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SITE.WORK DATE COMMENTS OWNT.N IUILDEI DELCARATION
<br />I h...hy .,tuh unLr Frlry ,rr Frury rhd I m .r.q, nDn rlE C.drrkn tirn€ t v ror rh. fdlury r$r (Se.n)]l t
<br />BurFs rd Prolclson Gnc): An, C y or Cou'{y *n.t Riur.r . F,Dr ro d'nrur. .lls.
<br />',Urn,vc.
<br />&mlah or EF{ uy
<br />sldduc,p trn,rls i3ru!frc. ds, rcquiB rh. q'di! ntr su(h Frmi n, iba siln.d sld.tr rh.t lr or $E is lkcns.l !u$d
<br />b rtr FrvisFnr ol rlt C'odr*ti ! LNn$n Lls (Chlli.r 9. CoIlmrB3 w t SNrrn 7Ul ol DivEnn I ot rlr Bosm3! ..d
<br />Pnr.sD.s Ari.) d th.r lEddr B.t rq{ rtElfhm lJrl ih.lE! l rlF klrrl cr.qr s.. Any v$l^nn of Se1.. ,OJ I 5 by .ny
<br />rll'h.rnr for . !.mn slhF-.ls rh. rmliclnl ro r .ivil F.Mh y o, no! B)rc thrn rrh hunhd 'joll.n ($500)
<br />I a o*E ordE FoFnx dmy.nrbFr wnh w.8..6 rh., sk.!f,T.rdbn. *1116 rsrl.,,rrErlfu6d
<br />id.nldi s on.rar lbr qL (Sa.r(x4, Bu!r$ .Rl Pmr.$iB CuL: TIE Contrf,'rq.s Lr.e L.* tlmt
<br />'r {r,1, lo u otu or
<br />th. rhrtdy rhl hoddr.r !i{hq rlEmn. nl wh drEr rEh u'lt hms.lt.r h.Blf or rlwugh hn.r h.r.wncmployc.t,
<br />ForLd tnrr roch in{.r6rft d r{ iiotnl q oftsel li{sL.l( hort6, rL hriturB d lrtn,Er.r it oli pdho 4 F.oI.\xqltl$tr EO*E Bulrd rlU lIE lh. hmLi orFlrg d,l cEd.lE hi! d rq.nE tlr Frrdy l tll,r,FE6,
<br />_ I r\ o*Rr oi rh. Fln.nt. rm. ( lu'vclt ()nt-rr8 rnh lf,.n{J r. r..rnbr.n{tur rtr I'ot.r {S( 7Gl4- B$fts
<br />rd l,t,k:\rr C[k lhc(i,nra(n'r Lrcn( l-rwJk\ rtn rpnlyr, ovrr or f(]Fnr *tx, hu'Ur or mFNs rh.r.on.
<br />a wh. (onrrudr ntr {'(h tn,rlrr wnh , O)nra.n,n n lf,cns.J tnrsumr t(, rhc Crr rddd . Lr.nrc Llw )
<br />_l m.r.n$ unLr Seh_. a &PC ft, lhi. E&,.
<br />Itrt Oer.r
<br />r\r,Rl\l.R\ ( i,\ttf \s\ It(r\
<br />IIECIA8^IX)!
<br />I h.,ch) ainn undcr Fn.hy.f FrNry om .r lh. nrhw'n3 d.clx.li'nr:
<br />_l h.r rrn rrU m,nr.6. Cdrrr.t. of c.inhr to S.lf-ItuuE t* qrks' conlEMi'n. .s F'vrlai fd b, S.d.n lrm ol rlE
<br />L.hf, CdL, fir rlE Fftmhc of rlE vtrt t, ph.h rtE Fmn u Biu.J
<br />_l h{k lrl rru mitrlrB ro.k.E ror{Esrril)n imu..L-'., s r.numJ by Seri'n .l? l oI rh. litr, Cul.. nr rlt Ffotuc ol
<br />r F,tnr*\rhrh6Frn i! Biarl Myr,16 .'qndFn ursb. (.frr rn F'L, nuhb., e
<br />","",. AU*.-J Gr,//-t
<br />".,*, ^",r- -//QtC @ 32 5 z
<br />-l(n,lyrhrr
<br />in rh. l!.tLrntu. ot rh. so turwhrnrhNr.rn '\ rso.tl, I rhrll R .hJrby
<br />"ny 1.r",n * .ny *ni.i
<br />$ rr !r Ltsft uhFir k, rh. urkdJ Lll'ltEnqkr b*\ of C.l"om( .il .8re lhi J I filutl b.$c $hFt h rlE
<br />*o.lqr (ryrtrsltr rFwsirnr ol Seri,n Jr(r, ofrtE ubr CqL. l slEll. l"nh* h ornl, *'rh th,- In,vri'n.
<br />WAINING. lultrc b $c@ wtrtcF $mpcn$rion (vcB!r.s unl,*tu,. r rhrll $,hRr rn .rqrlryrr r, !:niul Fuh.s rtrd
<br />!D'l tinc. trp n, rn htr'rl,nl r,xrvftl Jull,,r ttlm.uitrr\ r nn t, rhc lrr ri,s'nFnqru.n Jm!.! r\ I!'rlrlGi rir ,rr
<br />scri,n 1076 or.&lrh{ c!rr. urffiqnr miil(_
<br />Arellonr-
<br />UCEASELCANIAASIIB
<br />DECIJIAIION
<br />I hcEh, o tn undcr Fn.llrof!.rrury rhlt I !F Len$J undcr FnvBr)n or(tuprs 9(.{mEh-.m3 *nh Se.'ri,n 70(x)) ol D'vi\r'n I
<br />ol ihc Bu.ursaftl ltolis\i,BC{xlI, r,n my li.cns r in tullti,rr.d.fiGr
<br />(32 /.,*, 43qqa./
<br />-&-to-.2,kc"^.n *"{-"- >
<br />EqlSIall(NqNTENIlllG.dGEllI
<br />I rEEh, .rrm un,lr FMlr, or F,)ry ih,
<br />'lF!.
<br />a . 6BrurD. hnllB .8dy ftr llE FntlllIh. ol th. s ror *trh lh! Frn s
<br />trs,.J(S& .l(Ir?,C'r C )
<br />tandcar NrnE
<br />APPLICAITT DgCl AIlArlON
<br />I hdtt rtrmrtoLr Fn, ol F!ry o* or rh lou)*'nt &{Lr.r.ns:
<br />D.mnnon P.rnils-Astr(os Not i.rrbn r,cd.Bl Rcguki'ns (Tx1.40, Prn6)
<br />-l.qu@n
<br />llkrof Nrlfurs
<br />l .cni,y rhnr rh. lcJ.kl r+uhri,n! t!ul' 8 rshin\ rcm,val lrc nor rml'l lc!)rlrrln)Fnr
<br />_l .dfy rld I h.w Ei ihr .p,l .!rd r, (nf,ly * h rllCny.nJCounry
<br />rurlr)ru. rqi.{ ,r'v$ofrh^( 'rydnJ courryhc rcruFfrMo ff (.\rnJ Srrr. ll*\r.Lirmg
<br />rh,!L tutrri(nrll FI^-dy lnr
<br />O -?) .^-
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf looriVenVlnsulation 3./6'2t ?,c 7V
<br />Roof Sheathinq
<br />Shear Wall
<br />Framing
<br />lnsulation/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 />FINAL 1'9'2t t //eStfi ryll
<br />c ertiticate ot Occupancy
<br />Notes, Remarks, Etc.
<br />BUILDING. INSPECTOR RECORD
<br />ID/SIG.
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