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. BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE COMMENTS OWNER BUtI,DER I}I]L('ARATl()N
<br />I tRr.liy rllmr u .r tf,nllly ol n riury rhd I mr.tmtr lionr th. Cir r&ttrr l-i..nt l-rw ntr rh. tulk'wru ruu (SN.7(r'11.5
<br />Busrncss aRl PFrcsrn, Cul.): try Cny r Counry whi.h ,$trtrc\ r lcrnnr I' connn'.t, llrcr. rmF)Y.. ncRr'\h or r.prtr trry
<br />iss'anc.rlsorcqutcsrhcrnlli.atrtr{thrrnnlr,lllcasignc'ldrretrrhdlrorrhcislncnsJPut{,anl
<br />n) rh. prnrNn\ ol (h( (i)nhrrr" s LdnscJ Uw rcni cr ,. cl'mtrm. r8 wfh S.el!)n ,(xxr of Divnion .1 ol rhc Runrcs inJ
<br />imhrnr l,n diffn nrhjccrsrhc.pplic!nrt)r0y'lp.nrlryoltror r,t rhin lrv. hunLlrc(l Jollir l35(Xr).
<br />l. !\ o*ncr o, rh. ptuFny, o. my cmJ'loy.cs w(h wr8.s a\ rhcir n,h conrFnsarrn wrll 'lo rhc w(,& MJ rh. stnEhrrc is nn
<br />'nt .d orolltrcd lor elc (Scc 7044. Dusuds rn,t Pnft\\nrr Cqlc lhcC.nl8 tr \ L(cnsc l-rw do.s trot lpPly h rn own.r .l
<br />rh. pn,Fny *tr, tn'i[\ or 6Jn){r rh.6[ aftl wl$ ics sEh wort himselfor h.rtlfor rlr.u3h hn o. hd own.mPnrycc\.
<br />!r)v cd rlrr ruuh impn)vctrrnc N mr inrcftl.d oroll.RJ ldsrk.ll t)wcvq. rh.t'uitltrrg or drpmv.lr ii oll witnin onc Jtr
<br />ol comd.rk,n.lhc Owm, Auillcr willMrc rhc bur.Lo ol'loving rhd lror slE dd Bn t'uill or lnln't rltc F,&ny tur rhc !urF,{ol
<br />t. is .wrcr ol rh. t!'p( dy, anr .(ctu{vcly od r&hg $n h lrcns.J .ontrct'^ t' con\ruer rh l)!lic.r (S... 7{!4 Rnntrc$
<br />Jxl lhn.\\i,trCodc Ih.Co racrtr r l-iccn\c Lrwdoc\ n.rrlplyr) Mowncr ol pn,n.ny who h iltl\ or rnlpnv.\ rhcrcoh.
<br />rtut who ronrB.lstursrchpn)achw,lhrCin ru.h)(,li.ctrs.d nr^ui rhrh.Conh tr'\l-'c.n\cljw)
<br />_l anr\.hfl utulcr sc!ti',r
<br />lloR( ERs' (nl\l PllNsaTloN
<br />!!(!A!AI!ON
<br />I h.r(h! rll N utrd.r NDillv, tE lnryoN ol rhc l(ni){'n! {i.rh'rrtrrtr:
<br />I h.rc dxl wrllnuinram r Ccniltrare olCon{h( ro S.lf-lnnN ld w rkcr' .ohP:nid!,n, $ nn'v!-lci li)r byScrrn,n l7m dl lhc
<br />If,lxrCodc.l,trrhc Fcrhrnrnc.oilhc wo* n, wh(h rh. td,nn s snnj
<br />rh. w,ikl,trrhrhrhis|rrn,ir '\ is\ucrl Mysorkor crvc0srrnr ir\urxn.. orni.r:r lrn(!trtrnh.r c:
<br />lr.nllyrhrr rrlt $rnrtrntu. !,11h. work lor wh'.h rh'\ rrnnr n ${nal l\hrllnorcn9lr!rnyftL()n.nyDrnn.r
<br />n' rrbh.()nE {'hF.rt'rh. w(lrkcri co rt{r\.r! l.wrol(rlnotnir inJr!'..rh ,l l {r{ld lE. 'ru flrlicrrbrh
<br />wo'k.n co lP.n\rrk tr)vrn) s lS.dtrm r(x)o, th.l-rtrrC(i1.,I nrll.l'{hsdh.onrply Q'r|rho{ I)n,vNi(n$
<br />[ ],Iltrotr !) rlt (!,{ .l e.nrcn\.ri,)n. drn !.\ 11 Pnrnlcd l,tr I
<br />l.ll! r 8rllrll
<br />Ih.'.hvrlln urlcrlt rlrydl rrjLtrr thd trn']lrtx,rhrrdl ('hrprcr 9 r.onrnrncing wirh S.Lrhn 7l{x))olI)i\nIn
<br />t ih.8"\iflc\s rnJ ltol.\u'trCod.. tt ry lr.tr* r m lrlll,ktrn'l.llirr
<br />I h.L_hy il ltm un,l.r Fndry ol p.rry rltar rhcrc isr s)n{ruclion hn'1 3r8.hcli rhe Frli)mrm.c o, rhc work tur whi.h l[i Frmir i\
<br />APPLICANT DECLARATION
<br />I kLRhy nrlim u der pctrillyoltt{'tryon. nl thc li'll,,wirr3 lc!h,ari,,n\:
<br />D.nk,lt()n PcnnnlAsbc(os Noiiti.inn, [cderrl RtEtrlrrons (lirl.l0. Prn()
<br />Rcqunql lrrrcrol N,riltrrbn
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/Vent/l nsulation
<br />Roof Sheathinq
<br />Shear Wall I
<br />Framinq ttlb t1 DArmr \ pYl
<br />lnsu lation/Enerqy I t'
<br />Drywall DkalJa|)A-<64?
<br />Ext./lnt. Lath
<br />Brown Coat
<br />lVlasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Cenif
<br />I I ,1,
<br />FINAL ualtu0 >fr
<br />Certif icate of Occupancy
<br />Notes, Remarks, Etc
<br />D I dL
<br />I 5 /?-c
<br />t 1-u
<br />I
<br />ID/SIG.
<br />M0
<br />,-*8t
<br />"-7 q zo77
<br />issrrcd (S.c.1097, C,v. C ).
<br />lrnJ.r'\ Nrm:
<br />-
<br />Lftl.r . AJdrc-:
<br />-
<br />-llci
<br />!rhdihr{.,i rlrr,'hh'n\N3rJIns.trh.J{.'.n$val .n, rmlhrhk L,rhtsnruJ..r
<br />14lX r1.","." '^,'!nr.h. rnn ar n c ,hd ,r'. ah,vc irtnndnn, i, corcc, I atrcc k) uomrry pirh rrr c y.hd coun,v
<br />".,1.,*6 "n{ B{lc L.*. rch, r } r ' hriLl'n! c,ndntr rBrr .nl lErcby lnrlrtrnc 'eptrnrdrivs ol lhis Cil y and Counry t] cmd uPn rrE
<br />"n,* *.,,"/n\nr t", .sp.anxtr p,rp^c\
<br />lrare_
<br />tt
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