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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNER BUII,DER DELCARA'NON
<br />I hcrchy,fltrm undcr lr.n{liy of oerjdry rhar I rni crcntr ron rh. CoDlrrclo6 Li.cnr Ijw ror rhc lollo*ins rcn'.,,n lsrc.Tnrl5
<br />Busincss and Proacssiotr C{xlc)r ny Ciry or Counly which rcqunc\ r Frmi b .onnrucr, altcr, imPtovc dcnxnlsh oi rcplir anv
<br />srrudu.c. p orr{, ns issuan.c, also rcquiN thc oppli.lnt f{tr sucn p..rni h,ilc! siSncd nslcmnt rhar hcor shc is licctrBd Nr\udnr
<br />kJ rh. fl)vision\ oflh. Conlraclois Li..n*d Ii* (Chdprcr L Commcmina sirh st.ri.n 7fi)o of Divnion I ofrh. BKnN.,n
<br />PrufcssionsCodc)orrh0ll'aor\hci\cxcnDrrhar.noflotrdthcbasillorrh.trllcscilcxcnlPtnnr.Atryviohrnnrorscdion?0115hvanv
<br />arplicanr lora pcmir subjNh rh. lppli.anl lo !civilpcollryoinor.bn rhln 6vc hundrci dollrr\ I S5m)
<br />-1.
<br />as owncr oa rfic pnFn y, {r nry cmplo)t{s *irh *u3cs 0s rhen sb $ lp.nr.hotr. sill do rhc !o.k ,Jrl rh. jMm is nn
<br />inrcndcd or oflcred rff s lc ( Sc. 7orl. Busincss lnd Pn,fc$ion\ Codd Thc Contudoi s l,icensc lrw docs n.r lpply ro ( oRn.r or
<br />rh. DturEny wk) hoildsor irllr.w\ rh.dr{ srx] who dfts .hwdrhnnsclforhcr*lforrhftu8hnGorhcroNn.ntrlo}tcs.
<br />pn,vidcd rhlr su.h nnpn*dEn* ie nor ir cnded d ofcrcd lor uie lt howcvcr. rlt buildinaor innmlcmnr i\ $kl wirh otrc ,t
<br />of clnpldion. lhc Owrcr BuiEcr will htrrt rh. bunld oi F)vina rhd hc or shc diJ nor build or irprovc rnc poFdy for rhc purtr$ .f
<br />-l.
<br />rsowrs ol rhc pro|Eny- amcx.hsivclycotrtr.ti S wilh li.cf\cd cotrtx.rors h .otr{ru.r rfu Pr,l6i (sc. 7(!s.8u\Dc\\
<br />r I'nna\\bnCodcrThcCont$loi\I-i.cnscl-x*d.cs or rPtlyro ar o*ncr ol Pn,l[n, sh,) huildsot i Prottsrhcrcotr.
<br />rr(l !M ..nrr.tsl(Y\u.hDolc.r\\ir rCo .acro(tliccn\edpu.sotrnrrorhc(-onlrrctr'sl-i.cns.bw)
<br />lrncrcnrDr uoiq srcr
<br />I h.,.hy rlfirrtrundd lchlrrol p.rjury on.
<br />-l
<br />ha'c,nd willBinrtn iCcnirErlcoiConrnl ro Sclllnsu.c ror sotk.s- .onrcn\al ion- !\ pr.vidcd lor hyScclion.lT0o orrhd
<br />Lrh.r Codc. lor lhc pcrformoac.orrhcqorkforwhi.hlhcFnnil h h\ucd
<br />-lhrvcr
<br />lwillnHl rni'rworkcn coNncteri.n in\urrn.c, r\ rcqrncdhySccli(r.r?(x)ofrltlrborCodc.lorlhei^-rlnilnrt.cof
<br />rhc $ork ia! {hich rhi\ mnni i\ nqd My wo'lcrr con]p. \rrnnr nrqtrrn$.ad.r md E,licy iu rh$ rc
<br />t'olicyNun$c'-
<br />I.cnilyrhrr irlhc |trfornunftolrhc sork r(tr whichrlrir Nrmir i\ i\\ucd.I shrlltr.r cnr oy rny PcNrn in rny D..Nr
<br />h m ro hlsm sobjNr h rh. *olkcrs con{'cnsdn,n hws otCrlinntrir. Md l3rcc rhar ifl \hould btc. t subl..r xi rlr
<br />\ror[cn c.'npcn\rrhn pmvisioNolSccrion ]TlOolrhc lrhn A)dc.l shnll. f.nh* ih conrdy sirh !ln)* F,risnntr
<br />$Al(NlN(;: l.r'lur. !) {curc so,kcn i.n .olcragc ir u lawful. and shlll sul,Jlrr an .lnllolcr ro ritniml |BBlri\ an<l
<br />civil nnc{ trp b on hxndicd rhous.nd dollur $l1li).lxnrr ,, rJilr()tr r. r11. r,jq ol ro n'n. darugcs tr\ providL{ Lr rhc
<br />Sc.rnrn .rl)76 ofrhc trtltr Codc. inrc
<br />tlla(t ]\R/\ttoN
<br />I lrrby rlltmunder pcmlryofncrlury lh lamlien under pmvi\ion ofChrftr 9 (.oDEncin! !irh Sc.rhtr 7(ID) .f Dirni(,. l
<br />CoNSI'RI]C'NON LDNN!N(: A(IFNCY
<br />Ihcrcbyrlltr!trJ.rnctlryollcruryrhullherctacon{r.rionkidir!{8ctcyli)rrh.Frf.' r.coirhc*orkforwhichrhisNrnilis
<br />issucd (S.c.109?. Civ. C )
<br />AUT.ICANI.IEEBBAIION
<br />I hrclryllnmu u lctuhy orl)crjury otrc.llhc hln,winE ddchr n,n\:
<br />Dcnditi(in Pcflnirs A\h$ro\ Nor'fi.arion rrdcrnl Rcgullrioo\ (Tillc 40. Pd6)
<br />Rcituirc,l l..rr.r ol Norili.ar(rl
<br />s rcsldins nb.nolicmval trrc nol aorli.sl,lc ro rhis pmict.
<br />io.old srarc rhor rh. abovc itrtbnMrbn Ls .omcl. I 08rc tommply wi'h,0 Cnylnd Colnry
<br />'i1r r.|rcs.trhhvc\ oIIhh Cily,nd Connrylo cnler nBn'
<br />_l ccniryrhnr rhc Ldcr.l
<br />ro.,ry,f h,rcrd.,hi
<br />,rin.'iir.y'd suc tjq. rclit,l..""*Kd!.,rdyr,r,
<br />ADDlici,( o. A*nl Shnelud
<br />"*.n**-",f,,,\1
<br />Set Backs
<br />Forms/Steel/Holdowns .a l{t -N 1/)
<br />Erection Pads
<br />UFEB Ground
<br />I 9 -1il U'
<br />SubllooriVent/l nsulation I l
<br />Roof Sheathinq t .2"-\
<br />Shear Wall 4t I. IE It-tlw,vy
<br />Framing fi) ?,
<br />lnsulation/Eneroy
<br />Drywall TtJ Y,
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Irilasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enqineer Final Report
<br />FINAL rt ')o ((Ti t*w*4)/-:,>)
<br />Certilicate of Occupancy U\
<br />Notes, Remarks, Etc.
<br />LE
<br />?)SLAB Floor
<br />?,$,tE
<br />tlf
<br />Flood Zone Certif .
<br />.l rh.lJr! c\! rtrd P'rli\lorN Codc. I my lir.tr\. '( i'r lrl [i(r nnd.ilo.r
<br />Li.cn€ Cle\s: Lkcns Numb.r:
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<br />D{.'_ Co mlor
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<br />Lctr,lcr. Addc*
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<br />aA./\
<br />tt
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