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SITE-WORK DATE ID/SIG.COMMENTS O\INEN BUILDEN DELCATATION
<br />I EEty .fiim uBlcr FEIy or Frjury lhd I m.(.n{'l ron rlE GmrkroF- Lis< b* ror rrE folt)wi.! rcaqr (Sd 70.11 !
<br />Iilrmr! .rn Pnra(irn Cti.) ry C y o, Couniy *hrh cqo(r t tFm, h .!nndl1, tlr6, ,rpn,k. &mhrh or rF! uy
<br />ntuu.. Frf, b r n.uuc, rts rqui( th. rrrli.el lor .kh lErnrl kr fJ. a \l!El ({rftnr th.t lE.t tlE 6 lnuEJ F@.ri
<br />n' !h. ffl)lndN or rrE Conlr-tor< l-i(.nhj Lr* (Ch.lr.r 9. conmm,nS * h S(ltrD 7000 of Drv(.n I ol
<br />'rE
<br />Bu!E( lrl
<br />Pn,rcnDnr Ciit ) or rh.r lr rtr .& 6 crcnri rh.dnm ul rli b(n ftrr rlr dLs.d c \.r{rtn. Any v$hlNn or Selu 70.1I 5 6y ty
<br />rpnl,crnr tu r I'.mrr sunrrL rh. rfi,lunr b r tn FMxy ol ftn nDE rhr Iiv. hu i(! Juud l5J0o)
<br />-1, ^ opn.r ol rhc F'Fny. itr ny cnll'F! *nh *rg6.r rh.! y,k dn{rnqri,n. *illd, rn qrk lrl rh. <MrE s r,
<br />u (BLd or ollcRt! I'n ralc (SN ?04,1. Blsm.t .hJ Ptna(r8s (irL 1 h. (nrrakr'r tr..- t w df,\ {q,plyhinowrrol
<br />ih. pn,Fdy wh' hurur or mpn,6 th.Fr, l rlt' (]ts u*t $& hm(ll or h.R ll or rlNu3h hN or h.r own .ryrli]tct.
<br />,n'vdcJ rhd rkh mnm@* e Ri d.nl.{ olldnl nf, qk It. h,Ew. rh. hilliry q inptJtmd r q l q[tuonc yce
<br />ot(.n{i.thn, rll Owmr Eu'tLr $tl h.k rh. htriLn.l Fo}'n! rh, hc ir {t Jrl n{ t tu (f, inF,E 0E Ix[IEiy ,r rh. I'uFrt of
<br />-1.
<br />r! o*n.r ofih. lx,Fny, !m .i(lusvc ly $,rr!lns w'rh litn<J codr&rm 1. .r,$lul rtE Iln Ftr (S.. 7(!44. BurG$
<br />hl t'bh$Dr C,xlc: Th. G'dr&ioi\ l-k.n* Lw &xr nn +!ly b.n.*mr of prcFdy eh hu,Us or ml'nrv$ rhqdrn-
<br />dJ *lx' $dE* for.u(h pf,,Fak w h ! c(,,nrnr'(9 lEnhllu6ud !, !h. Clinrr-tx ! Lrcnt liw)
<br />I rm.rch uBkrSdri,n ,B &P('ntrrhnrrer
<br />llrrRliutas ( ()t\n,E\s,\l l():\
<br />llfrt !rUO!
<br />IhcEbyllrnmundcrllcn.llyolFJlrroroldtft'lhPml&rlrt.r$nr
<br />IhaEml*rllmrnr.u.(.n'f.d.orCon(nit'S.lr-lnru(nnk.r'!1,n{'.nrar}n.e!Fovll.dtdbySeli,'n1700ofrht
<br />htrtr CdL, (tr ih. p.rimftc .f lh. xli lix tt*h rlE rmir r niuGl
<br />I hnr ind *rll mrrntir wo (.n'(omFnirrr,. m\!r.e...r rcqurc! $y S xr l7(loof rh.lrhtrC,{.. ntrthcF.ldl]1e..r
<br />rhc work fin Bh.hihslxmi 6 trtrl. Myrntdi orqrnuln rn\ur4. rrir 4l F)lty numhct e:
<br />-l
<br />ccd r rhai h rh. Frfirmtuc .r rrE uod tu rhih rhn Frmn n 6iun. I $nll d .tr{'k,! y n Mn r ry m.nrcr
<br />q' b trd,ft sl'Ft b rL *rt6a LIqE.dir L*r.f('dLm& :nl r3r rlBr ,l I (h)uu hc(om tuhr.r nr rlt
<br />wortcn !.mFn!{ km pn,$b.r of Set[n l?fl].{ rhc L.hr Cnlc. I nu,[ tdhwir h ..tqly ! iih rn,r Pnrvsoni
<br />W RNING r.rluE tu BUE wxt.B'!!hp.nsri,n drv.nfc tr unLwtul. uJ rhrll \uhirt r. cqby.r lo (md Frl.r lil
<br />(N!l linc\ !D b trE huln(d rhour.il Jolls (!lm,fiu), n rritrir t, rh. .o{ ol r.mlEnqr0n. !rm3.r zr liov .d ft, rh.
<br />Sc.rNn 10?6 orrhc l-rhr Cirlc, mr.cn.nd dtfty i fer
<br />I h.rchy drtrmunkr JEmty.i,Erj!ry rh, l :h lf,i,Ql u ltr F,vrDn ol Ch.Fcr 9 rl-llm*hi *uh S.clln 70(()) or Div(r'n !
<br />ot rh. Bu\m( .fl1 PDl.$nni Cbdc, arl my lEc.{ r r lull ldtu. lrn cliRt.
<br />Li.rnk CL$
<br />-LEcns.
<br />Nun*Er
<br />collrBucu{rN.L!8lNcacEl(I
<br />t tEEby.Ilim unLr F xyo, Frjuryih, rh.+ Lr.d'n(uli'. LDlorascB'y lot lhc Fno,mnc ol rh. fr'rk ror whth'hr Fmn i
<br />Gructl (Sd.1{)97,Crv. C t
<br />APPI ICANT D'('LARAIION
<br />I lrrrtry ilim unLr Fn.hyolFrrury orc o, ihc ti'lL'wB! JNlnl,rnms:
<br />D.m'l,ron P.d.!Atb.{oi lldnirlrr l.J.r.l R.fubiNrill lc 4{r. Pd6r
<br />_R.quEJ tr .r ol ldrrirtir
<br />I (nrly rhr rh. lc&nl ..3ulrron\ (!rtlin3 rrli(.( r.nr)v.l c nor l0drrhk t, rh6 |)n'Fr
<br />-l
<br />(cnrfyrh4I hrk Ed rh6.Ppl..lir !n n.l.lhc llE firt ua{,mr k,n L\ loft.l. I esrd t, Ltq y Bdh rll Cnv.d Coutrv
<br />.rJrxk.\ rnl srrr. Ls\r
<br />ihrc trd.Erl pn,Fnt n)
<br />Appllonl o. AE.rt Slrdltr
<br />l4!U b h{Ulin3 .onnru.rin ul aurtrrrc rcnrcs.nr.trr.\ ol rntr C y mtl G)unry ro cnr( uli,i rlE
<br />I
<br />Set Backs
<br />Formsi Steel/Holdowns
<br />Ereclion Pads
<br />UFER Ground
<br />SLAB Floor
<br />Rool Sheathinq
<br />Framino
<br />lnsulation/Energy
<br />Drywall
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enoineer Final Report
<br />Flood Zone Certif .
<br />FINAL 4 /za/to il*wt
<br />Certilicate ol Occupancy
<br />Noles, Remarks, Etc
<br />BUILDING- INSPECTOB RECORD
<br />Pol'cy NunlEr-Erpes
<br />-
<br />o.t
<br />-
<br />conlE.tor-
<br />Subf loor/VenVl nsulation
<br />Shear Wall
<br />Ext./lnt. Lath
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