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SITE-WORK DATE ID/SIG.COMMENTS Olf NER BUILDER DELCARATION
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<br />PlDl6iom cod., q d lE n nE i! ampr rhd.from&d llE hcir tor llEdlcecd ddnFi,. AnyliilrionofsErnn70ll5r,rqov
<br />.Fhc.nt fot . Fnn $bjar3 rh. !F?|rc. h r ciuI p6uny of tur ma rn , fi\ . hn&.d dollB t$ml
<br />L s .$.d of rh. FtrFnr,.r Dr_ mphrG snn {.*6 a rfi6r $L m'nFadnn, \ &, 'lr $nl !n 0E rrurE it rel
<br />' ari.d soflcEd forelc(S8.704t. t]UiN dd PnrrRhd Cdi.: Tn. cbnrMors Li.@ Ilq 66 n qrplr. ro m o{na oa
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<br />r.v 'drrl rhd such inFovffiG tu. nn mraral or oltdal for sk I [ ,Ns 6s. lh. hild'ry or rthr .lmi n $ld \rihin onc yw
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<br />L s o\vn6.frh. prop6ry. dn .r(l$ircb .onr,.d q uirt lrcoE d.. rrcrou t, $i3rud th. Fr&1(sd 704.1- tlusmdr
<br />ai{l h,Elsirn Codc: Th. Conrero Li.d!.1.i$ d(H nor.t'tlyro d osnE ofprop<n} rh. huil& or impror6lhdmn.
<br />.nJ $no ( ds for ruch rr\,r.d! snh. (.o.n6donr) kaEd puR@ t' rh.(i,nkdo.r l-rff li*l
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<br />ul)aBE8t(aufElsarla!
<br />DECUAAIIA!
<br />I hftt,r rmm und.r Frny of F,uD oR of rh. fulh{ brr d..lmlh6:
<br />I h.\. dd r ill Min!.in . cd ifr.r. of (hlsol nr S.ll-lNr. ror qirtd' odFd ntr. 6 FoliLd for b} Sa'ion I70o orrh.
<br />Irthr (i ., for rlE psfffi . of rh. {o* ro. shict rh. Fni i3 Bu.d
<br />lhr\.ind Nlln,ainrain sorlos r(tlrircd h\ S(lion
<br />rh.!."1l.rnhtrl-'1 ,tmi '.h!,,\l \l\(,11d\ !i1rN\ r.1ir\ i1(.!r,e,*-i)n,hl, W+A-,,r,^ /f* 6
<br />,1,r,., Ntrn,,xr , ltl/C</01 p1 6.1-0 tt ^, > r
<br />:17(x) of r h. I ntrtr (i\d., aor rh( p.rloflnamc o I
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<br />I (drft rhri in ih. Ff.rlm. of lh. s.il for \hih lhn Fnn it isu.d.l thtll ftn @ptJy sy rErn 66ynM
<br />$ B ro b.(m $bi.rr ro rlt sotd'cohF!.nn L$3 ot( rlrimia di.gr rhd il I rnoukl t(rm tuti(tl l. rlE
<br />sort6' onlduiin FltitbE .rsdsn .r 700 of rhc lrti.r ('o&. I rh,ll fnnnr nh ompl} $ nh ILE For.ioB
<br />WARNTNG, F.ihn ro s@ *nI6 .omFdhn mr64. n unLlnrl .td !l!ll shJ6l i dnplotd ro aimind Frhb an
<br />.n'l n.d !p ro oE hu.&t.d llho$d &ilLr (ir{[.000). i. lddnon lo rlE.d or omFNrtun, d.r'46 E Fo\d.d frr rlE
<br />'od.-
<br />'ntdqr r.d rl0rElI
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<br />of rh. Buiindr dd Pmaecioni (ird., id rn, li.os iq in 6nl for.€ &d cfld
<br />,'..,,r.rr,'..t (/11
<br />'.,.- 7f1,{/1
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<br />CqI!IAUJIaBJjTDI!G.AGE!(}
<br />I hort, .Irm u.d.r Frly ot Frury lhr llEr it r mldrudnn lodins ,(d} lbr rlE FGrtllr. olllr $o* 6r $'tth rhi! Fni i
<br />isad {sa lm7. cn c )
<br />kn<b'i Nft'
<br />l.6ljd'iAdrle:
<br />ATIIIIATLDISJSAIIQ!
<br />I hddD alfnnundd p.n.hy ofp6jur] on. oflh. follouins &(hi!lmns:
<br />l).nolirio. P.mi'eAsb6ro! Norifirarn,n f.d6al Rcrulllions ( Inl.40. P.n6)
<br />R.qun.d L.trd of Norili.dirn
<br />I.!nii rhd thc i<nqdl 'c8ul.rons Ertud rt nnBrsrdn.\alarcn.r amli(.hl.l,, rh's InJd
<br />K6,/r .-'r' ,r,, r r... -"a ,r't 'rftf,dnn nl n.,. rhd rh. !tn,c hrotunn s cnn<r I 'Frr| &Jdx6.nd Srd. t "! EldnB ro b{'Uh*(ndrudFtr d h6d^ .urrbru. '.F6ddtr6.lJ."-^j:;::ffi,{o/,Zz
<br />,;,:..J;,;,Jta boo roD,/L, r
<br />b.omnly {ih lll(''r!.nd Codry
<br />trhr('it trd( au \r.orduFn E
<br />,,.-7/s/g
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulalion /n
<br />Roof Sheathing 3-/.,l4r.l
<br />Shear Wall t\.,/
<br />Framino
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />FINAL '1')?v.\thruVCertificate of Occupancy
<br />0'r b4aft ('uo o
<br />BUILDING- INSPECTOR RECORD
<br />,,'^,,,",,',@a
<br />Flood Zone Certif.
<br />Notes, Remarks, Etc.
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