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SITE-WOBK DATE ID/SIG.COI\4MENTS oWNl:R Slrll,Dl:R Dl:l,CAXA floN
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<br />CoNSTRUCfION I -}]IDING AG}:NCY
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<br />APPLICANT DFCLARITION
<br />I lE!6v Jamr unl.. Fnalrr or p..iury o.E or rh. folbs'oB d.ldrli on!:
<br />t).tuhirn Pdm6-Asb.ios NdifE.tb. F.d.El R.EolrrrB (Trl. .{}. PM6)
<br />R.qon.J kn.r oI N.{if..ti.n
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<br />7-,ruror
<br />l1.r ecntrnnit,rlni:
<br />o?
<br />Set Backs
<br />Forms/Steel/Holdowns ot//E h 0 bk+x,
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Rool Sheathinq
<br />Shear Wall lol qfZ.)bM'
<br />Framing lotQl?t),*87
<br />lnsulation/Energy tllAltu)Dt{x v
<br />D_rywall itllt-Lo tti4t/Eir/tnt. Larh I o/a 170 D**6 7
<br />Eiown Coat I
<br />l\ilasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif.
<br />FINAL lZ-zz-79 kLr , N z.lzo-=2rl
<br />Certif icate ol Occupancy
<br />Notes, Remarks, Etc.
<br />BUILDING- INSPECTOR RECORD
<br />o
<br />ordo ir.: sr!r. uq. Ehrina r, h h'3 doNodi,r
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