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SITE.WOHK DATE ID/SIG.COMMENTS OWNE BUILDEf, DELO{f,AIIOT
<br />I lrrcby .rrn ldd trulty ol Fr,lry $.t I m .i.npr too llE Codd6 Liw t v for dr folb*t lru. (S.. 70ll.J
<br />auri..( ,Jn Pn,t sion C.d.lr Any Ciry or ClMy whih EquiEs ! Fmit lo mnrar, 116, in{,ow. rLrcllt or EFn dy
<br />rnde Firro,lt Lrffi. r&o EqliF ilr .ppii.tr ld trh Fmi k, 61. i8i.d !lr.,EI lllI lE or it i l,iutd Fnid
<br />ro rlr Frvilhn3 of 0! Conr.roas Lr.nFd trr (Ch4r.t 9, ConrmrinS w h Scrion 70O ot Divition I of rL Bosift* od
<br />Prif.$iw Cod.) or rld lE n dE i! .r.n!r rhst6on' rn dE b.sir for ft nLlgJ .r.ngrbi.
<br />^tr,
<br />vbhra'. orsdbn 703 Lt b, ry
<br />rp,,li. tu. Ftu sbFl3 rlE .rplid ro. cilil Frhy of mr ffi rtn lirc h.,n d dolL6 (!rm).
<br />_1..r orffof tlE FoFny, d n, cnploF! *irh f,rd a d!.n bbonpcMi,n. I.i,dEr t.,ndEsurEiDl
<br />dsidl tr ofi.En fG Et (Sa 7044. SuliEs ud Prsf6rnB Cd. TIE Co.r.dd . Litu bw &{ Dl .Iply lo u ww of
<br />rh. ,,sFdy wrb hildt or inqbB ltE6( rnd who dG ruh m* hiB.ll or lErlf d llEu3h hil c ltr orn .rrpLrB,
<br />FdlL.l ild rkn @FDclt6GEx ii6d rturd.L Ir,IDEE, tn. hl'ElB d irlrffi bp!vihhm )aol@lPrri.[ ilE o*E Bul.hr wiu hE dE l[116 ol FrtrE dr lE m tr dn d t{l! G rl+oE 0E FFry tor dE FqE of
<br />_1. 80*6 oarh. FoFrr, d.r.tiriEly.ddi.S Hrh lk..:d cddoB k' odd rlt FnF]i lS.{. lol4. SBffi
<br />nd tuissi. cidc: Th. Cofl.rrols Lisntc Llw dEs tui.pplyro eormr of pmFny wno buildr or ihprorcs rh.r6n.
<br />..d wh o'rrrG fr un F Fd! *i$ . C.'rrrrqlr) li.rtr..d prrsd ro tlE Condd r tirr br,
<br />_l !n crol un&r s(rion_, B & PC ror ths rlisn.
<br />Drr. o'*r
<br />Y!]B5E8Ii:IQMIBIA[q!
<br />DECIJXA]JI]d
<br />I ltEby.fii.m u lcr FMhyof FJuryoE olllE nnh*6a &(ldrlnnr:
<br />I h.r ird rill ri,rrin. Csrfr.r. of Coefl b S.ltln@ r( Ei6 6,p.Mir...r Flvikn fa by S.dio. l70o of tlE
<br />hbor Crilc. fo. rlI pcrf(llmr of ft ert tor *nirr llt rttni i i$ed.
<br />_l h.E .rd rrll dinir srl.r' @rp.Mrbn iNEN, B EquiEd 1,, Sdiiin l7(X) 6f rlE tib.r G!h, fd tll Ftm of
<br />rrE srl fc whtn fin lcmn i! iu4 My *al6 otrFB.tirn intffi.ri, 1n lbl-y nunhr e:
<br />_l Enity rhd in th. Frf(lmr. orrtE tr* ro. whah lhn trmh r iss!.4 I shlll m' cnphysny Fmn in.nytunk
<br />s' s ro tE or obFl lo rlr hardloqEndirn Lw! orcdifomir ud.s& inn irl !L ld b..oft $#o r
<br />hn6' co'qEMri'. FDvnirB ors.dd 17fi) orilE t ln C!&, I crlL fdhwnn otrpt sirh rlrE rrDvtirE
<br />WAXITNC: tiilurc to s vrt R'strFnsrirn co@sc i! unhwtul. !d dul sb,C.r r. dillbF ro dininrl Imxb.i'd.i!il fim. up ro or hudEd rhrsxl &,llss (slm.(xDr. h.ddnion ro f,.oc ot.o.Fnerirtr d.mF. ri Fovitn for lrr
<br />Sdrn 1076 or r L$r C.d. i .d !n nd!..6r.r
<br />od.,- L -atz( #-
<br />I ffi, l,im !nd.r Fdt, of Frjury rhr t d lilrr.d Mta Fovh;od of Ch.pr. 9 (6,rrin8 wllh Sarbr l0O) of Diviih. I
<br />or !h. BuriEs.rd PEr.sioN Co&. an mr lt.E n in tull rm rd.,Ier
<br />-f,
<br />L-o t -l-l
<br />I lEEby .rm u!i.r Frh, of Flrry rn {E ir r onrnEi,n lndiiB .t ry fq rlE F6t1tIE ol rlE wt 6r rnlth $! Fni i!
<br />irsu.d rse. i097. civ c.).
<br />l.ndcis AddEsr
<br />-
<br />AXIIIC/\UI"PECI,AEAIIOX
<br />I hdtt,y.trm udi.r Fr.rl, of IsJury om ol ltr followin, dcLnr ions:
<br />rxtu,nbn ltrni!AAr d Ndirkda,. H6.l R.eul4intafi!! 40. Pd6)
<br />_R.aue{ lr'r.r of Ndifdbn
<br />-l
<br />rcnilyrhrllhcllJ.rulasuhlion\ r3uling r\&\rn\ r.trrlrl rrc rt rppl'r$k n,rhl\lr,Ft
<br />-l
<br />ccni/y rhd I llw rAaarn +pk:ri.. rd rrr. rfid ttr nr hr.dllbn n oG<t I rgc b ori'ly wni . Cily rd Couly
<br />nnliruna! rd Srarc Lrwi ELrd! b q'U'.g codM'htr.r'd h.Eby.ulhort EFrrirdiE. ofltu! Cil, ad County to €nld upon dE
<br />.boE rdbEd eDFry ra uqdf Ft?o(:\
<br />^**-'*n"^r*,y!--)-1 8,..
<br />PFnrlrc rft Irrlnr)r-
<br />Set Backs 1t
<br />Forms/Sleel/Holdowns a/r/i!/u&@d m
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation \/
<br />Rool Sheathinq 'r//7//l,{D"/Z ,M6t
<br />,tt j-
<br />Framing voD/dtM&Y-{
<br />lnsulation/Eneroy
<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 />Flood Zone Certil
<br />FINAL 7h,l/ z{2l*,th %
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc
<br />Rev.08-07-2015
<br />BUILDING. INSPECTOR RECORD
<br />Shear Wall
<br />,*. ' -l zcVqolnqit 'E v..Unrq^q (r'
<br />,.t,rn" *\ t^l ( 3Q'1 )"!QQ rrpms.-
<br />A/L-
<br />:ffi_
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