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DATE ID/SIG.COMMENTS OTVNER E(III-T'8,. DF.T-('ARATmN
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<br />,7O
<br />I h.Nhy rnnm trn,.r Fnlltyo! Frpry rhr ihr. Lr ronnd.r.n lcnJmS a3cEt ld rh. Fnorm&c ot rlr work nr *hth rhr\ Fn( tr
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<br />APPI I('ANT DECLARAII(IN
<br />I lhhyrlinmnh'ir p.nrht.l pcNry.trc.l ltu t'll(,}rry lc(larillnx.
<br />I ).n!nn trr Pcnn $A\h.!ro\ Norrl (lhon rrd$rl R.ru lI tr tr ( l IL .l{), Pd6)
<br />RLquNd l.(..o1 Nrfidi'n
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<br />nr.nrl{. ( .r rh. rlitr. i,,n r.oncrr I JEN n) uomdy *.rh rll (\ty lnl (iDnry
<br />rcF.cnrdrr\tl ol rhi cl' y :nl c.onr, lo .hrcr ull'
<br />AIDlir. or '\!Mr si!nnitrr.
<br />"'-"5{'
<br />o?z
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathino 2 >tunt <- #-t-/
<br />Shear Wall Vt{(az >w87
<br />Framing
<br />lns u lation/Energ y t0 lkff Yh
<br />Drywall t1 D/?'*\E
<br />E lnt. Lath a( il'z,z ,fr#',(.
<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 Certif .
<br />I I
<br />FINAL x 4(lA Dr?v.4
<br />Certilicate of Occupancy
<br />Notes, Rpmarks, Etc,
<br />'z[ o-4
<br />l I I lt
<br />BUILDING. INSPECTOR RECORD
<br />SITE-WORK
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<br />ll[)- {''\ (,]
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