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SITE.WORK DATE ID/SIG.COMMENTS OWN}]I' BUILDEX DI]LCAI{ATION
<br />I h .ht dfinm o kr prallry (n pcrjury rhrr Irncr.nDr frem rlE C.nrintrr l-i.ctre ur lor rk n'li'{,n8 R!< (s.r70rlt
<br />Bu\in.r! .d Pror.$bn cd.) A.y Cirt or cdd, ,hih rcqut.r ! Frnir t,' on(tu1. !h(. itr{,ot. d.mihh or rcFr lny
<br />nndur.. prior r{, ir\ i{safr-c. !ly' ErlurB rh. apf lf,rnr fn rkh Frm r0 li h . \iEmd (d.,Enr rhd lr Dr \h. n lftn<n pxrq!.r
<br />h rh. pnvGio.\ ol rh. a,nrh.kr\ t-iccn*d liw lChlplcr q, Connncmins wirh Sccltun 7l[,0 of t)ivisi.n ] or rhc Busin.l( inil
<br />h,ac$i,n\ Cod.)or rhlr rr',tr5h. iscr.mr! rh.rii.mrnd rh. hulr tu,rhc ltkrcd.rcnv,ri,)n Anrvi,Lrhn.tSclrDTr).1t5nyry
<br />.pflKrnr ftn aFrm lutr{l\ih. rn liclnt nr , $ rl l.n.ltr- or n nrntrhJn fir hudhd dollrs r!5lx,l
<br />-1.
<br />(\ n*ncr o' lh. |()Fnr, (tr nry.nrl,)r!cr *rlr wrsNr a\ rhct q,lc .onl|*Nlri,n,. *iUd, rll NorI uxl ttr stururc i\ mr
<br />,mc,rkJ or of.r.d tu sL ( Ss 70ll. BuriE{1 ond ttulcr\r,nl CirL Thc Connr.kE ( Lt6{ ljs dx\ Isrplyk'Mo*mrol
<br />ttrFrFny *h't rLl\ r nqr*s rh.n,n, ai ! lI, &F uh N d hlmrlr or lx,{lf or rhiirrh his or h.r o*n.fly'ltlvr{!.
<br />Ilnrr KIcd ihnr \x h rqJnrmrnB m r, or.rlcd or.fimrl lin {lc ll. tr)ro6. rhc tuitlm3 r rI,mrfmnr n {u }rhD oft }rd
<br />nf conlnlcli(in. rtE O*nd Buikls will hah rh. l nLnnifn,viryrhlrh.or\hcdil noi huiu or ill{,r,e rh.In'Fny fnr tlr plrlrE I
<br />,- r\ or '*' olh FI'.n v. JD . r.lu{}.lr- (rntracr rr } ih h(orrl .onrr( ntr\ rr .onnn'r h pfl,Fr rSN 7(x.l. llu!'ks
<br />flxl Ih'l$sDnC c ll'cCotrrrnrttr r l.ircn\c l,r\',k'.\ noi !ntly i' !nown.ror proF.ry wlr burld\o, irnnv.\ rhcrcon.
<br />ltu] *ho.onrr.rnn\u.hnr*.kuirhr('onh.nni\rlf,.wlltr^urnrr)rhcQfr&rn\t.i{hrl.rwr
<br />I !rdcnrFr oftlcr SNrxnr
<br />ItQAf,r& :llllfl;litatl0NDllt a&ulo
<br />I h.rchy rlnrm unJ(r pcMlry.! tElurl oor ol lh( fol[)f,hr d.{lf,rrrtr$
<br />I hrv. ad *ill nuinlah u ( cnltdc or (l'n€nr r, Scll ln<ue fttr $ or*d' rurrl).nd bn. !r lsriicd l bySh-.ri61700olrlr
<br />tlrnr (ir!- r.,llE txrft'lmmc ol rlE ql.l kn rhrh rh. Fnn r hiu.ri
<br />K.".,
<br />K.,
<br />nl l,n sh(h rhil pcrmi i\ n\Fl My *,trlch' (inl[r{nui trtrufuNr.r'rE fil I! ,lnt tru $rr .
<br />kea k/l.o--; L^ )
<br />""^,*,, Lqeag l oq ,*- q t-tq
<br />I( tI:- rh,
<br />'n
<br />rh. FrnnnB'rr olrtr *orr lnr rhrh rh^ p(rnrtr a Fsu.(l.I \hillN{.nDlo} nn) nolr in ant n!.BJ
<br />v, 3\ n) h.onr \uhj.er ro rhc Bnde\ ()nlfttrrlrkrn lns\ olCrlinnn'n, rirl rFrc. rhDr if I nxn,ld lKom n,hJccr ro ilx
<br />trork.^ comp(nlrri,)n provi{()tr{ otSe1tr'o l7([r.l,h.lrhtr (irlr.I \hrll. tunhsnh.onrlt *irh rh){ lknnion\WAnNN(; Flluk (' run snrt.^ .on{Enqri.r larc
<br />cnl tur1 un t, rft hunlrnl rhl'uq.d JollT\ (Slu).firrl
<br />SRli( .tor6 ofrhc lrh, Gxlc, inr.rcr Md dumr'\ le\
<br />lirl. Md \h.ll ruhFt u .m0rrF h aimntrl FflkA dn
<br />t. rlr .ojt ol.oqi.nslhn. nlmgc( r\ pnn ci nn rh.
<br />k,. "\.q-r Cl
<br />DLCI.AEAII()N
<br />Ihcr$ydltDun(lc.r.nohyoln!lrtrylh.rI!rlr.ciraluiddp",vni nfChrtrrcr9(co ntui( n'g wirh SRl i,n 7(Xx r) ol Dn i\iir :l
<br />oI rh.6u{msiBl l,nL(k)nr (iik. en nrr- lacn< r tullnn!--. rrrl.rre-.l
<br />x..,,.",,,,.,>6. 1"
<br />bPzo-lso-tLI. Ll
<br />87-Lz=ta1,. 1
<br />c()Ns'l t{l("fl 0N r !Nnt\(: al:t't\(:v
<br />I h.rch! a,ltm u.ds FMlry ol F.lury rhd rh.r. n . .oii{Mrn bnl' 8 agd t turrh.Fl'rnBmc olrh ro.k n, *h.hrhr Fnxr r
<br />isrkd rS.! 10.17. (-r C )
<br />^.1
<br />\,tr
<br />a.trulj.IltlIlIaB,u.[rN
<br />Ilrrh!rrln trn(l.r FtrJiry nr tUlrv n( !rrlr tntk,tro! rt(trntrnr\
<br />l).tri,lrrr,n l'c n \ '\.h.jo! Norli Ii$ l(ldrl Rrsul.nxlN r lnl,..lo Prntr
<br />lrL.,t' tr.rilrrrL, !irNlr rl!,ro
<br />-l
<br />cd rly rhi rlr liaLhl r.Sularr)nr rtdd'n8 e\t{{o\ r.m\ al xc 'Il afl ir$L ro rhi\ pn,Fr
<br />llrr r\ rhi I hi\( r(rlrlr^ iflrl'iurl r xhN. nrrorn nor nr.m.r lrs...n,co ltlv* rh rllc lnnJcounry
<br />odinru\ (nl Srrrc ltrqr (nr. r'rl hrrrhyrurhnn. ktrc{nrrrtr.\ ol rhi\ C r,fdCounrtk,.nicr uIxtr'rlI
<br />lhit trrnrrtrrd pn,pcnt t
<br />Spllunt ..
<br />^senr
<br />slsuru .(-tl-t8
<br />f**u- *..,rn",,,IA 4A gn t Lr7
<br />Set Backs
<br />Forms/Steel/Holdowns nz I I t t,tt rrii\5 )e)+'lJe o ler-t
<br />Erection Pads \"'llD / * te,/t"skle A, )uw lr,-o*l
<br />UFER Ground 6--J-*"I Lt
<br />SLAB Floor
<br />Subf loor/Venti lnsulation
<br />Rool Sheathinq
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />D rywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />l\/asonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif .
<br />I
<br />FINAL \\r-t\tt l,{,t/4!)
<br />Certilicate ol Occu pancy \
<br />Notes, Remarks Etc
<br />.r-
<br />BUILDING- INSPECTOR RECORD
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