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SITE-WORK DATE COMMENTS OWNFI BTIII,I'}:R DI:I-CAR IION
<br />I hcrchy !flrm udd trtulry ,,f Frjn.y rhd I m .r.nll!t fr'n rli (inrrdrE Ltch* tr* for rh. n,ll$ina E{r'n (S& 70ll 5
<br />Busircs lrl Pturs(x,. (irL) A., Cily or Cddy f,h.h rqlmr r Fymn tu on{M. rhd. i,r'|lloE. d.mnnh nr r.Ftr rny
<br />dMrurc. Fg t' (\ r{u.Lr. ds Eauirr lhc !$li.d for rhh Frm' tu nt r si8rcd (.lcEnt rh.l lE oi .lr n lf,.nql puB!'{
<br />lo llE F,ri.itrF ot th (nno{rtr'( Lir.€d trE tchrntd I, Comfter68 r h S.dion 1lI) of Drn.. :l of rh. Buim.r .id
<br />Etrt *r,n\ (ixL) nr lt r lrn nt R crcq,l llErcnom !'d tlE tlnr nn lh..llq.n cxctr{,lion Any v,brmnlS61i'n7o3r J by a,
<br />0|)pltrrnr rr, N|Eh ut .(k rh. amlimr ro d.rvil p.Mliy oa hr m'rc rh,n fir. hu ndred dr,llri |tltl)) a
<br />l.x.o*mroirl'.ln)F-.ny.ornrycnDkrrcc\uirhrrgr\(\rlrrv'l..ontrtrcir)n.Nll&,rhcqorlx'rlrtu{n u.ran
<br />nr*ldl rroll.rrJ rttr {'lc (Slr 7lll.l. Bu\iR\\nnd ltoL$i, r(irn ltu (nftkrtr \ l-i.${ l.n*&r\norrptl!t,rtrqtr of
<br />rhc nn'F'ny slx)hnl d tr'\v,*rr rh(or rnil *h) ,l,r\ {'.h *o'l lrtrtr\.lr o. hli\clforrhn,ush hn ' hur.wa.lnl(ll({ '
<br />.f.o.{rknof,rh.()qkrtlu' Lr*ilihrkrh(burdrtrolF,vi"!rl h.or\,r,irl nt l] or inlProvc rhr lh)Fnv nt rt rrE of
<br />_1. r{ oBmr I r hc tlnl|rny, rfl cr.lu{vcly .onrrd re { h l'.ctrd .nnrkr,6 r. sn(Mr rh. F)F1 ( Sd 7l}{.], Ilu{tu*
<br />.d tb6sin(inL l hc C.nkf,rtr ! Liccn\c llu J,fl ft, .ttrly r, .n lsncr nl roFny sho huiltl. or im|l(,rl lh!,.,n.
<br />,nd f,h, (,ntd\ nn \rh F,FJ! wnh, c.,ninlron r l$n!\i l)unuln n, rhc Coddror'r L&nE Urr
<br />I rh.rlnnr u .r SNri,n
<br />Itlr8f,[rlira fldsauati
<br />ulig"r&rrulli
<br />I hdchy rllnnr.,l.r trtulry ol p.rjury om oftha nr[,*tr,! J..lrrrrktrx
<br />-l
<br />htrvc nlrill nuinluhuCcnificllc.lCon*nl l,' Srll-,.surc ntr qorls( .ompcnsaln,n. D\ m'!id!rl n, hyss.'rion.l?(xrofrhc
<br />hto. C(n.. ntrlh. n rtirtun.c oflhc w.rk for *hiih rh. r.nnn t i(u.,|
<br />)91-{ ! "d " in N-r! h ".rtcr' ( nmn nslr ion 'n\ur0ft-.. {\ ,.qutd hJ- S.rr hn l70O ot rh. Iitx, C,xlc. lq rhc Fr{trnet oa
<br />/rh"*o,ll, {hrhrhnFm nns(d Myro,Ic- ,nn(nd x 'n hurdxc snir odFnr} numh.' m%-.u?M(c
<br />{",,n,*,*, wcl()\f Lr-rui}l?1 '..,". rts \A\ tt1
<br />f(i.n,ry rr,,r - rr- s,r,,*N or rlE rorl 16 *hrn rhn lx,mn n irEn. t d6llhr elrloylny Fra,n in rn, 'Enr,/ r, !\ x, h.Lsnr 5uhF1n' rh. krldr tunp.nqit. hsl ofC.linmE. dd naft tha ifI rlDUrC tt{om r!hF! t'llE
<br />&rtd( $r{Enerk'n rhtthnr orsdbn lTlIJ.frh.lrhtr (ixlc,I rhsll rdhrirh6npl! wnh rh* lnrv!.nr
<br />WARNIN(; Frilurc n, $urc workcr' oryrnuri'n i,htorc i. unh*tu|. rtul rh,ll \uhFs trItrTr'Fl x,.nMd rEEhi: and
<br />civil lincr ur li' om hunjrcd lhouqnd doll6 lS llro.lrx I r. in u.lJrk{ r, th( !n( ot.,r'tr{rN.rion Jrmrc\ !t pmvilql tor rhc
<br />s.rrilr:lo7r,ot ih.ltrhtr (iil.. inrcrr\l itr(lJ on{r- \,i{\'b&c.
<br />/uta-
<br />Ihcrh,rlft ro ltr nLDlrJ_ nf FrJur:" (hrr I r l'( rdu ir pror^iirrl ( hnBr sr.om'ftturnt q hS.cri Tlrl)rurl),lntrin l
<br />of rh Bu{'r\Mn,l lx,lr\rm\ (irlc, ond mr 1f,..r I m lullt{!. l.ll(r
<br />Y",*.,* cqq
<br />(*:.o?r]aDlE
<br />tL!b3\ru
<br />n I (niurn !b\ar
<br />ca!IInlJl]Il()!1,!Ntuxti-&{i!N(I
<br />Ihcrhyufin'ntrD cr llnJlryol Fruryrtui rhcRAx(n(todin lttr(lirgxgrtr.y l(tr rhc ,.rfnrtun.. olrh.sorl fin *h*hrhA |xmn s
<br />issucd (Sc. .10e7. arv ( )
<br />Attu(ANlurgaa rtoti
<br />Itmt1)afiirn,u, (Fnllrt Ittrr!.Ior(l rhcn,ll,trmgk1U,dk,i\
<br />Drnrnnk Pd nr! A\tra(( Nortu{ bn F.& r.l Rc8ubrkf\lIilc&). P!n6)
<br />RFtur.d I ctr., of lii{dilrrr
<br />lrM'l\ rhxr rh. r.tl.r.,l,.!ullri.n\ rgsd'n! ].h((r. 'ru\rlr. tror xfplrrhL n, ihn pn,]it
<br />I.r.n'lirh, l llrr,.r,1rhh,,ttlkrri'n3n1{rt.rhrrrh.rhnc trll]tqdk'r n..m
<br />urd'nJfr.rrtulsrrr.lsErrr, ' p r, hu'hinE im{tu rnn,dl rr*fi'J ",fiy',fr"r,.*.,h\r n(nrtr,n(n F,]{nr 1r in.F!riE1}rFs\ J ,/_,/ /
<br />:r pp,hanr or ABm, s,*nrr un //,tr"tG O//LZ (': -r
<br />,.mxm'miPr,n,: 4orr, \il (Cctltpr,
<br />r I rBrt n'.o rflyf,rhrll(Itrfrl(i)unry
<br />trirhvcsofrhrCiryM (i{trryrD$nauF,nrh.
<br />Set Backs
<br />Fo rm s/Stee l/ H o ldown s
<br />Erection Pads
<br />Subf Ioor/VenVlnsu lation
<br />Rool Sheathinq
<br />Shear Wall
<br />Framing
<br />ln s u lation/E ne rqy
<br />Drywall
<br />Ext.i lnt. Lath
<br />Brown Coat
<br />lvlasonry
<br />Pool Fence
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif .
<br />FINAL U?</1t 6trt{-.'
<br />Certiticate of Occupancy
<br />Notes, Remarks , Etc
<br />BUILDING. INSPECTOR RECOBD
<br />ID/SIG.
<br />UFER Ground
<br />SLAB Floor
<br />T-Bar
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