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SITE-WORK DATE IDiSIG.COMMENTS (,IIN':R BUILT'ER DEI.('ARATI('N
<br />I lErcbv trfin u.ds Jlcmhy of Frjrtrt th.t I m.rc'rl)r rmm ih. Gft{ttr! t-k.n{ lrs f(, rh. trlhsin! (sq,n lsd 70]l 5
<br />Btr\inc\\ nnl lSotc\li,n (ixLr ny (ity or (-ounry wh(n rqurc< , Frnnt t, .o nrud, .hd, nrtor. &mlth or ElEt $y
<br />{r!.rut., Frtrb ii\ i\surt.- alw, rcqoi,c\ rltr rprlilnl ri', u.h Fmi' l,' lib. sicmrl (!r.mnr lhll h.orstc n li.cnEn puruld
<br />h rh. pn,visi)n\ .l tl! C.irnctni Lic.ncd lnu (ClBnrd 9. (i,mnkNr.F trnh Scrr6. Tttr nf Dtri\r. I .f rh. Blrn.s .nd
<br />Pn,lc$ i.nr cdl. ) o. rhrr lEor (h. t crcnll)r rh.rEfron |nll rhc hrsi\ Ior rh.albScJ.rrnflnr any{idarirnorsdinrToll5hy,nv
<br />rpt iclnr lorr F mit.ubJc(r. tlE llplEinl h d.nrltl.nllttuaft mrc thsn la( hundrcd dollai r l5U) l
<br />r. ar Ntur orrh. rrnFny. o. n t'nrhF\ rnh tr!3c(.\ rlrrr oh.omprnqriotr. *ill&' rh. k* a,n llE qn(E r ni
<br />inr.d.rl or olLrcd l;r ek tS( 7tl4.l, Aurim( ,lld ri'fcsions Cr c:Thr(o r,cktr r l.t. ell*d.rcl aptlyro!no*ffiof
<br />llx InlFny *&,txilt rIi.rs rtE c{. ad $h tt6 qf,n *rI hificlf or hu<lr or lhnrueh hF lF!oun.rlfk'r.$.
<br />I' uvidcd rhd \uch inFn,vrtrr s m dn inrcrtld or ollcfrl lin $L lt h *.8r. r lr h'llrtrE or irn{'n'v.md n q' wirhrn om Fir
<br />ol irqllclrn. rhr O$ftr audlo s l harr ih tInlcn of Fo\nA rhr hc tr \lx ,ril ,in to,Ll or rnlm$ rhc F,Fnt f(tr r,[ F In* rf
<br />_ l.a\orftrolth.lJlut y.am.(lusrtly(, ra.r'n8* hl'..n{ $trtrdor\ t, mndnrd rll p(,rrr(S.c 7l*J. Bunros
<br />irl [h,li\\in(id. Ihc ( ,,nrkrir'r l,rcns. l.!s r,,{r nor lr'Ilyr. r.DsMr nfnr,,nc yrhhuilds I mnhrc( rh(con
<br />,n,l qh) irniE.r\ ror 1u(h FoFr tr nh 1 (bnh.ion \, lrcnk! pu^o! n)rh.conrd,tr(Li(.n{li,*I
<br />I r..rcnrfl ud.r sdrrn
<br />l).1. ()rmr
<br />Ml8f,E&ts)llEENSAIl)li
<br />DECIJ.SIIA!
<br />I kr.t y r,lirnr u d( |r.llry of FrIrry.k nr rh. follt'$ in! &.lahrktr(
<br />I t:!..tJ wllroinrrin! (tn t.r.olC.r*d n'S.lf ln.rEn, sflkdr (om{ttrqrnn. !1 Fnlilcd t, hySNri :17firDfrh.
<br />lrlFr (inc. Lrrh.Frf$Mftr.l th. so* n {hkhrhc F'n,ir n t\ocd
<br />lha!.trndu'llmrinrlin$orkcr\'conDcnsrlirhurrnc..i\kqtrr.(lhySc(k,n17(X).Irh.lrhor(irl..fitrrh.nnomrrR.ol
<br />rh. rorl nn$hihihtr IEfln k nqrd My trorks'(onqBn.rir nRu,!B.odg rd Fn.t numh.r ac
<br />_l..nilrrh r inrhc FdonrEr..ofrhr uork,,tr *hi.hrhn Fflnir is i\si!'d.l \hall nur.'qhyDnyl.non i', rny datr'xt
<br />a, i(h l!trr rul'Fr lo Ih. s oilcF' c.,rFnerirn b{r ol (:l'n,ho..!rl r8r( rharrf l6ruld tr$tr.ubFr hrlE
<br />*orkcn' d'm|{n$r i,in pn,vtions ol Sdn,n ll?( rr ol th. L1htr Celc. I $nll, loa hwirh (orrly s irh rhrc |f,vti,n($ARNINC l{hr. t' r'ur. $orlc^ .otrBnelit. m\uhsc ir unbtrrul. lnl \h,ll 1ubF1 n (rpby!, ro dniMl rwlir! ul
<br />( \' lntr\ df r,, oN hnn,l'.,1 rl',trH ..{ .l ..nlrJxrrk{ nxn Ec\ r\ I,r,vtrl.J nn rl'r'":-{rlu";t';;
<br />I h.Rbr_ arltrn uidd FBlit of [f,r,rry rhrr I 'm lknql uni( Fo\nhtr.l(lEpr( g knmmNint virh Sdix TlxI)rofDnrim I
<br />or rhc Bu\i'E(and ltofc\\irnr Codr. uil my liccn€ n in tullntrrdn.na.l
<br />[)r
<br />lh.,rhyIrlnNtrn,l.'ltn]!rr-.lB,rtr!rlLtrrhd.trr.!n(nrr$nt1r,l03J[rrrnfrltrN,lo,n 'r rlr \o'r [n !h,hrh\tilrir N
<br />n{'d rS.. IP7.(,r ( l
<br />I rn,lcr'\ Nrn(
<br />A.ttlrcAtrtllr(lAalflrtr
<br />I hdtt'y lllm u kLr Fnalry ur Frrr.t om of rh. frll,f, in! J.slnr i,ns
<br />txm,l ion P.rmirs Arh.{ur Norillcrrion liEdcnl Rc30l!it)fl\lTirlu 40.l,an6)
<br />-R.,tur.d
<br />k(.. or fk{'r..tnn
<br />!l rcguktrn! ,.3{drn3 a+.qos rrnn\dlrrc nor{flaihlc r, rhn JroF
<br />v. r rhn appl. i).firl(d.rhir rh.ltr rntl! trnh rll(ir).trr1t'(rtr \
<br />\ ( irj- rklC.utrryk).f(.r utxn,rlrLi*\ tln np ro huint'flr.
<br />6.cru SVYa,"\
<br />A rslrr",* f\*$(_ -h <la, fntY
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFEFI Ground
<br />SLAB Floor
<br />S u bf loor/Ve nt/lnsu lat ion
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Itrlason (y
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />&puty Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />FINAL q-tb (€J)eS>*Olrc)
<br />Certilicate of Occu pancy
<br />Notes, Remarks EIC
<br />BUILDING- INSPECTOR RECORD
<br />Rool Sheathino
<br />,."".",".. f.lpt /
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