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COMMENTSSITE.WORK DATE ID/SIG.
<br />Set Backs
<br />Forms/Steel/Holdowns )
<br />Erection Pads (-t </lr,L,tfi -l,t ,)
<br />UFER Ground J ,r,brlu
<br />SLAB Floor
<br />Sublloor/VenVlnsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framino
<br />lnsulation/Enerqy
<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 />,t .-L
<br />)FINAL ln\\vYU l/yY$r
<br />Certiticate of Occupancy \\\
<br />Notes, Remarks, Etc.
<br />oCu
<br />owNM lull,l)l:L D&l,c x rloN
<br />I tEEby.iIm u.d.r p.nllty of Frrury rh.l I m.r.nrd nom rh. (lo t6 lsE hu for rll fr,llowina r&6 (Sd.7011.5
<br />It.iiEs .rn ft.Gsor C.d.): Any Cry n C.u y uhth EquiEr . Fnn to or{r*1 ria, in!r.*. &mlkh r l?.ir xy
<br />rdrc Frrro r, isr- rkr EqlB r.fi'li.d fr sh Fr rotu.t{Ednred rti lEd{Eir b.!E d Fr.d
<br />h rlE Imsirm 6frh. Conrxrdi l-idn5.d lrr (Cfirprn 9, Cd6dBi.8 *iih sern 7m oa Divnb.I of rE EutEa.nd
<br />PElirlioni Cixl) or rl tEorltE n.r.np. rhqtrrco rd rlEt !! fttr rh. tllq.d.r.Dpihn Aryvi.Lrionofsdrior?0llJby!n,
<br />rppli.nnr for r Fnnir subirBilE rppli.i.r io ! civil p.MIy of nor m.. rhon liv. hu.drd dollds 65ml
<br />_I. s o* E .r ir F.F.v. (' my .n+k)Es vih *r!8 ! rlrr el. onFrMhi- qn lt) rh. qit .rn !E ddE r d
<br />id.nlal v ofi.Gl fs r.L rsc 7tlra, Au.iE* lil hrasia Cd. Tt Cdr&1d'r lE.c l,* tlo6 i +Pl, io D olfr ol
<br />rh. Frdy wt t{ttdr ( lqmE ttEq !,n *b ,ln Nt slt h,El, or tErll or rlrou8h his , ls .vn .rpbyer.
<br />nrorid.d th.r 3trci lmFnErntr ft d id.trdcd .r oll.Ei lot $l. tl, n ].8, rll hrilduB .. inFErd i1 $E uthin nr F.r
<br />ofcdnl|]lriu E OwE BuilLr *ill luE 0E hr&n ol p.lvins rh!. lt or sh. dirl tur huiu or inprc€ l}E lNrqry i)r ttE F)lDoe rf
<br />-1.
<br />s owEr of !h. F)pary. o.r(tir.lt NnBri.3 r{n laact Nnrd6 io mn{d rlr FDF rsa. 7o+4, Butri
<br />Dl tr.a6nn C1ii. TIE Coddo''! Li.ns trl &B d rp?lr ro D oqE of ra4*ny rho horld. r ur{,ow! rh-u
<br />Md *tF Nrr,mr ror luch F,tdr,nh r co db(, lirBd plhd ro rrE cldrdor'r LirM k*)
<br />I an.r.nrn o'r1.. Sdr. ,R & PC ktrrh! rcrson
<br />w(lrxLRs co[rPt'rts^Tr{)ft
<br />DESAAAIIAN
<br />I h.r.by.fllrm urht n€mlry ol Frju.y oE ofrh.loll.*ing d.clanti,d
<br />d-t r'o*.,,a *,rt --,-. c-'r:d. urcoMd b s.hJME nn s,t6 !$nllnda( 13 Frvrla! aor b, srtDn l,m oI ln.
<br />EEt c.d., r,{ rtE rElm..r rh. }qt lq *hrh rtr rsd b s'Ed
<br />_l hN. rBl rill Nuui. H,,t6 cor+.Br'btr BruhRr, r\ r.qucd hy sai bn rtu ar ih. kb.r Cirj.. fo. rlE Frfollun of
<br />Fn 'Nurrmc lrrftr u, Fnry nlmhs t.
<br />o
<br />l c€nny rtur in rhe performr. {', rlt *ork tu }h'ch $i p.rmii rr ssu.d, I rll &! cn$loy ioy IER}n i. My m.nF
<br />s s !o tEstrr sbj.d ro rh. s*.n'omp.urion h*' of Crlir.mir, rnJ UE rh.r rf I rtruld b.{.8 $6lccr to rlE
<br />*r.16 con{Enrrr. DrevitEB of ScrDr l?gJ of tlr Lr6or Nnply w(h rl$s tmvBDB.
<br />WARNlniC Futu.. to ffi srt(r' mnrEMs!
<br />.rn fiEr un r..E hurd..d rt ur.,{ &lL6 (llfi
<br />tull obFn .ripbFr ro
<br />Ctil., idd.r !d ! dEyi
<br />Z 2 07.)
<br />I hftby IIn6 u,n . FEt, of Frjr4v tlld I e litr!.d uihr Fvuhn .f Cl'.Fd 9 lmmi
<br />ol rh. B!iiE!! lrd Eon*6o CdL. dn my li.6s ir o tul foE rrn .fid.
<br />hSdDn T(xllr.l D'rrbn ]
<br />qh
<br />I trEhy rlltnuidd FMlryor0..r{ryrh! itft ! r lroi db. L'di"! !r.ty fn rtE F.fDlll1d. ol rh. M.k for whi.h rhn
<br />trskJrs( lln7.CiY C )
<br />AIILICAdIDECIIMIIOT
<br />I ffir.trm uBla Frly o, Flury @ of E 6lloru! d6Lnrih:
<br />D.mlnbn ftmrg^,b.t!o. trorfE bn &d6rl LllLrix G L,o, Pd6)
<br />-R.quiGl
<br />tdd ol tlditsrbn
<br />-l
<br />cdrfy rhd ttr f.rLnl l.3r nI rllrros Emli e hn $rl.ehL h, rhN poj.rr
<br />cdif, rhd I hrE Ezi Gii ftply *!hrll Chrr CNdy
<br />r. mnri(iklIrrcny ntr
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<br />BUILDING. INSPECTOR RECORD
<br />Rev. 08'0/-2015
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