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SITE.WORK DATE ID/SIG.COMMENTS OWNEI tUILDgi DSL('ATATION
<br />I rErct, lrlm !nJ.r Folr, {,f FIf} rhi t d.r.n!x fioft E o,nr*16 Lrcnr L.e turhc tullown3 r.sn (s<.mJl.,
<br />Ilusi..B { r ProL$iln Cdlc)r Any Ciry or Coumy whi.h rcquircs . IErhir t, (oNre1 .lr.r, imllnit, &mtlNh ot FP! .ny
<br />.rNdw Fnr to n! $ure. .l$ Bpinr th. qDl.dl n, rEn Fmr i(' nL . iSrd ,.Lmil lh.r lE or ni ir lieE{ Pdlrir
<br />b ilr Fbrtrrd or rlr C',rturd.j lr.nGl tiw lc-lEti.r e, ColtmB'.3 $nh Sctih D or Drvurr I or rh autm. .d
<br />Pnr.'rnr Cqj., <r rh.r lr q dr !r.r.qx rllEiiDm .d rh. b.!u f{tr rL .L8.J .kr{fth tu,voLlrrolsalrD70115b,uy
<br />.t l(mr tu r |Fmn subFk rh. rl'Ilrtnr ro r cN,l JEMlly of nol mR rh.n ,it. hunl&i dolht l!50o).
<br />l, r! owrcr ol rlE FlFar, u hy cnplolBs wirh e.scs !r rh.! $k .DmFMtion, will .b tlE snt !r.l rlE *elw i! rut
<br />d.nJd orofi.EJ tu rL (Sa.ro4a. BulF rarl PoLqnr Cuk: TIE Cirdr&toar Li.n* L1! d.B n{ .prly tn M o*rcr of
<br />rlE F{fry whd trJ&,* lqnE (h.6r .rn *l!} &E qh sx} hr'Ml, or lrrlf or rts,!!h hi! d h.. oer.r!flLya..
<br />Fovlldl rh.r *n lt{n'ffiE d.{mLil dolldul fu eb. lr.lnxc. ttE blrlrr {r lrFtftd u$llsahn* F.
<br />ot cortibntr Or o*rr Bui!6 wil hrE tlr hD.tn oI Flvry lb L q dE dn d hrx or lrtmE th. ,n 6, ftr
<br />'lE FrF f, ol
<br />-1.8olftrotrM
<br />rnIdy. n.r.lu.iwly.o,rtulr3 p h la.nsn uonrtalB ro oErM rlE Ftiu (Sd.'7041. Bustrs
<br />fil hr'6sn CdL: TrE Conrsro.! LE.n* L,v &r! Nr .pf l, ro o opB. olFFn, wlb buill] or IrltmE lhron,
<br />.nl wh @ trdtuiFoFr:* nr CodBidlr lE.ldl lrlsd r.dEcoft&r( t troE Lr*l
<br />L of lvLF
<br />DECI.Af,AITA
<br />I h.r.hy rlfumundd pculry of F.rur, or ofrt. i,llortr3 Jdl2do.t:
<br />I hrw drr wrll mn .m . Ccnrl L.lc ol Con\cnr lo S.lLln\!'c lir *orkc6' .onlEns i,n, .r I'Dvidd tu h, Sc(xon 17$ oi rlE
<br />Irhtr C,rlc, t! rh. FrlimEc ol rh. rod ntr whih rh. Fn s ssu.d
<br />_lhrh8lw l r'ntrn wo!tc6' co'irtl.6.rbn BurrB.,.s Equi.J by Saru.Uoo orr& LborCd,l.Ior
<br />'lE FfdlrIN ol
<br />rlE wit a6 shi.h 6( Ftu E E.al My sutd' .lqENlir ill!rj8. wi, an F)l., mnb.r e:
<br />.ail liRs up lo oE hunk J rhou rl &'U.n (ll(I).(I)o). E trIE.sl6r !.mr.! .r nrovil.d frtr rtE
<br />rlc. inl.E{ .nl Jhmyi lai
<br />pEcldSarllt!
<br />Ih.EbyllfmuaLrFnliyofFjurylh.rIulnlNrlulLtFbhMorch.,i6e(lltmBhasirhSdnnr))orD'vrrr.l
<br />ol rlr Eolcs ril t\sl.$roE Crik. an my h4< n r illl foR!.rl.fl(l.
<br />lQxsr8ltf,t0lirEBplM;-ecsB(l
<br />I h.k6y iflnmunJ., FMllyorFrjury lhrlrhcrc h s.onsrB*ri[ ldin8.3 y tot
<br />'h. JEriamm. of rh. rork for whth rhs Frha !
<br />ts!.J (S.r. .1097, Crv. C )
<br />AIILIIANIILSTTX UOX
<br />I En{! r,limundcr Jrtrrhy.ip.rluryoN oirh. i,,ll,,r'nSJ..l rri,ns
<br />l\m,l $n Pcrm rA\h.dos Notrlkrrrn lrLral Rcstrl2rN)nr rf b{).l'rn6)
<br />R.quB, t trcrolNrifultr
<br />Ir.n,l]rl rl[li,.rrlrc!uhrr,tr\^_tdJ!r!,!h{drrcntr)vdlarctrol rt,t'l(|hlc i, rhtr pr,tLrr
<br />_l (d y rh{ I h.v. E! rhi! .ppt .rrr rd n.rc rlDi rlE .h'E i.fomrM ! cMd. l .E( li, oruly ,rlh .ll C y .,n Couni,
<br />orJEm.r .nl Sd.lr$ Eldry k, h{ loa htru. rF.(drrkr ot lhl. Cny .,n Coul
<br />rtl,E mnrr'rJ lln{xny Ltr t
<br />,\t{ i.rnl or AIcnl Situl
<br />L 1 ,O ALO
<br />'l-6
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />I
<br />Roof Sheathinq /ot islno )Attt )
<br />Shear Wall r
<br />Framino
<br />ln su lation/En ergy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />It/aso n ry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif .
<br />FINAL to/zoM ,Mrf ,
<br />Certif icate of Occupancy
<br />Notes, Remarks, Elc.
<br />BUILDING. INSPECTOR RECORD
<br />Set Backs
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Crftrr
<br />_l rd y rhrr m rrE Fr.rNh. {r rh. *.rk for *hrh rhr Frmr tr NsJ. l \h.ll an .'qr,r 8r FR'n 'n.ny lmE
<br />&, s ro h<1{m ruhFrr r,, rh. kl*6( (,rqinssrion l,ws of Crlromr .nd r3r lhlt f I shruu tEror subF h 'lrwort.n conp.net,on lnrvstuns o, S&ron lllo or rh. Uhtr Cod.. I rhlll. l,rihwirh uoody wdh rhor tln'vsn!f,s
<br />WAnNNG: F,ilurc k, $curc vort.^ !.6Fnsrirn Nrcr{. n tnhvtul. rnl shil hrrr rn .mnh'y.r l. uiniul ImiB md
<br />D.l.
<br />-
<br />Corlftror
<br />I.rl.r\ A&lB(
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