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SITE-WORK DATE rD/srG._COMMENTS OI,VNIIR BUILDEX DELCAR TION
<br />, h.Eby dnirm udcr Fulry i,f Flury rhx I xn .r.rlt'r 6t r rrE G,nl,rlor' Li..nE L.s for lh. followins E.5n (S( 70ll 5
<br />guiiNr dr Pn'L$bn Cdh): Any cny or Coudy *hth r.auircr r F1d .o dr(nxl. .t(. iqmE. &Dlirh ot EFn oy
<br />{nrrm. F, b r i.$.m..!s Equi6llE.mltor ror sn Fmt i 6h. sisEd 3l.l.md rhn ltor rrE ir li6r.d FN.d
<br />ro rh. Fovti(' of rtE Con!turoar l-i(n*d llw ich.fl..9. Comftmins *irh Sdio. ?()q).f DiYhioo.l orrh. alrimrs od
<br />[trrLsionr Co{t ) or rh.! h. o. slE n .r.nlrt l,Et fmm ad rh. h.sir for rlE dh!.d .rcry{ ion Ant virl'rio. ol Sdlbn ?0]15 hr.ny
<br />qnlErnr ror t Fmt ruhFk rh. rl',lr'r o r o! 'lFEh, I mr mE!tun f,t. hundr.d d.lh\ rlrurr.
<br />U-. n**, "rrr'" r-r.nr. or sy.'nnhF. w h ss8cs 8 lhrn $h.nn{Ens.lion. *illdo rlE *6r ud rh. rlrLlE it nn
<br />inrni.d or o,LEd ii, sL (Sc 704i1. BuriEs md PmL.rhnr Crdc Thc Cnntdors l-i.tne Lrw dG! rcr +rtly 'o
<br />r. osmt .l
<br />rlE lx,td, rtb trilli n ,rrmB ilEcn .nd *tr dE uh k t hiNlf or h.rull o. llFulh hir d h.. oqn ..qrloF.t.
<br />I'rl,elH rhi qh ,qtnmdre d i{.i&doo6.rd fr Eb l(lD.s,rh.b{lut4mitFE.ni$ll*ihhmFr
<br />ofs,rrLrbi. rh. O*Br ltlik U lIE tlE tud...l Ftryirs lhd lEd\h.dn d boiu o. irtmE dE FIdy td rh. F,FE ot
<br />-l-
<br />I 016 or rlt FiEny. u.r.lurnrly mrrrdins $nt k.ned 6dr-(n ro on(txl llE For.r tsa 7fi:1. Bur,s
<br />lld hotsin Cod.: Th. C.nrrroa! Ltcnk h* ddl rr rmly ro u ov6.r I'mFn, wlb boildr or inFmtllhcdn.
<br />rnd vho fl, 8d. ror rx.h prcjcd3 *irh ! Co m.rorl O lian€d puroni in lh. conlrrcktr\ LicnE L!w)
<br />lhrv. rqillnui rDu(tniUcli.olCon{trrhSclfli{ncr,)rworkdr.onPcnsarnn,arF,vdcdforhyS.(ri,)n.17(xrofrhc
<br />I itrtr Cdi.. foi rk Ftu rmrcc ol rhc tr rI tor $hih rhc Fn 6 n(kd
<br />- l h.E rd * iU dnnrih $orLdt .omFN.lan iniurft.. .1 rc1ui,.J hy sdr nn r]fi, or rlE I ihor ('od.. r., rrE FrfmNE! ol
<br />rlE *or* f(r*hichrhk llcrnir is issu.rl Myworlc^ $trq..ulii)n insrrsncccmkr id Fnkynumh( I
<br />PuUc! Nu'nh. Ernncr
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<br />NrA\Ll-d'[rhlrrrl*Fnrmrolrlruo.Ir,,rhEhrhi.tErmniil{*d.Irhlllr.npktytrtFenin.tynuftr
<br />- .. ro lEsr 3utj.!r t' rlt lDrtdr oqmdhr Les otc.litumll rn tsft
<br />'hd
<br />ir I nsuB tEcoB n&irr b rrE
<br />workss Nn{.nsrbi tmvi.i,6 ol sdirn lTm or rlE Litn Gn . l rtull nnihsnh mm y wilh lh'. rDtbbnr
<br />$ARNIN(;: I:ailui. n, surc wort.f, Nmlrctrslion mvctlsc i\ unl,wtul, .nd shall rul'Jcrl an .nrl)lor{r lo dinimllEtuhi.r lnd
<br />ciril lin.. u,! ro oE lMlEd ttnusn &116 llltn.mo), in rddnh. ro rh. .o{t ol cotrrFtrerion. drE8.i !r Foln.d for rlt
<br />S(r i,n 1076 of rh. trtrtr ( ndc- hr.rc{llN-6-L tt
<br />I h.rbyafilr trndc. Fhhyolp.4ury rtui I 'm I'Nn\rl udd FDvFren.f(-hntr 9 (..m,ntuIn! !ih S(r$n 'llxrr I .l D$tri,n .1
<br />ol rhc au\itu\\and Pn,lc\i,rN C.tlc. uxl nry li.ctr{ N in h'llr,trc a'xl.ltNr
<br />SIBSIBUCUIJdI.BDIIIi.AEEI(L
<br />I hcEt y lmrm undcr Ftulry ot Frrxry thi! lnsc n o c.nerucri,n kndhg .8.my for rlr Frforl,wc of !h€ worr n, whah lhil Fml n
<br />isahd (se .l1r97.cir c I
<br />-l..dilyrhdr
<br />rtE f.d.ril E8ularion! Esedins rstEdor d'B'v,l dc nol q,Plic.hLr. rhn f,6it1
<br />bN diry th.' I L( Ex,
<br />'hn
<br />rptl.rrr,n !n {.,.,hd rhc rbE inronr,i,n n ffi , .sE ro oi{,I, rirh rllcdr.,n cou t
<br />rnitoN\ !d sr!r. t4\ rE!in* ro t{ildrnS onlu ntr sn hr.l'y rh,,. r.Fa drlr or ltt Cn, ild coun'y ro .Jn( !P. dt
<br />.h*r rnrrtrFlfrnncn) rti irrpc
<br />,tt,rrlidnr or A!.nr siaurun La.t,ct lDq$,^rk{
<br />t.t rt
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />SLAB Floor
<br />Roof Sheathinq
<br />Shear Wall
<br />Framinq
<br />lnsulation/Energy
<br />Drywall
<br />Ext.i lnt. Lath
<br />Brown Coat
<br />lt/laso n ry
<br />Pool Fence
<br />T-Bar
<br />Handicap Beq
<br />Deputy Final Report
<br />Engineer Final Beport
<br />Flood Zone Certif .
<br />(''9-Zo k€,s rt € r)< v+2-I-l
<br />Certilicate of Occupancv
<br />Notes, Remarks, Etc
<br />BUILDING. INSPECTOR RECORD
<br />UFER Ground
<br />Subf loor/VenVl nsulation
<br />FINAL
<br />-lrm.ratrn, uftL, SftrrI B ;t l'{' f.! r\h,rr-{'
<br />,^, A c t1 ,,*. t\/N;
<br />"*'tft#ffi*
<br />I h((hv rllnn untld rtnrk\ ol nslllrt om olrh k)lk)sn,3 d(hr nr
<br />TXELII'.dI.IIECIJf,AITO!
<br />ILrr,trmnn mkrF.ak,of Frluryor.f ihcli'll'trin3Jdln'rrxnr\
<br />Iltrx)lirk l,.nnih Ait!nN Norifiori'nr Ftdcnrl R.Suhlinr(flillc4). l'h6r
<br />R.qutrdl I rlrq nf t{r'rf, ar[.
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