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BUILDING. INSPECTOR RECORD SITE-WORK DATE ID/SIG.OWNER BIJILDER DEITCARATION I hd.ty rfrm u.ds Fdy of lElury thr I m dmd 6oh lh. Conti.loR Ltdg lr* f.r lh. tollowing l@r ISE.rcrl.5 A6ind [d Profdir Cod.l Any ( hy or ('@nv *'hah r.qui6 , Fd lo @dtud, .!6. imForc &tmlirh or rE n e] rMc. FFr lo irs ilslft. it r.quic rlE +di(o! for sh Fot lo 6L . siEEd r.ffit rhi lE or ir i licda.d Frlor b rlE FoltioB of dr Conrrurorr l,a.Ed lr* (Cl|.g(q 9. Co@n!8 $nh sc.!io. 7(m of D$!b. I of llE BGIB ed n tdioB Codr) d rh'r lE ( 3lr i! .r.rq tha.fom !n E bGt for llE .lkg.d .rdFim Any r iohrir. olsdbn T0l l S q uy .p?lic.d am r Fnn $bjdrs tlE .rpli.&r ro r ciril F tyof mr tlMrha li( hurd,.d &lh. t lsm) l. 6 osE or$. FoFrt. o. my 6lPht6 *nn Fig6 s th.n $k mnpaMhn. *ill {t' ltE *st !d llE in tG;6r ifldldl orotra.d aor $k (Sc.ro4.l. ttBilr ud PFfdh6 Cod. Th. Co r..rof. Li<@ trwrto6 nor,ply b d o"E.l lh. FoFly *ho hil(b or srFiv6 rrEoi ,n *h dE Mh Fd hih*ll or h@lf or rtmurn nir or hs oM orlotâ‚¬. Fovidcd lhd luch imFDEGll. t. hl dold.d or ofrdld tur $L l[ rbtr6d. rlE buitli,B ot itrrtu--dE i sE *nli5 N ,u of comlkioi. rh. (nr6 B{ilb will lEw llE hr.dar ofprovi.s tht h. or shc did Dt ltuild o. imF.v. $. p.sFly f.r lh. pll$or or l-aro*!soathcFopdry.!hcrclusi\rly.ont..ri'r8$ h li(dr.d co rdo6 'o NBrrud rh. p(i(r (s* 7ot4, BcnB rl h)(sir co&: It. Conterorr L.i.or.llw do6.ot.pplyro ooqnr 6I lf.Fny *h(\ tluild! o. inpmv6 th66D. rnd sho &nrB.G lor sn(h F.rdr \ irh . ( o eo(rl ltaa.{ pulssr tolhc ('., rsfirIicoEIitr) I @ cr@F und6 Sdion ^"-10il^/l I n6.b, r0im uids FEltr of I hrr. id *ill @id.h. Cdirr.!. oIcoMr ro Sdf-luE tor s$rtd sf,Flrion, 6 F.\ ilql L. by Seri.n lTOo of lh. bb.r cod.. 16r ih. Ff.,rjre. olrlE wort ror *hkt tn pdnn is isu.d. I hnr. and $ ill mainllin r orld coorrrno. id(ftmc- s r<ur.n "r( sdr ion 17(10 o f rh. 1,.6.. C.d.. toi lh. FaomM.. or rhc Rtrk aor uhich lhbrEfrir 6 rs<l M, worl6 cohp.Nation iBuru...ffirq Mdrrrlryn!mh6rc: r cdii thd in lb. FforuN. of rh.{orl tor shi(hlhis p.rEn t i$.d.l ihrllnol opLr tir F*r in rr men( as Bro hqnm sbj6r ro rh. \dtd odF6ri,. I's ofc.lrtonn. 3d .er 'hd if I rhould tEoE rutirt ro lh. tr.'td $nFurion For Bi,a or s.(.n lrm oa rhc t h.r Co&.I Cdl. fontq r & aploE l. sinin l rdai! i.d (nn fiG ot ro oE hun&.d llFue.d &lls lll sdri)n 10rb of th. t bo. C(ll.- i.r(.r,nd dl DECIASAIIAX I ts.by iltrn und( p.mhy of Frurr rhd l.m licmcl !nd6 FrvLio. oachlplg 9 (con'lftin! *th sdion 7000) of Dilision l of rh. ltNirs ud Pnasio6 cod.. nd ny li.4â‚¬ B in full n)N dd.fi(l. (alirBlJ(fladl.fNDllclc[IQ I h..t\ .ITm un<16 Fulry of Fiury rhi rh6. ir , @intu<rn. hdfs .]oc) ro. th. Fftu. ot lh. r.rl 6r \tkh rhn p6nn i, N.!(s( :loe7. Cir C ) l.frLr'< N'tr l.drlt rhd rh. a.ldal rcguld ioN .qasdins 6tskB.oFralEc nol aipli..bl. ro I hL roFl I.drf,rhdIhscedrhElppl(rhon&nn.t.rhnrlE!tn\.inrotut!.i!cotrd I r*rc lo conpl, silh .I cny dd C.u t onimm6 xd Star. L.\s Eku{ ro hlildrnB conrrui nc H,! 3{lbrir rcF.ddn 6 oatni! ( ny .nd Coumr ro dnd upotr dE '::.::.:.#iz ^,.,. //til-/q Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor Subf loor/VenVlnsulation Roof Sheathing Shear Wall Framing hoal 1-lt-7o ,)ilil lnsulation/Energy Dlywa ll Gil.ltnt. t-attr l'l,Lr \-15-7n V.EltrA Brown Coat U Mason Pool Fence T-Bar Handicap Req Deputy Final Report Enqineer Final Report Flood Zone Certif FINAL 4-19 -v0 Certificate of Occupancy U (I Notes, Remarks Etcj--/n,o/v -lL-t (^L FAr.**(,fce/++{ n/4 COMMENTS ,,,,,, dd^a-/q AXTLIIAILIECI.A8AIIO! I hd&l .nm undq F.x) ot Fjorr .n. .a rh. follouin! d,Els.l ions: ltfl nniion PmireAsbdtos Nolifi cdion I'.dd.l R.sulrrions (Till. 40, Pel6) R.qun.d L.1rd of Notifi .adr. //\\