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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE COMMENTS
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loorivenVl nsulation
<br />Shear Wall
<br />allD
<br />Ext./lnt. Lath
<br />Brown Coat
<br />IMasonr
<br />Pool Fence
<br />T-Bar
<br />Handica R
<br />u1D Final Re ort
<br />ineer Final Re ortE
<br />Flood Zone Certif .
<br />FINAL
<br />Certilicate of Occu anc
<br />Notes , Remarks, Etc.
<br />Ol!Nl:R IlUll,l)l:R l)Ul,C/\RA I l()N
<br />I hcrchy,lftrm undcr pctr.lty,rl FrJury lhar I d.rcnpi ti.n rhc conl&clri Liccn* lrl rrtr rhc nnnrqine rasn (S.c ?0:
<br />Btrsincs nnd Pde$bn C{ c): .y ciry or Coutriy whrh rcqtrircs r pcrmir i, cdnnrucr, 2lr.r. iml'lrvc. demolsn or rptrr rny
<br />drucrurc.0norr, s isrurncc. rko Rlun s lhc lppli.ur lbrrd.h n .mi h tilc a vgnc.l srarcEnr rhar hcir dt rs liccn$d Punu.nl
<br />h rhe l'ovr\i,'N of thc Cohtr.l(tr s LNn*d Law (Chrprcr ,. CodmcncinS qih Sccl(rn ,OU) oi Division .l of rh. Buslms ,nd
<br />Pft,fcs$ns C.dc) .r thlr hc or shc i\ crcdpr rhcrc,ion drl ihc brsis ntr thc allcSc,l ckhfln)n A.yvn,btNnotSccri'.ro.ll5byuy
<br />{pplElntlbrrlcrnnrsubjdsrh.,nflsnln)i.ivilp.nallyrlnormorrhslrvchundrcidollar(Ssl()).
<br />-I,I
<br />oqre! oi lhc prupcn y, ,tr ty.npby..lwirhwrPcsasIhctrn)lcuompcD$in)n,wldotlrqGka lhcslrur@i\d'l
<br />inrcnlol o.olLrc'lli,r\rl.(Se7044.Busi,rcssmiPnni$ionsC{rlcTh.Cdnrrd.ktr'sLicc.scljwdocsrorapllyhandqncr.l
<br />rh. pnJIEny wh. huilds or i&T,rci th.d)n. arxl *h) J(cs surh u)r* l,mscllor h.mll or rhtuugh hs or h.r ovr ehlltry.cs.
<br />piov cJrhrr ch impntrrmnt m fr inrcftlctl oioniiql n ab.Il, h)wvcl tlE bu JinS or nryDEmm r$ll*irhmon.wr
<br />of compkrk)n. rlE Oqnu BuUc. *iU haE rhc burdcn o{ pn}vha rhar h. or shc drl mr buill or impn)t d. ln)lxny lor rtE nuqxr€ ol
<br />-I,.sowocrol
<br />rltr pmpcny. darcr.lusivclyconka.rin! s h liccnlc.l c{trlru.br b con{ruc. rh. 8)jccl 1Sc.. 7044. Busocar
<br />aftl Pn,lixsbn Cod.: Th. C. krcttr\ Li.cnsc Law d€s nol apply k' ! own r ot tolc(y who hu itl\ ot ihprovcs thcrcon,
<br />a.d wlD.onk&Flusu.hlr+chwnhrc()htrdvls)li.cn{dpuruarkrrh.Cl,nkr(tr'sL$ntkq)
<br />I rDc\cnfl uklcr S.cr
<br />I h.r.hy rrlt^un'l.r pcnalry orF..rjuryri
<br />LlrlLlrlr r(\
<br />-l
<br />lD!. drl will flimu a Ccnilic{rc ol Conscnr !, ScMn\lrc ntr M)rkdr cor!'cns:xo.,6 F,Yid.d ntr hy Secrion.}7OO olrhc
<br />Lal$r C.Jc. for rhc icdom,ncc ol lhe work nlr rhich rhc pcmir ir issu.d.
<br />I hdv. and will mlirrain work.rr .o mp.os rr tr) n Nursncc..\ rcqutcn 6ySc.ri()n:lTUlotrhc tjhor(i'Jc,lor rhc pcrfonutucot
<br />rhc qork tnr wtu h rhisFcm is i$NJ My wurkc^' Llmpcns htr iNur .cca'cr all Fnrynumhcrdc:
<br />-l
<br />c.d'ty rh.r h rh. J'crl.flnln(e ofrhc wo'k tur wh'rh rhr r.mir r rsrc'1, I shrll nor chlloy rny |1.r.n in any mrnncr
<br />$ Nb t..oN slhFr b rh. Mrkc^ com!.nsrrM hNr ofcalili)mir. anJ rgft rh.r lf I shoul! hc$B thJcd k rhc
<br />wo*c6 comFnerionptuvtrr'nsofSccln,n.!700oirh. Lirr C(x1.,I rhdll tunhw h conply *irh rk)( ntuvisbns
<br />WARNINC: Flrlurc nr $uu,c work *'cont n$ron..vcn3c rs unlxwtul, an'l \h,ll nrhj( arr cnDloycr l,' uimnal Fndhrs Md
<br />n) onc hutr'ld{t rhousdnd dolldrs (ll(x),01ro).
<br />'n
<br />r Jni,)n b rh. co{ .t conrcn\.ru,. Jrmi3c\ rs fr.vtrl.d Lr rhc
<br />Sc.rion 10?6 oirhc Lhtr Colc. trtr.lcsl lnd
<br />,". ot /o 6Ao
<br />I h.'rhyrlh r trtrJ.r I-_Drlryol p.UU'y rhrrI l'(.nrcJ un'lcr F'v'notr olChrplfl , (.inn.kit! snh S.crhr ?O(X)l ol l)'vtru,:l
<br />ol thc BusincslnnJ PbrcisonsCodc. exl nry li.cnsc i\ h tulltnrc. dr,i.flei
<br />.r(ctr.c Numhc'
<br />---
<br />cqlsrBlcuoNrENuBaSgENla
<br />I hc6by ,ftirm uftjcr tEMlty of Frrlry thd rhd is , onirucr irn LtulinS aScmy fq lh. p.rfolmec ol thc wo* tu whah ihr trd !.
<br />isiucd (se. 1097, civ. c ).
<br />tJn,i.,-" Nrm
<br />-
<br />/urIlcAlLPEClABdIlox
<br />I horhy allim unJcr Fnalryol pcrjfiy onc olrhc tulowrnf dccl.ErlnN:
<br />D.tulirr)n P$mirlAshcsros Norili.arion F.'j.Bl R.sulaLdE (Tirlc 40, Pdl6)
<br />_Rcquhd t ttclol Nolili.ali,n
<br />I ccdiryrhar rh. fc'1.ruIrcluhtons rS{nnrS lrh.dosrcfr'vrlrrt nor rmlt$lc r,, rhts Pr+.r
<br />ph(rr(,nr in.!hrr 1h.rlN^. rtrl,rtritkn, rUn..r lx!tu\rJ..trlrv wrrh rllOryr (-,nr Y
<br />rchv u(horiTc rc|t.s.nrxriv.s olrln< Cily rtr! Connry ro ctrrcr trtto r,f,
<br />Ot (od t ? t
<br />IEEITJDaq?m
<br />Set Backs
<br />Zr//S/O
<br />Rool Sheathinq
<br />,/-.)\ttn4Framinqil4/enq
<br />lnsulation/Enerov t l'
<br />I
<br />I+fi1/o/a f.YrufA)w6(
<br />Cr'>^{)
<br />o.t" ol/ o(/zo
<br />t*nJci( AltJrcsr:
<br />-
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