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SITE.WORK DATE ID/SIG.COMMENTS OWNER AT]II,DER DEI,CAf, ATX)N
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<br />l.ro*mrotrhcFrF.rv.o ny.mpl)F!(srh*a8ci!\rh.ui'Lon{f,ns.ri,.uilld,llErur nrl.ddetrmr
<br />rnrcrlld! o. ofi.r.d nn sk r Sd 7n:1.1. Bu\irE< .nd Prur.\aonr C(xlL Th Conr t, 5 t-.cnr lrw &*r Hn .0l,1y ro .. o*Rr di
<br />rrrrmnrny shr tuikls o, in{roB rhcN'n. und wh. de\ \k'h soil him\claor hcr\cllor lhou8h his n. hc, o*n.nDk,yccr,
<br />pn,lxl.n rh.r skh f{nrrftd5 N d .rcftict r{ onRn lin qL lr. h,s.rs. rlf llitlnS r, nFNnr i5yrl]rirh'noN}r-i
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<br />_-l- r\ osrE of rhc p$tEry. !m . r.lusrvely conrcr
<br />'n8
<br />* h h.d\d .nnrr.ntrs h . n{ru.! rh. omFr (S&_ 7(}l.l- ltu\N$
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<br />rnd sh' onrld ( for \!ch F'rrc r irh a c]odrarn ! ) lac.rd pu^d !r rlr (irdr*rr'r LRM lis r
<br />I rnr.rcnfl rRlcr S((i,,n
<br />l)el. tr-tr..:
<br />Ill.)Xf,Ijxl:(AuuitEllltqtllttta&trrllN
<br />I h!rcnt rrr trtrr rn(l{ F-nrlr J- f Frlnry otr.,'f rhc 11,ll{i*trr! NlarrtrnN
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<br />I ihtr C,ib- tu l,E pcrLrnrNc or rh. Bod ,(tr vhth lhc Fd'trir h nru.d
<br />I hatc tnl rill m'n!!in r url.,f .od{[n\{rn mur.rc. ni Rl!'rd hy S(!ir :l7rf,) ot rh. btx{ Crxl,lnr rh. FrtumE.,'f
<br />th. r.rl ntr shi(hrhir Jl.nnn is isikn Myworkc^ ompcnsrion nuh c(inaT d Fnty numh..dc:
<br />.2."",(
<br />\rr(y
<br />*nq^",1
<br />41cs a--, x r 4/aLL
<br />lc.nny rh!r r rh.lirhtrnun.. (n lhc wrl l,{ whi.h rhi\ trnnrr r\ i\nul.I (h!lltr.r crrr .y!0y |tr\on i',rtry trrnmr
<br />q, rik, ti.(r,n luhrd n)rh. *ork!T\ dnntf,nerin, b*i.l Crl'l,nnl,. r lrr,rt.rh!, ir lsh'ull h.(nr srhj(rk,rh.
<br />nork$.omI.n\rrnnFnrak,n\.fSNrtr,n1700olrh.llhtr(irL.l\hrll.l,ih*ihlrnntlt$ hrh,a.f vrr,n{
<br />.ivil nn.\ up lr) om huBtr.d !h'usM Jolldr lJrlr,.sl)r. in I oI coll{En€rn'n. drror.\ r\ nrorided nr rllc
<br />Ir(ixL. int.r{.nd J onr},! tft\
<br />zJz't t/
<br />I h.Ehy rllirm u.rLr Fulryof lt.jur,lhar I !m lienrn unkl |nJrNr'tr o, Ctu!'ra 9l$lr]mB-'m8 *irh Sdnn ?(U)r Dl Divnn,n.t
<br />ol rh. auriks,id Pn,lt$i(,.\ Gxlc. ud mr la.n{ s in full f(rc. dn cllc.r.
<br />I'J,*^"cr,* A
<br />\"" z{zilr ol6/lL J .\ ,,cA D fietrtr (c t,
<br />I hahy rlltfl ufrl.. Ftulry ol l.rrrtry rhlr rhtrc n ! Lrn{tu1nn lcfrlm3 agcNy fd rh. Frlonumc otlhc *orl for *h(h rhn F.rnn h
<br />i\sucd(src 1097, civ. c )
<br />l.qLir N!ft:
<br />AIIUCAII.DI:ILAAAI,IQN
<br />, lrn\ r,lin,u'xkr Fnrlr\ olFl,u'! o ofrh. tull '*,nB ,lN l,rrt ir\
<br />l).nDlirkr l,cflntrs A$c{o\ Nirilrllt'n l..icnl R(gultrrrlN iftr[ {r. Panar
<br />R.qutrNl lrrr.rnf Mr'ridrn,
<br />b $irh rll(-iry rkl(inr r!
<br />\ rnJ (inrDrl r, (nrrr utr rlf,
<br />I r.diryrhd rhc rdollrguh
<br />_ I ccnrlyrhar I hor rcadrntr ilpl
<br />onlff *c' rnJ Sla'c ta'( rlrliry ro
<br />!h,k mnrnkd llt,Fdt (, iEpdt
<br />>t?pIor or As6r sls[lln
<br />\P.d re une(prrnr),
<br />riff EteJi.3 !{i{.\ror,r0l!t ror q,pli.ahlc h rhnF,r{!
<br />ratn,n ofr1{!F rhd lhc !h\c rnn{ruri,'n Nnnftr lJE,rh.Lr,hr
<br />t{rLln. (.rru r,n. drl rEr.h} rurhortr. rcFcrtrrJrtr.\ nl rh*(\r*",'/f ./lt , ./l&:- -11 rh'|'
<br />J l<',.-r t L.r.(-
<br />/
<br />.rf 'f
<br />Forms/Steeli Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor ,-t,-/,[/tlrt, 14144 fu>
<br />/), ,t*A y*( -
<br />Roof Sheathinq a
<br />Shear Wall
<br />Framino 9-b-6
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Depuly Final Report
<br />Engineer Final Report
<br />-- -\
<br />FINAL xl% lt(' 't{vr{/r,il /vy
<br />l'lCertilicate of Occupancy
<br />Notes emarks, Elc.
<br />^.l/\i l)t
<br />t
<br />BUILDING- INSPECTOR RECORD
<br />(
<br />Set Backs
<br />Subf loor/VenVl nsulation
<br />Flood Zone Certif .
<br />II'
<br />r l( i\)l r, ( oi\ I kiy'roR
<br />l*r r,ARl l (r1l
<br />,l
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