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SITE.WORK DATE ID/SIG.COMMENTS Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor Subfloor/VenUl nsulation Roof Sheathing Shear Wall Framing lnsulation/Energy Drylvall Ext./lnt. Lath Brown Coat Masonry Pool Fence T-Bar Handicap Req Deputy Final Report Engineer Final Report Flood Zone Certif W1t't*tdFINALAl.tlh n '2> ) Certificate of Occupancy-al -:=- Notes, Remarks, Etc -1, 6 Nr of rlr FoFry. or iy dploFd trnh s.36 a rhct sL on{Edi,n. *ill .b tlr qct .n dE nrrlc a El idqrLd or o66!d aor $h (Sa.?044. BuilB Md PNfdioE Co&: Tn ( onrDcrd! Lac* l,q' &€ er @ly t' M o$E of rh. FoFty uno hril& or iEFE thq6o ad who &E $ch wn ha!.lf or h@lf or ihmugh nn or fi6 oM ml,loy6, FoviLd rnd sh inFllffi E d iddi.d r olH itr rt lf. l$-s, tlE t! dry r lsocer i! 5ld w.hin N t- of @plilr $c O$B A1ild- ril h.F tlE hlna of FrilB d! lE, JE di.l d hild d urqrw dE FoFty 6. E Frpo,.of L s o{ffi 6lrh. FrFty. u dchBn.b comert uth lrdsdj onrxroB to o'rldrd llr Foj.d {sd. 7olt, ltllB rai ftllsh Co&: 'In. conrdol! L{a. kw dB mr.p'lt ro x o$E of FoFry *ho bsil& or inprcr6 lhEon, .nd who cof,rrdct for ruch F!ja*wnh ! Coir6clo(s) lic6!.d puB@r ro rh. Conlhdoir Li.ru lrw) -l e.rdpr ur& Sdirn-, B. & P C fo.rh..en Drl. O*o.r: woru(r'Ls.coMPEltaartoN PES4TAITO! I hdcby lInm unila poanyofpojuryon. rfln. follo$in8 ddld iod -l hrE.d $ill mi!l.i! ! Cd'fsr. olcoGd b Sdt-lBr. fq wt6r @n9.er6l\ d Fordq, for b, s<rirn l7m olrlE l,tor Co<k lor th. FfollrllG of $c e* fq rtah lhc p?on i, ied -l h.v. ..d *ill o.inrrin wortd conp.Mlio. iNurffi.. s ..qun d b S6riu 1700 of ! kbor ('.rr., for fi. Ffolrffi. of rh. mrt f.r *hih lhir Fnir ir iqr.d. My !grd' onpduiion iM! @ra .d Flt, .udhd c: -l .orify lhrl iD lh. F.folr]ec of 0E *orl aor whth lni! Ftn n i$!d. I Jdl mr drFloy Dy F$n i! &' lll.te h - io banE sqGl b rlE wrl6'onFsbn Lr. of Cdifoml rrl er rhi if ! ,bull bcoE ol,i{ ro rlE wo 6's,rFEslionpmvi3t'6ofsaliorlT0Oof$cLs&tr(o(klJtll.fdhwih@mpllwnhdrrFlviriou W ANINC F.il@ ro s@ *0116' onp.Mion .ovs.g. i! mbwful dd ilEll eubjcd u dploF lo siniml poEtit Md .ivil fD6 up 16 oE h!flld rllos&d &116 (tl0o.0o0). in .ddnb! ro rh. co, .f.o6FN.rio( d!r.96 6 Fovir.d tor llE Sdi'. 1076 otdE t E Code nEtn !d.ndry . f6. LlctdslLgrBraacraa DrI:IJSAI]A! t h@by .mnn und6 ,.elry of psjury lhil I m li6<l @dd Fovi5ion .r ChaFa 0 (.oMrin8 wnh S.dion 7(xlo) of Divnion l of th.lt6ins dd PrcfsioB Co&. ,'d my lag& B in tull tore rtt.lTrl colsrBllglo!.tllrtlE-acEdc! I hqlby ilfm $d.r Funr- of Fjur,0tn ds! i!. o6lru.iDi lcdin3 .gd, for tlr Ffoffi. of E s.t b. *tth lhi Fni . iuu.d (Sd 109?. Civ. C.) ATIUCAtrLDECIJIAIIAI I ho4,Ifmu!& pdlhy olpdjuryoft olrhc follo*rs d*lE hm: Dqnol Fn Pmtu-Albdo! \lcrrfic.r,on l'.da.lRquLlEB ( l''rk 40, Pd6l -R.!uncd L.rl6 ol I\,loriftdirn -l csl it ild lh. Lds.l rquhlioE r.*rding d E mr !0plkibh to rhis F.r.d l.dify rhar I har. r.!d rhn atpli.dion md infonndid iscotrc.1.I asra lo.onply w hrll(-ily8nd(ounry oidmdmB ed Stat. lrwr Elan* lo buildin*hd.try adtnr. GF.dar n 6 oalhlr C'ry ad Co@ry t' aiq uF. ttE dDE nB'b..d FrFry 6r i,Epalion arpll..nr or^sdrslr ur.# -P.rnne mnc tp.inr).ra=-/'l/L/o ,","'7-2b-/E BUILDING. INSPECTOR RECORD OwNER BUrU)ER DEl,( ARATION I bq.b, .md u'r6 r@ty of Fjuy lhr I s 6dnF to6 rtE cod,.crB l.r.M lrw tor rh. folhsiis i;o (sd ?03I 5 B6i!d .d Profdion CdL) Ary Cn, or Cod, *htfi r.qun6 ! Fnl lo olBrucl. .Xd. ir9rovc (brclah or Ep., er lrNclue Ditu to nr i$@cc. ito rquird rh. lpplkst for luch D.nnil lo fih a ilBi.d !tal@6r rlu hc or.lE i! licd.d plB$l ro rh. FDvnioE olrE Cotrrrrlq! LB[.d Lrw tCt4G 9. CoM*i$ wnh Sdhn 7000 otDivsbn ] oath. BGind rd PmrdilN Co&) rhr lE or rlE i doF rlEcfron rd rlE tB ror rL.llq.d ddqb. Any ti,hio. of Sdb. 701I tbruy irplicd for i pqan iubjdlr rh. dpplrol ro ! civil pqulry o t nor moG rh4 fiv. hu.tL.d .lolldr (1J00) ('Mi6 f- --T-----