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SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILDER DET-(ANATloN
<br />I l6dry .mrn un& F.[y of Fjury rhd I d .rdF fiDm lh. Col ECrd Li.m l& fot llE folhwint tten (.'6 7011.t
<br />Buin6t ud Pr.&i.ion (od.): A., ciry or aoud, $hi<h r.quic ! Frir ro cotEocr, illq, inrovq &mbn o. r.Fn uy
<br />rlrucrE. trtu ro ir iBu6., .hd EqqiB rh. +pltul lor ruch Fin lo 6k t liCr.d ]ldml lhi lr o. dE i ti.o!.d Pdd
<br />ro rlr F.rbioN of rlt Coinidd! Li.G .d l,s (Cll4ra 9, Comtrins qth Scrio. 70m of Divnbr I of l,E Bui,6 rd
<br />Pmfdionr Co&, tr lnn lE or ih. ! B.rF lholfion .d lh. t6i for dE tlk!.d ddFb. A.y rithliot of S<!io. 70-1 L t'y .n!
<br />{pl'c!irfor.Fnitiuhi.<i.rh..p?lirallo!civrlFEn}ofhtmr.rhrli!.hurH&llrr{1500).
<br />f). - "** -,*^*r. - dr dpl6r6 eih {.86 B thn rk mmFEdht $dl & rrt cdt !n $. rnrre ! ht
<br />*di.d n olH fn .L r sc 7o{I, sdt'B dd PFlBirE Co<tr Tl'. Con sre-t U<oE ts &E ('t +t'' ro , o*c of
<br />rlE FoFt) *lh hltl d ins!€ lfr.lE rd trtD .i6 ndr s& hilMlf or lE!.lf oi llloush hn q hd oen mpl'vq
<br />Fo\ id.d rl4 tu.h nF.rllEb E d n.i.d qotu tx rt l[ rbst€.0E hlildi'B m i!F$!Ei lrldrihi.dE
<br />of onpldiE rlr (xc Eol4r {rI h\r ir hda of FotllB tli lE r th. d'd ,!{ hild d itrFllt t E t'!Fr, tn th F,FE oa
<br />l. s NE of rh. tltrFr,. @.r.ldiy.lt.odrdins snh licdE d Nntr&rd tt otu rlr FnF (sa 7u'! tt6r.6
<br />!'d Phl!ff Cork Ih. (nnrrloit l-ic.n* L.\ (h6 nol t ?l:" to m osnd ot p.oIElv n ho hr,ldt or int'.or6 lhqoll
<br />and sho .onlr.dr tor $ch F.i.t! \rh. (-odrtdo(s)
<br />4"q(q
<br />I lw.hv im'tr, trtrd.' pdrlI ol rtril(r oic.l rlE n,li
<br />lha\.dd$illmainrdin !(.nilk.r.ot(onoru s.lf-lnstrr. ior sorl6' comtctuar io6. f,q lnrrid.d for hyScri,)n r7firofrh.
<br />lntxr ( td., Lr rh. pdltrnBncr oalhc sorl lor tr h icft th. Ilfnii n irsu.n
<br />I n r. .nd tr ill mrinrlrn tr 0116 conD.B.rnr. imuraftt, E rcqun d by Srl irn .r7(r0 o r rh. I ibor ('od., nn rh. lnlomdn.. ol
<br />rt s. aor \ hth rhn Fn{ i! isuo.i. Mt $ oil6 .omFnsll io. iBurffi. .mia dt trlicy nunb6 rr
<br />Polrc) Numhs ErPn6
<br />lfr.or,t rru ,n r* p.rr*rc of rlr *o f nhKhlhnFnn i! ie.d.l shall mt ddoy &J F$ninM! mmF
<br />\+ rk, h.Lnm sh.d rorhc trorld onrD.rqFn lNr.l( tlrf.mh dld 4R thn 'lI rlFuld t t.m $r,j.(
<br />'"
<br />rrE
<br />$0116 onFmtion Ftrr lioN ol sdnn lTm of rh. Llkt (
<br />WARNING I!'luG ro Gw $nrl4'o,p.Bim co\6rs.
<br />cnrl fird up ro od hui&{ il$!!.d &'llG (llfi)-ooo)- in
<br />dphr6 b ahlul Fdb 6d
<br />ir( d{ 88 s ForiLd f.r rh.
<br />S<rrn 1076 ofih.lrk{iddd el dt{rE! r rdx-
<br />I hd.t'\ .rm undcr Fsll) ot FJuD ln, L,n lkdFl un&r Fo\ kion ol Ch4'r6 c ( onlm.in8 \rnh Sdion 7ur]) .r
<br />of rh. But!6!,nd PrnfBhB ('o.t . od ov lic* s h rull r.rc. dn (rcr
<br />(.(INSI'RI ("IION I ENDINC ACTJNCY
<br />I ho.hr allin lnds p.n yorlEruryrhatrnd.isacoBlruclionlcndnsd!a.tntrrh.pdtunnMc.ofrh.qorllinthi.hrhiFnilit
<br />isnr.i (s( 1(r)7. ( rr ( )
<br />AIII.I(ANLDIII.AE{IIA!
<br />I hrdt .r,m untd F..ty of Fjur! oc 6f rh. f.lh*ins d..!ra! k)B
<br />ttmlnF. PringArtrdd u.ri,ic.ihn [<d(31 R.*uLrioB (hb40. Ptn6)
<br />R.qur.d llrd of Ndiaris.
<br />I.dr'!rhd rlE f.d.ril EsuLl[E ..srd'ns 6tdorr r.ld.Napla.bklo rha FDt dSil l.d,h rh, I h*. F.d rhs.ml
<br />\ln'M*6 ni su. r ^r Er. uu ;
<br />.t{\c IFrFn.{ rf ndr! lo cp.d
<br />ApDli..nl or ,\tol shn.lur.
<br />r...tr- n...tpano' D(-
<br />. d {!t. rhd tlE .tF\ G intodd.n ir (.xftl I
<br />r.B colntudrr en h6rtt .dbrn (FGrn
<br />.*rcro..nd\ trdh ill (i!\ lnd (i'unt)
<br />tr6 nr'hB ( ir ind inud\ t.6,d ',Fi,rE
<br />-"- 6l"qln
<br />Set Backs
<br />Forms/Steel/Holdowns \/,H.,:
<br />Erectron Pads r,(l\/ C 7^i(
<br />UFER Ground .N' at s.
<br />SLAB Floor V
<br />Subf loor/VenUlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framinq
<br />lnsu lation/Energy
<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 />Enqineer Final Report
<br />Flood Zone Certif.
<br />FINAL ,tldtp.,pa)
<br />Certificate of Occu n
<br />Notes, Remarks, Etc
<br />BUI!-DING. INSPECTOR RECORD
<br />l,icsc Nunttr:
<br />-
<br />L+_
<br />Pi+4il
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