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SITE-WORK ID/SIG.COMMENTS OWNEN AUILDf, R DET,CARATION
<br />I h6.t' .llm unds F€!) ot Fju,.. rhr I d 6.npl toh rh. cffidm' l-icdr lrw ao. rlE folloriD! rarr (S{ ?0! I 5
<br />Bosin* .nd PrefBion Co&): Any Cir, or Cody *hich rcqun6 . Fnir ro odru.l. .ltr. imlrovq danoli.h ot Grin ey
<br />tl.Eluq Frn to ilr iMc.le r.$rn6 [r 4plican for *t Fnn b f b t 3'sncd d.6Hr $d lr or $. it li.du.d Flrd r
<br />to rh. provirioN of th. Conrricroi! Liccir.d l,w {(l[Pts 9. Connftins wnh Scrnrn 7000 of Divilio. I of th. Bui.d Md .
<br />Ptuldoc Cod.) d Od h. @ $. i dalp( r,E.non ed r,E b6b aor rL.lL8.d aaFbn Any violdir! of SdDn ?011! by &y
<br />{pliclnl for r Fnnil lubJalJ lh. spplicet lo ! civil p.Mkyofdol mor. rhq i!. hun&.i dollst ($m)
<br />_1. a o$c ofthc lnrp6ry, or my .nployc6 wiih *.86 d (h.n $k .omFnsalion. sill .b tlE wcl ed th. sltuI@ n mt
<br />i q'.Ld d olIs.d lq sl. (Sc 7Olt, BuiE ud ProfBbB aodc]1E codtdt t Lte l.s dB d 4ply to s o*c or
<br />rh.FJFny who hr 6or imr.!!sltEoq d'd *tD &Eshw imclto, hcMltot rhrouBh hi! or hdo*r mploy6,
<br />Fo\ ij.d rhn kh lnFoGEB G mt nai.d r olIftd 6. sl. l( tb*6-. dE tliuls d ur{lsqEr i, $ld N ihn ft d
<br />olconpkion. ttE Oe,6 Buillq sillhawlh.hJd.nof Foving tll, t or ih. dd ior burld or oqiolr 6. r,rFiy ftir ilE purFF of
<br />-1.
<br />s orE olrh. FlFry. @.tclaiv.ly corrtros *',lh lta!.d codrdon io otu rl! Foj.( (56 7O'r, q6tl6
<br />rnd Pt)fabn cod.: Th.Contr&lor'r Li.d.l,!wdo6 nol lrplr ro & owr6 orprcp.ny $ho brild! o. inprovd lh.Nn.
<br />ud trlF ourrrr! ls lch FiEr!vnh. Conrslo(,lrded F&!d rorh.( o,ilr..lq ! I-i.de L$)
<br />-l
<br />d cr6F utitr Sdioa ,B &PC fo.rhulfrn.
<br />lhr.: O*rB:
<br />.lLqa5lSliIrDIIENlAIlAX
<br />DECIJ8AIIIId
<br />I h6.ny lmm !nd6 Fn!h, oa pqJury orc orlh. folhq e3 &(lud iod
<br />-l
<br />h.!r &d witl mirt.n r ( crifrirc or(o@n b s.tr'l6r rd wxt6r omF.rlion. 6 Forilaj tor by Sclior -1700 of llE
<br />L.bor Coda for lh. FaollM. of lh. rcll for Etth lh. p6nn a L$.d
<br />-l hlvc .nd will naintlir wo .6 .onFeti.n iBur!m., 6 rqtuiEd bt sdlion 1700 .arh. Iibor Cod.. Ior lh. Ffotu c ol
<br />rlE *nI ltr $ hth $n rEnn u eld My $dld' enFsnion iMtu. .Ein od polky .rmbd r.
<br />ErriE _
<br />_l.drit rhn in llr Ffollra. of th. wort fo. *hth thk Fmn k ir$.4 I nE[ mt dphy&y Fsn r my mM
<br />$ 6 ro b.comc auhJel h) rhc worl6 @npoBdior lNr ofcdifod'!' .nd rrE ihi ir I lhuld heoft subjal lo thc
<br />mtl6' omFdion Fovirioc ors€ii'n 1700 of lh. lrls Cod.. I ltill. lonhs nh mmply tnh 'h- prov6bB
<br />*ARNINC [ailur. $ $r. world compo$rion .ovds. n unbsful. ed shr]l eubJd e @ploF to siminll FElii6 od
<br />cill n.6 ur! ro oE hu,isn rhusd d.'lld! (tl00,0oo), h xlliiln to ltE cor of c den+d6Foud.dt.tlE
<br />Sdro.:1076 olrhc t-alrtr(-u1.. inr6dond anorn.y r
<br />I lz*/ r.tll
<br />I h.cb) lllrm !nrL' psun) ot FJur! thr I d q 9 tco'llrr!fiirs \ilfi s.nbn 70m).f Dn
<br />of thr Busins Md Prc!6sn ns Codc. itti ny hctuc i. n
<br />I [@hy amnn un,]d FMny ol p6ju.y lhal lh6c is a NNlruclion Iin rhr p,-rlohr .e olrlE*ori lin rvh,Lhrh'sIlnni ir
<br />rs.d (56 1097.Civ. C )
<br />l-cnd.i! Nrnt
<br />APPI ICA{TDFCI AXATION
<br />I -e* !trm u4r6 pd.l', ol Fjlry oE oarh. aollo*in8 d.cLrd iom
<br />D.ml'rior PdirlAlbdor Norifidio. F.dorl R.8uh!k'N (Ttl.,l0, Pa!6)
<br />R.qun.d Iird .l lhifKdion
<br />-l
<br />cdift thd rh. faldd r.suLli,6 Es&di.s atErd movrl e. mr epli..bL ro
<br />'hir
<br />projal
<br />-l
<br />cdrrty rhr I h.r. ul rhn .pplk.lion lrl nd. fi, tlE fto\. infomrior i! cord I lsrc lo Nnl,ly *nh !U ('nt.nd Coul}
<br />ord'.e6 and stn. t&r ctnirg ro ttrildoS .oMddFtr rrd tE.t'y ldtFr'r r.F.5'dtv6 o f lhn Cdy Dd Cout t lo dl6 qFn llr
<br />.lar. mri.n.d nn,ncf,) ({ itr3FN" e,.p'<
<br />AppUdnlor Arqt rlrnrrur. '
<br />Pmrre n.ne(prt'r), b"- O,, h>
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subfloor/VenUl nsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<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 Reporl
<br />Flood Zone Certif /i\
<br />WU6l+ ldL*1 1-4-t1 *AUrClx
<br />9-2J-t\v.t4tD)
<br />Certificate of Occu nc
<br />Notes, Remarks Etc
<br />1-4-t1r tvt)WlP a,tt J1\l rJ v
<br />BUILDING. INSPECTOR RECORD
<br />DATE
<br />Set Backs
<br />FINAL
<br />c, )ilLtL r"*cu*,4?\F6-,,rllU
<br />L.nd.r'!Adtd: _
<br />*"?:
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