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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS ()\\ Nl,:R Bl ll,l)liR Dlll (,\R,\'l Il)N
<br />Ihcrcbyrfinntrndn Dcnrhy {,i pdiry rhnl I crcnfr r'. rlhcCo rucktrr Liccnsc Law n, rhc Inllosins rrawn lscc 7o:ll5
<br />Businc\s rd Pmlcrsion Codc) try Cily or Cotrnry Bhi.h rcqun$ a Nn r lo condrucr. ahcr. iDPhve. d' xrlish nr nn'n rny
<br />ntucfurc- pri(trro n\ issutrrEc. iho rcqrnc( rhc {lpli.,d tu \uchFnnir n) ilc r \i8ncd {.rc,mnr rhlr hcor shc is lic'rtd JitrGurnr
<br />t, ihc pn,vilnns of rhc Cotrtrdois l,i..n{d Lrq (Chrprc. 9. Co n co. g wirh Sccrbn 7(Xx) ol l)ilniotr :l ol ih' Btr\nh\ rtrd
<br />holtssii,n\ao.)orrhdhc.rshci\cxcrplllrcrcliomrndrh.blNi\lorlhcrllcS.dcxcnPrion Any violrrion ol s"r or T0l l 5 hv rny
<br />rppli.rirnn r Fnnil \ubrccrs ihc rtPlicanin,r.nilNn.lryoinolnncrhrtrlirchutrJrcddollnr(S5lnr
<br />l. rs own$orrhc |x)tEny. or rycnrPloy(s wilh *ages r\ rhdir nnc (nruis i.D. $illdo rhc sork nnd tltr{tuhrc n nor
<br />i c dl uror,.rd lo; sr[ istc704,1.llmincs lnd [rolas\n \ C.dc lht (rn r{.ntr s I iccd\c L.$ tloc\ tror rlflv ki0no$('r
<br />rhcrn,|tny trho bdild\or i'l]lrorcs rh.rdn. nd who d.rs nEh {ork hnntll.r hcr{llorrhnn'lhhi\ or hor osncnrPhlcc\'
<br />p",'i.r.A rrrnr ",.r. nurorom.r\ d trur iflcndfrl or ofti(n fr *'t lf. tx,st\ cr' rh. hu illiJls or ir)n)rc Enr i\ sll s irhi'r on' )to'
<br />;l.orylcrior, rh. O*Nr Ruiktcr willhitc rhc hrdcn ofpmlirg rtur lE or ltu dil mr huiLl or nqx){ rh. PDPcny tur rht lurlx){ ol
<br />l. r\otrlr.rul rlrc nrt)pcn!. rmcrcl$ncllcontrrri'rg trirh li.ctrr.d $tu r.nn b .onirucr rh. Prricd (Sc' 71!'t' Bu!ft\\
<br />(l Pnn6\in,aoJ.: lltConrrrcrors l-rrtr*'l.ds(io.s mrrlPlrro in.$n.r.rfnrft v wtur hrikl!'r irtn\c\ rhctcon'
<br />xn,l wM .onr{crslbr lurh lrojc.l\s'irhr (-{,nt t,(t li.cntd rur\ui rrilhcGrirrrr \ l.icctrsc l-rw)
<br />I amcxcmll undcr S.crnnr-
<br />lV(lRXELs ('(rl\IPl'lNS ll()N
<br />DECL XIIIIIN
<br />IhcrchyrllnDu l$ NmLry.IPc'lury onc ollhc liill{)sinS dtclnrdlon\
<br />lhrv. rrl\ill rdni,l n (oril].n.o1(-(ii{.trrr. Sd I I
<br />rn.e 'n rh. \ork tur qhi(hrh. D. nnr \ nvul
<br />3/: 4 /7
<br />{rr'n'..,u.t
<br />/rr,.
<br />\,trk rir
<br />r[cn c nrFn\.rtr iNurrncc. r\ rqtricn hI
<br />U/217-
<br />/-6 /
<br />-l
<br />.cd it r- rhrr $ rhc Jtrfonud.c of rhc$orki{tr\hichrhi\P.mir i\ n{td l $rll ,ror rnrll('v rtrv 11'60 i'rrnyn'rnn"
<br />$ Nt,t iorr{'hi.dk,rhclortc^.onlP.nsrln h"roicxlitunu. nlrsrNrhrrrlI\rnn'nl}'rrtrrf,\rbjc'rhrlt
<br />workct{ ..nrncfsrrnnrt'o\isi,,nsolsrri(d l70l).lrhc l.iIxtr (i c.l\hrll.kinh{nh.unDlv*irhrho!cprortnrn\
<br />.i\il llrL trp r,,om lrr ril.(l rlDn\rnll ilollnr\ 1(llxrlxx)) 1, rnlr!,' nl (1.0h!.\ . \ r,triLn\l 1,, rlLt
<br />rtu I rhtr (frlc inlcrr( rii xr
<br />s- ltr
<br />IhcruhyrliirnrunicrncMlryorp.riw,rharIn lNNcdu crnmri\nnr.l(hlJrrcr9l.onnmrcingNirhS'di"tr7O{)0)orr)nk n
<br />.l rhcBn\iri.\\rnn l",'lc$i,ff Cotl.. rnll'ny lirtns. r\ nlL'Llli,r!.r (rn.r
<br />/^227L,/v
<br />--'e- f:1[.
<br />I hcrbyrlf' undcr JiDrlryol Pcriurr rh rhcrc n r.o!\hcri(n lcndin8 rgti.y lo h. Pcrfonr cc ofrhc sork litr sh
<br />ii{Lr(l 1S!. l)()r. ( iv ( r
<br />Irnd..\ Nri'c
<br />-
<br />APPLICA N'I' D}'( ILARA'I'ION
<br />Il*rbyrliirmuM.rN nliyolpcrjryoncof rlt hllowing,l..lrrrrirrN
<br />l)rnohlidr P.nnih A\tunos N.liiicrli,n, Fca.rnl Rc-!ulilions fr b'11). Frn0)
<br />Rctuircd I clrcrof NorirLorion
<br />I.cniltrhrr rlr lc,lrrrl r.!ulnrn ( t!rd nq x\hnovrrtrrrlrn, mrr nIih!. k) rhn |mr]crr
<br />l.cniftrhxr I hivc rcal rhi\rPfli.rrior orturtro is..rcci I itre ro c.n,ply qnh rllCiryrnd Coxnlv
<br />r lxtrizc rcprr\c tr.lcsof rhi\( irrrnd Counry(,.nro rNnrhcorllnrn.c\ triSr .I r\\ rlJi
<br />ovc nrcnriotd lxr|xny lor
<br />,\ppliunl.rArdl siaMlu ? {-/f
<br />Set Backs
<br />Formsi Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/Vent/l nsulalion t,1
<br />Roof Sheathinq I ?h, rk 6mrlfl /Kz--
<br />Shear Wall
<br />Framinq
<br />lnsulation/Enerqy
<br />D rywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />lt/asonry
<br />Pool Fence
<br />T Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Cefiif
<br />FINAL 4/q,AtL t /zrytxnl /D2-.-
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc
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