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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OscrBuild.r Deldior
<br />I hfrby lmfr uidd p6.lty olpdjury thlt I h cr p fom rh. Cdr&lor Lichr L.w fd rh. followi.g '.Noi G.c rol I 5 BBin.g
<br />Bd PofBrim Cod.): Aiy Ciry q Counry *hi.h EquiB r p.oir ro cont!_!.r !lrd. ihpovc, dcdolirh or rp.t &y nrGtu.., p.ior ro iEirlGe, d$ r.quiE th..p?lisr fd.ud pmir lo filc. nsn.d r.tur rhd h. r $. ir l cdr.d puB@t ro rh. !.oyirionr oa$.
<br />Comdd!lic.dL*(Ch4l69.Cdhacini?irhSccrid?00oofDirhin!of$.Bu!i..$rdPofdliercoda)orlh(h.or
<br />rh. i! ci.op. thfrfrcn Md rh. bab fr fi. .llq.d d6li6 Any giol.rion of s.cdon 70! I J b, dy lpplicsl lor i p.mh ,ubj..r. th.
<br />lppliqr ro r civil !.r!lry ol iot tle 6a fiv. nurd..d doll8 (1500).
<br />_1, ! oMd of ln. proP.ny,6my mploy.d with *.86 s in.ir rol. c6patatim, will do rhc wort lnd rh. rudlr. h ior inr.nd.d
<br />otrcdf6rd.(Scc704{,B!dn*sdPrefado.,Cod.:ft.Co.r.cld!Lic.LrwdGiorappl,tomowndolrhcprop.iy
<br />whobuil& or ihPro€ th.l6, sd qno d€ rch s.rk hitu.lf d h6.!f 6thrdgh hi! 6r b6 *n.mplor(r, providcd $itsu.h
<br />inprcv 6E G nol inrmdcd ororfrd fc(r!1..Il, howffi, rh. buildlng or lhprolcriE ir,old wirhin @. y.rr ofconpt.rio., rh.
<br />O*nfr^Blilda will h!v.lh. burdn of pmrins.n.t h. nrh. nor buildo. inp,ovc fq rhc purpor. oaral.).
<br />_1, a ow..r of th. prc?.ny, m .rclcir.ly .onrturina wirh liedcd dEicrd ro.drttud .n. p.oj.d ( S.c. 70,14, Burir.I $.t
<br />Prcf4rid Cod.r Thc Coimaoir Li.aJc Llw dGr iot lpply ro $ did of Fop.rry who buildt or inprov rhdcoi , Md who
<br />cont'ab for iu.h prcjccr *ith. Conm.b(r lt..rd p!,r!dr ro $c Cdreror,s Lk.n€ Llw )
<br />_l rn.x pt uidd s.dim .8. & LC. tn lhn E&oi
<br />WORKTRS COMPENSATION DECI { TION
<br />I hq.by .mm lndd ,.n!l!y of Fj!., 6. .l rh. foll@in8 d*ldtio,r:
<br />_I htv. bd *ill mri.r.in. C.niflc.tc of Cm36 o S.lfinrurc lq wo*o c6p.nnrion, E trcli&d for by S.dio^lTooofrh.
<br />Lrbd Cod., for $c pcrfmc. of th. w{* f6*hich Ill. p.oii ir hru.d
<br />-l [.v. sd qiu h.i.lrin pdl6i conFrllid idurdei s Gqln.d by S.ctioi !700 of rhc Llbor Codc, aq rh. p.rfmanc. of th.
<br />wdk fo which lhn pmn i! irs.d My *dtd' .dFnr.ri6 inrum.c csicl ed polic, iudb6 !rc:
<br />(Thirr*rion r..d nd b. comDla.d lt lh. pmir tr
<br />Z*irr,r,, in
<br />'r,. -ro*cc or'Jl. *or fG
<br />b.cmc lubjd ro rhc wolk6 cfip.nr.lid lr*t
<br />for on. huidr.d dolla (1100)6.1.$)
<br />*hich lhlt pmn i! i$!.d,I rh.ll iot pdlon rn rny mMn.r ro 6 ro
<br />of C!lif6i., md.8cl,|l ill liould
<br />comp.is on pro si6t
<br />1'ARNTNC *dl6' comp6! i@ cov.r.8c
<br />doll6 (!100,000),i. ldditid to $..dl of cmpnrlrid. .lrh!s6 ! prcvid.a lor th. Scoion
<br />rh. Llbd codc. inrGr ud lnomg! f.6
<br />LICf, NSED COrtrR C-iORS nECLAR^ATON
<br />I hdby tmm undd pdrlty of Fjury thol I6lic..!.n unanprcrtion of ChaF6 9 (cmmncin8 wnh S..don ?ooo) ofDivilron I ot
<br />of Fjury rh.r ihd. h rconrttuctid lmdins.s6.y fM rhc
<br />irlu.d (s.c 1097, Civ. C)
<br />AIPLTCANI'S DTCI.AIL{f ION
<br />D.6oliri6 Pml!-A,bdlo! Noifi..d6 F.ddl R.rulldotu (Tid. ao, Pd 6)
<br />_ R.luiEd lrlt r ofNotiliclrim
<br />--.(,^:"
<br />Itll lhc f.dml 6s!l id! E8udinS sb€r6
<br />lh l hiv. Edthir applicarion 6d nit l !3r ro.ohply wirh .ll Ciry ind Colmy
<br />ordinbcs bd Stll. !.wr rchrin8 lo bdtdins
<br />rborc nori@.d p!o?.iy ftr iEFcrid
<br />i
<br />olrhir Cn, d Counlr to
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subfloor/VenVlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />il
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Requirements
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certificate -zr r I tru :U
<br />trrD I
<br />.UIJ
<br />FINAL ; 8-43, 2e0,,5e, os7
<br />Certiflcate of Occupancy
<br />Notes, Remarks, Etc
<br />Drrc Om.r
<br />rh.Burindr&d Pmldidr Co<1., bdhylica!. i,in lull lo.c. dd cff..r.
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