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SITE.WORK DATE ID/SIG.COMMENTS Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor Subfloor/VenUl nsulation Roof Sheathing 2-t7-/1 x"wo)e'ln* Aq- Shear Wall Framinq lnsulation/Energy Drylvall Ext./lnt. Lath Brown Coat Masonry T-Bar Handicap Req. Deputy Final Report Engineer Final Report I FINAL l(v' Certificate of Occupancy Notes Remarks, Etc. Att ,.4w PL OWNER BUILDEA DEL('/\R TION I h6d,y lllm ur<lq Fully of pGjlry rhd I @ .rabpl tno th! Conlrxlor' Irc.nt h* for lhc followirg l!&n (S( 701 L BBi.s dd Prof6ion Co&): Ary Cily or CNn, stih r.qui6 ! Fni lo d,lrtud, .nd, ioFolc 4tmlbh or r.,r! &y {Nclu4 Ftu ro irr iffie .lo Equic rh. @ltdr for sch Fnil ro nk.3b.cd cr6d lhd tE or:tc b licdBal pu!ffr to E Fryi.ioG of ilE C..lrtd,' LE.u.d L.v ((]EF- 9, Coffiils wnh Sâ‚¬rion 1)00 of Diririotr 1 of lh. &si 3 ed Frcfsio6 Cod.) or thd lE or 3h. ir q6pr liacf.od dd lh. bdi! lor rhc tll.g.d ddpion Any violllionofsdionT0.ll5 bysy ip?li.&r for. Fd'r iubj61! rlt .!pli.r,! ro t.i1il FDty of Dr mrc rtd lie. hun&.d & l,B ($mt l. B o$E of tlE Fopgln q oy dnpb'6 *nh {.s6 a dEi, $L o.pdri,n. ril & tlE rnt -d tli itn4 it m' inrod.d or trf(.d ror slc (sc.70.14. BBin6 od Prca+i.B (-od. Th. co'nrdoa ! Lictu L!* d(E nor rpply b e ow of rh. FoFty wtB tdll or n sD\6 {EEc rn *t! {tE $dr wrt nielt oi hdclr or ,mugh hi! d ha oE.rnphyd3. FoviLd rbi ruch imFvadr c d idarr.d or olir.d tM nt ll bEq. rh. hlrBntg n nptsssn ir &ld wirhi. oft t* .f@reliio'! rlE o*c B{iLk will h.\r tt hJd.n of Fvil{ lhr lEtriE dij 6l hiB or nrslrc ltE FFly nir rh. F,Fs of l. 6 orE .ifi. FoFlr. u dchrndy .omelus u lh lEa!.d c. ndon 'o mnfud rlE ImF (Sa. 70.14. Bd.6 dd hnf*lior CodG: Th. ( d.tr..hl ! t-i.@. trw do6 n.r apply 16 m ow.6 of prop.ny who buld! or inprov6 $64n. md $h6 .oturforrdFDFlrlthrCo'rtuo(r)ltd!.tlpu.lr.irlorh.codrdrr'r Lt.e tru) Ln.rmDr und6 Saron . Il & P C lorlhn ,@'n D.le Orn.r tlaaxESa_caul!$arq! DECI6!AuA! L"ry'* .,Iim u&k FDlry of Fru.y oc of tlE folhwing d..krioc I h!!.,n$ill inrfi. Callfrrrc otcoenr ro S.lf-lBur. tu wlds o Fnrlion. s Frvid.d for bySdrio.l70o of!h. Llbor ('odc for tlr Ffolrffi. of rn w.t for *tlkh thc Fnn ir isu.d _l h.v. !d sill @nnri. *nrt6r .ooFMion iNol*.. B r.qun d h S<lb! 17(10 ofrh. bh.t ctxL, lor tlE Ffrnle. or rlt \rort{nr Bhrlr rhs pcnnir is fu'^.A smp.Nllion iNuruc. ceE at FIi.y.@br m sL3)t 7-l I cdi8rha in rh. !.rfoM. of rh. *ort f.f, shrh rh. Fsn i! is.n. I rh.ll mr aphyu) F$n in x, meE $ s ro h<om. sblâ‚¬l io 0E wori6' conpaldion hs s oa(.lif.mia &d lsfr lhrl il I Ji'uld b..oru Juqd lo th. {o,Ld omF!.r.. FDvi'hE ofsdi,.lTm of rh. t t r Cod.. I lltll. ftlntuii onryr.-{ s nh rb* prolirbB. rilaiNlNcr F.ilur. ro cuc workd' codFtu rion .ov6r*. i. unLwtuL 6d shlll rubjd s dplolq lo omin.l tErhi6 Md lin6 up to oc hu6.d rhousi<t d.lh! (tl in.rldhio. ro rlE.or of mhFErion- rhn s6 a FordGi aor tlE n 1076 of rh. I lbor Cqre i.rad Md.ttrmy Jurllll.l)1aNr![u.tBUllL!&\Ill I h@by iIIm uodo panlry of patory lhn I m !c.i!.d und6 Frvnior ol Cluglo 9 {co@o.i,! wnfi S.{lion 7000) ol Dili.tun l of llE BuilB s'd PFf6ir6 Co<L. -d 6y lid* a io tull aoc rn.ttd (t zL/ ,rrr"*Z y I v21-z La^W t--<'1-- ' coxslalrcuolJ,llDllclcEl(r I hftb' tllm uldE FuIy of Fjury tht rt4 i. . ointu.rb. ladig .Btry fot lh. Ffffi. of llE wrt 6r stth thir Fnl i Lso.d tsc. !007. cit. c.) l?rllcaufD[ctJaArll]! I hodr' itrrn u.<k Fuhy 6lFJUD oE of rh. f.llof,ir8 &.ladioB: I)sml ion Pdmill'AllEro! Norif@tion Fqr6.l R+uldioff (Tnl. 40. l!n6 ) -R.quncd L.rts of Nori6c!r0n I .dif, rhd th. Ld6d rqalblionr Eg6dins atEslos ,onolal rc nor epli.rbL to rhk pnrJâ‚¬d -l .dri tnll I h.!c rcad rhir appli.rxon ad it'r. ihd rh. .h,r. h6md ion n (orr..1 I .gle lo c.mpl] $ dh .ll (-iry and Counly orJrMn(6 r.d Srirc I iui rcld uu ro hrildde .onfuixr drt h6cbt .uttnM r.Fend n 6 of lhb Cn! .nd Coonly lo 6ls uFn tiE at\r. nmtion.J pr.Fn) lfl E*(l6D p,rr!o.6;;;;;:;'AJZ*.- uaq,a'-'-,, b z/a/7 P@r,ron.rprf.,,:,/ Advrou- /d/74 ugT 'tfrEllpllqruflll BUILDING. INSPECTOR RECORD Pool Fence Flood Zone Certif . Y I