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SITE-WORK DATE ID/SIG.COMMENTS owN&t BUUl)tR t tit.c^ taTtoN
<br />I lEby !flirm un!.! Fml.y ol Friury thd I D .r.n[r tDm rll comsrots lirM t w ld rh. lollowinr EBn (se,70] r.5
<br />Buitus .i EdlBhtr Cqk): Any City or CNdy shkh ElliEr r F i to oniM, rlrs. inproE. d.mli.l GFir uf'
<br />nrBlE rt toi! ''l.e-.&r BquBrlr 9[.d ii{ rhFri b 6b r riSrEd rllld ila ltdrlE i taE d Fnld
<br />io th. p.nvlift ., irE cmhrd r litn d t r rOuF6 9, CotrwEinr yih Sdb. ?([l oa Divnion I or ltl auir rd
<br />PDldrtod Cdll n Od lE d rlE ir .r.r4r .l'a!non rn rE t.ii fq E .ll lrl.k+d Any vbLrb! olsdih 7011 5 b, Ey
<br />!n ligirrrr!Fm Nbr.B tn .ppl(!.r b . dr rl n Mhy ol mr mft rhrn lrv. huid,td iloll.r ltrmr.
<br />Y W "- * *,* **"y. d my. rhF6 wnh q{.r r,itr sk one.d6. *n ird irr *(r rn,," n*c i d
<br />iddrLl r oitaEr fd rb (S- ?lX,{, BBilB .rd PrDtrnm Cdr.: Th. Cddat Lite b} dG d .eplr ro u off or
<br />rlE Ftoary }tb hliliL d lirrE rlEla !d rlb drE rirt k i hilrf q rEEr 6 $.nah b! c ha oh.t4bJ.q
<br />prnvd.il thd Mh n+m€tla& d lr.dddErd k !l l, b.rtE, {r hiildi! (.rlic,@ !r nld,lLc,a
<br />o,cqlPldi\ tn OsE But& eil hE Ir hnh ol Flrila rL lE n tE dil d hiu r inp.oE tlE FbFr, ltr rlE Frpor o{
<br />-1,
<br />s .vEr or rlE F.rsiy, D .! lutiv.ly coddrB ulh lr.tr d codEr6 r. @n{tud rtE Ford (S- ?O4a. E6iEs
<br />nrl AoGsinCod. T}t Coddoa! LirE Lr* d- d .r?ly t. u.vB oaFoFny eho brrlh d lrp$wt rh.lq[
<br />.nd $th oddr fd r(h F Fi. rth r CodEt(, lr.Ed FlM k, 'tl Codr-d! Litr Lr)
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<br />PECIdIAIIIII
<br />I tRby .rtum u.d.r FMIy of C6r,rt oE .f 0! nrll)rst .tcbdn6
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<br />h.v. !n vrll ridrb. Cdrar{. ofcoM.r ro SdtlN fr *brl6 on!.diri\ .i Fnvid.d ior bt Sds l7m of rlE
<br />t ho. cod., rd rh. IsrollrIN 6r rtl eorl tq whit rll pcf,ir i6 i$u.d
<br />_lh.w.rrls llfutitrE .n $n{.6ri,n inrun ..B 'EtuiEd t} S6.ir l7m ofrl! bb.rcod.,,or tll FtrllI:E of
<br />.tr wt ftr rhEh rh! p.rd 6 irEI Mt rEl6 onTo.lhn lNra: qit ,.d p.lx, ur*. G:
<br />Polh, Numh.r
<br />-!lpt.x
<br />.1f,{A,rr,* .,* r..r** orirr vorr rr *hth rhn Fd n sr*rr. r rrdr d.rrb, dy Fi, 6 d, ffi
<br />s r b llor ottd o rlE srtn otrp.M.. L*i 6rc.hfmi.. .tld .rE rhr ir I irnlb b.or $ird to tll
<br />eo a @np.dm pDvslB ofs-lbi l7@of rll bhd CdL, I 'lrll fdhrlh r!rd! *nh irEi porirfr.
<br />WAIIIINC: F.jhE ro @ k t u o.+.dnn oh!. i! unll*tu|. rnd s,,.n $iFd d .npbF, b ou!.ri pa.ri6 d
<br />ciil fifts ut h oE hunird rhouflnd dolllA (tllxr,(xxr.
<br />'n ",,,,ir - v .d .,.yr^,,'on. ,i,rusr\ ^ n.!'d.d ,ff ,h.
<br />(?-r^-^(L-r^ As..hn 1076 0rrh.,ihn if,r.r.{ JruorEy \ 1..\
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<br />u$:5r!!-Qrrx.lrn1B
<br />t,lt;tl.4a4llQl
<br />I h.(by .m.m u,,&r pcrty oI Frjury rhd I d li!.r.d !.!d.r F!li,h. .I clq{d 9 (smmxi.t qih Sdir 7(](x)) .f Divirhi I
<br />of rh. Burm.r [d Pbfcsioo Cod., .nd to] lt.n* it D tull for ur .fi.rr.
<br />lhr.
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<br />corlrxlor
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<br />CONSTXUCTION LFIIDING AGENCY
<br />I lEEby .fm un&r Fdl, o, Fi!, rh, nEr n . LrdMin Loiiq u*y fo lE palorrc of rlE *qt 6r ahah .hit FBi il
<br />bo.d rse. 1097, civ c.)
<br />AIIIITAELDECIdSAIIA!
<br />I holby.rfm unld Fmly of Firy m ol
<br />'tE
<br />blbe., d..L..r5G:
<br />D.Dlirbi P.dirs^th.irc tlcifdir Fds R.ruLrin (TiL,{), Pd6)
<br />-Rquirsl
<br />t rr.r oaNo0nnih
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<br />cdify rhd rlE f.d.6l rqlbin,ni Eslrding a!h.{or r.m)val 3E frn qDliahL ro ihi! pmlai
<br />v. infotuio n lffi. ! .tE ro !-f,ply vih .[ Ca t !d C@d,
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<br />.utnE EFrdrrE. ollh! Ciy ltn Courry ro .rq.uro. rlt
<br />Set Backs
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathinq 4lHtP frr'aut<d-ott)
<br />Shear Wall (l I
<br />Framinq
<br />lnsulation/Eneroy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Ivlasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Enoineer Final Report
<br />Flood Zone Certif
<br />,/-\
<br />FINAL 58'4n /LC r;'/hQ, / Z7
<br />Certilicate of Occupancy
<br />Notes, Remarks, Etc.
<br />Rev.08-07-2015
<br />BUILDING. INSPECTOR RECORD
<br />Forms/Steel/Holdowns
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