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SITE.WORK DATE to/stG.COMMENTS OlIliER BTJILDEN DEL(INATION
<br />I lEEb/ rflrm !id.r F..]r, of F4!, |n.r I d ct.iri t@ rlt Cdrdin lff lir lor rlE folbwnl l!&in lsa.7oll 5
<br />Bu\iGs .Jn Ptua.sior Cd.) Any Cir, or Counly Dhth EquiEs . Fmi lo conrMt. !lrr, it{,oE. .lmliih or EFi my
<br />(rudE, prtu ro nr i.:umc, .I$ GqnEs rh. tpdt&r 16r skh Fmit to liL. siti.d rdclEl lbl lE or tE t lirdn Fltli
<br />ro r,r Fovni,6 o, 0r Cdt-ror! tr..!a, Liw lcl!0r., 9. C.mmin! wnh Salhn 70(D of Division 3 of rL Burit( dd
<br />PDlc$bn! (Ll(h) or rhlr lf, or n\c n .r.npr rrEr.nom.d rh. b.sn for rlE nLsln .i.r!ie AryhhrrJnofs<hi 7ol,5byry
<br />!tulioi 16r . Ftur olrr( rtE rlplidr ro . .ill FMhy ol d mr rhD fiv. huti,.3 dolbi (lJm)
<br />l. a! owffi ol'lE FDFny, d riry.,phyer snh $F.. rlEi $t on!.N.li'n.lil & tlE k i,n dE t.nlE i! mr
<br />iddi.d o,Lnd rd qL {sd.rol4, BuriEri od Pbf6ihN CcLr Th. Codrlclor's Lt6s Lrw dEs bl rfply lo tn os6 of
<br />rlE FIdy vtn hoill G ilIlu! dElqE rn wb .tE sd! Et hiNlf G LBll ( rhhr8n has ( hd om.npr!F6.
<br />,r.viLd th{ Mh ir{hEEaE d id.ftLd.rofk ftr.L.lt tsw.E, E hiBinS d nfrohc nsEwill'inwF
<br />ofeiTtrir( oE owmr Buili,.r vill lnE rlE hlrLn of FUvirE U. b rlEd!dhi!riI(E0EFF,fqiEFlFEof
<br />_1, r o*E 6r dE F4s!r. m.r.bridy .ddi.8 ein litn.d conlndoE lo otrlloc1 llE pmr.l (Sa. 7(x4. BuriFs
<br />d Aolilrsin Cod. Th. C..tErui r Li(nk trw de. m. +ply ro M owEr ol rmFny b hittr or im!.trEs llEEh.
<br />lnd rto od,rc6fd *h F!!dr *nn r c6dnro(o li!tr€n pll,l@ b tr. cotulrofi LitEE L.w).
<br />_l !mcr.mF unl.r S(ri,
<br />D.r. ormr
<br />wonK.l{s, a(rlrPrl{s^nbN
<br />D}]SIBAIION
<br />I h.rcby.lll.nu .rlEnllryoIIEryuryonc.lrh.n,&'wm8d(brdmn\
<br />I hlE ul *ill minlsin o C.nil'rcrrc ofcotrsnr to Sclf-1tu6 fd sort6 onytndbn. ( FrviLd fd b, Sfrrb. l7m ol rlE
<br />t-.h)r Cod.. fd tlr Ff(,ffi olltE tqt ,or stin llE Ffll ii iBEn
<br />I h.E !'n sill muiain h,r.E or{rnub. ,BuEF., a nqliEd by Sdio.11x) orlh. L.lu Cod.. for rlr teatllrrl,a oI
<br />v
<br />\tJ
<br />L8 I
<br />I enify 'lIl 'n
<br />tlE F ftrrr. o,llE h ror elta.t rht Frnl ith .d.I {rell not .ng'loy my Fron in DynUE
<br />$ ai ro b.otu obl.<r ro rh. Mitdi oiF.db. hes orctlfomil in {r !h.r I ndld t.ed oDifl ro tlE
<br />mrt6 6"p.Hlbn F$rtbs of S.<rbr lrm oadE l,h.tr C.d., I adl, fonn*nh d,liply eilt ihoE povti.N.
<br />WARNINCT iiituc ro <r qrl6 mnFn..rior 6@8. ! mLwtul. .d rhll sbFd u dtphF ro aidl Frli.: !,n
<br />.Ml liE. r+ k' 6E hurnEn Ilbu.drd dolLn (!lG).(fr), in .ddni,n ro tE orrl of col,tEnqriod drfl&. a I)fovid.i tot th.
<br />Sc(rrI rlr76uinf, I nlrn irlc. rrcEs lrl ltnrEy t rs'4 Ywt 'Ll
<br />^r,pri.nnl
<br />I lErby drm und.r FMny of Firy th, I e lin.d uia Flvtim of ClEprs 9 (onftth8 wnh S.dim 7fln) ot Divi.ion 3
<br />of rh. EuriE! .d PFa.*irnr C.d., .rn my lt.M t! in tu n'E !n .fie|.
<br />t ('t ,,..tr\,Nun*u ' t,2iSik
<br />4/zt 'Zl -"*,-K>
<br />I h.Eby .mrnr und.. tEMlly ol lErjury lh. tIft k . $nrndb.h. Fturllh-c o( rh. lork f(tr shr_htln\ lE ril i\
<br />irrld lSE. 309?- Civ. C.)
<br />Iznd.r\ N.m
<br />-
<br />AIII.ISANLDEq.'AdIOB
<br />I hddry dfm un<,.. o.tuhy or rE {y oft ot rlE folb*ina .tdlrnrrrni
<br />D.mk$. Pcrmn!AdE{6 N{rif(rir F.n6rl R.rulrthns (Tirk .o. Prn6)
<br />R.quird ldt.r ol tlrilidbn
<br />dt.-,4o',tr,.
<br />lE &n, rcsuLr ioF Esrdirs rdrdot EB,!d re mr +0li$k ro rhir pmlel.
<br />EE d$n +d.dbn.,n r.l.rh! rlE.borc inromrion n lrrir.r Irl,et'conrlyw hlllCnyMdCoMry
<br />hvr rclrrns ro t{ildins consrutioG en hcrch, Drtnri& rli.s',rE. ofrhi! Cny. C.unly lo ord uponllE
<br />Fn, i, i,tyErnn p6F6
<br />^pplicsr
<br />or
<br />^lor
<br />\irDrur!(
<br />f"-,U..-,r*,r.",, A
<br />^
<br />{:Sox =t4at1
<br />l.t lz
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsulation
<br />Roof Sheathino
<br />Shear Wall
<br />Framinq
<br />lnsulation/Enerqy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Enoineer Final Report
<br />Flood Zone Certif
<br />FINAL a- 9-2/ .J)-{*p G7)
<br />Certilicate of Occupancy
<br />Notes, Remarks, Etc.
<br />--t
<br />Rev 08 07 2015
<br />BUILDING. INSPECTOR RECOBD
<br />Ird.rr Add.r
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