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SITE-WORK OATE ID/SIG.COMMENTS OIVNER BUII,D]:R DI:I,('AR IION
<br />I tEret'y !finn uft.h, FNlry or lErrury rlur I m.rcnpr fnd rlr ( (tnkatn' Lr.n€ Lju lnr rh. folh*ing rcrg{ (S.r 7(,.11 5
<br />BuuRs un ltl,f.sioo C,ilc) A.t (iry or C..mt sh.h r.qxrc! a Fmr tu ronrM. !h(. rnlllrnrr. dcmr'rh ur nF, cnt
<br />{ddnr., tritr(, ir\ nrx.m.. nl\fl r.{urEr rh. +rlamt nn re'h Fnrul t, fih . \i8Lai srrr.ftnr rhd h. or \he a li..ncJ P!r{!d
<br />t, rh. ror'!i,'n\ of rrE Conrrn.tr'r l.i(n{d lr* rchaprcr 9. (inn rft1 ! wirh S.dion 7(Xrr rf l)ivF{'n 3 ol rhc Br'n.\\ tud
<br />Pn,l.\rotr\ (inL) or rhdr h.orrh. iscx.m rh(Ehomand rhchril li,ltu allqcdcrcnnri'tr A.yli'lsri,,.ofS.cii.n?l)llJhynny
<br />apnliunl tur ! pcrnril suhrcctr rhc !rpli.0d n, rcivilpcn,lryolnot nxtr. rhan nv. hundrcd ollri\(t5(X)l
<br />L n\ o$mr or rhc FoFny, or nry cnylFr rrh u+.r !r rlEii $L."n{tnsthn. sill dr rlE *(nI ad rlt {tu1m ( n{
<br />inr.ni.d fi.lImd fr qk lS(,1x.1, Bu(m\(.nd Pmfc$nlnr (,r1. 1h.(i'drstoi\tlcneI^rlf,rfl,'prlyturnowrr.l
<br />rh F,Fny *h, hrtllr irymE tlrcn rrl lhn rtB ut u hnn{llor tRlf or rhnr8h hr or h.r otr n..r{'L)t.\.
<br />ln,rrhl rtur ruh lqnrlmds e dn nt.drd d oficGl ntr eE lt h,Bs- rll h.itluu rr irF^.'rd t {!tl wahir * Fd
<br />oa.orI'Lrrr rrr ()*m, Buildd r l hrF rtr t ni.n or lnrinA rld h. ({ \h. dil n, tliU or iqntr! l}. ImIEny tu E fnFx of
<br />l.i\or(r rrhcInf.ny.rtrrcx.lbrvelyconrr&in3*lhlr(r\r(l.odrn.rnn).onntutiltIn,i)..rlsrc 7(!1ll.llu{tr.\!
<br />rnl trhr .od'r.r ktr \u.h tnor\rt * hrCoinn.rri\rl'.r'N(1lf({,rtrrk)rhcO,ntr.ktr \lk.n
<br />"iP7'y'
<br />X
<br />/-
<br />ITQAf,E&r_C(,Utl:ti$lIlai
<br />t2E(l.Al61I1rN
<br />:ht l rl nnr on,lcr Ftulr! ul lcrltrt .to "l th. loll('$ r.3 &(h,.rinn
<br />Inhtr (n,l.. ntr rh. p.rlornBNt ol rh. sorl ntr *hich rhr ltri trF{rc(l
<br />_lh,\cx $illtur!,r*orl.h.nmFnsrr tnrurrE.. . nqun.al ht Salion.17(x) o,rtr lrhr (ixk. ror $. tr.fo.nEht I
<br />rb * o,t ntr $nih rhn rEmir ,1 i\rud ny *n.k6{ .on{rneri,n r{.rN .a.r sri !r .y .untrE, e
<br />lr.ilrt rlr ! rhr li.nn nrN!,,1 rl'. *.r[ n, qhi.h rhtr F-nn ^ $trc,|. I \lrll or ci!n,,Itrn] trr(r ir lny nBnn.r
<br />!i .Nr, tr..otrr \uh,..r lortu !,tr[.'\ rrnlrn\rri(u l]s\olLJhnnnL'. xrlxF,rcrhd il I \h n(l h!.otr !'hErrn)ih.
<br />tro'1.'..onrFn\i1n'npmri\ii,n\olS.1rtrtr'lTrxrolrh.tihn(i{1..1\h,ll.lonlrtrirh.otrl|ntuIhrlr){|n,vni,h\
<br />r\.{Rtr:l(; I x l,trr r, {'.ur. tr!trlc'. 1 dfk,r[ ri, cihiul FniB !n!
<br />!oh, d!tulcs as prcrid.n nn rlr.(il 6tu\ trp r) om hundnd rh{sBl (-t:it)t:"*-"
<br />LICEITEILCIINISASIAf,.
<br />IJEIIdf,{ITON
<br />,tf,rchyJllnnunlcr!.nohyolpcrjuryrhlrIsmli$na{undcrlrn\rionDr(tqcr9(cnnNn.inllwhS.tiir70tx))or[rrr\i,,nll
<br />ol rh. ttn!ft$ d Pmltssion\ Culc. uxl $yli(cnsc i\ in tull ntr.c lnlrlllcr
<br />;-""-,/));r u,,, I -/L, /
<br />(aNir JliIlQNr[NlA!-Ati[NCr
<br />IhcEt'yrlllrnu rr pcnalry ol Frrrry rhlr rhcrc n r conirucri L JinE Brky for lhc II. onun(t ol rhc sork ror whrh rh^ linnir ir
<br />N\u.d (sN :1097. civ c ).
<br />tI kr'\ Addrrs
<br />AIEIAILD4;I.IIAIITU
<br />I lEr$! lnim ufrL{Enaliy ol Frrory oN or rh. rdhsin8 6^Lr $i1
<br />D.n$l i,n, Pcnnik Artr{or Norill.rrk,n F.rLful Rc8ullrrns (1irlc,{r. Prn6)
<br />-Rcqurcd
<br />ldrcr of Noritcdi)n
<br />Ireirrl rlnrrlr lLal.rilr.g lrtr'n\tu!r'(ln,!r\h!!'sr. r,\rlr'. Nrrtrt)l'.xhlc t, rhn |n"t'.r
<br />l.dn!rh,r I l$rr r.drhn rmlrlrr)nlrl {
<br />odiuN.\ rftl Srlrc Ir*\darin8r()t rLlrnt.on)
<br />/,irr,Jrr-i ;
<br />rotrFr l rgrrn,rr,,$lr *irhrllCir'!d (i{nrt'"**'-'":,.2'''D/Zr"
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />Subf loor/VenVl nsulation
<br />Roof Sheathinq /lc < *i Lt;*+6t
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coal
<br />lVlasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />l/rq lFb 1Y D-eilr,t
<br />Certiticate of Occupancv '
<br />Notes, Remarks, Etc
<br />I
<br />BUILDING- INSPECTOR RECORD
<br />SLAB Floor
<br />I
<br />Flood Zone Certif .
<br />FINAL
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