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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE tD/stG.COMMENTS OWNER BUI!-DEN DEI,CARATIoN
<br />I h.rcby rttlrr utrd.r Fnalry,rl r.rj!ry thrl I im cxcnDl ti.nr lhc Cin ractri LEnsc lrw fr rh. tulk'wD! !c!$n (Scc 70ll 5
<br />Buqncs rn,i Pdtsio. Cul.)r Any Ciry or Cotrnry which r.qur.s I ftnrir b .onntucr. ,lt$ itnlnvc. dc rl6h .r rc|).ir .nv
<br />{tucru'c. pnurl,) irs issr cc. rl\orcquft\ rhc nPpli.rnr t, such!'cmrilro filc I n8ftd st cnEnr rhi h.orsh. t liccn*d lusuul
<br />r,, rhc pxrvi\i('n\ ol rh. Conlra.l,x s Liccn*l L.w (Chrtrcr 9, Connn.ncng *irh Sccr n 70U) ol Divtbn I oi rlr Btrsnrs ,nd -
<br />Pn)lcsritrs Codc) or rhir hc or sh. t .k mfl rh.rclion { llr$rsir turrh. allc8cJ c\cnrntion Anyvi,,hrntnofscdbn?0ll thyr.l
<br />rfrli.arrinr!pcmrirrubjccr\rhcri'IIic,d1o!civillrcrlrrornorn*,.rhanlivchundrcJdulldrs($500)
<br />I. own r ot rhc m,pcn y, or n,y cndoy.cs wrh P4cs a. rhcir dc .omNnrdil)n. will (lo rhc $ork and rh. strulrrc is nor
<br />dcn,.al or otic!.'l nn sh (Sd 7&4, nuim$ !n'l Pnncsions Ciil.: Thc Cin ncntr'r Li(n\c lrw tlo.s nol {Plv t' d dui.r oi
<br />drc F)p.dy sl'o hurus o. nrts)rcr rhcB)tr all wk' dd\ nrh w,tk hinNcll or hcF.ll .r rhouSh nis ot hs own .mnLvccs.
<br />onrvdcd rhllsu.h mpn,vcnrn6 rcfrn ir cndcd or ollaFl ntr eb. ll l$kti rhc nliLline .r imp$vcmnr t$ld qithnr onc vcg
<br />of $nplcrNr. rhc owner Bu'Lkr w l havc rhc hunlcn of tnvo8 rhll hc or sh. Jii fr latrU or inDnrc rhc pnrlaty ntrrtEpurlx)*ol
<br />l.r\owncrolrhctop. y. rn.r.l$rv.ly.oftrcrn,! w hhctnsc.le.flrr.nxsh(nrrnkrrlf,nnlF:l(Scc ?(I44. Busnrs
<br />n PnnirsrnrC,nlc: lheConrack{'s Li.cnsc Lawd,Es nol apply nr Mowtro ofP('Pcnywh,) htrildsor inrPruvcs rhcrcotr.
<br />,nd qho comncc tur suuh ps)jc.h wnh r Conkrct l()licc \c.t Purunr t, rh. O,nrncrn's Liclnsc l a$ )
<br />A &P( l,l rhst.du
<br />IVORXERS (--OnlPENS TION
<br />DECIA&IUON
<br />I hci.hy,fl inundc, Fnalryoipcrjuryonc orth. lbllownE dcclarilnln\:
<br />-l
<br />hrvc turl will nEintain. Cenilicnr€ orConscnlld Sclilnsurc Inr qotkc6'coflPcnsnrion, os trviJcd rorbyScclil).:1700olrhc
<br />lihx Cdr., hx rhc !.rtomlBr oflnc wo* aor whi.h rh. n rnil i\ issucn
<br />!(trrvc an,l w,ll n:in' n work.^' L i inllcns.r r
<br />'nqtr3R
<br />c. rs t qurcJ 6y Sc.li,'n 1700 ot rh. Ltrhor Co,lc, for rhe l).rtnrmftc of
<br />ikqrln rh{hrhnpnn 'r F\u<,1. My*o Q r ..nFn"rhnn frudr c un 'cr
<br />s^l F,ln1 numh.r a.'
<br />aWtl ,Vr (,C,VTatvt
<br />I (!rl ylhn i', rh. p.nornrnrcntrh. work 1,tr whrhrl,isPcr,r is NstJ,I sh,l1 nor cmlkty rnv l]cron in rny minncr
<br />$ r\h h.rom nrl*LI to rhc u)rlcr compcn\dnD hw\ntCa|lntnii. rnl33r.c rhnrll I dhuli hccon* \uhiccr orlt
<br />workcr\ conrp.nsnnon F,vtri.n\ ot S.cron l?(x).flhc l-dh1r aiic.l sl'rll nrrhwdh omnly wirh dxx. fuvlrion\.
<br />WARNTNC: ljrilurc t sccuto uorkcs' (onrp.nsrr!,n cov.tusc '\ utrhwlxl, lnJ \hrll \ul'jc.r dn cndoycr n, onn rl ncmllEs !tr'l
<br />(Nrl {incs up i,onc hrftlr.J rhoustsd d.llus (rloO,UrOJ. rn dr(8 ir rhc.o( ol.omp.h\ nnr' danrS.s rs prrv'd'rl n)r rh'
<br />Scdrotr lorfi.l rh.litrrG"lc, iincrcN rtrrl lxlorncy\ lics*,tlollzoL, ..,,*.1;#
<br />lccldaauQ!
<br />ol rhcBu{trcss.trJPnncsbns(i e,d nyl'r.nsc '\ d tuU nftc rl.ri..r
<br />cro q*7<t2
<br />o q
<br />CONSTI'UCI!ON LTNDINC ACENCY
<br />I hcrct'ya nmtrnJ$pcnalty Ip.rjury rhtrr rh.r. k a con{flcri lcn,lin8 4cn.y fd rhc F nrnrNc ol rh. w.tk tur shich rhis I.mir i\
<br />nsuc! (Sc. 109'7, Civ. C ).
<br />AIILLEAALDECI.AB{IIAN
<br />I hrby rnim rndcr pcnalryofIr jory ok orthc tallownr8 delmlbnrl
<br />D.tulir ion Pcir:nrs-Ast sros Norfieri,n F.dcr.l Rc8ullrions I I illc 40. Pd6)
<br />Rcquild Leic! ol Nori,idrinr
<br />l(.'hlyrhirtln'l!',lcrrlr.erhhon\r8rtlu,txnf,!!):r. !,vilxr.rirPf(xhlcn)rlrr\!r.lclr
<br />YJ (rr'l) rh IlschJ'l-\dpnl'.r i rl{rrcrlr'rhc t'nc'rl
<br />.'ft !N.. . Ll Srrrc l.J$. rl,r'ns,,, r,u'lJ'hr !' rrn!rr.1. r hfl.h,
<br />s conc.r I iarcct,dnnnlywirh.llC yin,lCodnry
<br />.cprcscnhlilcs olrhis C(y rd Counry b ctrrcr rl,ntlt
<br />rtx,v. nrnton d ptulcrly lir
<br />.\U,!i. nl or 1!r l Sirnitun ,,," \ [q lz.ozo
<br />Set Backs
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVI nsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framinq
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lalh
<br />Brown Coat
<br />Ivlasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif .
<br />I
<br />FINAL zlt Dltrvt4 t81
<br />Certif icate of Occupancy I
<br />Notes, Remarks, Etc
<br />Forms/Steel/Holdowns
<br />tr I t'l?.oLo
<br />Irn,t.''t AJJ"\.
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<br />F-
<br />ltl
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