SITE.WORK DATE ID/SIG.COMMENTS OWNE AUIU'ER DELCAtrATX'N
<br />I tEEby rlI,m ldd p.&lr, ol pcrtry lh.r I m ce,rFr fi.n E Coua.ron LtoE t-* for th. foto*hg r.&. lS.<.70115
<br />B6ir* !n PErcsi,. C.d.) Ary Ci, 6 C@,ry *hih EqriE . Frr lo clirtur' .ra, qioh. .tmli't EFn ., .
<br />slru.r@, prir ro ilr Gsle., rls EquiEs rlE +plilnr for $cfi Fmir ro 6k r siSn d ltd.mi rl lE o, llt h liccnrd Frsr
<br />16 rlE Fvki,tri of ll! Cmr.dd! Lt ...d Lp (Orprd 9, Coltrrirt *lh Srrion ?@ or Di6b. I of 0{ Butirs rd
<br />Prcr.sionr qnc) or rlIr lE or nE i! cr.q,r rlElfmh rn rllc b$ir f6r Oc .ll8.d .x.rprid. Ary vioLrion or S<lih ,011.5 by ry
<br />tndhd aor. Fmil $bFlr llE rp?liul lo..ivil FMhyofml mE tho fiv. huidrdt & ld {t5q)).
<br />-1..s
<br />ovErolrt FoFny, or ny cry)lor&. wirh els* B rh.n $k onFns.thn, will & tlE wrt .rn llE sErft is ml
<br />ddn d d dlfd.d fo rl. (Sa.?O{,.. Bu,iEs rrd PDf6,bB C!(l: TIE C.lr,-r6 . Lita t ] dEs r,.r?ly lo D orE of
<br />rh. r,oFny who h{ildr d inl'na rlrell,rn rh itB uh h,* him€lf m h.*llor thou,n tir r lE o$n cn?lorc6.
<br />provid.d $d 3kh liFotltae rcl iisddoffttrd f' !L li lrffi, tlEt inirld lvrffid ir bld uihi, m )e.fsrptri.[ x O*E BuiU6 wix rrE dE hrb or Fdhg ur lE d tu dil ml hi! a ]Fw di FlrEry 6r dE F,FE or
<br />-l,.ro*E
<br />of rh. Fop.ny. h.(lu:iElycqr6di.s wirh li$osd.o ildo b $tunu.l llE FDJ.d (S...lO{4. BEiEn
<br />!d tt6.sio Cod.: TIE Conr,rroli Lirnlc l,w do.x mt ipply ro m oser or rroFnt *tll buildr or inpmv.. th.r6n.
<br />ind wt[ olfrdr fr uh Ford! *irh r codrxio(r, li!trrn Frqn k, rrEcoffid ! tile t*,
<br />_lrn.rd ! l.r S<rbn_
<br />Drt. Oh.r worl(ris' c-)nrPE{s{n(_N
<br />DECL/IXAIIO!
<br />I h.rchy !0irm ud.r FDlry ol Fr!ry ot of rh. r{'ll6e!l3 dc.bdioN
<br />-l
<br />hlr ud eiu mintri, . C.dilral. of C.ncnt ro s.lllB@ rr udk6' str{f,md ion. r! Fnvit d fa by Srlbn 1700 of tlt
<br />t tw Codc- a( tlt F offi ol rl! hd fd rtil rlE Fo' i! b.i.d
<br />\\p h:rr.d willrEid.r work ^ or{Enslbn iBU..r.,.r .t{uiEd hy ssrio. .UOo oI rrE tlbd C.d.
<br />cri, rdl polay nu.ih.r ft.
<br />ZO
<br />whrh rhn IErfrr i1 ir$cd M, wrt6 ontEFdnn iNUl.FYY\E\UA Irlbob..\
<br />$$cn,ryrur.rr'" p",r**D. orrnc work tu *hkhrhis rEh ir n\u.n.l inll nor ciploy.n, FM. in My mnd
<br />o s ro tE<rB el'r< io ilE krt6 onFrdbn Lw! olcdiromn, !d +m thd ir I slrull t.or s,t'Fl lo lll
<br />m*6 conlrMoon pmvkbB ol s.dion 3?m orrE trbor Cod.- I tulL li,nh*nh oiply qith th6. pmvirion..
<br />WARNIN(; lailuE ro sE etrlcB 6qE.db. c.!.d8. h u.l,wrul. od .lEll rubirl e dr{rlorlr lo siniMl Ftu i.s lrn
<br />ro ofr hnnrlrd rh,usd doll,6 (llm.(m), i. rldnir. ro E cor ol ofi.Nlior .Lm3ci .r Forikn 6r r,i
<br />sL, rn' nrTh!r rlr lrhrir ldr. tr rrrn url Jrri'trv \
<br />,,.,.9\?7) 120 am,"m,,
<br />DfIJJEAIIQ!
<br />I lEEhy afrm ldld FnallyotFrrurylhd I !m limen udd lfu*ionorCtuprd 9 (.olnmmin8 wilh Sclion 7Ol)) of Dilnbn 3
<br />ol rlE BusiE.s.,n Preftsiotrs Co&. .,n my lEce i in hill for rn.tur
<br />\b q 1b15to:;$\EqJ26 ,..,,.*,.. w \v \vl 3i c\r
<br />gQdsrf,lqll(}tlErulcJiINlJ
<br />I lErcby rmrm udcr Fmhy of Frrury rlid rha! i! | @.rn&rni din! .Fmy lor rlE Ffo.rl$c 0f llE s ror *tih rhi. Frnr b
<br />issurd (Ss l(l97. Civ C l
<br />A.ttLllANr.DEcllSAIr(E
<br />I hor{, rfm uftrd FEliy ot Frory 6m of tlE frnbwin* ddhrlrns:
<br />DoDlirhtr P.imnr A.l$ror fhirrrhn hdl R.guldr,nr lTirL.l0, Pd6)
<br />-R.quircd
<br />L.llcr of Ndificalbn
<br />-lcdify
<br />rhd lh. tucFlrcguLlnns EardinB rdtdor rcmulm n{ 4?l.ubk tu lhi! Pfl'F1
<br />l#,',*llv*r;E d lhr +pl..tion !d ndr. rhd
<br />'rE
<br />.bot inrorrdion n c rar I .8r
<br />drr! m.rinrl tmtd, fc
<br />Apnli(ml or Atol Skulur
<br />b6rply wnh Ci y .,n Co!,*y
<br />,rrhir Cily ud Counry ro ctd upo. d.
<br />-.\2t?glz!
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />SLAB Floor
<br />Sublloor/VenVl nsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framino
<br />lnsulation/Eneroy
<br />Drywall
<br />Ext.i lnt. Lath
<br />Brown Coat
<br />IVlasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enoineer Final Report
<br />Flood Zone Certif .
<br />I
<br />FINAL 1l'15\'.lu DI\CN a*W
<br />Certilicate of Occupancy \\
<br />Notes Remarks Etc
<br />Rev. 08 07-2015
<br />BUILDING- INSPECTOR HECORD
<br />UFER Ground
<br />L
<br />ttrrd t AddB:
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