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BUILDING- INSPECTOR RECORD SITE.WORK DATE ID/SIG.COMMENTS OWXER'UILDET DELCARATION I ha.t! .lrm ui<L, FuI, ol F$ry rhr I n adpr nrn rlE corft16 Li.ae l.* tr rlE folh$iB ,6. (sEft]l., BBtrs ]i Pr.fdrirn Cod.): Aly (ny or CNny whah Equi6 r Fni to oruM. .ta. Erylre daElirh o, l9.! o, rME rmrro ir! isu&q.b. r.$rd rlE epli.d for rEh Fnn ro 6k!risn dr.tul lhd lE or 3& b lta!.d Fe& lo rh. FovsioE ol rlE Conruroir Lic6!.d llw {Ch.prd 9. Conm*ing wnh Sdior 70OO oa Divisioi I of lhc BoUB il Psl-sion! Co&) or tha! lE or !h. b qmpi $@6om ed th. h..n ror lh. dlcs.d cxop ion. Af,y rbhiior of Sdlion 70 r I 5 by uy ,l)lliclnr aor . Fnnir $bj6r! rhc lpplicDr to r civil p.tuly o f ior @( $& fiv. hu.&.d .blld (1J00) l. 6 016 of rh. FoFr, or nt oplota *th w.36 s rhâ‚¬n rk @nFlriotr siu & E Et rd dE nildE i d iddrd .lt6al fd rl (SE 70r,{, lr6iB ed PilfdDB ( o<k TIE Co'!E 3li@ t,u &6 ml .pply to D orG of rrEFFir *h. hril& or inp.D6 Em !!d *tD dE rdr wl hirlr or lEtllor rrmuah hit dlE ou stqby6. FDv*j.d ih.r uh inprorâ‚¬Ert E rr -ioi.d orolk 6. r! lf, hoM. dE h, dlr ( iq@ar it.ld eithi. @ rd ofcorekidrrrEo\rGa{iBa$illh@rlEhrtlarofFovil{lhrltorslE<!drclhiilddiigDtt.FFty6rtlEF,F..ol L s own6 ofrh. pmpsry, D crclNivcly conmcrins *nh li..nEn co EcloBlo coBtrucl lhc Fojd (Sc 7044, BNrB ad nnf!.s Cod!: Th. Cortrrtor'r t-ic.M tjw do6 rol lpPly lo & o*nd of propqlt wl$ buildr or inPrord lh66G a.d qh. codrErs for tuch Fojâ‚¬ll wnh . Co'nreto{!) li.c!q, l,ond b rtE C.nlr!.loit Lic.G Lrw). I m.r.mpl u.'(k S.(rn D.r. ()in.r !!ali}:8.r:1])llfi:rsAr!(]!DISJ&III9! I hf.lij' rmr rn unds p.mliy . r pstuD fnc r r rhc folll\v'n! Jdlnr[.N I h.!r Md *ill Mintlin . Cd ilicltc of Con5r ro s.llJBur. lor erl(d .omp.ne bn. a t $vid.d for by Sd ioo 1700 otlhr L.tu ( .rt , lor rh. psfoffi. of rn *orl aor \tict rhc Fii ir n3uqi I ntv. &d *ill tuiirin erld conFG.tir. iffiq - r.quiEd ty S<lio! lr00 of dt Lrtd Co&. for ti. FfolrlllE of tlE mrt 6r whth thit FEi 6 &r.d My *dtd @"pq!db. itw 6ir id PolF, ombd G .* )-{lt-< Co-rnQe n<s,s.ga fas- ,pa*","-*992fQi o =18 r.p* '7-- Zt -l-DZb I cdtiry rhrl i. tb. Ffol nc. of th. *ort for *hth thit dnl i! Bu.d. I ihtll mr dphy dy p.tun in dy f,end i s to bdttu ltis ro th. wtd'@oFsdbn bwr otcniromia od lsr $r ill lt$uld bdoG $bjer to rlE s d' otrqd!{bi Fovi'bs otsdrio.]TOO ofrlE trt . Code I tldl fonhvih @nPl, wih lho. FotilirB wARltIrG F.iturc ro G@ $rtd corposion ovrlg. ir @Lvtul Dd 3IuI ahFr o apLF to diria Frrb ad c f6 up to oa hundr.d ruqi &rl rtl 'n .4inFn ro rlE cor ol.onFdiotr d,r.e6 a ,.r'd.d for llE Sdtir 1076 of rh. tjbd ( .Jq mtdd rrdtz'tttl nS ctsttn ct ll ( !!($ll.U! r&\CrcBllr(.l B^rat I h(.ny .ftm und6 Fn.lly ol pslury lh.l I en licosdj unds FtryitNr oichtprd 9 (.omnHcins snh S.clio. 70.-{) ot lrvBon l 4?"w;* ,"* 1 t'lll'4Q cod.. d mv lic.E i. in full fora eri cfiâ‚¬l ,.*,iu-ho,' 7 6quo *"^&;orrS-W+u- q4 Drc\ CONSTRI]CTION Lr;NNINC AGFNCY I hcby altum undq F dy ol pajury rh'l Od. is r edrud i.,n Lndqs rs6cy for fic pdfolr@c. of rh. worl for t'l .h lhit Fhn it irsdl{s* 1097, Civ. C.). l,r,c t ND. ATIII(IILTECIISAIIA! I h46,lnm!nd6 pa.hy oaFJury onc oflh.lollowins d6br hN Dcroolrtion Prmls.A!b..ro! Notifi.ltion F.ddrl R.ruldtionr('Iitlc.l0. Pdl6) R.qurql Lcrr6 ol Ndincnion I rd'b rhi th. tuqll ..s!l,ri'B r.Bdd'ns 6tE<o3 ,@n 'l e nor {rltabL ro rh6 Firal I.(r!ryrhd I lr\c Gd rh.4plt rbn.i n,r. rhr lh..!or. 'nao.rdFn a.wdi I.s,ero.orpl,sn[.[CnyrdCosly , druncG drd Srarc Ijrl Elrtrr r. MU'.s.o6edrhr. nEuon.d prcpqt) ror tup.Vr n,.p".f! !---,r ^oplL.nt or ^*dt stsn t uyi iotr di harb .urtoEc rqerin 6 o r rh'\( 'rr lil(.unr\ ro an( -" tZla- l'â‚¬milR n.'oe(pritrl): *Y--i.fi- Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor SubfloorA/enVlnsulation Roof Sheathing Shear Wall Framinq lnsulation/Enerqy Drwvall Ext./lnt. Lath Brown Coat lvlasonry Pool Fence T-Bar Handicap Req Deputy Final Report Enqineer Final Report Flood Zone Certif./l FINAL i/ n /Uro //.-70 /09 // Certificat5/ofO'cfupanc, Notes rks Etc. fo a -9 I