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COMMENTSSITE.WORK DATE IDiSIG. <br />Set Backs <br />Forms/Steel/Holdowns <br />Erection Pads <br />UFER Ground <br />SLAB Floor <br />Subf loor/VenUlnsulation <br />Rool Sheathinq <br />Shear Wall <br />Framing <br />ln s u lation/E nergy <br />Drywall <br />Ext./lnt. Lath <br />Brown Coat <br />Il4asonry <br />Pool Fence <br />T-Bar <br />Handicap Req. <br />Deputy Final Report <br />Engineer Final Report <br />6 ///r {.-1.144, <br />Certiticate ol Occu nc <br />Notes, Remarks, Elc <br />ow|tl:ll Btllt_D[I Df, t_('ARAT|ON <br />I h.Ehy sflnm ond$ ,rMlry of Frlry rhr I rD.x q lh'm rhc Co.rrlchva Li!.c lr$ t(tr rlt ft,lL*'n! ndv'n ls.<.?(rll I <br />ItrsiDr\\ md Pnrr.\ri,r Cdc): Atry (iry or Counry *hi(h ,lquncs ! JE n r t, 6.nn.r, dlr.r, mpmr, dcnnnrlh ,tr ,inatr rn, <br />{ru.lurc. If,ir hr ih n\u.rcc. rle rcttlncr rhr aflla nr tu' \u(h F nir i(' lil. s ngmd rl{.mnl lhll&or <hc n lic.$d ],ursu8.l <br />rr rlx fivisi(ri D! rlr (],ntek{\ l-rcnr:l tj* ((-h.fl.r 9. C.mnrNrnt sih SNrirn ?(ln of Dntrtu. I or rll lulim$ tntl <br />ttrlisx,n! C{xL ) or rhlr lErilr i\.tt.yr thftfrom rnd llr hln. id rh..lk8.rl cr.n{'inn Anyvi,Lri,nolSdnn rtlll5 h! a ! <br />!f!rhn' n . Frnd \ubNcrhc rtpli(anr t, rctrilI(Ehynlfr{ mEllun lnc ho.drd dolllr\(st(x)l <br />l. !s ostrcr ol rlx rn,rrrry. or nry cnph)m\ *irh w'ic1 x\ rhcir v,l. $n,I).n\d i(,n. sill do lrt uork orn lhc (urm t 'n,i' .'rLn or nlid lur sk ( Se 7(!J. Bu\im$ Md ttDl.(i()nr (id. Th. (nntrrnri l,ianr Lr* d,f,s nor Dlrtly tr' rn owtrcr .f <br />rh.plllfny *lrrtlrlil\orin{mrsrlEsrn.rrl*b&FrLhkllthif,\clrDrh.r{lforrhn ph hn or hcr o*n .mpk,tr... <br />pn,ridirhhd \kh nqrNE sen{nr. .do.olTGlnxs! ll lr*t\s. rlt tlillm8 or rnl, luEnr i1r'rl *ih'n.E F <br />ol(r),rnl1in. rlr ()rmr Buillq *ill b{ rtr hr&noftn Brh,lrd(h.drl tr{ hoill or in{Inr tlE FoFn, n, lhrl[rFNof <br />L r\ Dumr ol il* t ,f.n y, an crclusircly ..trk .r 'n! wih li.cn.cd .oMk rn \ x' cotr{rucr rtqn'rrr (SN 7l l,lt, litr{rN$ <br />.ftI lh)ll\sin(irk'lh.Conr6rrr'sL'.cn\!l,awd,Bnoilnplth.*n.roltr,pcnysl$I'uilfiorimpovclrncr.on. <br />rn(l stxl contNrr r(tr \urh lfi,Fl\ f, haCunrKtit)l(nrd pusutrt lrrh.O,nrrtrrn \ I ircn{ tr*r <br />I Jr.rcnu u cr s..r[n <br />l)iit Oaner <br />naSuJ&51!ourIrN$I(,! <br />ur:cLl-Bd.1tax <br />I h,!hJ_ Jlfnrn.(l{ trtrrlrv ofFrFtry o'k o, rlf, in htstr'! dNlrrJr()n\ <br />_l h.rc rln {ll nrinr.d r Ccn'frr!. .r Conrnr kr Scll ,nr!,. for f,orts' dnrIEn$l io.. r! I'oBl.ll lnr hy SEr h. l7(f,r ot rlx <br />I ihtr Gic. for th. neriirrmm. ol rtE rnrl nn shtn rlE Frn,i k n\ucd <br />ili s rklarrhkhrh^jrrrn ,\ ^\k1l ^!ysu <br />d\'. rtki\ir'n inlu rhc.rrrrrxlIi)lir!trtrtr (rrc <br />l.cniiy rhat i tlf, n rli'.mft'c.irlE *ork for whth rhn llrnii i\ ir\ocd.I ahrll mr.nl|lloy lny lErhn ir tny 'uNrs, r\ k' tEsnm nfiF.-r (, rlr nddi o'r{Endir. laar or Crlrfomd. rnd +N rh if I rlnuld t^uont rubj..' iorrr <br />{olld( on{rneri,n I'ortri,n ofS(rIn l7(Dofrh.l:h, (',itc.l {Ell. irh*irh on{'ly *'nh rht pmrrl,nr <br />$AnNfNG: Fa!h,. t, sIE urk.^ la,ryEn\ri.n oErrg. i{ unh*lul. rhl ih:ll r!hF1 M .rq,hys ro fllrwl Fnns 'Ll('vir nncs uf t, otr hudEn rhouqd dollffi (!l(rr.ou)r. in rddlx,n n, rh. r1^r .r.or{rns'r,n, d.m3.\ !{ Potd.n fo. rh. <br />s&r k)n :l{)76 .f rh. I itnr (-.x1. i' .r{ md rrirtrrv r l'Lr\ <br />I).t.i Applist: <br />r rr'rsro ciisrnrcnx <br />DE!|JAAIIaN <br />I hEt'y afltm uBlr p.nlhy ofp(4urJ rhnr l,m liurrl xBkr l,tvri,n or (-tutE 9rmnnENrS f,irh Srrnn Tlrl)J of rrllrhn:r <br />or rhc ttusnc$ rnt! hsrcsi.n\ Cod.. n'i <br />'ny liccn\c tr r rull li,m rrl rfi(r <br />gll,lrSulr0Nr!!pl!!-e!!!lir <br />I h.nhy trllirm uhdcr FnultyofFqu.y lh,l rhm h u Nnrtdcli'n lctrdin8 ucn.y ru rh- ItrturnErt ofrh. $ork tur whth rhn Fmn n <br />i\rkd (Sa.' 1097. ( it C )l.nLil Nrtr <br />- <br />APIIICIII.DECI.AATUO! <br />I rErt'y lrmr uftk. I{n.lly ofF4u,t om orrlE rolhsins d.r&trlrions <br />Dcm'l rn P$nn! A\hr{or M ili.rr.n kr.l R.8uhrx,nl (T[b,{,. Pfi6r <br />Rlrluird ldrd ulMiif.2rr)n <br />11.,tr|,clul,trkLtr,.rfihn!r\l\'{!^ .trrr.'lrr. .r'trn(.11,[ tr)rhr|Iir,ar <br />. rcalrhtr.flrlf,irx'n ml d.tcrh.i rL rhr. inlnn F. rRl I rlN () nrn{ y uh rll ( iry trnJ Cotnrt <br />ljrirbtiq to hill'ne con{ul n.. rd ;c rcF.cnrin.( rrrhr (ir) and C.unr) k,.^r- q!!n rrE <br />\Dph, ntrr n, rNr\'[rtr!xrr <br />190.1'-tFee'1- <br />BUILDING. INSPECTOR RECORD <br />Flood Zone Certif . <br />FINAL <br />""-..-*\q{