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SITE-WORK DATE COMMENTS <br />Set Backs <br />Forms/Steel/Holdowns <br />Erection Pads <br />UFER Ground <br />SLAB Floor <br />Subf loor/VenVlnsulation <br />Roof Sheathing <br />Shear Wall <br />Framing <br />lnsulation/Ener g)/ <br />D rywall <br />Ext./lnt. Lath <br />Brown Coat <br />lr/asonry <br />Pool Fence <br />Handicap Req. <br />Deputy Final Report <br />Engineer Final Report <br />,AEiu6* J'dt Y-rt-I -27*l? <br />1-77-l,l )"Vltd' <br />Certiticate of Occu pancy fv <br />Notes Remarks Elc <br />OWNEf, BUTT,,T DEI-(]tiATION <br />I lErchy .tlim unl.r Fn.Ly ,n !'<riury rh.r I rm .rcmFl liim lrE ci'f,tkroF l,Ecns Lw tbr llr [,n!'wu! E!r'. (S..70]l 5 <br />Bunncs ad Ptul.$nrn Grl.) Atry C y.r ftxnry whicn rcquir! r Frtur h con( d, 's, i'qtnrk. J.mllsh nr FFn try <br />{ruuurc. Fior h i! Fsu.E. dqr FquB rh. .llp,.r.! tur ruch |imr t, liL. sr8NJ {!.mnr rh{ ll.r rtE k h*ncJ FFUdr <br />h rh. F$vkrn\ or rtr co.rarr't l-r.n*J tl* (('hnrd 9. colftnr! * h sdrnn 7(m of DMIi .l of rtE BunE( . - <br />Pn)|.(irns CcL) dr th.l lE q rE ! .wpr llEcli fr .rll th. h.nr lttr rlr .llr.J .r.qrin Ary vii.rM of S<iu 7O.l I 5 $t .nt <br />:!olu n,lFmr lul'Fktlr $plxd ro:dnp.olryol n m)rc rh6 rlv. huft]..J ilolrr ts5m) <br />L ri owmr olrh. F,IEny, or By cr'0Lyes w h wd8.r ri lh.tr r,h omn n{tnn, wdl Jo th. wf,k 8rl lh. (Blw is o, <br />ddkrr q o,i.red ln. sk (Sc.?Olrl. Buiims\ ud lnncsnns (iric lfu Codr&tn'r l,En* 12* &rr nI {,f1, ro D oprr ot <br />rlt F{Fy }tD b{ 1. d nrrlrB rl.fta !n rb ll$ rh B hm<lf or h.ell .r rlnrlh hr m lE. ou .rlol'ya!. <br />rrlrvriol rh.r .kh ntrr'nrrdr e n. d.ildl orofidd ir sl ll, llrk6. ttr t rE or r+lEmd n$U *rnn(ft t* <br />ol $illtri)n,.lr ().rr Bu Lr*,,1h:Frllhn&n.lF,vuErh,trqrlt,jrldta l,, nF)E 0F F{h, rdrlr FrFE.l <br />_L 11ow*rotrlt lnrrdy. a.r!tulrcl, (rd,ar trr ,, h hirE j.r'drkioF k' $n{rud rtr prr{ (5e. 7044, ButlF. <br />rnl hrrasE Cql.: llE Cod l,tr tLEtrsL*.tr! r, .!ply k' ...*F ol F)rEny who hutld! oi mFruyq rlson. <br />.nd *ho uddi fd u*h Frjdr r h. Cbdturdln lkrkd p(nd ro rlE C6dr(i'r titnr lrl) <br />I '.r.frF unJ.r Serdn_, B. & PC f(,rhsrc&rn. <br />!0af,E8ti_cauEEdsarlq! <br />DECIAEAIIA! <br />I h.r.hy 1ff(m undcr Frahy df lErrur! r orrh. tulk,*o8 J(lzrrx,n!l <br />I hivc dd qrll mrdrm rC.n'lxrfuorC..scnt r' S.ll lNU ntr q! trt.r \' o'np.n{rr r'. !\ Flvd.d ntr hy Se-.l i,'tr .!?(x, lrhc <br />Irhtr(iric.l,nrh n rlo@R.orrh.*ortlr*hrhrh.n mr isr{k,l <br />I h.vc.nJ lnl m.'d.m *$!rn.. rs E1lrrrl hy S&r n, l7(D., tlE <br />mrEnq$n 0slrmr i5.. .,n F,l.y n <br />s L \o\I <br />P,nE) NumtEr . <br />l..d'lyrh.r 'nilr Fr,oml.orrhc wor* lr $hf,hihr F mn tr r{'ri.l sh.U nn .ny Frq)n ,n .ny maner <br />v, .! t, t<arnE uhr.r lolh.*, c loqrns.r$n l.* or Cd(om,r, 1rl rfN I <br />work.r\, (omocn\lronp$vrion\ I S.u[]n l?i)0tr, <br />WA|NING Fllur. t' {tur w,akc^ onllxh\rrx <br />!Nrl l'fts ut r, dx hundr.d rh{qnd dolLri r1l('y.r tr ffirl FMlrs and <br />S.(rrm mT6.rthclxhra,rL,nt.'.{rnldt <br />I lrrcty !lir6 urLi F. ry ol Frtrrr rhd I u lNnEl udr.r F,vtrDn ol ClIp.q 9(.oljrarg wnh S(rrr r00()) olDrvnbn l <br />ol rh. EuiEl! .d PDr6sirtr! CuL. !n my lI.nE ! r tull rr,^! .d.rrNr <br />,.**"rr.r rV/t0 w <br />Ih.R.hy r,ltnurlrr Fn!!yol l^-rrtrryrhrr rhcrc N rron(ruli[n Ln([n8 rB.Ny lffrh. Irrl..manr. o, rh. w k itr whLhrhN Fnnn r <br />Asnl (S.c.:l(1r7. (iv (') <br />AfIIICANLDECII8AIIIA <br />I h.,.t'y.Rim u lcr p.n.h y or Fqury oE ol llE nnhu r! &rl,r.r Dnr: <br />ttfr,lrrn P.rmne^rtEqo! Ndfk.!r,n FoLr.l Rqulrrnn! (Iakil{), Pd6) <br />R.qufr{ 1. .. dl flrfurbn <br />I (.n,I ihr rh.l.rl.'Jlr.!trlnn, \ ^'grJr! r\lr{!\r.nrrrlr'. Nr,'t)df,$h tr) rh^ tmr'.l <br />_l..nrryrhr l hrrc E.J rh!.vc rnrmirr Lr .1rlBr I {r .i, @nxny w.n i <br />,, mLr! ral Srdc lr*\he.$y.urhtrrtErr.r .rrsslrhBCr,r,rl <br />Ttrrh'v. mnt Ed an,Fdy ntr vtt <br />BUILDING. INSPECTOR RECORD <br />ID/SIG. <br />T-Bar <br />Flood Zone Certil. <br />'J,4td <br />FINAL