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SITE.WORK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />SubfloorA/enUlnsul.
<br />Roof Sheathing Y
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Mason ry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />FINAL b/ra/,(9r\KL
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc.
<br />Om6-Builda Drcl.rdq
<br />I h6cby !flim md.i parlty ofFju.y hxI lrn Gr@p l6!n $. C@tr.clon Lica!. Lrw ror rh. followary ftaoi 0(.703L, Burins.
<br />sd Prcr.ard Co&) Aiy CirI d Ctury ihi.h Equin, ! p€,nlr lo 6tEuc! nld,lmrrovc, d@olnh d rcplr u, rElcruF. prlor o iE
<br />i$6c., drc E{ui,s $. rt?lic&rt fd ruch r6ni b lil. r dar.d 111196r dr h. or rtu n lim.d punrMl !o th. proani6 of6.
<br />C6tr*6t U6r.d L.* (CniFr6 9. Cslr4ins ,i$ Said ,0OO ol Divide , of lh. Buinot &d Profqrionr C.<1.) d rh.r h. or
<br />rh? i, .rhF i'@tf, ed dr. hsi! la dr .j,.l.d dBprion .any violriion of Sedd 703 L, by dy ir?liu fd . p.mn tubj.c! rh.
<br />+pli{r to . cjvil pcndty of i.. ffi lhe liv. hudrd dollEr (t500).
<br />_1,a omeofd. prop.ny, drry fiplord wirh w.8.!.r lncn rol. @mr. do, sill do lt. w6t ad rh. rlructu. ir iol iiladcd
<br />or o6crd fd .d. { S6,70,.a, Buhor ed Pb(6lon. Cod! Th. CdE .t6tr Llc@. L.* d@ nor .!ply lo & oma of ln. pop.n,
<br />who buildr d ihFov6 rhd.oo, ed *,to .t € ru.n wdl hiB.lf q h6.U r 6rcu8h hi! 6 ha o*n 6plo/..r, Fovid.d dlr tu.h
<br />ihprcvrhau n! nor int.nd.d or or6!d lor d.. If. howee6, th. buitdrt tr lnprovhdr i old within oic t{ of co6pl.rio, rh.
<br />Oma-Buildo qill h.vo Lt burda ofprovint thrl h. or rh. not build d inprovo fcr $. purror! or rah)
<br />_l,aoM6ofth.pEFny!E&clu.iv6lrconrulinSwlthlic@.dooIr&lofliocdntucltn.pb.j.cr(S.c',ottl,Burii.lr&d
<br />Prof.nion Co&: Ilt. Conndort licarc L|w do€ no( rpply to rn ovncr of prop.fly qho build! d imprcra $ocon , Md who
<br />coir.rlJ fd !u.l Foj.ot *i$ . Co,trrda(r) lio.n rd puou. ro o. Cd$r.1or', Liccilc L.w )
<br />_l m crhF un.ld Setio .E & P.C. for thir rcaoi
<br />D!'. _Osr
<br />laEr&Sg.caEE8iArloa.EEcldEdrgla
<br />I hlrcby .flim udr p@.lty of pcrjury oc of d. foll*mr dalu.lj@r
<br />_lh.v.sdwillB.i .in. Cariicrr. ofcdrorr ro S.l roE l* wnk6'Mr.nr.don, a Fovid.d fr by S.dl@ r7OO ol fi.
<br />Lrbd Co<lo, for th. p<fcnuncc of rh. 16* fo. *hich lh! Fnit t lnu.!.
<br />_l hrvc Dd will m.iDrir wat.n' c.lnp@ri@ iEuea,6 rcqulr.d b, So.rid 3700 of6c L.bo. Cod.,ld $. p.domuc. ot$.
<br />wolk for ehhh lhL p6nlt ir inu.d. My vdtd' c6p@.t16 Insre@ sic sd pollqy Nmb{ e
<br />(Trb rcctioi D..d not b. cmpl.t d if th. pamn ir fd On. hsd!.ddollD (S100) ( lB,
<br />*l c6iry tur io {t. pdfme.. of U. *rl for
<br />b.ce. rubj.a to lhc wd*6 ' @m!. .ri6 l.{r
<br />p6on i. uy me.crto! ro
<br />cohpdrdd p6yi3ion, oaS.ciio 3700ofrh. L.bd
<br />WaRNING: Plilurc ro tccuE *rttr'
<br />li.a up lo oi. hui<lr.d 6ouud doll&
<br />anr.ro.io .ovdtc i! unl.*ful,6d & .nploy!. ro crinir.l p.n.hia &d ciril
<br />(1100,000),ii rddniM ro rh. @t ofcomp.n.lrior, &n.as a p.ovidcd ir rh! Serion 10?6 or
<br />th. L.!or Cod., iit sr sd lnomcyt f.6.
<br />L u$ltrDlglnAcroELoxlAEarod
<br />I h6.by lmm urd.r parit, olFjury tJlr! I D ll@r.d ur.l6 povitiori of Ch.pLr 9 Golmdciis wnh S.ctioi 7000) ofDivilioi I of
<br />rh.86iiBt od Prcfdiod C.d., ed my lic.n& i!
<br />I hd.by rmm un<Lr !.i.lty of !6jury ti.r tlr6. h r cdru.rioi lddii8 r8.nc/ for d'. pofoftec. of d. qo* for qhhh rht p.hii it
<br />it!uld (S... !09?. Civ. C.).
<br />ADPLICANT'S DECLARATION
<br />Dcmoli on Pcmnl^lb.,rorNo ficdion Fcd.r.lR.8ul.ion! (Tnl.40, t.n6)
<br />_ R.qut.d L.nd of Noii,ic.lion
<br />_l c.nit thd dr. f.dcr.l dsul.rion, Bsedins Eb6d r.hovll &. ior.gplic.bl. ro rhir proj.d
<br />I .8r.. ro comply whh lllClry rnd Colnly
<br />olrhl, Clry ud C@ yro.^r.rlpon!h.
<br />I
<br />BUILDING. INSPECTOR RECORD
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