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SITE-WORK DATE ID/SIG.COMMENTS Ot{NEf, AUILl)EN DHTTIATl()N
<br />I lEEb, dlm !*Lt p. lyotFr'lrylhr I e.kngr 6on rlE C.fuM tre ll* (q tlr foltruU E.9 lS.<.7O11.5
<br />Buic. rn Pr.rariri c.d.l An, cir, .r cddy lhah Eqomr . Fd r. onqe. .116. anp.oq .ldlnn e rF, -yiu.@. Fs to .r lllllre. .&o Eqo6 rlr +{'l-Dr fq s1r Fmt b 61. !t BJ d..nEd dr t or dE i! l&:tt .l Fr'M
<br />ro : FyEiB .f rlE Codrln'r Lildcd liv (Clu6d 9. Co'ftr'n! {nh Sdh. ?llD ot lrvirb. lt ol rh. BurE$ ..d
<br />ho,.si,B Crd€r tr llrr lE d rt: ! .r..+r dEttrDn ut rlr hl!6 fd rh. rllt d .r.nle.m. Ary vbLrbn ol Sdn! ,01I J hy u,
<br />lpplr! f.r n p.mi iU..B rh. .pplrc. ro ! civil p.Mhy ol mr mE rhli fiv. hondEd d.'ll!B (15fl1).
<br />l. I .trn.. .l rh. ,irFd v. n my crnnr')Er rirh s.&s A rh.tr ok Nqrntrni. *,ll d) rlt vflt .id $. {dm ir mr
<br />inkn]3l or olt r.r, fin rL ( Sa' 7lxa, Busi',.$ md ftof.xsiotr\ Cul. Ttu ( (tr rrnr'r Lrcn{ lrs dxs nor .pply n, !n o,n.' or
<br />rlE p$n ny wh, tru fi or rr{'n,6 tlEB[ drl wlD &s rch k'lt hinr.ll r kF.lf ! rhnr8h hi! or h.r oM.r{'btt.s,
<br />provid.d rhd su.h in{i.'v.mffi e nn id.nd.d oro,lird fd $l. Il, hrscw( rtl hlildnu .r Lr{'mEmd n $6 widin om }!r
<br />of.onpLri'q rlEO*rr Bu'U!L willhrv. rh. hrnLnnfF$vuE rhr iE.rs&Jrl nn hxu ffCm€ 0E pmpoly a$th. Ilqrenf
<br />_1, r\ ov*r .f rlE prrIEnt, n.r.lurr.ly .odturin8 *nh lxrr<d !r,d*r6 k' !-.{ui rlE p.trlal (S... 1x,1. Bc\iE(
<br />!d Plrtsnccl. TIE (ontrrrofi l-r..€ br d6
<br />and *lF c.ddr fa ech Frr<rr u . GdBt (
<br />r{.mly !! !. ovBt ol nroFdy vlr
<br />PECI.AIaIIAB
<br />I h.rcby a,ltmund., Fmltv or Frury ox .l rh. tuUDunB d.cl,rrrN
<br />ll'rv.nlw'llntrn&,!('c 'i.d.of(,a. n)S.lil'lrr.f!tr{orl(\'.o\rD\i!,i,r\ln)vtrl.dntrFyS..rnnr7(x).rrlr
<br />Lrtrn Oxh, f,n rh n rldmh--.,n rh. r.rk ntr rhichth p.rnir N
<br />^n'.,1
<br />I h!v. r,! yill tuinrrin w.rl.R ..nFnr.rDn oiuaa., rs r<uGd by Sdlr l?m of rtE lrhor Cod.. to. rh. Frfomre. of
<br />rh. *orl tu vhrh rhn Frhn n iNrrl My *urk6r sr{.Mx,n niliN or$ ul pky nur E d.
<br />Polt/ Numt r:-lirpc,
<br />_I dily rld rn rtl Ffor'lltR of rh. *ort f(n *nah $! Frmr ! !rkd, I !n I Dr .nphy u, psen o &, 'lrrlEh a to tEoE ottd ro rlE sxrcr otr{EMm L{ oac.nrmq. .d rtr rhr I.l$rld b.stu r+d r. rli
<br />roltR .wltnsrrnntuvrrNulsar$.ll@01lh. L.lsCuic. I l. hnh*(hon!,|, rtrtILE I'mrsi)E
<br />.ivil fiftr up ro oE hunlEd rh,ur.nd doll.6lllm,000),
<br />'irl., tr .r.n rnai r(my ! fE!
<br />I h.rby .ltirm u.d.r F n.lty nl n rlury thd l .m h..trsd utulcr F)vnio. ol Ch.fad ! (cn'nrEinS rirh Scdhn 7(rr0) ol l )nxir^ l
<br />ol th. Bulms { Pnn rflB CdL. rn ny licn* i! in tuU fitrc r .iL.t
<br />colsrBtcllQl1.LEluaclc[!(1
<br />I lEEby.tfmuD}l Fulyof Frll!,rhr rtEr n r Lid irnE ot $.rt ft, rlE lEi,Ilre orrlE *qt t'r *tj.h rhu p.m, !
<br />r .d tse. 1097. c[ c.]
<br />AIELICA!trDES.IMIIO!
<br />I ha*, lftmr uidd r'.n,lry or p.'jury orc of rrE tollosirs 'j(ls.rionr:
<br />D.mlirion P.mirsA$.\ro. Ndr'cdon F.d.dl R.8uLri,nr (Iik .10, Pd6,
<br />Rdutr d L.tE or No.l6rr!.
<br />_I dify rhd rll f.d.nl EtlLtim E34tu{ rsb.sos lfuhl m { .tfl.ahk h rh6 pDF
<br />I (di[ rh.r I hr€ E d ih^.pplr I !3r to (u.plt riln rll Cl, rdl Counry
<br />nlllrlns [rl srrr. tj*' E,rfuu ro
<br />rtr^. mdr)rdot,Fny ttr ry.d
<br />.1ppli.!nr or,1[cnr Silurur
<br />EIS
<br />olrtu\ Cry and Counrynr.nrd
<br />Set Backs
<br />Forms/Steel/Holdowos r?o," L 12ht/tn7 ) )K,l/'.1r .)
<br />Erection Pads \Y
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathino
<br />Shear Wall
<br />Framinq
<br />lnsulation/Enerqy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />N,4aso n ry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Enoineer Final Report
<br />FINAL /-5-'7.a7/ -'2<Vqr )
<br />Certificate ol Occupancy
<br />Notes, Remarks, Etc.
<br />BUILDING- INSPECTOR HECOBD
<br />Rev 08-07-2015
<br />Flood Zone Certif .
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