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,UtTMENTS
<br />Set Backs
<br />____aa--
<br />tl ,.- [ ,,t -,a/'-a
<br />Erection Pads yt,tl ,r lt )c_9
<br />?IL t1 ,A4dQ
<br />SLAB Floor
<br />Su bf loorA/enVl nsula tion t5f d;tqI Lt/ci/j)oK fo co,rl... Lry fl* I
<br />Roof Sheathin s ta) )/>'(Fr-i
<br />Shear Wall I
<br />^Framing b rNI -\.i /z
<br />L;.;i',-ou1lns u lation/Energ y I tzcha'1\t-
<br /><"t)Jl.^.Qlywall l)ttltqt'fi '211
<br />L*.,rLatht-l !o a.)a)
<br />Brown Coat 4)
<br />Masonry ar
<br />Pool Fence
<br />T-Bar
<br />Handica p Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif -.--->b-/
<br />II (t)
<br />FINAL Z-tt-2,
<br />Certificate of Occu pancy
<br />Notes Remarks
<br />@Aw q /-uqdO !,.k(^ d f, p^- 6t-:^o1l Fr*-744. otc,.
<br />C..,1',I o
<br />OWNER BUILDER DElCANATION
<br />I hs.hy E(Im undq psuXy oa pcrju.y lhd I m crdpt nom ih. Conlr.clo6' Lic.n!. tts a6i rh. follo*ing f.er (s< 701 I J
<br />BBi.d .d P.oa<i6. Cod.) A., Cily or Counly shth r.qon6 ! Fni to odtud. a, h! rve ddmlih or tqan rt
<br />lrnKlEe Fu lo nr Mc .lo rcqriB rlE qlPlaer for Mh Fdir ro liL . risn d nrtur rhi L or 3lE . ltoEdt Fl,,d .
<br />lo th. FD\irioN ol rlE ( o.1,..1d'r Lrc.nd l,u (Cnlprq e, Comtri.* wnh S..rion 7000 of Dilni.tr ! olllE Bulls Ed
<br />Profdion! Cod.) m
<br />'hn
<br />hc or shc i! .rmpr tc.from ed lhc l,st iror thc lllcs.d cxd/nrn Anyviol.lionofsalionT(r1l t byuy
<br />tlolicdl tor ! Fnil lubjcls lh. lppli@i to r civ il p.Ehy o f m mo.c rhd nrc hud..d &ll4 (S500)
<br />l. B o"ffi of rlE FoFr,, or my anpbrG snh w!s6 B rh.n FE otrqEErion. *ill & rlE srd !n rll. dndE ir mr
<br />trn*Ld or ofiq.d rm sk (Sc.70.14. BBiEl Dd PrcfsioB ( od.: Th. ( ontrcioi s l-t.M lrs &6 nor +pl) h M o\tr of
<br />th. FtrIEly slb hril.Lr or iDr.o6 $6on and sho doc !u.h \olt him.lf or h4llor rhhugh his or hd oM .mploy.6.
<br />Fovijd, rhtr sh i!'!.ovdErr c inoi.d o.olH ad Ek lt hoq-s,lh. bildnu or nmrtr\mr n $B uhhh on. Jrofonpke dr GE 8oi!!a $il h.rt ,r h,{a ofFort{ dti h. q ,E dd rx hild or irs!\r ln. pordq 6i 0E F,lra of
<br />_1. d o\@ ol th. rropqry. m .rlsivcly contrerinB sirh liqm!.d co.rretuB ro @Bd.t rh. projdl (s( 70,14. lrBind! PrDlaiin CorL ft.(o ..(or'r Li.e lr$ do€ rut .p?ly ld e o*.rs o f Fopqty s ho boilrh or rip6\ 6 rhd6..
<br />md u ho @'rrrt tor ruh F!j6r! unh r ('ondo(!) lir6.d F6d ro rlE Codr.dr't Lt@ L$1.
<br />-l
<br />m.r.dpl unds Sdlion
<br />- t-2't- /1 'ru_
<br />I h6$l nmnn undo ,Etaht nf prrury on. oll hr li,l
<br />I hr\ c ild *'ll o,nuin . CdlifFlrc olcoMr lo S.lf-lM. tor erldr' tunpa-riol\ 6 Forilcd ror by Sdrni 1700 o t rb.
<br />t hor ('o<L td E Ffolrtl.& of th. &rt fc uiah rh€ Fn'r ! i$.d.
<br />, lEv. .nd rill mrinrrin worklrr .omFBr' b. iBu.D... a3 ,.rluircd by s<r io. l7(D ol rh. lah,. C{dc. for tb. pafomm. oa
<br />lh. *\trI lo! f,hth rhi! Ff,n ie ied. My wmkd, .ompoBdion iBurec.and ad Flty nunbf tr.
<br />-l.drt
<br />lhal m ll! FfolM. of lh. *'orl fr shth lhis Fnn n is.d. I rhlll ml ophy.ny F$n ir my IIF
<br />s E !o h6or $ttd It rh. !$*6 6oFBdio. lrs orcd'foma d cr ltr it I ihrld h<oft ruqer t6 rrE
<br />solt6' onpan ion tno\{lioN of SElio. lTtxr of rh. t td (ii.. I ilull. tonhwnh omply snh ilj.r FtrlisioN.
<br />WARNINC railurr nr su. wotkd' @dFMrion covns. ir urbwrul md .hdl lubj6r e @plold ro dninrl Ftrhi6 dd
<br />cill ftr\ Il h fn. hu drd rhotr\ rl doll6 l!1rxr.(x)i)). r nll(con,rE,srio.. d,nlx6 a pAid.n fo. rh.
<br />Sdrh. 1076 dfrh.lih, Cod4 f,r6d d.ns
<br />l-21-r1
<br />I hdrb) rrm $dq F!n, of FIry rh! I m li€E d u,xLr F.virio. of (lrqE 9 (6ffii'B wnh Sdior 70@) of Dvnirn l
<br />of rrE ttdi.< i.d Pi.t6io6 Cod., in 6y lk.e b i, tull for. rn dL<r
<br />CqIIIAICIAN.LEBDIIG.AG.EIIX
<br />I hdrt, .nm undd FBlq of Fiury thr ft6. i i.lrEtu<lion brlins rsd) for dE Ffollra. olrrE $ff! lor f,hkh
<br />'hi]
<br />pdhi ir
<br />iss.d (S( :t097. Cr (- )
<br />L.ndd ! l'..m.
<br />6TTUIJII.IIICUAAIIQ!
<br />I hdlqiflimund6 to.lty olpdjuryon ofth.ldLwin! d(llrarioN:
<br />Dcmoliion Pmnr-Atbao. Norin.didn F.na.l R.tuldi'B ( 1 nb .l0, Pd6l
<br />-R.rtun.n
<br />kr6 of Ndifidiln
<br />I.qliryrh,l rh. r.{dal r.su l.r ionr rcg8di.g atEh rix,ldldc nor qll)li(rbl. to rhs pnjdt
<br />I .s' rl! rh, I hd. rBl rhn .pplEarn ri rd.rhdth.r|.\.'nf(rtu.n s .ord I 6gie h onplr_ *'nh iI Cny .nd Cord).Ir.dd,E orrhi! Cny sd Coury ro cnd l4on tlE
<br />\o"'' L4'tr
<br />il'nrfr6 s't \rd.l,$\ ftldqt rqtx
<br />aboL. n,6rdn.d pmrHy ror,6pCqh'n
<br />noo.- r* n ^rrn-r"* 2
<br />e^ta n ^,OAnn,
<br />y'c TLY J- ," >
<br />ILDING. INSPECTOR RECORDI
<br />lE\.ri-
<br />I
<br />Forms/Steel/Holdowns l;,
<br />UFER Ground
<br />Klt.
<br />,al€rrJtlEluI -ilDf
<br />LLIZ)-II^r "rf,.cF -7 h;,la1
<br />, Etc.
<br />Cair _
<br />Policy Nunrbc_
<br />/<_
<br />6
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