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BUILDING- INSPECTOR RECORD SITE-WORK ID/SIG.COMMENTS OWNER BI]II-DFI Df, I,('ARATION I hd.6y ifrrm ridn Fnaht ol Fjur. rhd I m .r.mpr fmn rh. conkedoa' l.icmr. La* i.r lh. lolloqiry rcN,n (S( 7011 5 lr6'n6s .d l\ofs$r Co&) A.r ( ! or Coudt shrh r.tur6 r Fnh ro .odtuct. !ha- i4"r,e dlmlsh "' .q'a" ur nruduq riorro ils Bs!anc.. rlso E{ut6 rhc am,lkdnr for smh Fnnil ro filc a 3{n.d sr.rmr rhn n. or sh. b li<d!.d N6uanr h rh. Fo\6ioN oalr ( onkdol-! l.icdrd tl{ (('h.In6 9- (ir6idi.8 sih S<ti)n 7ur) oa onirion r ol lh. Ilutiner rn'l PhfsioN cod.) or rhar h.or!h. k.r.mB rhd.6omrnd 'h. tEr rM 'h. .lkt.d .\6rrioi. Any!hhuorols.clFn7(,.1I Jqqnv opt,lic. tuarEnnsohjdsrh. lPr icurto!cnilp.ndtvof nor mor. the fir. n!nd,.d dolll ( t5m) l. s o$!s oflh. pmp6lr, or my .!rplor6 silh sr86srh.n sh.omr.nslion. $illd.llEtr!* d{t lh. nn.lE ! nor inon d M oll(.d tm sL (s6 7lx], AdiB md ProrBir6 Cod. nE (ntu..! I .@ lr$ rrs mr 4't r] ro D otrE or lh. rmrEny who tlil(ho. i,qm\E l,E@q sd Eho do6 sh E!,1 h'nrlt or h6.lr.r rhmurh hk o. hd oM mplorG. r.\ itcd rhd ikh idF{qdr ft m! haial 6r olfc.d Lr st ll ho"*6, ilE tlildilt .r rp(^ldErr t sr! snhd oN )@ ofo"pldbtr E(irn6 o{ilj. uin h!\r tlEhrbr ofFo\rtr diEmsh.dijdhildori.pro\!lncF,lm)ftrrlEFpo<of L ai o\ndofrh.Inlldy, m cr.lBn.\ .onhchns $ h licar.d oit&1ou r' codtud 'hr In!< tS<.7l)ai. Ux'ns 3(l Psknn(('d. th.Conlrclort l.icor.l.as d()6 n{r q'pl! k' &.rns nIproFnv trrn huikrrdr imprtraihdNn. rnrl trho c.dEdr f(tr su.h tmF! $ nh. ('oidonn |..ft.d tu6@' ro rh. (.onrdois Lrc Iitr ) I m .rmF u*16 sdion llt8{Ii8s:gllltElrarlQrDfo.aEdrto! I h.r.h irm un&r lxmk,.rFjurt oRoirh. aolkJ$o+ &{lfd 6: IhaE ed $illmi x. a C.nific.r. of Consr nr S.lf'lBorc fo. Norlqa NmFsaliin, al Frrid.n for br Sdion uur o I tlE trlr't Code for rn Flol!ffi. of llr *nt for $hkn rlE FiDn is ($cd I h.v.rnds'll m.inrri6 *6t16'.omp.Bd$n i6u rh. *.rl for ch(hrh! pdmn i is.d My$.rld' N 6 r<qun.d b sd.n 1700 of rh. l,h.r hd.. ,or th( FI(,lmNC or io. 'Ntrre. trE dt Fni.' numbq dc lc6lii! ihd in rh. rEaoflmn(. of l& qorl rniihrhi. Frmit is irs!.d.l,h.llnol onplov uy pc&x 'n ni) 6mnd $ atr troE sbjwod6' .omr.nsliod pNvatuB oas.rlion 1700 oar h. bbr cod.. I &trll. fonh$irh omply *ilh lho$ pmvlrt,N w,\RNlNC: rruc lo su. *o.td onFliren co!6rs. n unb{tut- nd $,ll $bFd & drrlolr h ainiMl FslB d .r') lin6 up rd on. hunddl rho@nd dollm (1m.0o0,. rn dddnin r. rh..osr oacoflrp.Nrrcn. &ma86 rs prord.n [tr ln. DTCId8AIA! I h6.by.mrm lndd D.Ehy of I'<riury llBI I rr licosl undd t.or i.ion ofchldq 9 (NnnKctlx *nh serioh 7L9O) olDivirbn:1 .r rtE IlBiBr.rd Pmf6n 6 Cod..,i mv licdM ii in rull f.( md.lfd C"a/8'r,ol B7'l7 Oxut CAIIIAICI.OEIENDIIG.AGT!!} I hs€by smm und6 Fnahyofp.rjurythal th6. is r coBtrudirn k dinr rsdcy lor lh. p<lomM.( oarh.lvo.l aor trhich lhis Fnril n isu.d (S( l0e7.Cn (') Atttt(AlfDl:claEdrlo! I hact y allm und.r p6ahy of Fjury on. ot lh. tolto*ins d(l&al i.nt D.mkion PmnlAlllnos No[fElhon F.d6rl R.*!LrioN (lilc 10. Pd6) R.qotql tdt6 oI fk'litu.n I .6r'ry lhlr rh.lalsd r.aularione r+ed'n* el8k's ron.valar. nor,{)pli.dhk r. 'hi pr.jdr I (.nilrrhar I halc,.aJrhis 0,{'lic.tnrnudsrircrhdr rh.ah\crnhmd iotr iscor.(l I urero (omply $,irh all( iry.nd ( ounry r,€ r.F.ddr6 orlhB Cil\u<t Cou.r) i(' drd trF,n rh.ordiME6.nd sr.r. titrr r.kin8 ih\c mdrnnrJ |L.Fn\ ntr rld'trx coE{rudb[ rn lE.5r.uho ,^-7115f t7 Set Backs Forms/Steel/Holdowns '1-2lt-17 X.Yt-l\r I Erection Pads I\J UFER Ground SLAB Floor Subf loor/VenUlnsulation Roof Sheathing ..4 Shear Wall 10.-11'-17 X.W)A Framing (l-lt^r>'Y-WnQ ln s u la tio n/Energ y Z Drywall ta-ll -t7 tr,y4)q, Ext./lnt. Lath Brown Coat Masonry Pool Fence T-Bar Handicap Req. Deputy Final Report FINAL t2--tg"l1 v.vll0 Certificate of Occu n Notes, Remarks, Etc DATE !4g11eer Final Report I Flood Zone Certif.