|
SITE-WORK DATE ID/SIG.COMMENTS lrt! H Bt ll.trtRl,tt.(' R\llr)\
<br />I h.r.hy .llrm unJcr Fhllry ur p.rjury rh.l I m cr.nDi lh,n rh. Ci'nurctm' Ir..t. r:w ntr rnc folb*'rs qr$n (S& 70{.5
<br />Bu.incs .,n Prot r r (irj.): Ary C y or Cdnry *nrh Erturi . Ffll lo (otr{ur. .lrq. m{Ev.. &frnnh or r.Fr &y
<br />{r*h, tnf, t, ih d!4!. rls EqlB rh...J'1.6r rd swh F m'l b f . . !'3Etl 'rr.trn' ihi lE u {r . liusJ FEEI
<br />b rhc Frrlq,nr of ilr Ci,nrr-rq'r Lr.n<al trq lclufld 9. G,nftErf * h Sarrn Im tn D'virir I ol rlE BurEr Dl
<br />Pd.a.pN CixL) oi thI rE or sr. s.r.nrl lrEEfion rDi r b&$s lu llE nls.J .r.np 'o.. Any voLtunofSdlior rojl5 br.ny
<br />.ppliso( n, rFmi suhjdlr rh. rli ,..nlto rlivilF lly.lBrl BElhs lrv. h!.tltal Joll8 (t500).
<br />-I.
<br />al owF ol rlr FrFny, n my ctrybF6 v'rh *.ss s rt- r,lc $qndrn. vil &r rh. srt rn {E iare . N
<br />d.nj.l o.oif.BlttrxL(Sdm44.au!ffi JPr..rbBCtri.:TIFCD EtriLetr*ti*J*.d{'iiyr,so*F.l
<br />th. p$Fny wlbl. ! { n{mB ItEFrn. ul*nr JiK s-..h krt hrh!.lf or h.rult.r rtEulh hn or lEro*n.iployes,
<br />Frvil.rt ihrr luch ihpnrmnls G ri fi.nlal or olI.rd ntr e! tf. lr*tw, rlr h{fiina or DPNtmnr ! $U wnhi. o Fs
<br />ol Llqrhm. rlE Ord Aultlt(r w l hrE rlE hhl.. st Frvn8 ll{ lr d tlE Jil d lnr! u ltth'E ilE prtFly rr th FIFE ol
<br />_l,.sowncr trtrh. Iln,JEdy. .m crclunvcly.$rr.r us w h nc.nGl rontack,n t, onnrud r h. tln*d 1S(.7014. Bosmc$
<br />{ft1 PDlnrm (',,tlc: 1 h. Conkkt{-r l-,e.nr. Lnw d(kr noi rptly r,' rnn*xr ol pn'pcn, wly, huilJ! Dt mpn'vci rhcrcon.
<br />.ntl *h' .rdB.k ntr ruh FnFrr r h . Conrr.r,r 9 lrak! turld r' rh. (irdrturoi r l,rrnr Lr*)
<br />I rh.khd unld Sdrir A &PC nrrh!rc.!,n
<br />ltotxrRs r'($tPF{saTloN
<br />IIECi{8ArIA!
<br />I h.Eh, alltrn unl.r Fulrt oa Fru, o* oi rlx fdl,w48 Jchr.tr)nr
<br />I hlvc ! q rll Ninlrin . Ctd ilrrrc ol Cunrnr I' Sclr lnrs. ntr un tcB- Nr'|lcn!.lon, !t F'riJ.al lb' h, S(r ion l7(x) of rh.
<br />lrbr Grr.. f,{ tlE tErrt)l1rer ol rhc rul tir vn{h rlr Fmr ! Iihl
<br />I h.v. !..i *rll Dorrtn *orkcE- cohFnnrmn nntrltuc, .r E1luEd ty S..r i,i l Tln ol rtE I rtt, CoJ., tu rlr Frtrm. ol
<br />rh. *ork 1,, whthrhr p.m ( issEd Mypork .omlEnlar!)n rn<urucc lskr lrl Frty numhd E:
<br />PolE, Nunh.r:-
<br />\/Ll (.n,ly rhlr o r hc Frlormrr dl rh. w rt lor *hrh rhr rErmn n rsu.J,I rh.ll a,l .qrli'y rny Fnon in.nyMmt
<br />$.rft,lE$rrhfli b rlE qrt6 ron{End.n lr*! orcdrfi'mu. lrJ.ar rh.t iI \li ll lF((ft rubFt ti rlE
<br />mrk6s u,n,Fns,rrrn nnnrr)n( ( s(ri,. !7m.1rh.lrhtr (
<br />WARNINI; I'Jrlurc tr, f,(u,c w.rk i\'.omp.n{r n Lr}.rqc
<br />crvrl lt..! trI r) ooe hunJn,l rhor\MJ JDlls (sllx).rIx)r. n
<br />S.uron.11176o! rh. llhtr(ii.. inr.In a anomv 5 rcc\
<br />I lf,r.hv,xl D trD(1.! Ir.n,rlrv.lp.r,ur! rl'r Irm l'!.nwlnnlcr r)n.l Ch!fl( e (({mEmm! * hS.drn 7l[x))ol Drvsi,n I
<br />of rlE Burmrs lrl P^f6rrni c.il., .!! ny licn- ,! o nru foN !n .fi.l
<br />l-ic.Nc Cks:-/'Z - 2c,2c>
<br />us .scB, l,r ih.Ii.rfo|fuh. ,,1 rrE *trk ltr *hich rh! tffiir ir
<br />ri*! (&a :loe7. Crv C )
<br />lrLLr'r N.m _
<br />APPLICAIvT DE(.r ARANON
<br />I hdr,, .nim uni.r Fntxy ol Fiury oF oI
<br />'h.
<br />ldl'*'.f Jehar rn!:
<br />D(mlirion I'*n sA\h.{or Nold,lrlkr F.d.r.l Rc3uhlr,ns (Tirl.40. Pan6)
<br />_R.q!r.tt l.(d of f*rf..lDn
<br />l.cnrlyrh.r rh.lcdcrdlErubron\ EluJna r\h.{nrrcn)vrllE not rJ'ah.n! t,rhls pn'Fr
<br />_lrd'lyrh{ I h.w E.tt rh!.!pl..l
<br />,{rt!1d6.rn Sht. r!r! EldlB lo hl
<br />.lr,r m.ilral pflrFd, tu DrFdbn
<br />inet I +rd t, c.n{ y*'rhrllCiry&tCooiry
<br />ol 0n! Cny :d (i,rnry r,.hrd oF,n rlr
<br />AU i(n l {r Ax.nl Sit {lun /-Z-Zdc-c.t
<br />Set Backs
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Sublloor/VenVl nsulation
<br />Rool Sheathing
<br />Shear Wall A
<br />Framing 2-h-2c h.l4.1i)
<br />lnsulation/Eneroy
<br />Drywall 5-zo D.\]'V)
<br />Ext./lnt. Lath
<br />Brown Coal
<br />Masonry
<br />A\
<br />T-Bar 3"tk74 v"vbil
<br />Handicap Req.u \-./
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certil
<br />,\
<br />FINAL r-\7-?,0 >^/16d\
<br />Certiticate ot Occu n
<br />Notes, Remarks, Etc.
<br />BUILDING. INSPECTOR RECORD
<br />Forms/Steel/Holdowns
<br />Pool Fence
<br />I
<br />l)ir._
<br />,"". / - 2'Ze ?D
<br />I hcmhy !l,rtr,n'rlcr Fnrlry ol I[rjU!_ rhrr rh.r. tr ! ()n{nkrrn
|