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SITE-WORK DATE IDiSIG.COMMENTS <br />Set Backs <br />Forms/Steel/Holdowns <br />Erection Pads <br />UFEB Ground <br />SLAB Floor <br />Sublloor/VenVlnsulation <br />Roof Sheathing <br />Shear Wall <br />Framing <br />lnsu lation/ Energ y <br />Drywall <br />Ext./lnt. Lath <br />Brown Coat <br />Masonry <br />Pool Fence <br />T-Bar <br />Handicap Req <br />Deputy Final Report <br />Engineer Final Report <br />Flocd Zone Certif-fefrtS to. f 'b7o or4a val <br />U <br />to.5.2{a Dfuias f>L. <br />Certiticate ot Occupancy <br />Rema Et ./ l/e7.,///4AXZ FH/./t toY <br />-ltr/Zt//n lirstrcdau9 ,zl{L7.? /da <br />L. <br />1lo&. <br />BUILDING. INSPECTOR RECORD <br />OWNER BUII,DER DEI,(i{RATION <br />I tIrchy rltun uBhr IEM!y ol IErJur,v lh, I 6 .(c'rpr lnm rlr CbdaloF Latnc L.w'ror ilE LllowmS Esr (Sa 70.1 I 5 <br />BunE$ .nl Pn,t snn C,rj.,: Ant C y or (i'xnr, whrh Equr.l r Ftu n, .r'n(to.r, rlro, 't{h,Q. &dnsh or ttti , <br />{rudu., rmr rr ir\ !\xrtu.. 1lg! r.qurc! !h. {Tlr&r tu !u.h Fmr nr fik ! rSrd nrkmnl rhlr ,* or rtt ! Lcned Puruur <br />ro rh. Frvs$nr o, rtr Conbxroa. Lf,.n€n l:w (Ch.f.r 9, (i,llwBE8 * h Serr. 7(,(10 ol ONnp. .l ol tlf, Auim( .nJ <br />Pr,r.$nnr C,xL) or rhlt hc .r rtE i\ cr.n{ rrmrn,m.nti rtt b.!t nxrh. rlkS.d.\.qrnn Ary rhhrrin of Sel nn ?0.1I tbr{y <br />rnplMnr ttrt rm'r (bFh rh. rltlunr h rdvrFndryolNrmrrh,n fiv. hunlEt dolE (1100) <br />-1,.\ohr <br />l rh. F'Fny. ,tr my cr{,loFr * h*r8.\!! rlxr ri....r{qqr.[ * &, rlr h* rn ih. surE n , <br />i .rk! or ofi.rcJ li,r rlk r Se.7044. Bunmn rn! Pnntsk'nr Crk: Iht Cl,nr(ttr'. t.n B L.* d)c\ n{ .rrly h o .wn.r df <br />rh. Flrny *h' tu 11 or Etn)81rlEEn rn *ho d- qh Hrt hmrll or h.'YIl nr rln{8h hs ,f, lr. oq cn+t t..r' <br />pn,vdo, rhai su.h mfn'\tmdi G nn otfrL{ r ollcrql ntr qk ll, howcE rlE b! rlna M,nlmEmd t 5U wnhm on. Fd <br />oi (r*Slrm rll Oprr 8u'rll sd] h.r llr hhLtr ol !.utuu rhr lx * {x dn d txdl q DIEE tr F{dy tu rlr FIFE ot <br />t. a1.wr.l rh. nnrFny. am.\.htrncly(odtt.rD! h lNnr,l cod'&roF(,..n<ur rh. I'1|1r (S...7O+4, Au\tr( <br />3r Pnn6\Dn Cql.: lheCoirBtn s l-'(.h( lrwd'$ ntr !Ppl) t' $(en.rol pnJFayrho t'urU\o mln,v.r th.r..n. <br />rnJ $xr (dfr!\ t, .kh Flr.( *!h 1(i)dturo(\r lr.nkd nlnMr r' llr G'tu{t* ! La..t rr*) <br />l,nc\.mfl unl, S..ri)n <br />woRxFRs' cof, IPE{saTloN <br />DECIdEAIIO! <br />l,Erb!.rn m un&r lxn.hy ofF r!4 om oa rh. tolLrrry Jelrnrk'..: <br />-Inr\rlrl*,llrdinr(cnrl.rcolConr <br />nrScrln rt n. qtt(r d'qtnd $n. rt FrvrLd ltn I'y Sdinn t7i$ ol rh. <br />LltxtrOrh, ntr rh. r.rlomn(c ol lhc*.ft tu,hirh rhcFm tr tr\u.J <br />-l <br />ha!. .nd wrll m.Bram ,orkcF' $nlxfi.rr)n 6\!tumc, !! rcquEtl 6y Ss.'rx,n :r7(Xr of rh. t htr C,il.. f,r rh. IF.r,'t]]lec of <br />rrE *rt nn *hrh rh! Fmn B !!url My worlcB' .ntIEn{.tir Ntrr. tr.r.,n Plry nunt'.r e: <br />c.*,. b Aae,;^".' i,)Jt, <br />P"lEy NumrEifuLrp^.: l <br />I (.nrlyilu lnrhc pcrlorun..,'l ih. *ork l(tr wh'rhrhA Nrnnr r ruJ.I rhrll norc.llno y any pcr.tr r rhy m{nn.r <br />a' r b h.€r rll'F o ilr qrrtcr, Lnn{EneiDn L*r ol Crl'i,mu. .nl +N rtd i I tbu$ b.rom $brtl io rrE <br />vnis .oolf,nr.r ('n pn,vronr or Sdl tr|n lr0o ol rh. ljh, Gxl.. l sh.ll. ftfihw hondyw t' rh)c PnrvNmn\ <br />wAlNtNG: F. uE n, euc knlcn' L1D{xngri,i ($wnsc s u.hutul. arn lllall .uhi.u o 6Phrq b cIrt1ml rfll:t rn <br />erv'l lii.i uF t, om hu rd ll$uuti Joll6 t!100,{X}r, rn ,.ldii,n nr rlE.or ol comFnqtron, tl.d8.r rs rn'arial ltn rrE <br />Scrin 1076trl rh. blu Or!.. d.r.{ r,ri dt,my's f{r.>LLla-nt -l <br />I h.rh!rlltrmu .r lrtulnoi Jrrlurrrhd I an lkrnqrl <br />ol rhc hNn s{J lh'l.$('ns (i c.!dnr}lr.n\.N <br />orohftdin8 *!h S(rDn](t)) ol DiYrrn 1 <br />n7)71LI-(.nn Numh.r <br />h,'rln IPlIJ <br />I h.Eby.lltmu lcr rEmhyoi ltrtury rh rh.s h r.unul <br />riEd rs.c.11rrr. Crv. C.l <br />n, rlc F-rfttrauE--. !', rh. ro,k lo, shtrh rhtr F.m '\ <br />APPLIC NT Df (:LAITATION <br />I tnnv i im uBLr F nalr y .l p.rrury "tr of rlE lolh,*F3 Lkabd (rr: <br />D(mr[!'n P.rn(s^rh.sr Norrr'[rx,n F.d.hl Rc3lLtonr 1T 1.,10, l'd6) <br />R.qtrrcd l. .rol flr'tu2r$ <br />-l <br />.d lly rhr rlE f.tLr.l EluLr Dn\ N!dm! r*r{d! EBrv.l e dn rlDlirblc (, rhlr FFI <br />Zl (cnrlyrhr l hrkfulrhtr rn h.rrn.[r {.r. rhi rhc rhrv. dnituDr !.'mr I rsc t, s,rfly eih .ll Cry &l coudv <br />or{DrEcs lnJ Sr . Lrws EIrhr lo n!ihr! connfl.k)tr ort h.rcby Nlhtruc El'r.r.nrrxvct of lhr Ctry.nd Cox tro..truF,ndE <br />.t$E mnlr)E, IroFny li, urFli,n pulF'tl <br />ADpli.enl o. A*.nt Sirului ')lllu-r.l <br />FINAL <br />at" /c4{____r___-