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SITE-WORK DATE ID/SIG.COMMENTS OWNER BUIT-t)EN DEL('ARATION
<br />I hd.by rmrm unds n .rhy of p.riury lh.r I m .\mFl fror lh. Cont.clo6' l-ic.G LN for rh. fouowins l!@n (sd 70ll t
<br />Bu n* i.d ttr'rBiM cod.) Ant ( ily or (-,'udv sh'ch r.qun6 t pdnil to connrud .lrd inPr.vc dealiih or ftT.ir uv
<br />rrN(ru( rhr ro ir! isue.. .t!. ..quu6 lh. q,pli.M! a rocfi Fmi lo [L . .isn d sialdd tha lE 6r JE i! lica.d PlBuut
<br />ro rlE prclnnrB ol lh. ( o.tsro.s t.i.m*d l,q (( hlpls 9. Conm.n.ing \nh Sdion 7000 of Division I ofth. aNind ed
<br />Prcadn,trs ('ni.) oi rhd rE ot rn. t.rdt'l lha.tr.m ud lh. tEit for rlE .lr.sdl .r@gion Anv viohlrc. ofsdio.70ll.5 bv Mv
<br />,gplunr lor i Fnnil slbjerr llt .mh.im ro ..ivil l).Mh, o f flol mr.lls 6\. hlndr.d &,ll (15@)
<br />L B oeG of rlE FDFi', tr iy dplorG *nh *+6 s th.n $k comrdrion. * d,llEwl &i dEntrrw t d
<br />iflrd.d oFqld ftr.t (5<.704,{, B6iE od Pio6lion Co&: Tn Co.rrl( r Liqg Lry.16 sl +dv lo 6 osG ol
<br />tlt Flpq9 $lr hil& itrp.lE lhns,! ni who ItE rrn mrl ti,rfor hdsllor tlNush his d lE o{t dnpkrvG.
<br />Irovi:,.d rhn sch inqlEjEt N d i'rqrd.d qo&!d nlr rL l( hoqw. ilE ulildnB d inP.ovoEn b $B *inn oE t-
<br />of.orpkntr llr O*d h lt *i[ h.E tlt hrdo ofForil{ rh.lEdJr dil Fl hitd 6 iu!.oE dE FoFtv 6t lt. FlF.of
<br />l. s 0*6 ofrrE FFrr. m drluir.ly slrr-rte wnh lkdE { con rd to 6tu tlE FD}xl (Sd 7o{4. eliE
<br />.,i Atrkin ( od.: l lE (bnri.t r Lk.M tr* dG ml .ppl, ro e owE orprtrFiy u'ho boild. or inFo6 rh6@[
<br />..d stD odr.dr tu ruct FDF! *ilh t Co'rrtl6(, lid.d FlEur lo di Coffioit Li!* t^l
<br />I 0 .r@Dr u.& s..rhn
<br />$ oRxf Rs (ollPrrsiiiaii
<br />llfgzlAAIIAl
<br />I h6$\ ill-rnh un,jd r@hr orFru^ ok.l rh. (,lhsrnr dRlffdtod
<br />I hr\. dd $ill rinlu r ( diftd. of (h@' t' s'MBW f$ *qt6' onpdEiirG 6 Fotid'd 6r b, sd'on 1700 otd!'
<br />lrlFr Coda f6 rlE FtM oflh. rvt fo. {nih rrE Fmil i isxd.
<br />I h.t. &d * ill ruinl!'n *.116' ..nlmrirn rBurd.. s r.qu!.d h! S-lhn lTur.frlE t bor Cod.. lor rlE FfolM. of
<br />rh. mrk for \ hih lh! Fnn ir is).d Mr utrtd .omFEdion i60ft. cdir tn Flkt nuhlE a.
<br />.--,:JlaE cq6ft lo), Fu^r
<br />prricyrrn* { 4\ Z \\1'1 e**, ti,llq/-I,4
<br />I.dit rhrl i.lh. Fctum.c..f rh.$orl ntr shkt rhir p<mil ii iaru.d.l $all nol oplo) tnt Fson in ev ME
<br />Ir N xr tKon. lubjd !6 rh. $ Ld omFndnn bui of ( lliromi.. .nd 4R lh!, if I 3truld b.corc ,ubixr io ttE
<br />(atrlEl $hFelion F.ririoN or S.rinrn r 7O0 ot rh. lilrtr Code I *Ell. fonhwi$ conFl! srth llF* ,rolaioE
<br />WAIININC: F.ilur.lo sG \orkm' con'Frd n 0\.6!. n unhstul. &d tll subidl e dplors to aiminll FdB end
<br />cN,l ,i..s trtt k' orc h nlr.'l rhou$nd dolliB (ir.lx$). in .ddni.n ro rnt..i oacomr.trerio.. dmtea.s proridcd nv rh.
<br />S..r({ rr)7n flrl'.1 ilin (i!l(. nhsr in(!. il
<br />,.,., \qllttlt(
<br />O[SA8AII(I!
<br />I hdlby rnirn und6 Fn![yoipojuyrnlt I dn li.6rsl undd Foftion ol'Ch.pt6 9 {cnhnoti.g qirfi S.clioi 7000) 'rl)iriMn'l
<br />ol rh. Bulina! r.d PNfsion! Cod., dd myli.dr* iin tulltorc.dd.ft.l
<br />r'c.n!((ks L'\D*" \bl-rL llc , r *.i. nu,r..
<br />,-,,a61yi 6
<br />\ooo573
<br />tzztriC
<br />COXSIBIJCIAII,IIIIIiG-AGTNII
<br />I hcb\ lmrm lndd Fn,lD.tprroD lnd rh(.8 !.onrtxdion tndins 4o(t fitr rh.lElomncc orlh. s.rt for $nich rhi. Fmi ir
<br />stu.d(s( t)7, (i! ( )
<br />AIIII(AI{I-PECIJEAIION
<br />I hddr,rn'n uid.r Fuhy of rEjury ot ol lh. folh$ in8 &<lrdiB
<br />l}mlirh. P@n'A3tii6 Norili.dion F.da.l R.suhrac (1tL.10. P.n6l
<br />Adrun d tntd ol tloirdm
<br />I odiry { lt. ra*t.l i.sulaioE ESrding .ltcld tm! d e ton Plt.hL l. fin Foi!.r
<br />I .diift thr t fi-! E d rhir .prltrnn id id. rhd E .lFv. ilfottrribn ir .oEd I .[G lo @Eplv rih d cnv .d counv
<br />qdiuE6 Dd $d. t$r ELirt ro t{ildnB 6irMbn. rn lE.b lrrbrn EFerriE otlhs chv r<l Couxv ro ona l4or E
<br />,," \allLln
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />SLAB Floor
<br />Subfloor/VenUl nsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framina
<br />lnsulation/Energy
<br />Drwvall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enqrneer Final Report
<br />Flood Zone Certif
<br />FINAL
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc
<br />BUILDING. INSPECTOR RECORD
<br />UFER Ground
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