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SITE-WORK DATE ID/SIG.COMMENTS OWNER BUIT-DEN DELCAX TION
<br />I hcEby .ntrn ud.r Fnrxy ol lErrury rhi I m .x.npl fmn lh. Conincld Uc.e Lls lo, rh rollowi.8 lrcn (sd7oll5
<br />BusiEr rn PmfBii,n Cod.): Ai, City or Cou,ry *hth Eqlirc. r pq-n iu 6nrML dl6. inl9mE, &mlirh or EFn &y
<br />sr.dE. Fi ro it. k!!e.,.1!o Eilli6 E 4pli$r lor *h Fmu to 6l.r riSrEd n!c6r dE lldr sh it lierEd F,rM
<br />ro thc poviiionx or rE Conn4toca Lic.nFd Lw {Ch+b 9, Coltwfti.8 wirh S6lion 7000 oa Divnibn I ot rtF BuriEr Md
<br />PEr.$bnr Cod.) 6 lh.t lE d nr i ctnpl dE.Aoh .id rlr h.!ir rd ilE rlb,.n .r.rfri,r Ary vioLli'. ot Sari,n 701 I 5 b, d,
<br />lppl.mr ro. ! IEmn rublda rlE .ppla.nr ro . civil FMhy or ml mE lhu fir. lsdad d.ll,,t (tt{n)
<br />L&r owEr ofdE FoFly. ny.rt'htrc wilh uicr B tlrr Fk onp..!.liotr sdld. tE *dt!n EtulEi!N
<br />i,rcnd.! orofi.r.d for slc lsa.?Ol,l BlriEs.nd Phf.rrio.r GdqTrE Clnhroa! Lie.s t q&.rml$dyl.xowrof
<br />rlE In,Fny qho trildr or i,pr.B tlEm( $d qho &B *h srt him\.lf or hdslf .r llmush hit or ltr os .n9r,yd!,
<br />FtryiLd rh.r lEt irrrcE d! e mr ildn d (ofiqd t, 'L li rbl!6. tlE tlirlliB d i,FEId k $B ?*a m )sr
<br />or coiyiLrbtr th. oemr Buildd *d h.E tll hnLn of FotirB 0d lE d rlE dA ml toild m inPDE ft rmtEry ld ft F{t$ ol
<br />_1, Nowrr.f rh. poFnt. rm cxclo.irlt.o.rdin8 *irh lisMd (onrdn6 tu onrlruct th. Foj.rr (S.c,7044. Burifts
<br />rn Ar&sincodc: Tn Coirrrtor'i Ltcnr lru dftr hr tprl, ro d o*8. ofrrop.ny wlE h{iHsor inpmE th.rs4
<br />and *ho olso.r! am sh Fj.rll wllh r Co|lr-rorll) lrd.d puRud ro ilE Codrdo t Lsn- t *)
<br />-l
<br />un dcn fl ui&r Sdri,.
<br />]LABTEXs: TUIIITAIIAI
<br />DEg.ASAEll!
<br />I h.(hy uflnN undcr lcnshyofpcrjDryotu ofrhc rbllorirr d.cldrlrion\:
<br />-lh.E.,nrillmi.h.CditE.tGofc,ll6lroS.ll-lNWrGwt6ionqEtrdaotr.riFDvid.dro.bySetbnl7mofrlEtrbor Cod.. fu rlE pcdolriwc of llE qolk for whth rhc perdir ir Ls!.d,
<br />ft,hrrc d srll dint.in *orl.R ssgcNlir in ram.,ar fauitrl by sdrirn 1700otitE (rlo.Cli.. for llE F ornmol
<br />wDrk for whkh lni. p.rmil i! bsrd. My *ork6 .onlP.nlllhn insuraxc @tr d [nty rumtE. d.:
<br />._",_.arb,L- f,,nJ
<br />*,",n,.*,' !]-*-G5f "ei..' ?, l\ , ??--
<br />-l..nifyrh.r
<br />hlt |Erlormrc. of llE w.rl fr lhth lhh F.hir ii Grrd,, rhtll ml.nPloy inyFr$n in 8ny lmBr
<br />$ ar ro b.de obFr' to rlE u,t6 onp.Mi,n Lwr of Cnibmir Jn l3c th.l if I ibtd lElr rutt l rotll
<br />ed6 conFnerio. povi.i.ns.f Sdtbn l?m of rlE t!b.r C.d., I slall. fqlhrnh eryly ailh llFs pm{irioM
<br />W,{RNING: I.rilm ro m wl6 orFNrrbn NE[E! ir lnLetuL dn Jdl 3!bFt o onploF ro oimirn FElis .nd
<br />.nil nB u0 ro oE h!.d,.d rh.us.d dols l$l&.om). in .ddnbn b rh. @r o,.6rS.NrbrL d.m!.! .r Fovn.d tor r
<br />Sft non J076 ol rh. titnr Cod., hrcrcn md hmy!les.'1-La\.^ppri*nr:!A \;c.tr Iv\ 'x tWZ-Ll(l:Ns4lll oNrkrrclok
<br />rrEcl ^ratll(r\I h.rc6y .,irm und.. ,f,mhy o, Fotr.y rh.r I m lien*l !,r&r Fovi.6n ol Ch.Ps 9 (oltwE in8 $iln S<rbn 7(m) or Dii.ion .i
<br />of $c Businc$ Md P^rt$ions Codc. !d my ltcn$ i' in tull rom lld .fli{t.
<br />B-a\.,*-*",.*Qi9L4 q* erer3y=frOrcr S?1"r.<a. 1
<br />(a!irBugr9r!l,lix!.lti!-ari!!i(r
<br />Ihc'chyJliirn,undcrFmlryolpcouryrhrrrhcrctraronru.ii(,nLdDr!nScncyntthcI)(rlolrru,tr.olrl(wo.kli,rshirhrhirFniris
<br />i(tkd (sN..lu)r, civ c.).
<br />AIIUIANLDIiCITSAU(A
<br />I hd!1ry.tr r u.ds p.nllty oa,E nry om of rlE f(lkJ*in! dkl]Irrk.!
<br />Dcnhlirn,. P.rnnk Artt{oe NDti6cr! ion F.d.fll Rc8ubrbns (Tirt{, Prn6)
<br />-Rcqut.d
<br />t rtcrof t{difrcdr.
<br />_l csril, rh.t rlr f.ndd Eglhi,ol ESdiI! .sttiro. EmvJ c ft, qpli.l . lo lhn FlFl
<br />[)RI*I h.vc r.&,
<br />'hn
<br />.rpltetion !t (.!. rlBr rlE ctFv. infomrhn is 6rKr I lrrroonplr*nh.[ Cilyrd Counlt
<br />BFedt6 ol tfi Cn, rn C.ud, ro .ntc upon
<br />',E
<br />.'e t rr Ehring ro hildrn8 coNrnd-,G !,n lmhy .Il
<br />\
<br />\,L
<br />zoa,o!,,21
<br />Set Backs
<br />Forms/Steeli Holdowns
<br />UFER Ground
<br />SLAB Floor
<br />Sublloor/VenUlnsulation
<br />Roof Sheathino
<br />Shear Wall
<br />Framinq
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif
<br />7v-u- 2-*t ,11 e-f-28-Ll *,fta.l,
<br />FINAL 7-r3-2t V<,i/?,1\
<br />Certiticate ol Occupancy
<br />Notes, Remarks, Etc
<br />BUILDING- INSPECTOR RECORD
<br />Erection Pads
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