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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE tD/stG.COMMENTS Ohd-B!ildd Dslallion
<br />I haby .flim undd p6.lty ofp.rlury 6.r I d ddF foh rhc conE&ion' Lic6!. Llw rd rhc following rc{oi Ga.?or 1., Blrii.s
<br />od PDl6ia C!d.): Any Ci9 d Couiry vhi.h EquiB . p.trn ro c6!r!d, .lrd, ihp6v.. d.molilh or 'a.n ey ,ruduE, p.ior ro iE
<br />turee, rls Eauid fic rppliEr ld od p@ii to !il. . rigncd nrl.ndt rh.l h. d lhc ir lien.c<l puruer lo fic Fovisio of th.
<br />Cmttut6t Li.ar.d Lt* (Or+r.i 9, Cfficiit ,irh S.ci6 7000 of Divtid 3 of rt. Bldna 6d Prof.sidr Cod.) or rh.r hG d
<br />rh. i! .r. ri 6.Eft@ od rh. bai. fa dE .ll.Fd dnrtid Aly viol.ri@ of S.dion 703 t J by sy rpplicMr ltr r p.mit ,ubj.ct fi.
<br />+pli@r ro I civil pallty of nol hoE lhm livc hm(H doU.R (t500)
<br />_1, s om6of rh. FoF.ry, d.rr.6ploys ritn *.sd s rhcir !o!. .epaIid, wi,l do $. wdt md rh. ntudu. h nor inr..d.d
<br />d oilcd f6 !.1. ( 56.?0.1{, BuriB, &d P6fasi@ Cod.: th. C6hctor! Lic6r. Lr* dd nor apply r. h ownr ol lh. prop.rry
<br />ehobuil&dihpro€ .lq, xd *ho d@ tEh sork himdf6lrd.lf d throuBh hir or hd oM .mploy*r, previd.d lhir Juch
<br />imprcvd66.r! nor lnr.nd.<l or o(r.rld for til.. I l, hd.c, rh. blildiiS orinprovan ir rold eitbii onc y orconphrioi,$.
<br />Oenn-Buildrvill h.v.lh. bulda ofprcri.a dll hc qrh. nol buildd iiptu* fd rh. purpor. oaril.).
<br />_1, a o*.d of 6. proFrq, h qcluir.ly co.t[crlnr wnh lie.r.d 6E..ron o conntu.t.h. p.oj.d ( S.c. roaa, Burin.$ sd?dfarid Cod.: Th. C6.E .ioit Licd. Ls &.t nd ipply lo D Mr of propcny *ho b!il& s ihprcv.r lhtu. , ud *ho
<br />coin&u fd loch prcj.c! *nn . cdrr.do(, lie.rd pu6u&r ro th. conrEcror,! Lico3. L.* )
<br />_l m.rcm rnd6 S.cI.n
<br />-B
<br />&P.C. ad$i,Esoi.
<br />woR!(Ets coMPENsATtoN nf, cr {&{?toN
<br />I hcr.by rlfiD !nd.rp.ndy ofFjury 6. oftn followinsdelDrio.r:
<br />_I h!y6 ed ?ill nriitrin r C.nifi.d. of Co.dt to Sclfjtuur fd *ortd' cmFn!.rion, s pFlidd ao. b, S.clion r?oo ofih.
<br />L$tr Cod., fo. rh. p.rfm.. of rh. wo.l for which rh. p.frir i! k.u.d
<br />_l hrv. ftl will E.inlrin *616i cdnpc .ri6 i urse, u Equi..d by Setioi !700 offi. L.bd Cod., ad lh. p.rfm.n@ ofrh.
<br />wdt fd which rhn pfrn h i!$.d. M, wt ' cofrp6r.d6 ldumc. ceia ud Fli., nuob.r rc:
<br />illhcpmn ir for onc bundr.d doller Itl00) o.l.$)
<br />o .mploy.r lo aimin.l p.i.hi.r ond .ivil
<br />dol16 {t 100,000),i. .dditi6 dDr8d a provid.d lq rh. S.crion 10?6 of
<br />LIC'NSf, D COMRACfORS DECLARATION
<br />I heby !flim uid6 phllv ofpdjury $rl I m lic.i!.d uida prcvilid of Chrptd 9 {
<br />rh. Bu!in.!, &d Proaariotrr Cod., md ny li.ar. ir in full foe. dd.f.cr
<br />ns wifi S..rion ?000) ol
<br />ihi! thnc i, . chlIrudim ofrh. qort for which lht r.mn h
<br />_ryt{t" 'r,,
<br />ra^r nt",rh@ EBodins
<br />Zlt c.frfy lnri I hN. E.d rhr! .Dplic.rid sd I iSG to contlr enh lll Ciry sd Counry
<br />ordi^mc{ md Sbrc L!*, rcldins ro buildi.B
<br />tov. omdon.d Fop.ny for i.rpedon
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />SLAB Floor
<br />SubfloorA,/enVlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />D all
<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 />E)ip R[D
<br />FEB -I ZUIY
<br />FINAL qaMa A-43 2qo 554 6f 7
<br />Certiflcate of Occupancy
<br />Notes, Remarks, Etc.
<br />lh. L!bo. Cod.i inrrdt ud lrlodcy! fs
<br />Civ. C.)
<br />A'ILTCANTS nECr AiilroN
<br />Daolnio lmltr.Arb€rq Nodfcnid F.d.El R.8!l.dod Gnh.o, P.n 6)
<br />_ R.qrifrd tnnd ofNo llcrlioD
<br />UFER Ground
<br />Flood Zone Certificate
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