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SITE.WORK DATE ID/SIG.OWNER BUILDAR Df, LCATANON
<br />t hftby lltm unda Frny oa Fju.y th, I d ddfl to6 lrE ( o,nn.16 Lt.@ l^ tor tlE folbwuls .a'n (S<.?01 1 5
<br />ttli'B !i Proftsion Co&) Any Cily or (nudt trhkh Eq!i6 . Fflr lo 6drud. dts, imFov.. d6nolth or lFor dv
<br />nrdue ri{ b irs isue., .Ie r.qun6 lh. l.Dlic&t for ruch p6ni lo 61. t ri8r.d $ddMl lhd lE or JE i! lk6!.d OGu,r
<br />lo ihc F!,nio of rtE Conlr&tor't li*nrd trw {Cn.t d 9, Cmmdcins v th Sdrion 7000 ol Divnon I of rlE &!ilB ed
<br />Pmfciof,! Cod.) or llur lE or slE t q6!l lhs{rcn !d lhc b..ir for ilE .llr.d a@FEn Any rioLion ofs<l,t 70! I 5 b, Ev
<br />lp9licr{ for ! Fni $bid3 tlE +pli(.!n b..iril p.sn, of mr mE lnD fit. huital doll6 (i5m)
<br />-1.
<br />s om6 oath. Fopdly. or sy cmglot6 wnh *586 6 lh.n $k conrEEcion, $itl do rlE wt .d dE *!de . or
<br />i srd.d or olEr.d td lrL (se 7044, BBir ud Prof6bd Cod. -rt Cod8ld'! Li!& tr* &€d +Plvlo &oeGof
<br />rrE FoF! sho bdllr rF!6dEo(.n sho d66$drh hiIulaor ha*lforfiroudr hit orha ow angloyG
<br />Fovit d ltul such iaF.vaMB Gd irarLd or olttld torrL.l[ howr, dE hrildd1r ot BFarsEi !$ldwih-w]a
<br />of conpknl\ tlE 0',16 &iU! win h.E tlE hdar ofF.vls d. lE m tr <tn lDl hild d it+.ow 0E FlFq ror tL F,F,. of
<br />-l.
<br />sosndofth.Fpdy, m qclurvcly.ollrr&lrs *'nh n.q!.d.o rxloF ro onetu.| llr F.itl (Sd.7O,t. &!6
<br />sd Ptot m( o&: Tb. conkdoi! t,ic.e lrw do6 mr tpFly lo e omd of FoFit qh. build! or inpmld lhs@(
<br />Md *bo o,rl3lorsuctFoj.{srlrhrCodnro(i)lkd!.dFsultolh.conlr.cloatLicMliw)
<br />*"lts t5. I g d-
<br />I t6.b, sfIm unda poa]ry ofFjury on. ol lh. followi,g dELntioN:
<br />-l
<br />hrv. rn sill Mi ril . Cdiftd. of Co@r b S.la-lM for wl6r onrFndioq ! Fovid.d for by setion 1700 of lhc
<br />Lrk Co<lc for th. Ffffi. onh. $!rl for *hth 6€ Fmii ir is.d.
<br />-l hlrc.tn vill miloin mrt6' 6nFE ir. itud.. s r.qci.d by Scl b. 1700 ol rlE tibor Cod.. fot lh. Fli,ru.. oa
<br />rh. *i,t lq $hih thi FDn i i-Ed My wdto .ompaBk'n iEurNc ce'q .ri Flk, nunb.r oc:
<br />I cditrhd in llE Ffo@N ofrh. rorl lor uhth thir Fnn t 4o.d. I Jrllrcl 4ploydy F$n in a! E6F
<br />$ $ ro bco8 subid lo lh. sorl6' coopaqrio. lnwr of Cdifomir ud lsc $d lt I rh.lld b..oft tubJcn to rlr
<br />$o 6s comp.Mrio.prcvisinsof S.<lrn !7m.rth. t hnCo&,I Jdl.fonh*nh
<br />\raRNlNG: fnhrc ro g@ $ori6 omFEnnn.or@sc ! u.h$tuI. &d 3h!l
<br />ondy $nt ihe Flrilba
<br />m mnlo,_6 xr oini.rl p6rhi.. sd
<br />cnil fh6 up ro om hundr.a rho@d &,lls (1100.000,. in addili?'
<br />W
<br />(onpcMrion. dmas6 nt prohd.d tu rh.
<br />76 otthcLrbrCod.. irrdBl ad irlonar't rG
<br />I hcilby 'lf@ undd p6.ry or F,ur, lhr I m li.a!.d 4td FDviioo ol(tuFa 9 (6.ll:Ei,g eilh S<ti.n ?000) .t Livnion 1
<br />of rt B6i6 -d PDtsio6 Co{L rn my lkcg i, n! tull tore dd.Itet.
<br />coNsTRUrrTloN I Er\lDIN(: I(:ENCY
<br />I hcrby dlm udq Fdy of Fjury lh.l tha. it r onqrclion loldin! .{dy for lh. psfolr@c. of rh. wort for rtich lhs Firn i
<br />nru.d (s{ lLts'7, Civ C.).
<br />AIIUIAILDICIJSAUqX
<br />I hod,y lfm u8l6 Frhy or Frury oR oa lh. rolb* ins &cL,.rios
<br />Dotukion P.mi& rt6r6 I'Jorifi.{Dn F.dd.l R.8lldhE (Tnk {, Prn6,
<br />Raut.d Ld16.l|{nifi calro
<br />-l
<br />.dlify fi, rh. Ld.ral EBuLlioB Gssdins ahdo. rmoval E. norrlppli(.bL r rhii pmld.
<br />ion iora1 I .sG ro ohply, ih dl Ciry rd Cou.ly
<br />rr! EFs rir6 of thi! Ciry snd Counly lo 6lc utDo $tI .drfr rhd I lEv. @d fin rrlplr.r
<br />orniflE6 rDd Slrc L.B Erii* ro tti
<br />rbov. Mlion.d pmFry for iEperio.
<br />Aprl.d or
<br />^rnt
<br />stErut] JL
<br />P.mhi n.n.(prh0.
<br />i)n,rt {ar. rhd rh.ihn. infod
<br />-r, x
<br />P4uonc +?o of
<br />i1&-tg
<br />Set Backs
<br />Forms/Steel/Holdowns tZ-20'ta 4<'z:7
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loorfuenVlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulationi 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 />Flood Zone Certif
<br />FINAL il>lrq "iD Ml4jr0 ?-) -/t la llCertificate of Occupancy
<br />Notes, Remarks, Etc
<br />BUILDING- INSPECTOR RECORD
<br />COMMEN.TS
<br />A/.-
<br />L,rdd'r Ad.t6:
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