|
SITE.WORK DATE ID/SIG.COMMENTS (,WNER BUILDER DELCANATrcN
<br />I ld.ht aittr onJci Jf,n,lry ( Frrrry rhd I am .!cm frdo rh. Grtre(B Lr.ne l.rw 1,, rh lnll,rwug Ernrn (S<r'r0.ll5
<br />truu.s . Prur!$i'n Cdc): A.y C y or Codor, *hich r.qui.$ a Frd rtr .orddd, ,lro, inirnrv., &nnNh (rt rrw.ry .
<br />nnNtrc, Irrtr b 'rr 6{atu., ,!o Btur.s rh. amlf,od nn {Bt Fmr r, ib . risncd irr.Enr rhl h. o. \tt ir l'(c.*.I N6unt
<br />b rhc 0mvr!'N ol rh. Cotrr,sttr s Lrch*tl 1,8 (Chrnrc, o, CoDfttuDs pirh S.(ron ?ux) ol Drv$rr I .r rhc Surix\ u.l
<br />Pn)li\$o \ c.J.) or rh1' h. or lrf, 6 cknfl rhd.Irnm rnd lhc hN! ntr
<br />'he
<br />dlcscd crcryr i,trr Anr vn,kt'on of Sccl nn ?0.! l t l,y {n,
<br />!I,r
<br />'!ent
<br />tu.l'.m sut F.. 's
<br />rlE aI|, r.nl n' r ivrl |Icmlry or noi nrE rh.n 6v. hrnJ,cd Joll{s {!5ttrr.
<br />I. 2s owR, of rhc Flrdy, or m, .hpr)'rc! eirt w+c. 8 rhcr v'k L!ryf,nel$n. qX d, rlt $d* .rl rh. iturxE s r,
<br />nl{rl.d nr olrcr.d ntr sah (3.!.7044, Bu!rc$ rtul h,ntrnonr C,ir. 'l hc (i'nu!!xn\ I.(.rk tlw ducs ndr qrdy rr rn wmr ol
<br />rh. pnlidy sl$ hnlJr (, uqr*s ri.E)n. art $h) su*hqt h'hs.ll or hd*lt o, rhmgh h6 m h(r own cqll ryccs.
<br />p!'ydc'l rhal {'rh mpri,vctrrnls N rn n{cnL or orlcE! ntr eb. Il. hNcrcr. tlE tix!]ry or m$)!.Nnt L\ v]! *rhm onc ,r,u
<br />I orrpldin. rlrOsf,r llxJJ.r r lb\T tlE rldcn.l FNrn8 rl$l lE sr.tr Jn on turtl !r qrnor. r lnIdy lir rh.IDrF)x ol
<br />_1. ,\ owtu! ol rlf, F,Fny. rnr (]u$vrly ( o kad
<br />'nE
<br />w(h hLctr\.J (on[ n&nr (' cd {ncl rlE lJnlcrl ( Ser 7(44, 11r\urc$
<br />JAI Pn{csim Cnlc ThcC.o{kr'rLk.nrcI-!*,l,r!rn.ml}l(r,duncrolpn,pcnyehDh.rl.l\ormnnnar(h.r.on.
<br />anJ who (ontrads ktr \u.hr(!.(r\*rlha(i,nkart.(\rli.ctrsJ N,\uatrr i,rlf,Cdtrlrrdtr rLir.n\c l-aw)
<br />I an,c0npr uDlc, S..rDr
<br />!!48$E l:LgaulENlarlo!
<br />ltEclAx.uto!
<br />I h.rchr rfinnrnJ.r FMIry o, Fjuryo,r ol rh. n,lt)wrn! Jc.lnr inn
<br />-l
<br />h.v. a.l w l morrn r C(n,lid. sl co.*.t t, Scti.lBur. ,or vo (ds ..mJEn..lon, .r Fr'rrr.J ftt by Stlion lnl, of th.
<br />rfh, G{., rbr rh. IEdn,r1@c or th. *o tu qhih lh. tsnn r 6\kd.
<br />f5]lh,r rnd will tuinuin *. 16 Lonq$s.!o. iniu,arEc. i\ rcqurql by Seriin rtuo dl llr tih,r Cd.. nu $( Fr,nrmRc nl
<br />rh *ilnn*htrhthrIxm r. F\qn M)* 'loi (omrn'rrr.n rn\ n
<br />,',.-,- ?-Jr,ru*l [ ..- ,"-\ C,. "\-1,
<br />. rarr .i, lr)h y nu mh$ {.
<br />tl,lu-n,r,.r r,.r,"i-EGLlLL-!-*GL
<br />1q?",'
<br />--
<br />rlyrhrr rrf,JrrturNftcdrrh!*d!k r,tr wh(h lhrr ti innr r{,suc.l,I lhrll dr cmnloy Jny F^on n any hann.r
<br />e, N n' lEa.nr uhFr kr rhc wntsr .omFn\{r kr hws d Cal nmia. ,*l ,Br. rhxr 'l I firU hom suhB l t' lh.
<br />worlcr( ro rF!\nr{,n l)n,v*onr .l S..r !,i :l7UJ ol thc Uh, Cirlc, I stull, l.nlNtrh omnly !,ih rh'e nn)rr i,n(
<br />WARNIN(;: tiJu,r k, ruc s,l.r{ Nmnd\Ihn (-vcr.ac i\ unl.elul. :nJ $.ll su$ntl .n .mn!,Fr t, (1],1@l.rrflh$ rnJ
<br />rrll ,ln$ trn k! onc htrndrcd rhou\Mtl doll.rr ($lur.(l(U). n nJllDn h lhe .o$ ol eomfn\arrn,. drrog.s ar t(^'J.J ntr th.
<br />Cirlc, hrcr{ ..rl ar.rry
<br />)2\rrcN
<br />NFCLA&(TION
<br />I hcrcby u,ltn rnd.r JEnulry o, lErjuy lhal l .m lNn*l uk,cr ! 'viri,,n or Chafld 9 ((omftB,n8 *irh S..ri,n 7m0) o, DNhon l
<br />.r lh. Busmss .rJ Pn,lssnrs GrL, atr, ny lrc"s n n fu[ llN a'r] .lrirr.
<br />4<E> c-lo \.n-q cr\ u
<br />I F^.4/,!,.-<t'
<br />(.ONSTRUCTION LEIIDING A(:FI{CY
<br />I h.rby nflnn unJcr F_nnlryolF_rluryrhd rh.rc r d.onslnrlli)n kndtrl3 a8cnry tn rlr n dnrhanrc ofrh. wurk tu wh(h rhn Frmn $
<br />r\nf,J (S( r{r7- (ir c}
<br />AITLICANI.DECIdMIITA
<br />I ltRtry dlrm unlq ncnully or lErjuy on. of rh. nrl)wiry &ruhlnnr:
<br />rr.ml'rM P.rmir..A{tiros f&nill(.rif tdctul R.Suliri,nr atnL 4r,. Pan6l
<br />_R.qutral lrtr..ot M f(arM
<br />I .d'iy rh{ rhc tcdcrd r.Aul.ri'ns n8:nnry a\lB(os rcB'v{l ,rc ft rnpliahh !, rhli tn,,F.r
<br />alt(+nrty rhd I ha\t
<br />^*,r
<br />rhs rr,rrdion h4 rh. rhrvr nlitrmrlr rs c.trer LBN n, $mdy w
<br />Counry ro c rs ltr rlrorJrrkNitrJ Slarc ltrws R.Llirr b huillr rr)n. ul h.r.hy rurixn',e rqk{rrlv.! .1 rhr\ Cilyn,
<br />rh\t mnrNft{ln{Eny ntr BFdnr
<br />,tpt icsnl orArcnl SiXMlu
<br />AT.{}ot X-.
<br />Z,
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erectron Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framinq
<br />lnsulation/Enerqy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Depuly Final Report
<br />Engineer Final Report
<br />Flood Zone Certlf .
<br />Ir
<br />FINAL Zllo '?-\ws6'7
<br />Certif icate ol Occupancy
<br />Notes, Remarks, Elc.
<br />BUILDING. INSPECTOR RECORD
<br />lr
|