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SITE-WORK ID/SIG.COMMENTS OW]\ET EUIT-OEN DEI,CARATI('N
<br />I lEEhy rmrn und.r FMlry of F jury rhlr I o .xcmpr fmm rlr (i)nrtrro^ l-i:cn* bw fttr rh. nrlD*in8 Etw'n l S$ r0.l l 5
<br />Butiftrr rn Prctc$i.n Co&r: Any Cn, or Coud, whth ..qui6 ! Fd tu .urM. rxd, rqroE. &mlirh or lqtu uy
<br />rrructn.. Fd ro ir! F.ll,R.ds Enuic rh. .rpl..d n, rsh Fmrt !o filc a qlEn .lal.tur rhrr lE or rlE ir lar.€J ,torsi.,
<br />lo lhe F,vnions oa tlE Contnctn i Lico.d l,* tch'prd 9. ComtuinS wnh S..thn ?ux, o( Divniotr I of lb. Butincsr !nd'
<br />Pnrr.rlk n3 Cqll) or rh4 lt or rtE ir cr.ru rh.Erhn..d rh. hdsii r.r llr .lhcd .r.'r9thn A.y vhlaihnofsdtit.T0]15 by.ny
<br />rl,pli{sr rd r Fmn 5!hFB rlr .nt'licrnt ro . civil p.Mny or mt mrc lh.tr fi!. hrndEd dbll,! I ttm)
<br />_1. ur o*mr of rh. tdrFny, or my .m!'lot$r *nh *a*d !r rh.t $k (),i{Ensrn'n, wil do llE k'* a:n rlE dnrlm i n
<br />intarldl tr off.r.d lo. sL lse 704a, Busim$ and PrDfcs.hn. Cod.: T,r (bnrrEl t Lt.ni L,* &Er mr qtply to .n o*Er of
<br />!,. FtrFny sho ililll d in+r6 rrrE4 lld BIE d.a rfi krt him€lf o. h.r{lr o. rhmuS} hn n hcr or..nPlor..!,
<br />Fovii.d rh.r rEh inrmllld! e d irdrln n ofcrn nr rl lt hoiw,0r hilling d inFk'd k $a within @ F{
<br />or o.pLrid rh. oemr auih.r will h.E dE t!,n n of pmvcS fi.r tr or rh. dil rn tti! or Ilthrt ilE l,oFry rot rlE |[.Fi of
<br />l, .i owEr nf rlE Frcnr. m.rclusiwly $nrdins $irh lEcnsrr.odrdon ro nm<d rlr F,ld (Sa ?{r!l. ButuKl
<br />nr tutsin Gxrc: Tnc Conrmiix l Lh.ns. ta* dd! fr, trpply b r o*n r o,pruIEn, *h, t'uilds or nnrn,rcs rh.r..n.
<br />md wh..onr.uchtuluhl]flIdq*nhrG)nl,&aon\)lE.D*dpunr'irt.rh.(i,nrd.lolsl,i.cnEf.]).
<br />ul}af,[&s:1;outlurAra!Illg.^rallal
<br />Ihcrchy alltm ufttr p.ulryol F ry oE ol rh. n,lb*in! ddbrdit!
<br />-l
<br />hlvc un will mnrt.in ! CcnirEub ol Concnr k, S.li lnruE rd *\rlcn .onrlEn$r ion. !r F)vij.d ru hr Sftrion i7(x) or lh.
<br />tlhc c(n . rtr rtE FfrlEm orlh. s.rt lor enth rlE Fnil i{ ised
<br />Xl h.r!d willtuinrain *".r.^ ..'qEi
<br />/r"*,1FR<t
<br />11 EquiFd by sciirn .l7ll) o, rlr l$d C.&, for ilE F f(
<br />rdion inxur.h_c cMbr un Fnicy nlnbcr e:
<br />----1,*7-t -zozoce.63?55
<br />I (d'ly th{ i. rh. Fto.ms! ol rlr mrk n, *hf,h rh!. Fnn n nrun, I ihrll n si{,loy rny Fg'. in tn, tuF
<br />e a{ ro h.<'E \ubFi ro rlt sridr'oqEndb. hwr of Crlifomi.. .rn .8r lhd ill slnrll tr{om lub,.d b ilr
<br />$o*dr oftrEnqri,ntmvkio.r olSerion ]?mof rlE trh" Cdc.lshrll. fonhwirh m"q)ly wnhrho. rfl,viri,nr
<br />WARNINC' FriluE ro Br *orlcu on{Enlrlioo orsrs. ir unlrerul, ttul $rll \uhj.Et $ ctrlt:loFr b qinimlFriis i.d
<br />civil liftr !p ro oE hudEd rhnu{d doI6 rtlm-frL,. in ldd ion t, rh. d( ol oqENlirr d.n4.r ri F.viLd ror rlE .
<br />rt",.. l-? \-i.- inrcrc{ rrl dtnry r rN\b BrrftulSJ NCO
<br />Llt;ElsllrrodrtacB8Dl(llR Tl{lN
<br />I tErby u!firnr uftlc. n(rulryofp.rlury rlEr I . li.uerl hds Fo\ n irn ol ChoPrs 0 (o)mnrrtr.3 sirh S(rr,. '7(XD) ot lrt rrn l
<br />or Ih.ltusitu${nd Pn'fc$ion\ (1iiic. and nry lt.n* n in lnllnrc. tr'J.lldr
<br />X.
<br />*.n*f5
<br />rlAc fe+\'z3"zpzct
<br />r0!$rBu1:n0N.LBlulclliElt}
<br />Ih.rchy omnnun&r Fn0llyolllcrj!ry th.r rh.c it, snqMrnn hndir8l8.my for lh. pcrfortuLt olrh. *{rk tur *hih lhis F n n
<br />srBd rsd !097- civ. c. r
<br />l.ndfl \ Nrtr
<br />-
<br />AELICANI.ITE;IASAII{'!
<br />I H'yr nmundcr FnrlryofF Jtryorc ofrhc follo*ing &{lmrioni
<br />Ixn irfun P.rmns.A(li.rlos Norif'.rlion lidcr.l Rcsubrn,n{ ('l'irlc 40, Prd6)
<br />R.lur.d t ud !l t*{ff,ari'o
<br />I.c'r'rvrhrrrtulr!irrrlrcluluri)i\rg&lrlr \hr{o\r.trr*ilircturrptl'.rhl(r,rhnl(,i1rI
<br />"D I cdiry rh,I rEE Erl lha.ptla.r.n.,n {d. rlEr rlrllln infomrirn n.(tu I.gclooflpl,rnnlllClyidCounry
<br />,rdinr c\ rn, Sr,r.ln*i ELrm3 k)r.r'r\.nrrrc\ olrhG C(t ikl(tunryt, rtrr.r uFr rtr
<br />Ix)rc trrnri,nr,l In,|rr ry r,r i'r/
<br />Appllc.nt or &!nl SkDl
<br />\ t,.mitE nerr.(prinlJ:J b'cr.t bb u S
<br />\-25-zdo
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsulation
<br />Rool Sheathing
<br />Shear Wall
<br />Framing 2tlZ-h D.FT}QI
<br />lnsulation/Enerqy tu
<br />Drywall 247r'-7n 0-Fple
<br />Ext./lnt. Lath
<br />Brown Coat
<br />l\/asonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />/r\
<br />3-Zs-20 ty.ill,\t)
<br />Certificate of Occu nc
<br />Notes, Remarks, Etc
<br />BUILDING. INSPECTOR BECORD
<br />DATE
<br />Flood Zone Certif .
<br />FINAL
<br />Lrh(v nt{urln \nrrrr lr ,\ l'( ir'1,,.r!.'r
<br />lr,rrc ()nmr
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