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SITE.WORK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />SLAB Floor
<br />Subf loor/VenVl nsulation =\Roof Sheathing ,l.ztt-Ft h42)7,)
<br />Shear Wall I -....
<br />Framing
<br />lnsulationi 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 />Engineer Final Report
<br />Flood Zone Certif .
<br />Tl,rq<*''a<FINAL 4lbllot 'tr2 -1
<br />Certilicate of Occupancy I ul
<br />Notes, Remarks, Etc.
<br />BUILDING- INSPECTOR RECOBD
<br />OWNER Bt'ILDER DFICARATION
<br />I lrEby.lfon u Lr FEry !n FrJUry lh:l I d.\cqi fnrh rlE CodrE(n tr
<br />Bunn.s .Bl Pnnc(!'n CkL): Aoy Crry.' Cooniy !h.h Eqxc. . Fm'l h lr'nnoll, 1116. 'olln'v., d.m'lnh or qu oy
<br />ntudm. |,rn ro ! $ur.. rlso rqurc! th. +pli.mi ntr !u(h tEmir i' lik r r'8ht nd.mnr th.t lr or slE n la.ot J puNrr
<br />r. tlE F'vBrur oa rll Cohrhrd.r l-...EJ trw lch,Fd 9, ComEBh! r h Sdrrn ?utr or D,vn$n ! .l rlt B!.ftl. .d
<br />Pml.*rnr C',xj.) or rhrr lE rtr r crcnpr lhftlNm .nd ihc l{n nr rh rlk8.rl .rcm on. Any vi,hr{n ol S&rrn '701 l .l t'y .ny
<br />sfi rcr ntrrFrn tutrFt rlr {pl.Mr rDa(vnp.ncxrors n,E lho lrv. huBtr.l dollr.r t$5(x))
<br />-1,
<br />.s owrr of th. poFny. ir Ey cmlloF! e i *r3.t ar rh.! q'k ($mFn.!hn, *!ll & rh. wqt . rtl(n(Etr r,
<br />int.nr.{ oroll.Ed rir eL (Se.7(x4, Aurtr{ and Pnna(khs clrjc l'|. Art&tr'r latrt Irr dxln,l.rpl, b r o*Brof
<br />rh. F{dv *hr hodt! tr 'qft6 rlr6n, !n pb dB rh s* hmElf or lImll or rtmNrh hn q h.. os .'4rl,ydr.
<br />pn,viicd th.r.kh mlniEmd! E d,l Ercrrld oroff-rJ ttr sk Il. hrEw. th. tltl,luE or 4ffimd r $ll sinn ta ,.{
<br />ol compLr0n. rlE O*mr 8ui!d wd,bh ttE b{nLr ofrn)v68 thrt lr.r sh. Jd n hitl or nlnih trr lnrFn,lorrll Frrlh* uf
<br />-1.
<br />rs o*rcroIih. lfi'l.ny, rhexclunv.lycontd.r68 wnh h.cnscd ronrrrrori b .rnndd rrE Pn,icr (s.u.'7or4. Busix
<br />!n h)&(rr C,rL 11r O' r-nn t l,r.nk Lw Ltr! h .prly h d owncr of FoIEn y *ho b!,Lk ot rtn0n'Er rlEron-
<br />rnl wlr, $dturr for skh JreFB * h . (i'nrBron n ltlnrn pn6d b rtu codn.rn ! l-rcne lr* )
<br />I afr .(mF unr.r SaJon
<br />()*mr:-
<br />IIOXf,EB5]SDIIEIIA.IIAN
<br />TECI.AEAIP
<br />I h.r.ty lrt D uhd.r pcnahydl Frrrry or olrh. n,lk,r'n!Jdl,'rrx,nr:
<br />I h.E rtl wrll Dmrru . ( cnfr.rc or Consd n) S.ll lnrur. l,t B,Etcr' .orqrnqrrn. r\ F,vii.d l hyS!i.nlTlIrolrh.
<br />lrhr Grl.. ttr rh. Fnotm. otrh. kxt ft, *hrh rh. Fmr s sEd
<br />I hrE rd ,ill m[lrr wo.r.u' (rnFnnrin
<br />'nruflB.. ai Etut.,l bt Scrion .1700 or rh. trhor (i!., tu rlt Fnoirrfu of
<br />rh( $o l,r *hrhihtrFd \a My qrt6 strp.ag,n h!Il!B. ldg rrn |r ry mrlEr eF. rrC.(5 (o
<br />t Olt\
<br />P,,lky Nutrfi.r-\lZ 30 a7)<-Q tq
<br />-l
<br />.tn,ry rhrr r rh. tErforMBr .l rh. *orl t{{ *hkh ihn lf,rm n 6(kJ. l sh.ll Bn .Eploy y p.nm o ..y lMmr
<br />q, . ro t'(om ubrrr ro rlr *o*e\, omFn\.rkr hwr ol C.Lnms. .rd .3 R rhr n I rh,uu h.(m ruhFi lo rh.
<br />wort.F $nlp.n$ii,'n F,vNk).s of SNli'n 17(X,ollh. uhtrO{c.l {!ll. tunhwnhcnmdy * hlhosInrvui,n\
<br />ItlnNlN(;' l'arlurc b eK *ollcr (omrf,trsrIn $\.rr!. r hbr,ur 8l
<br />(rvn rr.( u[ lo or hudrn rhouq]i Joll,6 1! l0J.fin), r ailri'n t'
<br />s.(rkr nrr6.r rtu ItrhtrC(il. mr.ru{ ri'l arnn'rv'\ l(\
<br />DECISSAI'(A
<br />I lEEbt .firm unLr tEDly ol Frury rhr I D lltnt l unLr ftunrrr ot (]rFd I (.t,'lmB D! wdh Sdr.. 7(u), ol Drnbn i
<br />or rh. aurm{ nl Por..rDns CcL. Di my l{.n€ r tr tull tuM rd coer.
<br />.-1 1 7
<br />,",, -1-d) z ?
<br />CONSTRU(TION LENDIII(i AGENTA
<br />I lEEby.fr!m ud.r Fdlyol Friurr rhr rlr,! s. (s{elDn lcnlo! tFNy tor r,x F,flllrlw or trr xit tu *tih rrn F dn
<br />tr\ucd (sc(. lu)7.clv c )
<br />Ix .ir Addrcs:
<br />AIILICANI.DECIJSAIION
<br />I ho*ry .nm undct Fnrli, ol Frju.y om ot rh. trli,wm! dcLr.' o.i
<br />D.frnnb. P.rmir^rbfiro! Nir i{rnn ftd.rrl R.Buhr$nsiT k,40. P.n6l
<br />Rcquftd lrtr.r ol l]df..lr,n
<br />_l.d'ly rhi rlr f.&r.l E8.lrrn.t N!.rnha .trEkx Emlrlm r r0fl..bk b rhs FrFr
<br />rlrrhJr lhJv. rc rhtr rmlf,Jr( x'ri nn. rhrrilN.'lrr r l alrN nr.onjJ)lt e h.ll(iiyrnJ(irutrry
<br />ntrm.r rd Sr.r. L.rsElrrr.rohr!ry sNddrur u. rcF* .rrws ol lhrt Ci, ril Counly lo .!i( iArn rh.
<br />th,( arnirnrJ
<br />'n,FnY
<br />for 'n\F(rrn
<br />Appli.lnt or As.nt Sl*MloF ,.,,'?1) -r2
<br />UFER Ground
<br />,n.'.'{).)4 ?
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