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SITE.WORK DATE ID/SIG.-(;OMMENTS <br />Set Backs t r,// / <br />Forms/Steel/Holdowns U(tn <br />)Erection Pads l/ <br />UFER Ground <br />SL.AB Floor <br />S u bfl oorA/e nUI n s u lation 1n <br />Roof Sheathing l)4r tnkhl flo tv #: <br />Shear Wall 7q /DZ1 7*rfl6) <br />t <br />I I (<>( <br />-7 )ufli4Framing I Y'-Jar7--1 <br />lnsulation/Energy 4 /-K?/ -l <br />Pfln#qll lo ^t,A,W 4 t7y/fJ ly//*) <br />Brown Coat <br />Masonry ,t v <br />Pool Fence <br />T-Bar <br />Handicap Requirements <br />Deputy Final Report <br />Engineer Final Report <br />Flood Zone Certlficate <br />I <br />FINAL o ZWI Dffi-e 7 <br />Certlflcate of Occupancy <br />Notes, Remarks, Etc. <br />I hccby rfilm undcr pcarlty of paJury thrt I Ill cxcmpt fonn tho Cqrtrrclan'Llcenro lrw fc the followln3 rcuoo <br />Owncr-Bulldcr wlll hrw thr hrdm of provin3 thu ho or rhc not build c lmprcvc for tho F rporc of ttlo). <br />_I, rr owncr of tho propcrty, ln oxclurlvoly contrrtin3 wlth <br />Profeuion @c: The Cmtrraor'r Ucenro bw docr not epply <br />Burlngr ud <br />bIt , urd who <br />cmtrrcu fornrch proJeco rith reorroto(r) llacnrcdpunuurt to <br />_l rm cxcmpt undcr Scalon <br />-8, <br />Drtc:-[f lra[aS o*.ncr: <br />I hercby rfllrm under pondty of pcJury ono <br />-I <br />hrw ud rlll mdntrh r Ccrrlfio of Canar to SclfJnim fc rod(rrt cmFrruim. u povldcd f* by Suioo ,7OO of rh. <br />Lrbc Gdc, fortho F f(mJrco of ilr.xort fa?hlch rt. Frnft h Lrud. <br />-l hew ud will nrlnuin rckn' onpaudor lmmrq r rqulrod by Scolar 3700 of fia bbor Cod., for rho pcrlomnco of rhorck fr which thir pcnit ir ilned. My rodcr' oqnpenaim hqmcr curicr ud policy oumbcr m: <br />Pollcy <br />(Thlr not Ono hun&od (.t100) or lcr) <br />It in rny mutncr to rr to <br />to thc wckcn' <br />thoro <br />WARNINC; Friluro to rocut! wodrcn' <br />finer up to onc hundrcd thournd dolln <br />compcnntlon <br />(tl@,@o),in <br />rhrll rubjcct rn to crimlnd pcnddcr rnd clvil <br />drmr3cr u provided for thc Scction 3076 of <br />thc lebor Codc, intcrert urd morncy'l fcel. <br />lhcrtbyrlIimuadcr-n,,o,,o1-n,fficin3wirhScction?o00)ofDiviriq!of <br />thc Burinor md Prcfodd CodA md my llccn* ir in full frcc rnd clTocr" <br />Liccnrc Uccorc Numbcr <br />I <br />Drto: <br />- <br />Contnctor: <br />coNllqucrtox r rtnryc' a"n*, <br />of perjury thrt there ir r conrtruction lcnding agcocy for thc pcrfonrancc of the work for whic,h thil permir il <br />Lcnder't Addrerr: <br />APP! rcAI\rFS nTCLULITTON <br />Dcmolition Permltr-Atbcrtor Notillcedoo Fcdcnl Re3ulrtions (Tirlc 40, Prrr 6) <br />_ Required Lctter of Notiflcrtion <br />arbator rernovd uc nor rppllcrblc to thlr projcct. <br />with rllClty rnd Counry <br />County lo cnter upon thc <br />rbovc mantioncd proporty <br />Applicurt or !8cnt <br />Peminec name (pint): <br />rnd rutc thet tho rbove <br />rnd <br />o <br />B UILDING. I NSP,ECTOR REGORD <br />4 <br />/ <br />)t 3tr6\ <br />rnd whiclr <br />irrurncc, <br />contrraor'r <br />rhc <br />r clvll pomltyof nqnrqr thlt 0vo <br />thrt ln tho pafocnocc of thc work for whlch thh nol emptoy <br />lo tho workon <br />compcnrtion Codc, I