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SITE.WOBK DATE ID/SIG.COMMENTS OWNET BUILDEX DDLCARATIOX
<br />I h.Eby lffrh uni.r Fnilly ol Frjury rh.l I hcr.trtlt liom rlE Codr..r6 Li.trE tr* for rlr folhrilr lgsn (Se7oll5
<br />BBik n Pnrt r.ir. Cod.) An, Cny or Gjly *hi.n '!qui6 . Fma b mrnn, .nd, anqn,E. &mlnh d .tFr ey
<br />{Mrce trii b ir L\ u...L rq!iE! rh. +pltd nn ruch Fmi ro lib. ri8i.d {c.ftm rhd lE or dE ir lk nid pEuru
<br />ro rrE Fovir.B or 0E Cfrrdq's Lirncl U* (clqxd 9. Conrmrog riih ki,n 7uD ol Div{k n I o, rlE Burifts ..d
<br />Pmfcsions Cod. ) or lhel lE or nE i! .r.npl llEdion rd llr brsk lor llE .lEt d .r.nplio. Ary thhlion ofs..ri,n 70ll5 h,ey
<br />+pla.d ior r Ftur qbr.{r. rlE rrtla.u kr . .itil Fohy of d mE rh,n nvc huinrn dol{s (lrm)
<br />-1.
<br />n o*Er olrlr FDtdy, d my.npl,Fr *nh r.!s a d.ir $lonFMior *iI &r tlt El.,n dE *tdw i El
<br />iddldcd d otLrd fd eh (56 70,lrl Busies lnd Phtcain6 Co&: T,l C6.dor'r LiEr tls .|.'d ml .pply lo r dEr or
<br />tlE FsFry Eho tdLl! d in+r$B E6trr,nwlE.16uhE hirulld lEBlf d tnreud hn n h.r own.rphy.6.
<br />Fdildl rhd.Eh n!.offie mt ii.id6ddoGtd ftrqL li lrffir,.lE taauir u4rovqd h.old dlrh(n Fr
<br />ofcotrpLliotr dE ovEr Buildd wil lrE dE hrd.r ol tmviry lrll rE or nr dn [r b'lill or lqnM llE pFrEly fd ltE I,u!F E or
<br />!. r!ow6 orlrt FFnr. m.r.briEly.ffiin! x.irh ltcn!.d sdd6 b oNr,ud rh. FIFI (S.. ?044. Atrim$
<br />'nd s 3rm Gnc Thc ConL-torr Liccn!. Lled6 hr +Ilyro doew oflroFny eho buiHi or impmwr th.r6n.
<br />.nd ulF Nnlrrls ftr uh ,llirrr *ith. C.nrrrrsie) littrEn rrlxsl ro rlE Cofixrolr Lt e trs)
<br />I !m.x.nDr unkr S(rbn .B &PC for thn n&q,n.
<br />D.l.: Om.r:
<br />roBf,s8ti-ct[4rEsA.uo!
<br />DECI AI I.iON
<br />I lEEby amm und.r Fdhy ol Frury om ol tlE fol}osing d..Lr.,io6:
<br />I hlw lid *ill minrlin . Ccniarc.l. ofc.nrnl b S.t Nuc lM worlda .onp.n,rlion. !r Imri(H lot by Sdlbr l7U0 of lh€
<br />l-.t!or Cdd.. fd rlE Fflre ot t E rqt fm s,ii:i tlE Fnir h L$Ed
<br />_lhrw.dl*illru.inlortriomFMlnniBunrc,aroNir.dt'yS{rhnl?(r)oarlEL,rxnC.dc,fdtltFrdn8col
<br />, *hihrhi! En n nrElrl-
<br />Slc.\e- c-'
<br />M, ,116 oitiNrion inoftc trir rn Fliy nnnt G
<br />naeansS.- \r^ Sr,(-Yrf" (--5. CZLLR,q
<br />_l cdiry rhd in rh. FrIo@Lr 6f rlr Nrt fd whth ihi Fnu ae i$'!d I irrl mr .qr,, m, Fmn i. ey ,ME
<br />s I lo h.dm $b]d to llE krtd onFtrdi,n lws ol Cniloni s,rl .gB thrl if I rhNU taor n FllolL*odsr s'ryrcnsrbn FDlisk n of S.crion ]100 ot rl* Lltrr Co<t, I $rll fonhwnh drd{ily wirh rtbe poviliou.
<br />w^tl![{G FrhE to .r& krt6 NnFerbn o6s. is lnL*tu! &l nd $bF dtp}'F b dini..l Fdi..d
<br />cMl fiNs ut rD oft hundEd rtF!$rd doll6 ($100.0@), in rddirhn lo 0E co{ or con+..$rion, d.m8.. r FoviLd for tlE
<br />sdrk,n 1,76 (:f rlE lrhn (in, inrcE{.d drmy r f6
<br />r"*,'1/2r.1L[ ^,,r,*,X /L( P
<br />LT('El\tqED CO\'TNAC-fi IR
<br />DECIIXAIIO!
<br />I H,y dfm urd.r FEhy ot Fiury rlll I .n liur.d u!'& Fotnbn of ctq'rd 9 tffih8 vth Sdi,. 7(m) of Davli(n l
<br />of rh. Bu.iEsr .nd PlDl.r.rn. CorL, !n my li..M i i. tull for .,n .lfe'.
<br />$- r-zq \-1
<br />al2atz-\ c-r*..X 4t
<br />colsrBucuodLEDac.AclNcr
<br />I rrrh, !,Iim unLt FEx, dr Friur, 'hr rlr b . clddirn rndrg .8fty r* tlE Frfm ol llE rat ft:r *hi{ lha Ffll i
<br />hkd (se. :1097. ci{. c.)
<br />AEI.IIANIDEOIAAIIII!
<br />I hd.tyamrntu lo ,.n8lrr.f Fju,, o't orrlf folhw'ng d.clahtk,n!.
<br />Dcnx,l io.Iltrmlr A{Enor Nd'aE!inn Fcdoll R.Bu!,irrnl(T k,lO, Pd6)
<br />-Rcquird
<br />llrrcr olNrifrdnn
<br />-l
<br />c.nify rnar rh. fcdcE I Erller iont qadin3 GlEnos rcflnvalre nn rppltrbL ro rhn nn,j.!t,/tlll (.nrf,
<br />'hd
<br />I hor rcrd rhn onpli.lti,'n 0,n {.!. rhi! (h.ohovc inrorrlion t c(m.r.l !3rE bo,qrlyvnndl Cn, md Couly
<br />6rliuN! ud Srtt. l:*s ELrila ro bdillin, .6nnati,ll rn hdby rdlbrir rFrddiB or lht Cny &d C.unty to 6rd uF. r"^HtffH:T_rutU"
<br />r..',rr.*re.rary! /@
<br />*,. -7/tc>(Zf
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Roof Sheathing ?->>-21 EBi.f tc
<br />Shear Wall azz-
<br />Framing
<br />lnsulationi Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />Handicap Beq
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />FINAL a-?<-Lt W.12
<br />Certilicate ol Occupancy
<br />Notes, Bemarks, Etc
<br />Rev.0B-07-2015
<br />BUILDING- INSPECTOR BECOED
<br />-e*,*,..
<br />7/ttt(zl
<br />Sublloor/VenUl nsulation
<br />T-Bar
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