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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS oWNI]R BT'II-DI]R DEI,CARA ION
<br />I hcrcby rmrrn rndcryr rLry of Frlury rhd I tun c(nrlr h.D rhc (inrricl.rr l,i..nsc ltrs r{n rhc tulk,*irg rctq (S.c 70:}l 5
<br />Busircrs nDd Pn,rcsio Codc): Any Ciry or C.ufry !hi(h rcqtr rc\ r pci,nir t,..n(ru.r. nlrcr. nnlrovc, cnFlhh nr EJtt.trry
<br />srrucrurc- r'rlor h ns is\uJncr. alv, dqutd\ rhc dpplicrnr ktr u.h Fciin[ ro lilc r siSncd stalcaEfr rhar hcor \hc is li.cnscd prr.]Dr
<br />ro rhc Frvnion\ .l ihc aorrncln \ t,iccnscd Us lchtrllcr 9. Connncncin! wirh srcrn,n 7000 of Diuisnnr l ollhc &nin$s i
<br />ProlcsionsCoe)orrhrrhcorshei\cicmprrhcrciro rndrheln,\isrorrhcnllt8LllcrctrlPiiotr AtryvioldrionoiSe.ri('n?0.]l5hyrn,
<br />lptlicanr lar! pcnnir \ubjc.B rhc rmli.a.r r. r.ivill[mhyofnor nrftrhrtr llvc hundrcddnlles (S5(x))
<br />-1.
<br />$ ownq ofrhc l,opcny. (, nrycnrplotss wirh *rgcs u\ rhrn v,tu.onlp.trsr.on. will do rhc wdk url rhc stru.i@ i\ mr
<br />i'nr ldl orollcrcd for $lc (Sd.7044. Busircsod Prcfc$ions Codcr lheConrEcrois Licc.$ Lnw docs nor lnplyroatrowncroi
<br />rtcompcdy sho tuilds or ii{,n,vc\ thdd,n, rnd whu d(B seh(,lk hnnscll or hcr{llor rhroulh hir or h.r own cnl0k)yccs,
<br />tmvidctl rhul such inprcvem smml inrcndcd u olt'cBl l(lr$lc lr. ho*c!cr. rrt l[ildiD8 or irrymrcmd n sou sirhii otrc yctr
<br />ot('nphrinn. rh. Owrcr Buiucr *ill havc rhc bordcn ol ttr.ling rhd h. or shc dil ml build or ilr{'orc $c pmFny f.. tlr prlD$ of
<br />I.isoqDcroflhcro&r1y.sr!cxclusn!lyconrra.iinsqirhli.crscd..nrrrcrnshcoii.rrh.tn,],.r1scc.7014.Eusir'c$
<br />I Pnnsin Codc thcConrrsctn s Liccnsc l-awdoc\ nor atplyt,.iosNrolnroNnytrho hnild\or inpfuvc\ rhcrt.i,
<br />dnd who .o r$lir sudh t,oF.tswirha cnn,u.k (s)li.crsd ptrBu$rri) rhcGnnrrroa* l-i..n\. Lrs)
<br />_I am.xmpr undcrS..rion- B. & P.C. iorthh rclson
<br />Drr., o*m.:
<br />lMlKliBst(o)lttiN! !toi!
<br />DD!:L .8rlll|N
<br />I hc..hj rnntrr !n,l$ Nnrlrvol rr'iLtry otrc ofrhc li'lLotr nq d..hrrri(!N
<br />I hrlc ml will 'midrh . Qnifi.rir of C.nscnt ro Scll lNUrc lhr workc$ mmpenlrrioi. n\ pn,vidrd tor by SNrion -l7tlo ol th.
<br />Llbor Codc. hr rhc p.rfin ncc ol rht sork fd which Iht Fnnir i\ isucd
<br />lhrvcand willm.nnrh w.rkcri compcnsatiotr insulincc..s rcquircd hySecti.nlT(X).frh. trbor Cbdc. for rhc icrloir.m.c ol
<br />ll[ wor* ror whi.h'hn p.mit is isucd My wortctr Lunp.flsaliotr insurrncccadcr ur Fli.y nun'b.r dcr'i'rr. ,
<br />"
<br />/< rn s
<br />tx.T -i^B-o 1-3 €15'1-5-t 7 7-t-l&
<br />_l ccdili rhar in rheF formri&or$d uork lilr whirh rhis pcrmn is hsucd.l shrll.ot cnil,loylny pcrrni inrny rntur
<br />$ N b bc..rm sublccr k, rhr woAcr onpcns n,n [$s or Crlihrnir. r n8rcc rhlr if l \k,uld rEd,ft (uhF.r ro rtE
<br />workc^..mFnsdnJnliovin.trsorsccrionlTu)ofrhcL,horOrdc,lslnll.Innhwirh.o'nply*irhrlxr{provnioi\
<br />WARNING l.rilurc ro sctrrc *orkcr' enrrEnurion cov.asc i\ unh$lnl. r d \hall lubjor an cn{lorr h oininal Fnrlric\ atrl
<br />civil ftrs up ro onc hutrdrcd lhoustrnd dollas ($lllo.lxx)). in rddili,)n b ihc ron or.on[cns.liotr. dimrecs 5s Proridcd ior lhc
<br />Sdion 10?6olrhc tjhtr Cdc. inrcrcsr and lnorrey\ fc$-5 ,*t.-r,D4
<br />r i(fi\r r) ( r)N r R\('r'()li
<br />DIIL BTlIlaN
<br />I hcruhy rffilnrndcr pcnnlryol tcrjurt rh I an li.cnsd uMcr pmvNirr ofChalrcr 9 (onnnrcming wilh Sccri{n,7Lr(x)) ofDiviion:l
<br />nI rhc ausincss. Pmr'csions Codc- ud my liccn\c is intullt(trer clld.r
<br />fira <qLq38
<br />-q-l& ,-,^n* ?,D-E"J r 1-.-1
<br />caNlrau(:IroNrruDlN$.AcExrl
<br />I h.rby nfilrn undo r.nrlryolpcijuryfiar lhcr k a conslruclio. tndinr aStNy rbr tht r.rlbnirncc olrhc work lor which thh Frmi k
<br />hsucd(Ss .l097,Civ C )
<br />A.tfUCirNfDliCL IAII0N
<br />I lrobyrltiinruMcr N rliyol t)cUuryoncolrhc lilk^virgdcclrilions
<br />Dctrnlirion Pclnik rb.dor Norificrrbn [;cd.ril RcArlrrn l (T lc.1l). Pd 6)
<br />Rcquncd l!rr.r of Norifi .:di)n
<br />-l.cnrlyrl'
<br />rhc fcdcftlrcsuErions rc8ardirs r\ri{o\ (nov3lrr. orJpPli.nhlcrorhistnF.r
<br />ffinur 'nr ,n-" *,r,na rnft.Jrn'n.'nJ {rrr rhJrrhc rhrc i'nanndi, is.odccr t.Srccio(nurtywirhxtt(-iryrndcotnry
<br />'-onl$rtrcc. rnd SrJrc l.Jtrsrc1rri"! r, hu l'l '!. nitu!rn r,r h.rchyrrrh.nTcrcf,rcscnhrivcsofrhi\Cny!.dCounryt,crrcr!!oiih.
<br />ih.vc rmfri.Rd I'mNny f(tr ir\p.crion
<br />{Dt',.*,tze.
<br />, *,b -1-/A
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framing
<br />lnsu lation/Eneroy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />l4 \
<br />FINAL o/4//r aru*//,
<br />Certificate of Occupancy - /
<br />Notes, Remarks, Etc.
<br />Set Backs
<br />Pool Fence
<br />Flood Zone Certif .
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