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SITE.WORK ID/SIG.COMMENTS owNat lutLDei DELcAn Tt)N
<br />I h.r.hy rrrm undd Fmty ol Frp.y rhi I m.r.!r{ fmm rh. Codfflou LirnE ll* lor rh. fulktutra Rrtn (s...r031.J
<br />Burirc3t rd Pof.$i'n Cnd.) An, Ciry or O{dy shth Equn.r r Fdr ro oncM. rta. iqmvc. d.mlnh.r Ep.n ut
<br />{Muc ri,ro irr arm. rls Equfts rrE.a?lk..r r tEh Fd ro fil r riSEd .rdm rh.r lr or {E ir lk.rd polrld
<br />r.
<br />'h. It,lnionr ur rl, Cnnttu.n* r Lk.ncd Ir! lchstrd 9, com.minS wirh Selion ?(f,x) o{ Divtion I nr rht Bu{ifts mn
<br />PDrcss-,trtCd.)urlBrlrurh.iscr.q lh.rcftom rln rlr 1!<i ,or rt rlL,.d.kqrbn Anyrhhhnolsdi..T0Sl5tyhy
<br />rpplicdr r(n ' ltrdn suhjirt rrE .pplkrnr ro ! .ivil t.Erry or ft mr
<br />'hrn
<br />firc hundr.n dollsti!51x,)
<br />-1.
<br />.. (DE ol rrE FoFny, c my ."t,br.- qnh $+.. a. rlE, $k on+.B.rion. $I &r lli Et rd rrE rlfu i! d
<br />inrcdd .r offcrd ror sL lse.7044, AoiElr ond Pmfcriotrs Codc: m. Co.ri!.kr\ l-tcn{ lr* &Er mt q'dy lo .n o*rcr of
<br />rlE F,Id! wlb hilk d Li!ftB rtfrn. rn sb &.r *n n* himrlf or lEmlf o. rhmulh hi. d h.r o'n.iI,hys.
<br />roriLd rh.i uh inFffi,rr E d i .nd.n r oiEcl fti qh lt brtE, ilE lniBng c i,{ftwrEd b rld *ithi. * F-
<br />of.oq,trion. rlE Oumt Buildd *ill h.k rt bud.n of rmvfis rhd h. or nE dil hr hild or iqhE dx FDtEly ru'lrF rnsol
<br />_ L ar otr mr nf rh. pnltny. ur crcln\ilcly .onkrc! i'rs *ir h liNneJ cortek,F t, . .\tM rlE lrorn rS( 7{}44- Burimr{
<br />rtn kft.tm ('(xL Th. Co.r{oii Lkcnc u* dEr ft{.mlvro rno$Er ol n'oEny eb trilds o. inpnrF. rh.ron.
<br />rnd lho fl,ni.lcrs ld luch rmj.dr eirh . C.dtu !.n! ) 1i...\cd nu^tunr to rh. Conk&1oa. l-arnc us )
<br />I afl.rrmfl udlr Sdlkrn
<br />lhl. OrEr
<br />tt orx r-ls' colliPrNsATft rN
<br />DEqut6.u!I!
<br />I h.r.by .lfiim undc. IE lry of Fru.y.rc ol li. lnbl nS dcll'r irn\
<br />I h.v. rd will mi.rrin . C.nifr.l. of Co.*nt lo Sclr- l.suE lm *ort(r comrEtr{ri'n, r\ tmliltd foJ by Sdirn l?(x) ol llE
<br />rnh. (dk. rd rh Frflm of rlr m fr rtth rh. Fmn 6 i$Ed
<br />I h.\. anl I'ill nErnrar rorlcrr con{!n\.r i{,n nFurr'.c. !\ r.ltund h\ SNr i({ :l7l t, nf rh. Irhor (-,xlc. i, rhc Flolmrr oI
<br />(h.rorrn trhr\rhrtEnnr ri ({En ltJrdl6 ({nFnqrrinn\u,rmt rn anlF,lr't numtfldr
<br />,.,", .L{re.r doQ- iy1}!/o(Jt. >eroi(,o)
<br />,.,,,.,^,,,,*, L,I.(0e!'29t([o699,.".. !r(?A]zozs
<br />l.cniii rhnr i'r rh.Il.rlormmcof lhc rolt fttr shi.hrhis p.n.n i\ N\ucd.l $!llnor colllhy!tryF^on in trnym0nftr
<br />e, !!r.lr$m{hr brlEw(trt6 onnFNrliD la$i rf Crlit,mii. rrl r!n. rhrr ifI \h.uld h..om rul'Fl rolrr
<br />*.rk6\' .oqxn{rin I,.\ i.iotr\ ol SN i'n .17(r I oa rh. l,k, (iiL- I sn ll. im hr trh ()mfl! $ [h tlsc po$t'nr
<br />WARNIN(i Frilurc r. srurc wurk is .o lncn\ i()n.nv.nse 'r unhwlul !n $Jll \uhFr on cmrL)Fr r. $mmrlFMIi: und
<br />eisrl li..r !t' k, or hlnlr.rl rh,uqrn doll-s rJlfi).lxx)r. in dtllri)n r' rL .o{ ol crn{F.srn , (,lm8c\ r\ ,!nil.i nr rtr
<br />Sd1'on t( 176 .f rh. l:h. ( n1.. mtce{ md .(orByi f(.
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<br />".;?;i;A ;*-msdk oqrteors/l
<br />oEctttarl(N
<br />Ih.rch)altunuftlrpcBlitolFrurrrh,rIrn,liNnailu.rFnni{or(lBtrd9l. nrEftrn3 $[t Ssii,n 7(il, of D'i^i,n ]
<br />!,r rhc llh r\\ rtr(l l\.n\\i,r\(ixlc. tr'rl nry l'(n\r \ ir lull l,r.r rnltollorr
<br />.", . .g
<br />^*.b( 5( g qlsql{u(-orP,,,,,,.,,.,,,. * fgC.,
<br />CJrlIltrf,!]IJII]!.I.EUIIllG.A{iElqI
<br />I h.El,y.mrm urls FEliy or ltrr ry rhlr r,rE n r..nntulbn bndin, !8.my ror lh. p.rfommc ofrhc *6r ror ehi.hrhn Fnil i{
<br />isEd (sc 1097. civ c )
<br />Irndd i N.n.
<br />AITLII;ABLIIESIJSAIIO!
<br />I hcrlry ulrm undcr ncnahy ol Icriury ot of rh. rolL*i.! d6hr ionr:
<br />D.mlirbn P.rm!tuLror Ndifx.li tucr.l RcEUh iDs l Tnk .l{). Pd6r
<br />-RcquBri
<br />t ll..of Nniturlbn
<br />&K
<br />ilyrhrrrh(iql.rrlr.!!lnrn\r.!tr rpr\h((o cikrrlm. i n|,rll(nhk t, rhtr Pl'lt\I
<br />rhr I hov. rc.d rht applarl io. .ud ncrc lhal rlE .lnrr infod'ii ii.r ft1 I .8R h tnr{ y *nh rll Cdy lnd C.un',
<br />trd Srur.Ii$!EL inr n' huilljinr.ri'n. nl ic(hyorhtrirc rc|,crnkriv.s .l lhn Ciryud Co"nry k, cnin uB)n rh.
<br />rtrrr nf,trrxnrtl nn'Itn) n, !i$rrr,n
<br />ADpllcrnt or A*.nt slsMtun F
<br />U*-r*.-*,rnr,,F (a (.(U.eO.rOtn
<br />Set Backs
<br />Formsi Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Sublloor/VenVlnsulation
<br />Roof Shealhing
<br />Shear Wall
<br />Framing
<br />lnsu lation/E nerg y
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Beport
<br />Engineer Final Report
<br />Flood Zone Certif
<br />/^
<br />FINAL (_2t_J,,hldl'16
<br />Certificate of Occupancy vv
<br />Notes, Bemarks, Etc
<br />BUILDING- INSPECTOR RECORD
<br />DATE
<br />,,,,",8f/'6l l"t
<br />I
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