SITE.WORK DATE ID/SIG.COMMENTS owNa auLDEt DgLc t^Tt(x
<br />I h.Eby rlrrD und.r Fotlry ol Frtry lh, I D .rctrpr nin ilE Co rIlm Lto* L* fdr tli folh*na r$i lsa.70] l t
<br />aurinds rn Prcf.lion Cd.): Any Ciry or Cohry *hth r.{uiEr . p6nr ro ddBL 116, i,rylmE. &mlilh or EF, xy
<br />dlfu. Firb ir i$um.. rtlo,EqoiB E.pd-d fd uh Frmr !o fiL. ri8r.d rr..nE drr ltoriE i liu!.d Fr$zr
<br />ro lh. tevki.B of ltt Co.tBrd r Lic.En bw (Ch.pl.r 9. C.Imming wilh Selhn 70@ 6f Diviiion I of rhc Burit$ rod
<br />Phr.sbn, C.d.r r rr lr d !E ir .krq'r rlEltrom .d rE b.{ir for dE .lLs.d ddtrim A.y viohlio. ofsdir. 70! I 5 b, uy
<br />.firli.dr ror r Fni sbFB rlE r,?li
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<br />ro . civil FElr, of ml mE lhe fi!. hudr.d dolbr lt5@)
<br />_l- a 0*6 of rlE FoFny, d nr.,pr,Fs *nh u86 c llEi $L s.!{Etrltlt4 vil & tli sqi.n r. oralE i d
<br />itrdrd.d q ofic..d ,q qb lsd ?(x4, Brir( rd Prlr6rbd C.dc ft Cod..dd! LiEs trw do6 br rFlr ro tu o*m or
<br />rlE I,DFny wll, lnild. or in{hB t}ss^ .nd who d(E sh eorl hirel, or lENlf or ihruh ht * h.r own .rploye.,
<br />Forild ln.t ran 6pD6tu c ld ir.id.d d dk ra rl. If. lIeE, dE toiEiq r lrFffitr i. sU atnh d )o
<br />ol oq,lcri8 tlE OwE Bu&|q wiu h.E rrE hrd.i o, Fflii8 tld lt r dE dn d bil d irFE 0E Fr4siy &, tlE FlrE of
<br />-L.sorHor
<br />E Flpcny, rn cr.hsiElr.onrdins *irt lt..i.d c(ddn b snM
<br />'h. FoF (Se. ?(x4, ABms
<br />lrr P t{nn Cod.: Tnc C.onrrrrolt Lic.nr Llw do.s nor r{,ply ro d ow*, ol pbFay sho buildr or improwr lh.ron,
<br />rnd who o.kkaortrhFoF.*ih.C. Elnlr lt rcd Frlurr ro dEConEld r t!:E uq,.
<br />lrDukrnpr utr(l.r S..r
<br />Dlt. Ow
<br />woRxr{s'coMPE\-s^ildi
<br />DEIIdEAIXN
<br />I h.Eby rmm urrtd Fn.h, of F rtr, oE ot rt ,{'lt'*'.s &<lxdbni.
<br />_l b& ud siU nituh r Cdtif.d. orc.nHr b S.r-lM fa wxt6 orp.'srir a FoviLd {d brserb.llu orllt
<br />L.lq O<lq fr tlE lEiortl.E or tE wt f6 lni$ rlE F,nn i! to.d.
<br />1t Uc.,t.,rr*n.n *r-'omFuDtr 'lMm. s 'quiEd 6, Sdrih l7e otir lrbo. C.a, ft.llE Frlllm of
<br />rli N* tr, whxh rhis pcmir is n.u.d M, wrtm
<br />#*Co,a {,,.{.
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<br />I €cnify rlEr in ttt FftrtuN oarlE hrt fn wnich rhn Frnn ir i.!u..l I .h.ll m'.trphy.ny Fl!fr ir sy IUE
<br />s r! ro lE6m lubjd ro rrE wo.lc onFnsion Lv3olcrlifomn, ald r8r thrr if Illbuu trcom.lbirt to rlEq,t6.nqmri.nFlvtioEolsarinJ700ofrLtlxrcid..Irlilnnh*nh6ndywi.h D: Fovirihr
<br />WARNING Fiituk ro sm *dl6 oqrBrbn 6m8. i unLvtuL .rn rhll tuhFl , 69k Fr b ditrWI FEIis rn
<br />.'v'l flnc\ up ri otrc hutrdr(l rh)unr d.lli.\ (Jl{x
<br />sdrx,n 1076 0f rtl la&, (iilc inr.rc{ an, rrorrr'\
<br />K,.,,,7-1" 29 n,,,*,,
<br />tr ro rh..on or$np.nuibo drmg.s.s
<br />I hmby .ifrn und.r FNlty of Friury rhd I om li6r.d ur& Folthn ol Chlrrc 9 {ooGmlnB vnh Seibn ,0m) ol Diviion l
<br />of dE aElB lld ProlBb6 Codc. .d my li.R i, !r tull foE rn cfial
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<br />a-,/ L [eS3t1;z-?-l?-24 ,,,,,,,,.,.,, /\aA^<1e
<br />CQNSBU{:UIIU,EUNOIIiENCI
<br />I h.Eby dTm ui.r Folry of Fjlry rh, ihd! i! r 6dtr!.. Erl[S +.ry fq tlE FfnllErc of rlr ert ,or rnth rhn Fn! ir
<br />i$d (S< 1097, Civ C I
<br />AB.ICATLDrI:IIIAIITI!
<br />! h6d'y rfrmn undcr F.nah y or Frury onc ol rlr lolhsing dchEri,ns
<br />D.mliri'. Pcml^lt (s fiorifK.lhn f!d.r.l RlauLr bnr (Tnb lll), Pd6)
<br />Rcq!ircd lrl'.r ol N0tilMbn
<br />_r ..dify lhd rh. rcd.nl ESuh'snr 68.rdin8 .stf,{c Emrv.l m d q't,ltrtL lo lhi{ pf,'Fd
<br />_l .dily rhn I h.w dad rlN +lliinodismr rrd Sr!r. lrws ELxrB ro h{i
<br />rhd E dnE i.fod.. ir (irrl I .[B ro @rply *nh nl Cl, !n Cobry
<br />iia td hcEby.urlnria r.rE d.r ikr of rh$ Cn, .id Counr, ro 6rd uFn
<br />'lEahr. rirknr.dtn)tf,ny ft, !rsp.rrh
<br />.+-CdLc'"--vQ2)
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Sublloor/Vent/lnsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framinq
<br />lnsulation/Eneroy
<br />Drywall
<br />Ext./lnt. Lath
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif .
<br />Jr
<br />'6 |\1.0 bll-Yn r1-k trr
<br />Certilicate ol Occupancy rtl-
<br />Notes, Remarks, Etc.
<br />Bev.0B-07'2015
<br />BUILDING. INSPECTOB RECORD
<br />Brown Coat
<br />FINAL
<br />It-
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