Equrcd hy S(t on 37(x) of I lE I ilxr G'dc. tin rhc !.rfortuft t of
<br />lhc rork fn *hf,h lhhrE.nil ir ir{En. My*ortds .orfEnsi,n inur.Ncor.l d Inlry nudh.r n
<br />Dd.: Apploll
<br />r r(:rNsrn (.IiNTR CTORlfrlltalllJtr
<br />I h.Eh, imrm und.r ,$rh, or lErjury rhll I rm lnlnkl undcr ,rnvhir oictu+cr e(mmmtuin8 *irh s('$.7(xI)) ol!)iYirin l
<br />of rh. Burituii rn Pml.lrFB Crxh. arld my Ii..n{ n in rlll ftn& dnr .lrcdr
<br />f,
<br />sa!$alcuali!tuuNu.AriE8rr
<br />Ih(EhytrltumuRlcrFnsll!ofFrjurrrturrhs.nron(ruclionLidinsasctuynrrh.p.d(ifrR.oll,Eso,ntshahrhtFn.n
<br />aiu.J(sd llx)T.civ c )
<br />AIII.jI'INIDICIJBA.IIO!
<br />I hft*ryntim! ld Fnlhy.fFrrury or ul!h. folhwint delahtionr
<br />I).m,lirnn Prdnl Arh({or Norlkrrrr lid.r.l R.auLrrn! (Ink.l{). Pd6)
<br />R.qlmd lrno oftlrfrdi{
<br />Icdilirhurhcfd.rrlrcsul,ri.nrEs|rdinsE\tido\rc',vtr|nrciorrtfli.lrrhI'rhNl]n*d
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />SLAB Floor
<br />Roof Sheathino 6/t</zczt .&q,
<br />Shear Wall
<br />Framing
<br />lnsu lation/En erq y
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Itrlasonry
<br />Pool Fence
<br />T-Bar
<br />Handi cap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />b4r/ta Tfuaov$'{te )
<br />Cert ilicate ol Occupancy tu
<br />Ngtes, Remarks, Etc
<br />a€e-co -).tv
<br />BUILDING. INSPECTOR RECORD
<br />,B &PC f,rrhsrcr$.
<br />-l.cnrly
<br />rhd in
<br />'h. Fn{mNc !rthc sork ntr *hi.h lhi\ |].r.il i\ niu.n. I shall mr cqk'y sny FMn in.ny mnm.
<br />h Nroh.<'m lubjd ro rlr k,tr'mnlr.dbn L*rofcxlitohir, srn +N rh.r,rl slhull lE.m nFdhrtr
<br />wortdr d)npcn{d'n tmvirn,nq of SRrlrn :17U, of rlr Utrtr CuL.l rtEll. lM hr trh oilply *'irh itlr pn*ki.nr
<br />WARNINC f.'ruE ro cE *ft1.6' la,nrFnrir nn .1,v.88. ir unl'wrul, iod shrll rubj.t' s cmtk)rr ro simirul FElli$ oRl
<br />ciyil arcs un k' o* hudEn rhrend d.lluq (tllxr.lxn). in .ddni.i h rlE .orr ut.oqrnqtion, d.m8.. r Imvij.d lin llr
<br />S(lnn .l(176 .f rh. Lrtq (idc. inlc({ lnd ! nrEy . lL.c.
<br />I ..nity rh.r I hir. r.dJ rhn omli.lli,n !n slr. rhlr llr ihrvc inturnEl ion is ..rEl I ry@ b s'r{iy * h rll Cir, .rn Counrt
<br />fiJDM,d srr'.lr*i EhrinS
<br />'o
<br />ttrirdin8 conifr1$n. dn h.Fh, auttniiTc rcl'ccnllrir\ orrhn Cirydnd ('o!nry to ot$ uF,n tlr
<br />rkive rnri'ud I'.ol{.r, tu insFni'. rqr6
<br />Apt,liot d At nl SlarluE D.l.
<br />Set Backs
<br />UFER Ground
<br />Sublloor/Venl/l nsulation
<br />FINAL
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