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SITE-WOBK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulalion
<br />Roof Sheathing
<br />Shear Wall
<br />Framinq
<br />ln su lat ion/ Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Iv'lasonry
<br />Pool Fence
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Beport
<br />Flood Zone Certif
<br />Y2- SrQ*-ffi /0-/9-?Dc zt 7
<br />FINAL /o -/?.2)2o*u2 ..at3 u ?-1J
<br />Certif icate of Occupancy
<br />Notes, Remarks, Etc.
<br />OWNET BUILDET DEI-]CA R TION
<br />I hr.try 'iftrm unLr.r Fhllry df ltrlury thrt I M.rcmnr lilh rlE Conrh n lx.M lrv frtr th. foUoDnS E.rr (Se.lOJl.t
<br />BuM.$ .nl Prolcr\on c(rL) Ary C'ry or C{{ , wbrh rat!@r . Fd 'o
<br />t.dMr nrd. ,!lI'Nk. &d irh o rllr uy
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<br />Io lhc pmvi\i,ns ol th. O'nrr.rr,tr i LbnscJ Li* (Chdpr.r 9. O,n@turn8 *ith Seron ?ulo ol Divnbn I of rhc BliEs $d
<br />Prcr.sbnr Cql.) ( O:r lEdrlE s.r.'q{ rlE hm.,rlrlEt*kntrrlE.ll.3.,i.t nplrn An, vx'hrf,nolStr 701l.5bysy
<br />rptlMnr nn r n mr subF.lt rh. .pplun! ii r{rn l.tu[y ol no' mE rhrn livc hu t n d.Ie! (tJ00).
<br />l- .r ovEr ol rlE FoFny, r ny .rrtl'Fr wdh *rs.! a
<br />'h.E
<br />$L .onFnersn, * l (l| rlE wt rn it. rtrG E d
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<br />rlr Foldy wh, hd I! r uqroB rlE!,( un Eh,,!Er uh *)d hrnkll.r h.Ell oi irm,!!h hir 'r tE .*n cmdr,y..s.
<br />,ruvilal rh.r ehh n{mBds N B,r rrerqlqonqd nr eL l( lbw. tll h'!in8 d lqmEtEn ! g'll *rlu c rrr
<br />olNtr{,lcrrr, r,E O*B Bull{ft I hr{ tlr hrkn ol I'firvrS thrr h. or shc drl ('l huiu or iqrnr r.L !tutEty tu llE I'urF * dr
<br />_1. as or.cr ol rnc IJmFnr. m.rcluvv.ly (ntr&n8 wfh lrcnscd co r&t,r r{, .rn{tod rh. pn,r.!r (S.c 7(x4, Bustrs
<br />lrt E ks, GJ.: Th. Co.tru s Lf,cns Lip J.Es B .r,oly h & o*mr ol iroltny qlr' b!'lilr or mPbw! 'hdo..rnJ pho LurtuG lm rsh F)r1t *'lh . ConlB-'bn9 ll.ns,l NRu h rrE C,,nr.d, s Lic.t t *)
<br />_l rnckmt{ unld S(1N6 .B &l'C tttrrhirrrg,n
<br />.UaSEEIII:CqUIEUSAIQ!DECI, ITATION
<br />I kr.by r,ljrn unL, Fulry of F iury oB o, rlE ftnr,win8 d&l,rsr$nr:
<br />I havc. *nl Nitrlarn ! Ccn rl.trrc ol G,n*nr b Sclaln.uE f(* worl6' .nhJEn!.ri,n, $ I'rYd.J for h, FLri,n :l7tl) ol rh.
<br />ljhr c(nc.,,, rlr F fortuLc of rh. vMl I vhrhth.Fm !r$u.J.
<br />N9** ", -r,.,r". *o c^ $mFn,luon iBuhh.. .\ t qurc,t hy seron -r7m or rh. L.ho. !-orc. ktr rh. Frrom^-'c or
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<br />sr rrot-rE slhFl k,r,Ehlts Ln,tE.stbi l,w! orc.lrfirm(.,rj {r lh.r LfI {r'uu hda'E 6Frrorh.
<br />v!*trs comtEnsrkD pn'visEri ofSeli,n l7($ ofrnc Lrhn C{nc.I shall. Lnhwnh Nt{iy wnh lh'r FovirirN.
<br />WARNIN(;: F.luE lo su q 6 .r'tr{Ers.lir oE.s. r unhwtuL .rn snrl $6Fr o c,trLFr ro ml FrtB.rn
<br />rimr up to nE hunjrsl tk'uu,,l
<br />n lr?6 of th. Lrhn Cin.. inlcEnlDl\alzo
<br />,'lJ k n) rlf, ${ ol .(.n, d. x.s .r nn'vrr..l
<br />l|ECr {R Ttoti
<br />I h.nhy rlltrnu'khr ncn,lry ot FrNry ihrr I im l'(tn{d utrdcr F)vnun.l ( hlpr.r 9 (.onnrR'na * hS.dntr ?UX)) ol D,vnr.n:l
<br />o, rh. uunm$ rnJ PnnrskflrC,i,a. d, my lf,cn* s r n'll6^{ d.rnrr
<br />C \,c q1b)Sto
<br />.,. lo fazl-,V r vr vrt. sO\qr
<br />CONSTRI]C'TION LI'NDIN(: AGENL-Y
<br />I h.rcby rlt h u.& tIfihy ol FJury rh.r ltR s . coNuli,tr ldbs rs.d, rd rtE Frlol'l.E-*. t'l dE uxl fu *hrh lh! Ishr !
<br />k0lcir AJ.lr.sr:
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<br />_l cqrilythd rh.fcd..ilE8ulrrkrns rcluJir8 o c(or r.R,v!lE ftn rfitlrdtk rr lhn IntF.r.
<br />N-Ad!l,yrh.rIhlhEal'h!.pdr.rM,rln.t.rhdrrr.lr,8inrnmrhnE.mrIrrGioL{q,I,vtrh.llcdy.dcou,''ry dtrJ C,rnry I' cnrqr UFD rtr
<br />tc lt+lzc
<br />BUILDING- INSPECTOR RECORD
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />T-Bar
<br />h\u iSLa :1097 (\v C I
<br />Iandri! Nrnr
<br />AI?I,,ICANI.DECIJSAIIQ!
<br />I hst y dlim tBlcr F.eli, or Frjory ox or rh. nrkrwinr Jcbr.t $ns:
<br />D.Dlni,n Pcmk-Ash.*x Nolrr..lbn f6lt.l R.ruLri[ iI'rt,r0. Pd6,
<br />-R.quud
<br />L.rlcr of Mndidi,n
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