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SITE-WORK DATE ID/SIG.COMMENTS OWNER BUILDf, N DELCAI.^IION
<br />! lrEtr .rm ui&r Frlty ol Firy du I m .En+ nDn tu Clonrrr..t lj.t* t a td oE ldb*4 Eaoi rS< mll6
<br />luiBr .d E fann Co&l: Any Ciry e Cony vhth Eqtlc . Fd ro odd, ri6, inpl.E. &mliill EF xy
<br />n'1m. Fir b tu i@, r!. E+in rlE +gltd for.{fi Fnl ro 6l r !{rd nrad dt tE 6 dr ! lErej FrDlr
<br />ro rh. tFrsioB .r 0E conr-rnl lieN.d I.* (Cl'lts6 9. C.llmrin! e.h Sdi.. ?oO0 .f Dviliri I or rtl BuiB rri
<br />PDf.sioN C(l, ( rhlr lr 6 rlr ! .r.nF t,'.E6om.!d ilE t s fq rlE rllr.d d{+!n Any viildi, or sdbn 7011.5 by u,
<br />.mlisnr for r pcmh sublcti tlE .ptlrc.fl ro ! ovil p.dty or mr mG rhrh fiy. hu.dEd dolls. ($m).
<br />-1,
<br />$ owncr olrhc lrotxny,.r my.mpl.y..r wirh w.Bci s rh.n $b Nllllf,nuiioi. lld. rlt wl d rlr MruE i! mr
<br />i' crL'l or olT.Ed lor sk (Sa.7(y.l. Buiar\ .nd Prrr.sions Culc: TIE C,nin'(r'r l-..n{ li* do.s Dt lrply ro .h o*n.' ol
<br />rtl Folrny wh.L ddt o. !rF,E1illF,c 0nl wh. llE sh *o* him.lf or h.,{llor ihruqhhi' or lEr om.rt)l,re',
<br />pn'vd.d rhd sct ulloEEd. E mr d.d.dtr.lLnn f( el lL lrr.E, rlt hilin8 or rp.trtdd n s& r$d or rt
<br />oln'Iphi\ E OrE AUILlr *nl h.E E txlo of Imyry lhd lE r ilE Jil mr boiU,r !r+D* t E FFr, ft r rlt Orls* of
<br />_1. aorEorrll Frfdrr. d.rch.iEltonddl8 'rh tEBai.o d6h oicM rlE D.oJel (sd.,oaa. B!ry
<br />.d BnAirCo& TlECoddor'! l-.de L.q &Er d rr?lyro dsE.llri,p.nyyho hoitLor urqrowr tl6{tr
<br />rd sb sddr tG sEh Fni$r *ih . Cddrn, bc.$.d t[nd r. rh. C.dr5d! Lixd t w)
<br />_l d.r.qi u'da S(rri_, a & aC.lbrrhBE$n
<br />tv0a5ruE:-coMtrNtA:Ila!
<br />DECLABAIIOB
<br />I h.rthyltlirnundcr0c hy.f nsjuryomdith.nnbsingdc.hrati,N
<br />I hrE !n 'ill midrin r CdLfld. orc.red tu S.lfJN rr kxla !i'n!.db[ .t Flvid.d for by Seri{ !7m of rlE
<br />lrir Cn4, Iq rlr Ffffi. orr,f rqi Id whrh rlr Fdr ! Er*d
<br />-K^* *r, *n* *^. rquhd b, sdr,i !l@orrh. bbocod.. rq rl' Dsntffidomprtd)n Eur:ft mr el |.lEy Nn$.r ft:
<br />z/Zq lzo
<br />T I
<br />_l (niiy rh{ in rh. p. ormx. ol ilE wo' k for }hich rht pcrmi n sru. . I sh.ll nn cr{lby my p.rsn h .ny nrnrr
<br />e rs ro h..om subl.crro rh. eo*cR ..nlp.nsrrnn Lwr ofCrl,f.6[. rDd r3E. rhd il Lh.uld tccom shjcd ro rtr
<br />$uA..umr.ns,lirnpruvi\ionsu,Srdri:UmofrtELborLod.,I:lEll,fonhuihNnrplywnh(hoepDvieDB.
<br />WAX.NINO F.iluE r, w. sort B mn|Esrtn,. d,Kcs. ir uoL*ru| u lhrll hFcr m.mploFr o ml Frl6 el
<br />.Ml liEr un ro oE hu lr.d ttrs..d &llrE (lllx
<br />lidr$. 1016 o( rh. t tq ( dL, dftr d dllfty!
<br />oqrNrion. dituB.s i! pmvnd ror rlE
<br />c (
<br />DEClrf,A[A
<br />I h.rb, rllrm und.r p. ly .f FJo.y rld I m [crE d ud., F.virio. .r ch.fl6 9 ronrEi.g 6h Sdi'n ?Im) oa DNiioi ]
<br />o, rrE Bur.! rnd PnErbB corL. rn my lr.e i! in tull roc rn.ttd.
<br />q ob-l Lo'1
<br />-- lu l1,o'T-a
<br />co!$atql&!.IIuLlcllcr
<br />I lEEby.lfm und.r FMly of p.rpry rhi rlE b r odMbn hrrDi {.r-y,or rtr psrqffi of tlE mrt tur "tih rh! Fhi it
<br />!3Er rsa 109? cN c l
<br />AI!LICANI.!ESd8dT9!
<br />I hqiry rrm ud.r p.uhy oI p.rlrry o* ol rh. follow'n8 dehnrionr:
<br />D.nDlirion P.rmitsAsbcnos Norriorio. l:.d.rrl R.sularioos l1i't.ro, P!n6)
<br />R.qun d L.(.rof Ndilur&n
<br />_1. dify ,hd rlE r.d.rJ EtllrEr E3lrJhB ab.rror ,fthl e B{ .l)phchk i i rh! prcFl
<br />L4.dty tr ttan ftz)rrrr.pglr.r.n rn {!r. rhr lh..br. rromrbn n.@1 l4r @.t rply *nh r[ cry rn counry
<br />onlnN! ul Sr.t. t:*r Rti{ ro l!
<br />.nr. tuflrftJ r'lFny l( mrFdr.
<br />ir In llEh, rorhru. ErErdrB ol rhn Cry rd Cdri, ro dd uF{ rL
<br />,t poli(lnr .r ,\gmr StMruE
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Rool Sheathinq I
<br />Shear Wall 5 Dktya v*6:'7
<br />Framinq
<br />lnsulation/Enerqy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Itrlasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif.
<br />FINAL z l7 ao Dr\t\/),n-*d9
<br />Certiticate of Occupancy I t.
<br />Notes, Remarks. Etc.
<br />Hev.08-0/-2015
<br />BUILDING- INSPECTOR RECORD
<br />trrdd r N.r
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