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SITE-WORK ID/SIG.COMMENTS OWNET DI'ILDIT DEI,CARATION
<br />I ncEhy rmrn u*Lr pcnalry of F4ury rh0l I an ercnp' 6on lhc O)nrracloF Liccns Llr lor rhL follori.g d!g,r (S( 7,1 1 .J
<br />$u\ikri .!n Frof6ibn Cqlc): An, Ciry or CNrxy rhih Errund ! Frnur r. d'dM. ir6. imllmE. d.ml!.h N EFi my
<br />{tu!rc, FUnr irr t{m.. rl$ ftquiRr thc q,l'ti.ani rd rkh Fmn tu nk. riSmd {rEmn! lhlr h.or rh. n lk.n.d puNur
<br />ro rhc rDyni)nt or rh. Co Groar t-i.cnEd L,w tchn .r 9. Conftftm! *nh sErir Tuxr oI oivnion I of l,x Burixii snd
<br />Pn,r.s.nr c(i., or rhr' h. .r <h. " .rcq{ rtRnom arn rlE h{s for rlE tlt8.d .xctr!,lhn. n, fi'hrion of s.di'i 701 I I hy rny
<br />rpplicatrl for r Frmir lubFrr rhc rpplicaoi l{, a civil Fmlry or n.r mrc rhd liv. hundrcd doudr ($siro)
<br />_L d\ o*trr or rlE l'sFny, r nt .trphF.s wilh wag$ dr rrEtr $L .omp.nll ion. will do llr wt lrd llE rmtr@ t n
<br />hr.ixkrl d olf.Ed fd d (Sa ?O14. BuriEar .rd ProfcrihB Cod.: TIE Coinrror'. IJ..< t.* &a d {tl, b rn .uB ol
<br />rtE FDFn, wh, bit& ( i,ItFk tlE,@ jd wb dr.r rEn $)rt himror llrclf.r llmu3h hn m lr o*n.'r+l,F..
<br />l)loviLd rhlr rkh in{rownt e mt hl.dj.d ff oltu lor sL lt ln*.6. r,t t{ildin! or in9lwtu Lr sld silhin oR Feolo,Vhini,rO*dErir! winhEdrhirknorF.vu!rl{ lrdaEdd d tnildr [qmE dE FDFr, f(lLFrFxor
<br />L is owF ol rrx rotdy. M .x.luriwl, .o tu1in8 q h latncd conrncro. ro onrrucr rh. F.ir-r (S& 71x4, Burms
<br />drl Pn'6sbn(1d.: ThcCoirrEk, r l-iccn\. Lr* der rn dntlyb rnoen.r.i,'rop. y wfu) build( .r ihproEs thrEon-
<br />rnd *io sdmr\ tu sh FrFn. wirh. coddorlo l..nr.rl Ftrs rorlrco ndn\ Li.B li*r
<br />I rtrrcrcmpr udd S(-^rin .ll & P(- nr rh^ rurn'n
<br />uaxli}:a:rrarfanll&ruf(I. &lllr^
<br />I tui(.h\ rllinunJrr l{ rlrrol txrJL rvoncol rh. l()ll|$tr,!,l..Lriri\
<br />-lhov.a,nwiudrnrlinaCrnificlr.orCoisEnrroscl,ltrru,rau*orksc.on!xn$ri('n,rst'rovidcnlorhyS.crion:17(xlorrh.I rtrtr (ir$, (r rlE FfcmL! ot rhc *on nr rttn llE rErmil ir is\a{
<br />_lh.r!dwallminiri.sorkrB.oft{En ri.ninrumft.,snqun.dhyS(rl,nl7(xroIl,Et$orCixt,li,rrh.Fnorru..r
<br />rrr krl fq rhth rhn Fnn ir k{.d My *ort6 s'rirMi,n imu,lm..mr an Fn4 numbcr G:
<br />I,,l'\\ \un'trr
<br />-l'rnR.
<br />-
<br />-l..nifyrh!!rrh.rcrfornErc.ollhe-orltushichrhhIf,mirhir\&d,I\hsl,fr.n{hyrnyFrsflin.nynmmr$ r r0 trsm \uhFr lo rlE h.idi oqindi'n h$ otcrtiroma $d +N th.l ir I rtnuld tEom (bFr t, rlE
<br />hrkds, ohFnd h. tmviiion\ o, S.n i,n ]700 of rlE litlf, Cdc, I dEll. fdh*rh on{I, * h rln. I'nvtirB
<br />1{ARNiNG: [rilu,. io sxr. worlcrs comrEnsrioo cov.roac ir unuvtul. rtul !h,ll \xhirr m.npbF t' aimiD0llEulrt\ and
<br />. r !.)iq !u thc,N ,r' !r"vt.vr'on. '!oE$\ as n \dFr ntr rLl)*l cLz
<br />.ml fiftr ot t, or tudEd rl$usd dolls (tl(x).(xlr
<br />s< ion .1076 or rh. L{t[r O'd.. inl.rcsl and unmy r fess-) /-/ 7
<br />DEIIIIAIIITN
<br />I h.Eh, rfiirn u.d( Fnalryorperjury !ha! l.m l,etr*rl udcr Fnvrirtr or Ctaprs 9 (onmking wirh Scrrrn ?fiI)) olDivirFn:l
<br />ol rlE au\irr$Jd lh,rcarhnr CoL. rd mv la.M ir in full frn. ofii .lf6l
<br />CL<e-3/'/3
<br />I lEEh! ilirm undcr Fulr, oa rEriury rhxr rhd. n r ooqMrn k.ding r8.ftt nr llE F.lqmB! ol rh. s$k ror *hi.h lns Fmi ir
<br />APIIIIAIIDEgIABA.III]!
<br />I hdttrrfmunds Fnlhyof Frrury om orrhc,olh*in8 &rL,uri{'n\
<br />Ixfr,lirbn Pomn! A$.no. NolifEtriotr kn.rul R.EUldi,n\ (1irL.l(l. lrn6r
<br />R.qxEd lxrr.r ot Nofi f.rlhtr
<br />I (nifyrhdr rh. fcdchl r8lhlnnt E3sdinS n{Eno\rcmviuc nor qlrltsbk ro rhr pn Fl
<br />-l
<br />dily th.r I hrv. rc.d rhn +pla.r ir. lrn {rc rh, rrE :tnh inLrd n. ii r\tu I .Ee ro oq'ly *nh lll Chy !.d c(,unry
<br />onjinanccr lnd Srllc ti* rchrins ro hoildins .ntr\rdd ion, lnd ncrchylurhtrnc Elrc*nldiv.s orlhn Cnylnd Counry 16.nr.r ulsn rtt
<br />ttr . rnrrEi mdvld fr
<br />n-*-,-^,.*,n-*. ry-lJ *J U*1 n, Sj )t/z
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Roof Sheathino
<br />Shear Wall
<br />Framing 7-jt-ly 7u
<br />lnsulationi Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />lvlasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Beq
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certil
<br />FINAL r-w"ly Ln
<br />Certificate ol Occu anc
<br />Notes, Remarks, Etc.
<br />I
<br />BUILDING. INSPECTOB RECORD
<br />DATE
<br />Sublloor/VenVlnsulation
<br />lA
<br />Brown Coat
<br />A\
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