SITE.WORK ID/SIG.COMMENTS owNEtt BU l)I]R trEl,Ca|.AT|ON
<br />I h.ftby allirm lnld p.n<y of Fqury tlul I m .x.n+t fiw rh. ( unksioB LilM lrs for rh.,ollorin3 E!5n (Sa?oll.t
<br />Bune]i lid ft.lisiin C.i.l: any C y or Crunv vhkn r.qliB . Foi r. o.cd. rlrs. iqroE. &m koi E?drt
<br />rtls.-.rcFurons 6drc. rko RIrftr rrE +?lrd for s.h Fm, b 6l L rqEd rrfr lhrlEdarnlrwl plrrd
<br />r. rh. nmvirioni ofiE C.nkrcrtri l-tcrrd lr* lchrtr.r 9, c.mftEin! unh sern. Tlrrl ol l)ivnk'n I 6l rh. a8i*s .id
<br />Prlf.silN CruL) fr Lhri ,r q slE i! .i.tr+ rlE .fron rdt rtt hsit l* rtl rlk8.n .r.nvi,n Ary rDhrioD ol Sdirn 7031.5 by.n,
<br />.lrlr. for!Fmi{bFr. E rp?licr ro r o\ il p.Nty oa mr mE rha liv. hddEl (trlls! lttfrr
<br />L $ owEr of rrE lxtrFdy. d my .mpby.., *i$ wi3.. $ rh.k sk mnlEndhn, will d. rlE w(t r.d d. \lndue n mr
<br />irRlal or oit nd fe .L (Sd.70.t, BBiE. .nd Pllf.liro Car., Tlr Cdslr r tiae b* .16 d .pd, h d ovE ol
<br />rtr F{F, elD hiar n inFE d@ td srD dG xr} Et hrlelf d t,elf or rtmuth tn d ts om.rplorar
<br />pr.rd.n rhl rxh inpr.Eftdrcd i .flLd nof.r.d ki rL.Il t r.E tlr b{iBq q inF*cd isst! withd rs
<br />oa$n{Lrii\ rrE or@ Builla wiU hrE (h. b{nLn or Frvir,, (ht h. or dE dij d bui! or i^iFk i}E pmpdty lo. tlE porr!€ ot
<br />_t. B ow, o, rlE Fop.ny, n.rcluriv.ly rndEdin8 vth lic.nsd Mrebu k, !-nqMr [E Fj.d (Se. 7041, BGiEs
<br />ul hDtsi$ Cod., Ttu Codturor'r Lien* b* dcr ntr +rly b u owkr of pmFny wh. tdild' or impmv{ rhfftr
<br />.nd wln ddmr &, {.h F$FL vnh . C.dd.(r} lnBn lir1d ro rlE Cdrs.rt tirB ue,
<br />I on.rn$ trtuler S.cr
<br />w()Rxr ts' c()it!,asA'rx tN
<br />DDIIASAIII]T.lrh. lalh*uB'k.b.rri('
<br />nrroS.lrJnruE n, r,rl.^ (nii .i llrrd.l for ht Saritr l7m ol ilE
<br />ld *hrhrh. Flnnr u 5tu
<br />rin l7m .l rlr fa6or ( .xL, tor rh. If l,Ie.*... of
<br />dih rhn D.mr D 6e!, I dEU d .npby ey Fo. in iy .]w
<br />ih l*r nfc.ht nr. ,{ .gr rhr if I Jnuld h..om strd to rh.
<br />ul th. Ilh, Cc{., I shdl. tonhwnh loi{,ly sirh rho- nruvilons
<br />nn 6kn3. ir unhutuL .flj {ull .uhF( e.r{'L,}tr io gihinrl lprli! rd
<br />d6lle (tlmd[). in .dd.im ro rtE 6d of @rFu.rio( d.mls ! Fovn.d ta tlE
<br />Ltt!i$g]_(j)sltr!J!28
<br />ltll],AlallQL
<br />p.dhy.ltErjorvrhd l rn licctr*d u.rlcr F)vhb.or CluflLr 9(c.'nmkiiS *ih S(ir.7(Xt.l l)i\rri J
<br />11 !d PDLi.EN C&1.. rrl my lt.nE ir s tu n,c .^1 .ffd
<br />CAITIBTqIIONIIIDIdCIGTICT
<br />t iftb, .trm uid.r FBIy o, Firy rL ttE! ! . (ldeD lfltt rlwy ,., rlE Ff'm ol tlr wt fo. rfr $ir Foi i
<br />i$xd (sd lrr?, civ c)
<br />AITLTCIdLDECIAB6IIO!
<br />I hddv rtrm !i&r D.Ely or o..uy oE oa lh. lolbaha d..Lnrur
<br />D.nDl(onP.m !tuh.(o! Ndili. Dn F.d.rrl R.3oUrur {Tnl. aO, PM6)
<br />-R.qucn
<br />l.{.ro, Mtlflrbn
<br />I.dIyrrLr rhcL'l.tulrcsuL ntr'\ r.srtl'n* r\hcJosr.nnvil . rtri lnph.Jhl. h rlil l)n,F!r.
<br />_l Ldif, l6a I U* Erl rlnr lppltdidn rn dd. L6.t ih. .e!r ina(fuim i cmi I llr lo @n l, *rl .ll Cly rnl Ced,
<br />dJnur.r .rj Sd. t5*! EtuB ro tu'ldiD! cod !rir( rd lEEt, t(rh.ir FFlddiB of tht Cn, an Counr, ro dd qm rh
<br />rtr,!. tuniion.d p6p.ny tu idp.di.n Dlrrmt
<br />Forms/Steeli Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Sublloor/VenUlnsulation
<br />Roof Sheathino
<br />Shear Wall
<br />Framinq
<br />lnsulation/Enerqy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.a\
<br />Deputy Final Report
<br />Enoineer Final Report
<br />Flood Zone Certif.
<br />Certilicate of Occupancy
<br />Notes Remarks
<br />I
<br />Hev. 08-0/-2015
<br />BUILDING. INSPECTOR RECORD
<br />DATE
<br />(-drrrlo..-
<br />AprJr or^rotslrulc,- Oil. -
<br />r.nnxt. nanriprlnll:
<br />Set Backs
<br />FINAL
<br />Etc.
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