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SITE.WORK DATE rD/stG.- COMMENTS OWNER IUILDER DEI-('AR TION
<br />Lxichy rrfEn und.i [xMhy of p.rpry rhd I 6 crcrf't lnm rlE Gn rko Lt.na li* fr, rlr lolhEhg ,.s$n I Sc ?ol I f
<br />Brsin.sr drd Pn,f.$ion Cod.) Any Ciry or C{u y $hth rcrtlirc\ s Fnir ro drirud. 8lrc, inryot, d.@lnh a, rcIEi lny
<br />idurc. |ritr t. irl h.Ilts. lls rBtniB ih. qrlimr for luh Fflni b fiL . itEd (d.mnr llit L or rlE a lacn3d I'u.ur*
<br />ro rhc F,vi\ions ot rh Contr.ro l-kcncd tlw (Cnatb c, ConrmNin3 $rh sdri\n ,(x.xr of Divnion :l oa rrr Bunfts rP{
<br />Pn'r.\\i{<(ixL)orrhat ltnrlE h crcqil rhdclir'n$! rlr hrit fu rlr dkFn.r.,qrirn Any tioLrion of Sdr,n TOl l !hr.ny
<br />upt,lic0nrfor0pcilnilsuncchrh.,prli.rnrbt.ivill,cMhyornorftErhlnfivcfiund'.ddolla (!5(x)l
<br />-r,.!
<br />ownd of lh. t,oFny. rtr m, cr&hyc.s wirhwdt rii rhci {,,c $nrcn<ir ion. *ill.L' rh. edt Id rh. {duE t m'
<br />iirdiAl qolr.Ed lrqkrs{ 7ota, BuriB*..d Pn{c.$ Cqlc Tlt (i'didft\ lir.€ L.w &E! mr tlld, h a owr. or
<br />rh. pmrrny *ho tlilis or iqmEs rh.dn. dd sk' d.B sEh mn hi'n\clfur h.r*lfor rhmu8h hr or is o*n.hrkrlE4.
<br />F)rid.d thlr rhh inFrwd. E d nnbd ff o6.nt ft, .L lt ltiuw. tlE tlilluB o inF*tmd ii $E *lhin w lor
<br />ofcln{,klhn. rrE O*rr Euil&r wilr hdE lh. hftLn ofFn'in8 rhrl lror !h. dn R, t! or inlmE th. FIEty for lll |nrl$c ol
<br />Laro*ftr f rlE F{Eny. sm.r(lusir.ly.onrrdiry wirh lNn{rl.odrdm\ ro.onnu lt I'tFl lsd 7(pl. BsD(
<br />sd h,assim Codc: Tnc Contrror'i l-kcnr. be d(B mr.trly ro eo*Er orlIoFny who ttrildr ot imPn,kr rh.rd'n
<br />dd *rb dddr Lr rEh Foirir *nh. Contrr lr) lirncd turu 'o E C.rrrerq r l-i.rna t,s)
<br />I 3 crcn!, unld Sertr'n
<br />l)at. O*n.r
<br />rr(lR(FL{ corrPL\sATroni
<br />DESAXA-UA!
<br />I h.r.hr !fil.nundcr r\nrh] o! p.lu,).Nolthc knkrrtr!,llrlrtrrr)n(
<br />I h!r. !n r lll msr.h . Ccd iarrrc or ( on-nr ro Scll lnrnr. tur wtda nlllllEndin. ri lrorlH tu t'y Scrrrn l7lx, ol rlx
<br />lrhor Cd.. ntr rh. tErromRr ol lh. sork lu *hich rlt Fmrir k nsu.d
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<br />h0vc dnd * ill triollin sork.F Co'qFn$ri,,n insurufr.. N rcrturcd iy SEr i'n .! 7m or
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<br />hc l$or ( , .. ntr rh. ndortumc or
<br />tlr *r rd rhth rhk lrfiir i( i$El iry so*6( frryEndion in$ruc d.l id |blty nun*q r.:
<br />,olrv Numh
<br />-
<br />Elnftr
<br />-
<br />fu-rr ,t, , ,* *,r"rrur! or tk *rrl rd rh.hrhi.Frm n i(un.Ith.ll .rl,liy.ny Fmn in.n, Mrr
<br />g' 8i0 trdJc ixhFi roth. q,rB cotrFnqiofl ls*! of('llironir. tnd lSR lhar il I rE'!U tEcor bFr rortt
<br />srtdt 6r{m{r i.n Imviri,B of Ssrbn ]?00 or rlt lrlrr ( o&. I <rEll, ronh*ilh (r!'l, *irh rrst lmvirh.s
<br />T ARNINC: Frilurc h se mrr6 dmFndbn aNnF n u"hrtul. lnd rhall iurij.r' s .rrphFt ro oihiEl ldltis rd
<br />(ivil liE. up ro od hudr.d rlr,ued dolhrs (llu),ux,). in .idili'n b rli .6r or.onp.Nli.n. d.mrc! f,4 txovBcn 6r rlr
<br />Sdri'. !076 of rh. llh' Cd.. inr.Er.rn lrmr\ fci.
<br />K,,,,", c4 - \O \q
<br />DE(|tf,A.rt(ra
<br />I h.ahyu nDU.ds tEMlry oI Frju,y rh,r I m li.cn*l !frLr nmvni,'n of ('lunrs 9 ( mnrncinS wirh S(li'n ?mo| .a l)ili\iqr .l
<br />r CdL rnl nv lk.nE il in lull for.. rrn cltdr
<br />x,.^,,,
<br />Y,,,"q
<br />!!l vj g
<br />t0- l'1 }d,...,.
<br />(1)!iI8!JCII('NTI]!DI9GJjEdI}
<br />Ih.Eby rtn.mond.r F.sht.l ltrjury rtu rtrE n r on{rudi). Lndins rs.ry n, tlE Frli,'mNc olik rdr ro. r'hich rhir F n n
<br />nru.n rs( :1097_ ( iv c )t ndcrr Nor:
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<br />arlllra.ur.lLcLaSall(,!
<br />I h:rqr.fmunld Fn.hy.apc'lurJ_ oE olrlf l,'lhs'nf &rl4di)n(
<br />Dr tulirn Pc nir!AstE{.s N.lificuli,'n ri.dctuIR.guLnnrn\ arirl.40. PJd6)
<br />R.q(nc,1 I crrd.l Norll.,nnr
<br />l..nil,vrhrrtlrr.dcrnlrclrulit',tr\rct lrD! r\It{o\r.trhrrlr'. nur '!nli.rhlc n, rhi\ Dr"l.er
<br />I .rn 'ri r hrr I hrE rcld ihk lpnlicsr io. ad iar. rh. h. *hrv. inr(rnur'on is omd I ssrd tt .unPry wiln .ll Cir y lnd Counry
<br />adi Nct.d Srrc lr*! Elnry k! toillin8 (nitu1io.. !d h.rcny lulhornr clfttdnMr ofrhn Cily.rd Counryi. nrd lFn rlE
<br />rh,vc mnriokJ pn)p.ny htr in(,&1
<br />(nnrror o..l*-r srr-rn*,
<br />ir.-,ir,*n,nn rp;n,, At"t t:Jr-r./ r.r- f.'-r-)
<br />q -(o - t\
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />Su bl loor/VenVln su latio n
<br />Rool Sheathinq t2-'1D-t,NF>
<br />Framino l2-2o 14 Hro'?
<br />lnsulation/Energy /-t'L<2 *d" /.,
<br />Drywall l-zt-z.o D*J tI>
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enoineer Final Report
<br />Flood Zone Certif .
<br />FINAL tJ't1,zo lL C,Yt-e@, n2/7
<br />Certiticate ol Occupancy
<br />Notes, Remarks, Etc
<br />)
<br />BUILDING. INSPECTOR RECORD
<br />SLAB Floor
<br />Shear Wall
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