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SITE-WORK DATE ID/SIG.COMMENTS owNItR BUI_DU|{ l}t:t_( A lt4l tON
<br />I tur.[] amrm und.r rnrlr].f p.rpry ihd I dn.r.nDt fnrm rh. Contracrm l-ic.nk lj* tu rh. ioll,'wing r.aq'n (S.c7Bl.5
<br />au\in.\s d PNi.ssion C.d.) Any Cny or Coumy shich requn \ r Frmir r) con{nd, trlr.r. i.,r"ore, d.rmliri.r relin rtry
<br />in,.tr.. prinh ir\ isurrc., ah. Bpircs rh{.ntltinr f,tr \u.h n rmirh fil. r \isn.d nar.,ftnr rhar h.or\h. is licens.d rursa
<br />b rh. pftrvi(ions dl rhc Conrncr.is Li...i.d hs (Cfiafl.r 9. Corn .cinS *irh s..tio.7lxxr.i DivGi.i :l .a(h. Bu\in.s ind
<br />Pnr.$i.n!Cod.)orrhirh.or\h.k.r.'nnrrh.r.fro'nandih.t'asnnrrh€ilr.E.d.x.mFion Antvida(i nofS.dirnT0lt5hymy
<br />atnlicndnnrp.rmir\uhFcr\rltapfli.!irfuicivilD.nhhyolnDrmn.rhanliv.hundr.ddolld\($5 r)
<br />-1.
<br />rs owcr.frh. Srtrdy. dr my.mptrrt.s aiifi *as.s is rhtn {,b cotr,r'.nsarion, wilrd. rrr wolk and rh. Mdrr i\ R{
<br />id.nd.d orofi.FllorsL(s(7041,Bu\in.smdPn'fesi.nsCdeTh.C,'ntrld.lrl,i..ns.Lawd..siorapolyoinowndof
<br />rhe BI'.dy whr toid! or impn,Er rlrRm. ind *b dms sch qnt hims.li or h.nclf or ihnrush hn or h.r own .mphy.$,
<br />pmvidd thd such iqhrv.ft r & mr inr.rnd .r orlcRl n sk Il ho*.v.i rh. ttuildin! ur inphv.ftnr h srd wthin ok Fs
<br />of compleriln. rh. Own.r Buitl.l rill hr€ rlF tn(kD o, I,ovin3 rhd lE .t slE dal mr hoiH or ir4mw dE pmlEny for rlE I{rFs of
<br />-1,
<br />asosn.r.aih. Dr(ipdy. a,n.rclu{i!.lrconracring wirh licen..U "*u-." u, ",r'.,..r,r, ^.1.d
<br />(Se.7(114. Busir.$
<br />snd BDils\i Cod.: Th. CoitBtn s Licen\. Law dGs nor ll1ply ro n own.r .t I'nrr'.ny !h. blilds .r impnNs rlEr.o..
<br />,nd who onrftN for such tmj..rs w(h a C.mm.ni, lt nEd ,'u6uam ro rh. C.ntrd.ts l-ic.ns. ljr)
<br />I rDr.r.'ry'r !Ddcr Sed
<br />uoBui&::corll}:lsArlo!
<br />DlicLaiallo!
<br />I lrnhy iffinn!n.ln p.nilry.trsriuryon. ofth. fo,lo*ing d.chnriotrr:
<br />I lh em'l*'llm nr('.n'rf,nrcofC n!? ni s.lr-ln{r. f(n rorkss' coml.neriod. ar ln,lnkd forSyS.crion:17U)Dfrh.
<br />h l,\"(',',1..,.rrh.r.l,"-,nc..,1rh.\.' r'r {hh'hrhrp.rni rh.u.JVq
<br />L llbE,n'l "illtudim *',lk.,i cnmr.n\ inn'nsurinc..$Equir.dbysccrionr7(x).fth.rjhorcod.,i,trrh.rn(trronc.oi
<br />nn'.J M!s.rL a.r,n6.nF,,,,\s ion innhi.e .nr'.r md Fni.y iumhn d.
<br />,"u,, *",,,"",,. 1? 5 gqq€ -'LaLq e/s,4",
<br />_l cenifyrhd ii rhe PtrfonNncc ol rtu ron( nn shi.hirri\lt.rnir it n{o.d I \hall nor.mpL)y inrp.r\.n inanyhann.r
<br />{, as h b€coft nrhjc.r t) rhe eofk. .omtn\arin hw\ ol Crlinrnh, d i8ae rtu il l \hould h.om slbi.Tr b rlE
<br />{.*.r'..mFn\rri(rir,vni.n:ofSecrionlT(xrofrhrLhriCide.l{Rll,lirnhlirh.dnrlywirhrhornnrvhkri
<br />wAINING Frihft t) ecuft qrkc^ comp.nlarin co!.qre i\ unlislul. x strlluhi.cr !n.,iDk'rrr !, (n.inalr'.mlris md
<br />civil fin.\ ur h one hundr.d rhdu\md do f con!...satioD. drms.s !s provid.d for rh.{L::;1/7 Z o l.Q,ptio,,r,t fo
<br />DECI,AAAIION
<br />Ih.Et'ylltilrnunddnnahy.rD.riuryrhdIamlic.nrd,nd.r,'mvni)no,(]upr.r9(smrErcjrSwirhS.crbnTrXx))ofDivisionl
<br />.l th. Busin.$.nd Pftrf.$iDn\ Cod.. and mr lt.ns. is in tull f .. fll.it d a
<br />q lorqq5.,
<br />{.1,"-./zazea**L
<br />('- ArrL*^o
<br />carsll!]!;Il(}lruill)lAclcrlc.I
<br />I h.r.hy imirn!nd.r ll.nilryofFrjuiy rhar rlkft h a con{ocrion kndi"S iS.rcy turh. Fifomm! ofrh. srk for which rhis F.mir k
<br />i\tu.d ls.c lllirT. Civ. C ).
<br />artutairl2l:cr nallot
<br />I lrrhy.ninntrnder!eirlry.f n riury.molrh. nrhsint d.rLtriri,,n\
<br />D.trrnirion P.mrirs Ash.{.s N.rilic i( t dcklResrlarionr( l'nl.,r(,,l,rf,6r
<br />Rc(urcd IJ(e. of Norifi cdi()n
<br />?#ffi;
<br />f.d$dr.Bul{i,n\ R!&lins he(o\ retrr,vrl rre n.r irtli.rhl.hrhis I)lrie.r
<br />rer rhrq'tlicoonnndn rhexh,v.inntrfttri)n i\c r.cr laErFn,.onnlysirnrllCiyand(.unry
<br />..frc\.nrnrEr fihis Ciryrnd Cdunry h..h uFrnrlr
<br />rhNe ft i,m(lIn,n d,- n, rr.fn(rir)n
<br />\t'rli.inr or \*mr Sixn 'n
<br />,""rr""r-"",r,tr,,-(9o ,,1*1r"
<br />Set Backs
<br />Formsi Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsu lation /^\
<br />Rool Sheath tng v')'-70 il-wJL\)
<br />Shear Wall
<br />Framing
<br />lnsulation/Ene rgy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />!,4asonry
<br />Pool Fence
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />A
<br />FINAL [-7-7-20 \-\rJl)c\
<br />Cerlif icate of Occu Vancy
<br />+
<br />BUILDING- INSPECTOR RECORD
<br />Rev. 08-07-2015
<br />T-Bar
<br />Handicap Req.
<br />Notes, Remarks, Etc.
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