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SITE-WORK DATE ID/SIG.COMMENTS OlINEIT BIJ ILD}:R DEL(-A RATION
<br />I hfthy.fiirm un& Fslr, of Frjury ind I fl Gr.mpr noD rhc ConrrNr.N l,ic6Fl!tr f rh. r'ollo\in! r.er lsd Toll5
<br />trN'n* an Prof6irn ( ,xL) Ar) (-r r o. ('.udr $ hkh r.qu 6 r Fmi ro edtu.l, .hd, 'nr.ye &rnnih or qir sr
<br />ntu(!(c, Fn, '. r!! isumc. iho r.qur6lh. lp''lrcst for s.h Fni ro iik ! sign d nrmor rhd lE or sn. 6 licns.J tfumd
<br />ro lhc F)lisioN orlE Conkdor's Li(nr.d trw ( haBa 9. conn.n.inr $nh s(rion 7000 of l)ivision I ol rh. Bun..!. 0nd
<br />PNfdi)ro cod.).r rhrr lror.h. iq.rmrr rhscliom rd rh. b.rn fn lh..llq.d ddFu Any rbhtro of SRl ioi 70ll I 5h r
<br />qrhcl,It ror ! Fn,l !ut'J6l! 'n. eplicMt 'o
<br />a.ir r I I htofnor mr.rh.n n\. nonn.n .loltd ( t500)
<br />l, I owna rf rh. proFny. or nv oplorG srrh * rs6 s rhff elc comp.arar ion. \ill (h rhr *ql rd rh. srru.rw 6 .or
<br />indnd or ofid(d for s.L (sd 70,1,{. B6il6 d t\.l6i.N cod. ft.(i,drdoa!I-teb*&dndq?lvheo*ndof
<br />rh. F.tsy $t t!'kh or trr+.rr6 tlEBn. *i $kt &E sh trwt h,lrltor ftd*ltot rlvouah h'r or fid 6sn mpLrc,
<br />prov'd.d rh,r u.h mrm\qE ! e m' hiEdqi { oildld tur sL lf. h.tr66. rh. hlildl,{ or np.o\aErn is $H tr ihin m !a
<br />olcohplchn. th. ()wn6 Bu ld will hiv.6. htrdo ofFouns thd lEorsh. did not hrild or ioFovc thc rntrFly for lh. purFrE ot
<br />L.ro$ffiofrh.treIdy,rn.r.lNr.[conrnci'qqilhh.os'jcodrl.Eroc.tr(ru(rrh.E]d(S*rrll1.ll6rKr
<br />ed I'lr'kn ( od. lh.(i'.i!.clors l-i..NcLasd.6 nor,r,tlyro dorn6ofpro0.ny*ho buil&or improv6 rh6dJn,
<br />and {ho codrict for such FoJ.cl. wnh a Conr&lonr licded nuBud r' Ih.Contra.lois Lke liw)
<br />I m.rmfl uhd.r S<lrn
<br />Drr. or.d:
<br />\r (llt(rqs. (rratPEl\sA noN
<br />DNCIJa^Iq!
<br />I h(.1.- amm unrl6 pcn.hr ol p6ju.t on. of rh. folk,*
<br />'ng
<br />ddld,i tr tr!
<br />I hryc nd *rll roi.l&. ('.niaK.r. oa( ollsr kr S.lf-lifur iii. $$kdr' $mFsh.. G Fr d.d ao. b) S(rFn :r'70O of rh.
<br />L,tFr Code ts
<br />'lE
<br />psfoffi. of
<br />'h. "..t lU (nih !h. Fnn u is.d
<br />zI filv. lrd will ndiGi. w.rld .ohr.6rrion i6urdcc, s r.quiEd by 56r ion ITOO o t rhc Lahor (ird.. for rh. pslomMc. of
<br />rhc snrl lo.qhrh'h{pamir s ed Vy *0116' i.mFlsnn '6ur&.(.rc dFl() numba Ec
<br />< \o\t& e c rr,,(alE --\ .. \;;;:;"J' 1?.[G>\( ;.,,- &Ir\ t\
<br />I ccn'rylhd 'nlt Flo,ruN.oflh.trortfm$hrchrhi!FntrBisucri.Ishdlfr,dnpL!rn!Foninlntmm6
<br />s Ilo b..oB. sbjGt ro rh. *ort6 conDd.llFn liBr otcalifomiq tud.*Erhsr ilI lhould b..om !ub.d ro rhc
<br />N*G' .omFs! ion pmeiri.N oa s<rin :1700 ol rh. l.bo. Ccle I sholl. ron h$ itr onrly * nh th.r p(i-tsio6
<br />WARNINC fulK lo su. $ort6'comFMhn or.rl3.6 unl.*tu1. .nd si.ll $bFd a ad.t( io mEl FBiF.nd
<br />$rl nh6 up ro oN hundr.ri rhoEnd &nls (!l(xr.l{())pn lo rh. cd oa conFninio.. d.m36 $ provid.d L, rh.
<br />inrcBr rml dtrolrR'3 tGj
<br />[pcLf,Alta!
<br />I h6.$t arm u.do ,EBlry o r Fjury lhd I d licmrn un.Lr Flviln n of('h.prs I (Nmnocins $ith S.clior 70(l())orDn,rn,n:l
<br />of rh. &aiB 'nd Profdid Co&. s'd Er lt.G i! h tull tuc. rn.lTdr
<br />,.*..* 6 J c\L::ti*i1\ ':"",."", K\D lo)fia
<br />cariralclll)lll;lDltclcErcr
<br />I lrry* alIm unkr FMX! of Fjm rh:i rhd. t !.on!o.:lnn ldrlur rSC) ftn llE Ffolrre. of rh. \ort frn {nah thn Fmi ir
<br />issu.d (sft 1097, c,v c.l
<br />6ITUIANIII;O,A3AITA!
<br />I k!.trm und6 F ny orFjur.. o@ orrh. rolh*rs drbrron3
<br />tttrl[rn Pmne.tub6r6 Noi'ficdion r:rddrl RqrubtDns (I(1..10- Pon6)
<br />R.qun.d l!r6 oaNdinc{io.
<br />I cdrQ rh, rlE r.dcrll r.suhrioB n*rdhs sbcrN r.m\ il r. mr 4'dr.bL ro !h6 ,roF
<br />lcdnvrhdItu!rc.dr[istrt]t,li..riMnnd(d.ihnrd'rn]rv.rnhnturnls(fr(r la!'(b.onrdt s hallt'r\andCnttr\
<br />odr6n(6 Md Sl.t l,srRLiirB to hr
<br />atFrc nnri.n nF,Fn) fo. iBF<1D.
<br />n. dd hd.h) aurlr,rn. r.F6ardiv6of rhrCiry
<br />Appli.rnr or A*.rr Slt rt[rc )$pi
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsulation i
<br />Roof Sheathing 9'2,47 V.l/,111)Vooh tBpT-
<br />Shear Wall U\J
<br />lnsulation/Ene rgy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handica
<br />De puty Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />t /.
<br />FINAL ti)tq tft 4LLtl14
<br />Certificate of Occu pancy
<br />Notes,marks Etc
<br />BUILDING- INSPECTOR RECORD
<br />I
<br />I
<br />Framinq
<br />I
<br />I I
<br />I
<br />Tdor JSorr*Olz |ef.p.ltt/l)
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