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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE tD/stG.COMMENTS O\INEN BUII,DER DI:L'A RATION
<br />I h.tuby nflir$ utr.lcr pcnllry (,f Frlury lhd , un cicniPr fn, 1 rhc Conrnck,! Liotrsc Lnw tur rhc following rca$n iS"'70'11'5
<br />Busircss lnl Pmfcssio Cdlor Any Ciry oi Coutrly which rcquirc\ ! !.rmir ro ..n(tucr' alto improvc. dcnx'i\h 'r rcnlt atrv
<br />ddcrur. p trn' irs isriancc, ali, rcquncsrhc atPlicrd lnrsuch p.rnlil lo lll. tr sisncd {dcnrnl lhsr hc or shc is liccn\cd nu^unnt
<br />hlncF,visions.lrhcConrracrorsl.iccnscdtj*(Chrnrcrg.Connn.n.rn8wirhSccrio.To(DolOili\nrn:lofrhcBusinclsnnd
<br />Pnicsions C.il.) or rhrl lrcor\hc G;r!q)r rhcrcliomand rlr hr\h r.r rhcnllc8cdcrcfrflt,r AnvviolarbnorsccrionTrl:]l5bv'nv
<br />{tli.rnr ror r pcrnrihu hjccs r hc aPpli.n lo a.ivilp.mhyorior nxrclim nv. hundtcd dollm (S500)
<br />-l-us.*ncrofrltrPm['crr).(trnry.mployccsqirhw0Scs!\rhcnY'hcotrrFn\lri
<br />r. sill do rtE $ort and rh. nru.lN i\ tror
<br />inrndcd or orT.rd lm;b (S( 70.1.t, Busincs ond Prnfcsions Gxlc: Thc o)niract* s Li.cnsc liw ddr nor {Plv ro sn owmr ol
<br />rh. I^,IEny sh) tuilds or iqrorc\ rhcBr- ud who d(* su.h wo* him{ll or hcmll ot rhmlrh hi{ or h-! own cmpk'lcc\.
<br />nn,vidcd rh{r su.h improvcnEnkm nor iircnLbdoroficM, ttrstrlc.ll hoNcvcr.lhe 6oildin! ot i'iroErm h $ld sirhir' nnc Jsr
<br />ofcompLrbn, rhr Owrc! Bui0cr *illhnvc ttE htdcnofnnving rhar hs or shc dil nn sIil(l or irlmrc rhc pmFrrr lor il. nuqn{ of
<br />I.rosncrolrhcrmncny.r'n.xclunvclyconrradirS*i(hliccn\ddconr'Knnsk).otr{rudrh.Jri(+.r(Sc.704'1.,}ni"'\\
<br />nnd ltnltssion Codc Th.Conrrrctols l,iccn{ Law doc{ n.rrDplyki nno*trd oflopcdvwho buildsor inPrit\ rhcrcon'
<br />!0 {ho.ort k lor such ptrUds *irh a C{trlmcr,n \ l li.cnscd lunuint ro lhc G,.t .t{ r l,iccns. liw )
<br />lrn,.rrnt!u .rSc.ron .tl rrP( tu'l[ar.rnr
<br />l).lo Orlnrr:
<br />wonKFnsi c(tl,rPENs^.t.t0N
<br />DECIAMfIAN
<br />I hcrcby afli.n undcr t'cnllryorprjuryorc olrhc nnbwing ddlahrions
<br />-l
<br />hsvc md will nEflnin o Ccnilicarc o( Con* ro Sclll nsur fff l$kcr' co.Pcn\ar ion ,s lrovidql lnr by Sccrion l?([ of rhc
<br />L{b{, Cqlc. rr, rh. ,(lformmc ot rhc work r(tr whi.h lhc F.nril is i\srcd
<br />I hrvc dtrd willnrainiain soircrs conDcn\ntion inrxrxi..,.s rcqutqlbysccrionlT0oolrhclrhorCodc-rbrrhcrrr'rmxn'cor
<br />J",,- "ilfijp:" **L"UJ*."*'"""' """' """"'"'"
<br />t _Ertirc\
<br />l.cnily lhal in rhc ncrfoirrutrcc oirhc sork fu whnh rhil Fnnir i\ is\!.d. I \hrll mr cnDk)y nrrv t'cr san in rny nt'nmr
<br />w ^ k' b.(nnc subjL{r lo rtc soA.s conlcNnrio. hws orcrlirdrni.. ini asRt rh.r irI should hcrcm \ubjcd lo rhc
<br />work.rl ..nlnctrsarion nolisn,tr\ of Ssrion l?00 of rhc utxt cdlc. I sirll. f(r hsirh omPly Nirh rl$$ Provnb.s
<br />W llNlNG: llrilur. ro *nrc woikcs' c.nrFnsnrio covcn8c is unla*tu|, d shall srhj.rt d1 .nrplorr ri firi|rl pcnxllic\ rnJ
<br />.ivil lircs up lo om hutrdrL{ rhousud dollrr (Slol.0mr. irr itldirn,n ki $c c.sr ol co nsdnnr. d{flx,sd( as pmtidcd lbr rlf,
<br />Sc.lr,n.1076 ol rhc l.rlr!(i c. in(.r.{ rnJ rnonrl's lic\
<br />,1.L. l%
<br />I l*rchy rlfln undq lcnrhyol|criry rhrr I rn lic.nsl\l undcr,iorni{in olChfct 9 rconnmn.ing silh Scri{r 7m0) 'r l)ivi\i{n ]
<br />ot ihc auiilcssar Pnnc\\n)isCodc. aM iny lic..sc i\ id fulltur.c irxl.ilccr
<br />,-,.","" aO-., 6'
<br />o"" 4,G.14
<br />@to $l4a
<br />t-q{r.-
<br />coNsTII tc-t-t()N Lt Nt)tNc At;ENcY
<br />Ihcrcbyttf!'nnndcrncrhyolrrjryrhrrrh$.na.on{rcliotbndi']s ScmvfnlhcP.rbnn,nccoirh'worktthi'hrhisn'nnr$
<br />i\s0cd (s& 1097. Civ C r
<br />lxndcis Nrnrr
<br />-' d.tIUCr$U)lilL .BAUA
<br />Ilm.l,yinlnntr .rlf,tuk!ol |r{rjulonsol rlrcr(nbqinsd..hBrnrF
<br />I)cir,l i( Pcinir\ A\h.{o\ N.riiuri,r Fcdcrr Rdgrlrri,rN flillc ll).I)d6)
<br />Rcqxi.cd lrllcrolNorili.dirr
<br />-l
<br />ccniryrhd ihc lcdcalr.AnLrnnrs rc8udin! a$csrostcmrvrl& trot lPpliclhl. k' rlrl{ Pnilsl
<br />ld;nirrthr r hrcrc r,h,' imriori,m
<br />ordif trccs nnn Srnr! l.aw\ rc!.rire n, huihn,!
<br />al{!rrih rh.ltovclntunMrion ic..tr$i ltr8ror)co rllysirhillCnyanriCounrv
<br />consru.riotr, and lrrchy trlrhoizc rcPrcsctrlarilcs ofthn Ciry ud Coxfrynr cnlcr ulon rhc
<br />rli,rc nrtrrk cd nn)p.ny ln n\n !
<br />Anoli.ul or Ag€nl SiAnrlurc
<br />>r/ni A,r*-
<br />4 G.,'a
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />SLAB FIoor
<br />Roof Sheathinq
<br />Shear Wall
<br />Framinq 1/tc,ls 2t\ <%
<br />lnsulation/Enerqy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coal
<br />It4asonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif .
<br />FINAL hlN/6 t^'6tr
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc
<br />UFER Ground
<br />Subf loor/Venl/l nsulation
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