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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE IDiSIG.COMMENTS O}VNNR BI]II,DFJR DFJI-CARA'IloN
<br />I hcrchr- rtfirmu r p.nalry of Nrlury rhir I rm crcnr|n fonr rlt (tnrricnm l-i.cn\c liw turdt nnL,sr]8 rcr\.n (Stc7)ll5
<br />Bosnr\s Pnna$i( Cod.)r Any Ciry or County wnnh rlatuncs r F-irnir n' c.tr{nrr. rlr.r. inrrovc. rLmolkh or RPrr rtri_
<br />h rhc l]()vnions oi lhc (onlractr \ I ic.n\cd Ij* (Chrprcr 9, Gnnntn.irg *ilh S.didr ?(xx) ol l)ilisnnr :l ofrhc ll$locsr rfd
<br />Pror'c$ionsCoJc)or rhnr hcorrh. is.kmtr rh.Efionrrnd rhrhi'{i\ ntr rhcrll.Scn cx. nii,,n Antrn'!di.tr.lSccti'tr?0.rl5hyriy
<br />Jpphctrnr f{naf.'mir \uhF.Brhc rffli.rnr lo rcivil|[nrllyoinor nnrcrhrtr fivc huidr.dd.ilirs($5lx))
<br />,1. ic osrcr ol lhc lmrcny. {, oy cnrrhtc.\ sirh wrg.l ,r rh.ir *'lc .on{t n{rion. q ill ,lo rhc rorl dd rrE {n{1m n Nl
<br />id.MdJ o. oflcrcd aor eL lsc.70'1,1. Busircs rnd Pmlcs\i.ns Corlc '11e Conracror's Li.cn\c hw docs nol qrnly ro ai o$n$ of
<br />lhc pnpcny who huilh or inDmlcs rhdd,n. m shodocssn.hw)d(hnnsclforlErcllorlinn'ghhhorh.rowncnDloyccs.
<br />l(,!id.d rh,r\x.h inDn*$rnh arc mt inrcMcd orotfcEn lorsh ll ho*cvci rhc hriklin! ornnlfrRmnliald sirhinok tts
<br />oi$n{'htbn.lhc Owrcr Buildq sillhr\t rhc hlrddn orpn,ving rhar h. or shc dn ml l,uild or ill{,rok rh. pnr,rty lor lhe puqxrt or
<br />l. iso*Nr.l rhcpr)n!ny. amcrclu\ircly.oftn.ri'rg $irh li.cr{rl ..nri.rn\ k, cotrdflcr rlt !(i.cr (S( 7o1r.ll'^i's\
<br />kl tht(\i) Codc ThcConr rrtr\l.i.crscli$!lo.\forrfpltbrno$ .r.ltolNrv\h. huikkor i'nf(,r.r rhcr.otr.
<br />rn,l trho.onrrxc(larsu.hpn)pcrswirhrCotrtr.hisJlrcf{c Iu qBnr n, rl[ C{nnrr.tr's Li.cn$ Lrs )
<br />-l
<br />amercnrpr lnder s.crn
<br />I hcrby rfinn undcr l)cmlry.ipcrjry
<br />I hav. aftl will ntsint.in rCcnifr.lcotConscnr loSclt ln\rrc nn workc6- .rmpetr!0ln)n. us Pmvntdd lnrbySdion3?(x)ollhc
<br />Lihn C.dc. nn rhc p.rrornB c. ol rhc work lor *hich rh. ttrnit n Gsucd
<br />{ n,'" ".4 "'rrn,o,r,,' "*rcr' cnmlrcnsrrinn 'nurrncc. i.quiredbysccrionl?lx).llhctihorC.dc.rorrhcpc i'nnrn(coi
<br />4r'trorLr.rwhKIlhhnciri[ r. nsd Vy]'{lrr,,'mF1'{rn,n 'n.urmlc cJnFr Jrxl Fr'c} nu' 'r'n
<br />-l.crtilyr[d
<br />in rhc |triorromc.f rhc work fd which rhis ]rnnil is issuci. I rh.ll nor c'nlk,v rtry rcnotr ir iny nrtrncr
<br />v, r\ b trconr sul,j..r t,rhc wokcs'c m!.n$lion la${olCalitunir. r rlrt rlrril I lh.uld bccon* $hicd hrhc
<br />*orkcA comF-nsrrion pn,i\iotrs ofSdiotr.17(x).frlrc hktr Codc- I shall. ronhsirh cotrrfl! q'irhlhos Povi\tun\
<br />WARNIN(;: I'dihtrc ro sccurc *trkc^
<br />cnil ,nrs uD t(' onc hwlrcd thousa'
<br />i{u rrlrrr!. '\ utrhNtul. i.d shrll $hjccr rn cnlFk,yrr t) dirninir pdrlric\ r
<br />l(X).(XIr. (lir( 1. llt.osr ot c.trfcn\ rn , dJnl.l!.l rs Pr)ri,ltd lar rh.
<br />Sc(ri, :11176 olrh. tnlxtr Cdc. i'ncr.{ l
<br />B, p,1/t\,,.r,, FJ.t I {2,1p <,r *'
<br />IIECLAEAIIO!
<br />Ihctubralfir undcrn Mlly ol pc.jury lhd I n licensd udc, pmfision orch,rrn 9l.oonNrcins sirh sccri.n 7(xn) olDivisn J
<br />of rhc Ausinc$ and PDlc$ion\ C.d.. ld nry licctrsc i{ inltlll'orccu cll(1
<br />(
<br />" - 18
<br />I h.tuhy arllrn nndcr ltnr[y.i,,criury rhxl nrcri,i Lnrli'rg .8.n., lor lhc |xriormncc oirhc{ork f(r *hichrhi\ If,rnir ir
<br />i\{,cd (S.c .l(Nr7.Civ C I
<br />t-cndcis Nrnr'-
<br />AIEIIgANIIJiIIABAII9N
<br />IlrnhJ_ nnundcr NMlry.fNtury onc., rhc lollo*irg dcclrrrrions:
<br />I)cmolirion Pcrmirs Ashcdos Norili..rion r{dcml Rclulrti(nr\ ( Iillc.l0. l'jrn6r
<br />R.qun.d l.r(.r.1 Norili.rio
<br />1(cdilyrhd rhc ,c(lcrrl rc8trl rion\.c!xkli',9x\hc(o\'.fn^x rc ror xttl .rhl. l. nris nn)jccr
<br />-r."n'rr\u
<br />r I/'. *.r,r, ' q,nr,.ri,,n-.i{ v(t t .,r.,.t.rnr r,
<br />rhr( nr nXt'i,Nnlirm.Il.d
<br />Apt li.xnl or A[efl Si*naluR
<br />Mrion .tu {dc rhn lR rbvc nr
<br />huildirs consrrudion. rnd h.rch
<br />ntrmrion ncorer I rBr& o.onrtly sirh a! Cnynnd coxiry
<br />) h)4'cF cnrd,.v.. ol'h'. (a,) !i ."un,y,o .1 .r un i,r.
<br />lSu;z4 ,.,. 5.1-t gq" 4t<<4<-q-4a
<br />Set Backs
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsu lation I
<br />Roof Sheathinq a/ lo/t{ilN 4,
<br />Shear Wall T(l
<br />Framinq
<br />lnsu lation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />lt/lasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif.
<br />FINAL
<br />Certilicate of Occupancy
<br />Notes Remarks Etc.
<br />-/o - /e /o
<br />Forms/Steel/Holdowns
<br />lq<f?? ,.,n*, /(-r-rB
<br />t.\t,1 s.\d.1,c..
<br />tt
<br />I
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