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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNgN BUILDTT DELCAR IION
<br />I h.Ehy rmr udkr rn lry rn FrJury rhai I m .rcrfl fDm rtF Ci'nn{h^' l.(.nr tlw r,tr rh. lollowo8 E.si (S.r 701, 5
<br />Aulhc* !d Pn!..$iDn Cod.)r Any C y or C.xnry whth rquEr r Ftu lo $.(ru.1, .lra. in{rov.. &tunlh dr qu $y
<br />{rurru.. Fw b nr ssa!, .1$ Rgui6 rhc .cll(ur lbr (kh JEmr ro lil . t(E! ir.rcEnr rhr' h. or rlE . lf,4sd plma
<br />t, rlE Fwn,nt ol rlr Cnt rtr r l,x.n<J lr* (Cr!,9r.r o. ('omrn'n! rnh JnLr.n ]m ol D'vsnn I ol rlE Busir.t .nd
<br />Pn .*r'n C(xk r o. rhrr lE 6r rrE r d.rpr rh.rrhn .,n rh. h.!6 lt, rlr .rh.J .kqri,n. AIy vi .rE. or Sart n 701 I 5 b, rny
<br />lpi (. rorrFrm r!br.(slh..tlplranll...rv,lFn.ltyorfr,rfrtrclhufi!.huBlGjddls!(t!n).
<br />_1, .r ow.ol rh. F,p.dy. r my cr?lorEi erh w18.s I rrFr.k oq'.trqri,n, * ld0 rlE e* !,n dE {drE \ Dr
<br />lrcn al oron EJ r{ .l. rse 7lxt. BuriE$.nJ Pnn6sn.! Cin : TIE Col{rrt*'. tlo* L* lt{r d +ti} h u owr or
<br />rlr tlnlltn, *lt, t!'r& dtmEih.Ge !n lhl ltn rh hr* hmklf or h.ralf .r rlDulh hn q h.r om.r!,l'rr..r.
<br />tro*r.d ih:r rkh hlioEftdr e n{ d.nldl d onirn nr sk lr. t$kffi, rh. h o3 or nFrEm t $ll *ihu oE trr
<br />orcoq'Lrion. rlE OwF Bui!.r w h.rcrh.bulcn{fFrvin!rh{ilrordEn,nnh l orntnE rhc pNtrny r(xlh. purpF{l
<br />_1. !!olErol rfi. FIrd!, mcirlulrtlronrrrh! *.h lk.rrJ odaroB k, !-.{N.r rh. tn'rd (Se. ?{)41. BulEs
<br />.tri hftsD Cirl.: Th. Co aio, t l,r.nr ll* l,B Bn rmly n, u o*d or FoF y *lh t!u,u\ or mPoYc h.,en.
<br />ahd whd Lo nds ror rurh |n).crr w,rh r Con'h(r.(, la.ncd I'Unu.d n, rh. ConrNn,\ l.&nE L:w)
<br />I rn.rcm u.d.r Se'Dn
<br />!r0aE85:r0uErsarlll!
<br />D3:II,AXAIIO!
<br />Ihcr(hyrllr uklrr Iinrlryoltrllury oN olrh l('lk)w0'g Jrrlxrrrrtr\
<br />I hrv. .rn *rU mdm r C.nfr'd. of Conenr t' s.llln$r. l!, s{t6 .r,r{End r'.. !r FDlrr.J ,o' 6y ser$n t7m of.tr
<br />I:lu CaL, td rtr Frflrllm. orrh *rt for pn.h rlr Fmt a Nu{
<br />I h.t(.nd wrllnrrnrNn *ork.rr .omicn\arrr rn\!r!n.c. !\ rcqum'l5ySc.r(,n17(x)otrh.l-ltrr(l,ilc,lnrrhcp.Intrmr(c.l
<br />rhc work t)rwhrh lhsncm r ^\Bl My wortcr' .onp.nu rn 'nsu,aM
<br />(Mrr &al Frry nunrhfi n:
<br />Cr..:-
<br />PoliryNumt r:-
<br />_l(nrfyrh{ orh. FrforNr! r rh. vo.k n, *h.h rh,i rErnn r 6!Ed. I lhtll B, ctr{,k,y.ny pcR)n '. rn, lMkr
<br />h rihtElrm I'Fr ro rlx unt6 omp.n\d$. hr olc.lromu. ]rl +ft rh, II rl$uB tE om lubr.t tollr
<br />kftm LnnlE.qrFn pE,vlri'nr ol Sdli,n lTtt) of rh. Lrhr (irL, I rh.ll- fdh*dh Lrndy *nh thE FovBrn!
<br />WAININC: l,.luE kr ccN wort.r .!mFnt.ri,n coE rlc ri unl,*tuL .rn rlllll \unFr in .n{h)Fr b omtul FMls .,n
<br />crvrl linci uF 1,, on. hlndrc'i thnuq*l dollfl ltllxl,uD), m rldiri,'n b rh. $n or onFmln n, ddl8cr u Pn,viJcd ltr lh.
<br />s.(rrr lI)76o1rhe lrlrtr Gxl. d.tr\rrklrnonlv
<br />,rn, a/ tz/ ) 't
<br />^00,,*,
<br />*;-tZ?a-->-
<br />LTCENIELITdIAAS!]A
<br />DECI AqATION
<br />I lkEhy aflirm und.r n ndlyollE,jury lhd I m lunql undcr F'vtrr,n ol Chlpr.r e (condmr! e h S.dirn 7(xl(,) dl Drvrnr I
<br />ol tlr Bu!m$di Pdr.s*,nr (irL,.rn m, l..n< F o tull l(!h. ,n crIar.
<br />L*.nt.CLs:-
<br />2-/ rz-/t ?t
<br />qlDfiarsllaN.LllDlgcrcENl}
<br />I h.Ehy irrm un,.r FMlly ol Frrury lhal lh.t ! . onndcln. Lftlos rs.Ny nx rlE Frfm. ot rh. mrt (tr *h.h thlc Fmr E
<br />F{rcJ (S.c. 1097. Crv C ).
<br />AfrucaxflrEg.ax&ua!
<br />I hsdry llim u ., Ir.lliy ot Frrurt oft of rh. k'll,*,n3 J&l,i!$n!
<br />I).mnr$n PcrntrG^rt$ror l.&r rdrn fiLnl R.luLrus r'Ink {tr. Pd6)
<br />_R.qrntJ t (.rotflnldrn
<br />lccnnyrh ilr I cdcr.l r.eu 1.r trrn\ E8ar,lint i\l$ix rcnx,vrl ,a' n appluhk t,rhr 0n'r.rr
<br />_I(rn,lyrh,Ih.v.Erdrhlirlith.rb.dl.r..thrrlE.h,wml dnnB.(llEl.I+cloor|'lywrhrllCny.nttCou,
<br />onlm.r rnl Sr.r.l,B Ehtrlf lt tnfitr8 on{turr,( rn lrrchyrulhtre r.F*nl.xEs ofrhlr Cryrn Co! yro.ddulon'tr
<br />rhn. nEnroncJ n!)Irny 1,tr m\rdkn' purFx.r
<br />A|l|lli.{nr nr A[.nr sisurue
<br />frr...*tazr t- ) Z_, r3-rr-+. S
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />SLAB Floor
<br />Boof Sheathing
<br />Shear Wall
<br />F ram ing
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certil
<br />)
<br />FINAL bll2l/27 Tltn/+,u29)
<br />Certilicate ol Occu n
<br />Notes, Remqrks, Etc
<br />Set Backs
<br />UFER Ground
<br />SublloorivenVl nsu lation
<br />6r, Utzz) 9
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