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BUILDING. INSPECTOR RECORD <br />SITE.WORK DATE tD/srG.COMMENTS Offi-Buinl.f Delr.tid <br />I hcty .flift u.d6 po.lg of Fjury tt.l I h q6B fm thc CdEelqt' Licac trw f{ fi. followiiS Bo GB.70l l. J Busindt <br />Dd Prca4io C!d.): Any Cit, d Cou.l, rhi.t Equir. r Fmir 6 c@m.q .ll*, ihpok, d.mlkh or Eplt ey rLuclurc, Fid ro iuit'ue, .bo r.qui6 $. r!?li.!n f6 h.n Fmn to fil. r .iBr.d rt t tut rh* h. d th. ir licotGd poMl to tn. povirioN of rh. <br />C6trr.id! U..n*d Ls (Ch.F6 9, Corm*ins wi(h Setidr ?OOO ofDilirid 3 oflh. B$in6r bd Prcfdriw Codc) or tt.r hc tr <br />c ir dnF lhdtqt -d i,!. bdir fa dE .llcr.d qdni6 .Any viol.ri6 of ScC1l6 703 L5 by ey lpplicet lq . p.mft rbjeE rh. <br />.9?li6r ro . civil pa!:ry of not llm ihe liE h6dr.d dolla (lJ@). <br />_1, s oh6 of th. FlFty, r ny drployB,nh wlSa s rn.ir sl. cmpd{id\ f,ill do lllc sork Dd thc tr{cir is nol inr.nd.d <br />d o{I6.d f6 .!1. ( s@.704,1, Baina &d PofBioN Cod.: TlE C@rr.clor'. Li6rc hy dB nct ip?ly ro u ownq of lh. p6r.rty <br />lno h{il<L d idprcv6 th.:6, ed wto dd nEt wo* hiE.lf d ha*lf r lhod hit d ha 6m mployd, Fovid.n 65r $.h <br />inprDrmaE E no( intddcd 6 ofrcnd fd tlle lf, hw.vc', rh. buildlrS d inprovcrhdl it rold widin o.. y6 orcohpl. on, rh. <br />Ow-Builda will trv. $. burda of prcvira lh n n rh. nor boild o. imprcE fd tc purpdc oar.14. <br />_1, B owc of th. F!?.ity, 6 qcluiv.ly 6r.-dna ilri lid.d 6ir..ion lo 6ntua $c Foj.cl ( S... ?044, B{iina3 &rt <br />Prcfll,i6 Codc lli. Cdtr*rodt Ucaa. t w&d iol lpply lo h wi6 of Fopary *ho b{il.tr a i,nFo6 thc.oo, ed *ho <br />coin&! fc ruch proj..l' rirh . cdEr.ro(, li4.d FlBsr ro th. cdfrrdr Lic63. LM.). <br />_I m qnF u&r Sc.ri6 <br />-+B. & P.c' f6 fii, ra6. <br />WORKEIS COMPFNSAION DECL R"AITON <br />I h*by .flim ordq p.ndty olpdjur, 6. of rhc follqirs d.cldriN: <br />_I htrc &d *illmiit in. C6li6qrc of CdMr ro Sclf-lt E aq turtd'cffFlrlio, s !6vid.d fd by Scd@ 3700 of th.rid Cod., fdthc pcrfdrMe otlhc wat fd*hi.h lh. p.miI i. n.u.d <br />_l h!rc md eillrEllu. wat6' c@r.rrdt@ i lrc, a nqdi.d ty S*tion 3700 of th. Lrlq Cod., lor lh. pgfomicc of th.*dt fo which $ir pmit ir irlnd. My *o*d' cffFnt.lior illtle.c cEic &d poli., nunb.r e: <br />:;"ndffiffi;;fd onc hodrd dolla {tloo) or le) <br />*hicll 0 ! pshit ir i$!.4I th.ll <br />of Cdif6i!, md.gE rhr if I <br />conp.E ioo prcvitid ofsc.ri6 oftu rlbq Cod., I tn ll, foaltwith <br />WAXNING: F.ile io G.6 eo*6' ffipandon <br />lir6 up ro o.. h6.h.l lhNDd .bll@ (! lo0,0o0),in <br />fi. blor Cod.. iirmt od mmcyt fdl. <br />to oimii.l p.nllrid ua cilil <br />drN86 a FDvidd fd 0E S.ction 1076 of <br />LtcENSf p co|IlllcroRs nEcLAIuTroN <br />I hd.by !fliE ui&r pd.l9 of pajury $n I r,n li@.d 6d.r prcvLio of Ch!$6 9 <br />th! BuiB 4d PmaqJoo Cod.r [d iry li@. b in full fft. ed .r..r. <br />I h@by rlfim un.l6 p.nrlry ot Fjury rfill th@ t r @tr.!c.im ladinB .8acy for tnc <br />isu.d (Sc. 3017, Civ. C). <br />oftc*** fs which rhiiD.mn it <br />Lrnda'r NN <br />- <br />AP?LICANT'S DECLART{TION <br />Dft lni6 Pmir-A'bdtG Notifi c!d6 <br />_ R.quir.d L.na ofNotific.lio, <br />Fcd.Bl R.SulatioN Gnl. 40, <br />Cny ed C@nr, ro cnr.r upon th. <br />.!ov. 'Md@d <br />prcpl.ly fd iDrF.rid p!rpd6. <br />6) <br />I <br />11-o. <br />Set Backs <br />Forms/Steel/Holdowns <br />Erection Pads <br />UFER Ground <br />SLAB Floor <br />Subfl oorA/enUlnsulation <br />Roof Sheathing <br />Shear Wall <br />Framing <br />lnsulation/Energy <br />Drywall <br />Ext.i lnt. Lath <br />Brown Coat <br />Masonry <br />Pool Fence <br />T-Bar <br />Handicap Requirements <br />Deputy Final Report <br />Engineer Final Report <br />Flood Zone Certificate EXPIRE D <br />FEB .I 019 <br />Certificate of Occupancy <br />Notes, Remarks, Etc. <br />FINAL