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SITE.WORK DATE tD/stG..COiITMENTS OWNES BTIILDET DEI,CARATION
<br />I lEct'y lmrm undc, ltnllry ot Fr,tlry rh I n.rcrnt fmm rlE 6 tuo. l-k.nr L.* lor lh. tolbwi.! rca$n (56.?0:ll J
<br />Blriftrt rd Phrc*ir. aik) An, Ciry or (i)udy vhih Equn.s r Fmi n' onrrtul- !lr(. idn$v.. d.mlirh or EF.n xy'
<br />{Mtm, F,,tr' a. isffi..l$ r.guiEi tlE.flrlkut fm rkh Ff, k' 6t r risEd (d.ft.r irdt or slE i.liEsd pu.qur.
<br />io rh. fhririnnr or th. Q)nrhctorr Lic.n€d l,* (Chrnr.r 9, comnENins wiln Ssrn,n ?0q) .f Divnion I or rh. Durinc{r lnd
<br />Prorlasiinl Cod.) d rnd E q {x n.r.qn rhdcrrom !n rlE hoii.lir rlE nk!.n.knyri,n Any vhhlirn of S.dior To.l l 5 by.ry
<br />aDolr. ir a IErmtr .uhFn th. .Ipli..nt ro ! civil p.Mlty ol dr mr. than fi!. hu trldolls(!tlxr,
<br />-1.
<br />&i olF of rlr tmlEay. d ny.riloF- *ni *'36 ai rrrr $L $qEnrdi'( sill dr llE k'l rld d! qntu a d
<br />irrsd.d nr ofid.d lDr sk 15(.7()44, Bura*$ snd Pr.(*iions Gdc: Th. Conln.ltr s Li.cM L!* &B ml tPPly lo .*mr ol
<br />rlE lhFnt slh llaltr d bp.oE ttffitr.d *lb d(s un rul hirelf or lreltor lhrc!8h hir hd orn.rpbys.
<br />pn,rilci thd sh irtrowrrt e d int.id.d G ofirtd ld qb lt Ew. rrE lniBirtr q inFe,r.n n $B *thi m )r
<br />ol.onplcri,n, dE owmr Buildd *ill h.r lhc tud.n of pmviB rhd tr or rfu dil n, tlild or intmE ih. pmtd, rr, th. pulb* nr
<br />l. a\ nr!f,r ol rh. I'(T6i t. m .rctu\nc lt conrrucrint *iih li.ctrwl co ru.r'^ nr .otr{nr.r rlE ln(rFr ( Scc 7(rr,r. Bulms
<br />!d Pmlc.sn C,rk Th. (-onr&!r'i l- f,.ne l rtr tlel ft, .r'nlt h !n o*mr ot ln)pcn r s h hrildr o mPt,r.r rh.rdr.
<br />!n{l *ho.onricr\fffruchnn'f.r\wfhrG,nt..hlnnlic.i*,lfxFuMrkih.Cont ttrsl,..n$liw)
<br />I rhctanpr u'rl( S..rrr ,lt &P(-l rhtrr(N,n
<br />l) . trinr
<br />lvoRx!Lt c(ritPi:NsaitoN
<br />rErt atAus!
<br />I h..6t rlrn un,$ FMht of Fr pi! oF of rh. f(nk,n rn8 d..hrrti 'nr
<br />lhlvr dl eillnrinrrin! Ccniltnr.ol C.trctrrr. S.ll ltruru 1,tru1trk.( conqEneri,n,. !\ povidcd lnr bySr.rk,tr 17(nol rhc
<br />ljhtr Grk. f$ rh FforlI^-c of rlx f,(* (tr shih rh. Frm n rru.n
<br />-l
<br />h.w rd eill minllin F l.n corry'.nrltu insnftc, .r FluiEd h, S6rir:17(x).f rlE ljrr Codc. for rlE lEnhlllE*t ol
<br />th. *ut rrr shih rhk Fmrl ir i$.d. My rntdr' onFnslrir i..u.N qir !d Fli, Nnrid ft:
<br />l..n'lyrhar mrllc pcrrortum. ()f rtr *ork ftr *ha.hihtrFnnn
<br />q) trr ro h.(nnr ruhrd nr rh *orldc conlEns i('n hs \ .r Calinrn
<br />rono. rlr{s€ixnr tr,rrhnr nrSNin.tr(rr !lrrE ub. C,xk.
<br />r\ARNIN(: ftr'ltrn.,n s.ur^ *'ilfl\'.um!.n\ tr.n d .,rgr F u
<br />(N,l finc\ up h tr* hu.tlrd rhrq.d dolh5 rtl(x).(Ir)r, in a.tt,r
<br />S{\ri)n 1076.frlr lrhtr (iilc. hrcrcnrn, o.i.} \ fe\
<br />is n\!cd- I thrllmr cnu'k,yrny|iMn in rny.udt
<br />i.. rd urr rnd ir I th,lld h.rom ru6Fl h lh.
<br />.I irll. fonn$dh o'rril, $irh rho€ pnrvi.ii.t.
<br />nbwful. anl $.ll suhFr atr dnpbJrr lo diminrl FNhkr a'i
<br />rhn rn rlr o( or lrnqEn{r n n- dxE3.. 8 pmud.n for rrE7-x
<br />DFCI Al{TloN
<br />I h.abyrlIrmu L. FMlt t of tErlrry rhi I m lad*t !i&r lrov*i,n .r ChrF6 9 (o'!lrllfr! *irh S.dio. 7(f{), ol oivaa. l
<br />or rhc Aurim* !m! Prrcirhns Cidc, dr|d ny lic.n* ir in fult hN d cffccr
<br />ATILI(AIiLIIECIJ8AIIIJ!
<br />I trr$y.trlnn undd p.n.lry of!.rjury oB olrh. hlk'*i.B d(lar0rion\:
<br />Dcrrrlirxrn Pcrmirs A\h.{or tt( if(.r b. IGLr.l Rc!!ll' i!.i tlnk .10. P.n6r
<br />Rcqtrrcd t.lrcr of NorifEali,n
<br />I c.niry thll lhc fcdcr.lrrslhri'nr Esadinr,.tEstr rmvrltrd fr +pli.tbk b rht pmFl
<br />lcln'l! ihrr I hr( r rhA ap,,lx xr h. $l nl. rhrt rh ltrt. rrr{tr.ur i{ n ..ii(r l r3B nt .onllllt { rh rll ('rl.kl ('ounr \
<br />unn ..r m,l Sr rr Lrw\ El tn8 t) huihnllt (.n{ruer nn, rlh.rcA'iurh /.rrtrcqnr. tr.\orrhrC,rnJC,,ir1bcnrduPrrhc
<br />,;;-",::::;.:"'K'.-W4 _ -,,,^," G-)s.tl
<br />Pcm,E*m,pri.,,: ,z -Ja6,{ fV['t-
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation /
<br />Roof Sheathinq wv I Ft44 7472 rU
<br />Shear Wall I
<br />F ramrng
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Beq
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif .
<br />I I I .,a
<br />FINAL ilblll Perw
<br />Certilicate ot Occu pancy
<br />Notes Remarks , Etc
<br />BUILDING. INSPECTOR RECORD
<br />Set Backs
<br />Brown Coat
<br />i(ri.d rsr 1097. civ c r
<br />r.n&r! Mmr _
<br />lrRt.a\ A(tdr$
<br />T-
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