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SITE.WORK DATE IDlSIG.COMMENTS oWNEI' AUII,DER Dl]I,(NXATION
<br />I h.r.bt rim ufilcr p.nJlry ol F,rtrry rh,r I rm.icn:li Lonr rh. C r(('6'l-icor liw ttrrh li'lhsnrl rc.er rse{n):11.5
<br />llNfts\ ril Prncssoh C,ilc): Any C y or C.utrly ehi.h r.,trr.s d Frnrr n' ! n{n(|. Jlrs !nlrr!c, &n,li\h or Fprtr ony
<br />nd.Nrc rrtrtr' rr\ r\sud.. r1\o rcqun s ih. ry '(r tur qkhFrm !! ika n8ftJ nrr.m.( rhrllror Jf, i( lr.nql Jlur{hnr
<br />h rtu nnrvrlon\ ol rlr clrmretri l-f,cnrJ tjw (Chr d I, CdlrmBr3 *[h Sn..rron 7ln,0 of DrvN)n ] ol th. Eustmss ftl
<br />l'nrc$nr\ Cqlc ) or rlurtr or\hc$c\rm,rr thcrc,tum !'rl rhc n)N\ l,r rh. lcs.d.\.ntri,tr nyvk,lrr(rorsrdrn ?0t15 hr! y
<br />Jfl kanr ,'n x rr mr sxhl.( r\ rhc rfirl(rnr r, ! LN,l F nrlry or nol rrtr( llun tiv. hunrlrcd J.ll.r rss(Dr
<br />l. d ownerol rlE IlruFn y, or nry cmploy(s ,ilh w(!cs as llNrr src ( rr.n\ali,ri. w'llJo rlrw{ ur ihc lrtuih E Ixtr
<br />i .d.i or oicRl tur qk ( S( ?(}t.l. llu{irc* rnJ Prol.i\i,nr C(r1r Th. Co.k,rlrr's Li.nr LJr d,rs nor r!J'l} (r an osmr ol
<br />rh. loFry wh! htrlls u ltn)ks rlrmE ail wh, dr.r s-. h url him$ll.r lrr{ll or lhnnt3n h( or,Er oM.nnLy.c\,
<br />F'vkl.d rh.r {(h rmFnrv.nrnts h k nr. kd n olLa.{ r,, sh. li k,wcvcr, ltr huiUiq or qroKnf,nr t r{tl wilh'n nn. yce
<br />ol rory .rDn. Ur ()wrcr Boillcr -illh'E rlE hrle. ol pnvtll3 rhi h. or {r Jd a, bu ii o' 'rlkrv.of, lnrary ld lrr nuqr's ot
<br />_1. rs wrr or rhc lituFny, am .klusivrly ( DrDcr m! wilh hccnred onhcn,s rr .onntud rlr pn'r( ( s.. 71,14, Itui!'c\s
<br />JLI l\uLiunCi.:Thc(inkkttrrl-i(n\cljw E\ nor 4'tly b .n.wer or polrny *h' huru\ or rml|nrv$ rhc.q,[
<br />anl who c nlB.rs tur n(h pnr.(N u n i (i'.rr.rr,,1\) liccn\d l)Usuur x'rlr Cin r,&trstr.cn$L$)
<br />I !nc\.nu u'!$ Sc.ri!' .ll &l'C rl)rrhrrc,(n'
<br />rYl rRl( ltR\' (-()ll Pl:ls'1Il( )li
<br />[Err -8rr!9r
<br />I lrkl\rll nrtr nd t!trt'lrv!'lnotrv!tri.!'lrlr.l!'ll!!{rr,1e(l,itrrrnN
<br />_I hrw n, *rll rumrrtr r Cddirl. or c(nMd h Sclalnsurc l({ *ulcn camFnerkrtr. i\ F('yrlcn ktr h, S(tan .um ol rh.
<br />Labor G{c, r,n lhd liYfortuncc ol rlE mr* lnr whih lnc llcm n issuo!
<br />_l hrv. r l *,ll m!.r.r ktrtc^ $mFns{on 'nsuoRT. r c{uKl1,, Scrnr }1I)ollh. lllit Gi].. nr llE Frtun@r ol
<br />8,tJct*ooreof {(_r\nm\ ,>( '2t
<br />I!$ trhrrr!,f,p.rl,imJk.,irlr*!trl\l,f$nknrln\|[in[^^r'L.ll.In lui.n\floy4t lu!'n r
<br />v) rsn)h.(oh- {i6rrrn)!h.ro'[d\ ronrn tr\Jr('n l!s\ ol Crl'1, n'r. r r!rtrrlrnr'lI sln{]lJ h.ronr
<br />*ork.^ !,n$ n\. k,n nrr'\r,n\ ol S.dtr'n l?(x, ol rh. lrhtr ( (rl.. l {rll. nfhr i h (,hfl! $ iih rh\-
<br />1Lv,l ltrA trl, r, o c htrtr,|'.tl rho \ lJnllnr! lll(X).rrix)r. rl
<br />\r)6 ut rh( lir,(i.lc rkr.i rilz'l '?l'z\ a
<br />!]E!r.\8!!]r^
<br />I trrby dfltm unJcr lEmrry l lE4uyrhal I n lrccnslu'&r t'!)vtrion ol Chxflcr 9 i romtuk,na *[h s.drD 70lD)ollrrtrn,n I
<br />ol thc tlu!rc$ lnd tin!$tr,ns(i .. rl nry li.cn:c A nInI n,r... a .llcrr.
<br />:li 4,{ |
<br />-L\tYlL( /n 4{;*=
<br />gqlsl8!4rlllJf,cEacacENl!
<br />I h.r.l'y tr|,trh u[J.r Jxialrlot pcryry rhar rhd. B a $nstrurrk,n Lrlln8,!.ncy n)r rhc n rnmu,rc olrhe worl lir wh(h thrs Frnnl s
<br />N\ucn (S.( l{D7. Civ C )
<br />AEPIIQIITLIIECLAAAIIOX
<br />I trnht liffiutrd.r Fhalry nl ncrrury uk ol rhc tulh,wn8 J(Lhr0nr:
<br />l)cnnni,n lttnar-Alh(h Noxrrurk,n lidft l R+{l,r('m l lirl.4r. l'!n6r
<br />I
<br />Rc!trr.d l.(.r.1 Nor'li.rrrtri
<br />I !.d',y rl,d rh( l.Jcfllnsulrrtr)N r.!&lrnt Al.i!or rc '!rlr.tror
<br />: _ _l .gi 'r, rlnr I lDk r.an rhF afl'lrdr0n art r I rird n,omdy unh,rl cnlafr! (i,unry
<br />irahvc! ol rh^CrrydJCtrrtrry!,cnr&uO rh.orJNn!c\ rtrd S( .1Jws rclnrtr,! hl,trrlJ'n3
<br />!lx)e mtrrr,trJ pi,)Fdy ntr ir\t&--'r i'Zt'Z(At,pli.{nr or Agor SiABrtrN
<br />I /t1T- L
<br />Set Backs
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Rool Sheathinq
<br />Shear Wall
<br />Framinq
<br />lnsulation/Enerqy
<br />qry4rall
<br />/Ext,/tnt. Lath 212 z/z t8?-6rown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif
<br />I
<br />FINAL hll,l1,l fttey'
<br />Certiticate o, Occupancy
<br />Notes, Remarks, Etc
<br />BUILDING. INSPECTOR RECORD
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<br />o$n.r
<br />-
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<br />Forms/Sleel/Holdowns
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