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SITE-WORK ID/SIG.COMMENTS <br />Set Backs <br />Forms/Steeli Holdowns <br />Erection Pads <br />UFER Ground <br />SLAB Floor <br />Sublloor/VenVl nsulation <br />Rool Sheathinq <br />&r*A-Shear Wall Hdq 1,*Framing PJlry-3-6-t1 r <br />lnsulation/Energy \4 <br />y"vL14Drywall3-6-lot <br />Ext./lnt. Lalh <br />Brown Coat <br />lVlasonry <br />Pool Fence <br />T-Bar <br />Handicap Req <br />Deputy Final Report <br />Enqineer Final Report <br />Flood Zone Certif . <br />A\ <br />FINAL j-7-tq l,,(.\Llll D ) <br />Certiticate of Occupancy U <br />Notes Remarks,c <br />0 v <br />XA$i,l <br />BUILDING- INSPECTOR RECOBD <br />OWNER BUILDEi DELCARATION <br />I h.Rhy rltth uftkr I!. lty or F+ry rh{ I o .r.q fn,fr rlr Conratn' Isnc tr* ror l,E nlllowr! Erarn (Sa.7oll.l <br />6u!N$ .rn Pn,r.$r,n CqL): Any C y or Cdunry *hrh Eq!!.t r lrmn n, drn{Nd, .Xd. ,ilpn'v.. &mlIh or r.Fn y <br />ntulm. F, kr n\ $uh., rl$ rcqu!.\ <br />'h. <br />r{'tirai tu. rhh Fmr tr, lrk r rtEd rt.r.rnr rhri lr or dr ! lrtnsJ ldr d <br />k' rh. F)v!on! of E Cohrrroar l-x.nGi tl* Ich.rrd 9. ConmkmS * h S(rrn 7u$ or Drvnx'n ] ol rE Bu$E( rrrl <br />Pn{.$$nr Cod.) or thrl h. n rlE 6.rci{)r lh.Elmm.rn llE h.ni |,tr (lr .lL!cr, cr.n{rion Ant virhri(n of Sftrr. 70} I 5 hy.ny <br />tppl(.nr tur.Fm (ul'Flrrh. {t,hc!niio.uvrlp.nrlryof frn rhe fiv. hhiEJ doll&r (ltto) <br />_1, ii o*mrol rh. tn'Fnr. rtr my.rfLryer *rh er8.s. h.tr r,h.r'mFN.rFr. *'ll di rlI Q*.,n rh. rae ! n, <br />un.nrd ororr.EJ lir + rse 704,1. Brlrs\ lrn &ri$b Grl: 'l'18 (i'ntrtx'r lr.n{ Irr &rs n'l qrply to u o*rr ol <br />rh. In)Fny *t' h{lllr r inrFa th.cr, .rn !b d- uh qxt hrmrl{ dr h.rclf o. rlwulh htr q lE. om.i9krr..., <br />nR,vd.d rhir rueh dqh'wnEds e n{ nrsricJ orofirGl ,('r t lc l,l bks. rlE t{ duE o.,rpmrtrd n gru *[ho Dm tu <br />sl lorl'kri,n. rll (,*r, iu&r ril hrE rh hlrLn ol In,qr{ rhl lI r rk Jn d tulll * nln,r ln. F rcny ftr rlr lrrFn .f <br />_1, o*n.ro, rh. !fup.dy, .n.(lunv.l, Lohr.dsS *irh n.rnKd.ddrlrron (, conrrud rlE F'Fd (se. 71x4, B!1Es <br />rd lhrr6.rE cl,.Lr TIE ConlrNttr r l,tr.ne b* ,llf,r Bn .n ly t' M .$N o, r'.oIE r, eh, r,!,u! or monrr.i rh.e4 <br />md wh, Lrdrdr ld *'h t,.j(dr wnh r Contido(, lf,cnr.J Nrulnr o rhc C.ntdtr'lL*.n€ uw) <br />AE(IIAAIIA! <br />I hcr.hy !lltrm unn.r pcnilty ol pcrjury om ol rh. h'll,'*ut 'leleaxoni <br />I hrvc drl *rll mol.m . ( .ll rl.d. dl G)n€nr t' Scltlnrurc br worlcr' .l,hrn\rn,n, !\ pm*Ld ld by S((Dn !70O .f llE <br />trhtr Cd., lr rlx Fyl,,!rle. ol llr krt tnr wh.h rhc Iffin ( r.u.tl <br />-l hrrc.d will roitrlrr rort.F' .otrllx dhn in\urEc, .r r.ltura{ hy Ser nn 17(u o, rh. bh, clrL, ,nr lh. Frlolrr]ec ol <br />rlt klrr lir,hrnfttr Fm ! Gun Mr rsL6' u'qrn\dDn nlulu. i,r.nl tbl.y nldEr c: <br />C.m,i_ <br />l.cn yrh.r!!rhcFrL@rr,nlh.*..kntr*hrhrhr|Frntrrrr(El.l{Mll .n{'l,y yFR,n6.nvlMMr <br />$ rr,heor \uhjdr nrrh. k'*ds.l,ht nsarktnliw\of(!l omE. hl +@rhlr I rhruLl t aom uhrd l,' rtE <br />*ort.r.oq.nqr[nPn)hnnrolS(ri,n:l7fi,.trlItrtrr(irl..l\h.U.bnh*h(rr|)lystlhrh,cF'vnit'n\ <br />WARNIN(;: [.'lurc t' reurc rort. !r,mp(nr.'i'n ..vcBr. r( unLvrul. rnl rhill ubF-r r.rq'ldy.r ro mru.l FMts.nd <br />(ivn lrncr un t,.rc hu lrd tk,ueBl d ll&s l!1(r),ux)), '. rnd trPgrhc(,{ <br />WY <br />nsrrn,n. {htuIci a\ ,rorrlcd nr lh( <br />r6hrcrcr aBl llt,my { l.(. <br />L <br />IECIjaAIIO! <br />I h(Eh, {l trh und.r Fn.lly ol pcrjury lhll I rm [enc! unJcr F)v$i'trol Cts (9($smrtihg* hS.dDn70({))olOivNi,n] <br />of thc aurmi .Jn h{.$r,ni Ciic, rd my l.c.( n , full ioEr .'l .lld. <br />LNn\c ('hs <br />1,.r. <br />- <br />Co mtor <br />COIiIBISUONIEUDIMi.AIiEN!} <br />I h.hhy ,lih unLr Fhlxt or Friury rhi rrxR ! r c,.{tu'r,. brllE {.rey ntr llE ,rn(,lrlw. ,n 0. kd ,or vhrh rhn Ftu 6 <br />r(xd (S.c. -vr7,Civ. C ) <br />APPLICANT DECLARATION <br />I holr,y anim uftLr Fnrh, ot Frjut, om of rM nnlje DE rt cl,n' h.rl <br />D.Dnri,. PcmreAiEror fllrfrdDr !.Lfl| R.luLr ur ITrl. .lI). Pd6, <br />_R.qu(d L.rr.r.l Nrildn. <br />I c.n rry 'h, <br />r lE f.d.rd E3uLl nns r8rJiu r.h8kx rcfr)v'l ft nn {'d{hL to lh( pR'jrti <br />Q]f,l> L.n'ry rhd I hrk rcrd lhn rntlrrrbn &l (rr. rhrr rrr.bvc inli,mrion soror I {t ri, @'r'Illy *dh ru cny.Dl Couni, <br />,nJmtu.s nl Sr{. Lrwt rU !E ro hururt $n{tutr4 :fi! h.rby rurhtrr.ol rhB C.y .d cod y t) <br />ah)vc nEnrtrrcd F,pcdy n)r!L -7 <br />Appli.rnl or Ar..l SirndrrE <br />'!i*'"' <br />DATE <br />.B,A