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BUILDING. INSPECTOR BECORD
<br />COMMENTSDATEID/SIG.SITE-WORK
<br />Set Backs
<br />Formsi Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUlnsulation
<br />Roof Sheathin
<br />Shear Wall
<br />Framin
<br />lnsulation/Ener
<br />allD
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Ivlason
<br />Pool Fence
<br />T-Bar
<br />Handica R
<br />De Final Re rt
<br />rtEnineer Final Re
<br />Flood Zone Ceftif
<br />FINAL
<br />Certificate of Occu
<br />Notes Remarks EIC.
<br />()\rNltlt ltrlLl)1.:R Dlil,(/1R,\'l-lor
<br />lhcrcbyamnnundcrFn.lryolrcrjuryrhdlonrcrcmPrrmnrhcCook,cb$Lkcn*li*rorrhef{nhwinSrcawrn(scc'7o:ll5
<br />sxsincss anl Prcrcsk,. Codcl: Anr Cily or Counly *hi.h r$utcs r rctrnil lo c'iirud rltcr. impr'vc dennnhh 'r rcnJn Jnv
<br />{ru.lulc.priork'il\Nsu0ncc-ahor.qunc\lhcllPli.nnlforsuchrlnlnlofilclsisied{alcnEnllhllh.olshci\li.ctrkdpu^uanl
<br />to lhc p;visiotrs ol.thc coorndoas Liccnscd llw (chatlcr 9. G)nnDcNina w h sccrion 70rr or oilisnnr I oi thc Burinc$ dnd
<br />Pofcsrionscodc)orlhtllE.rshcicxculhcrcf'omandlh.bisislollh.ill.Bcdcxcmplio.AnyviolalioholscclhnT0.]l5by!.y
<br />amlicantforrlcirnilsrbjer{lhclpllicaub.ivilpcntrllyoliorrfrrcrhlnlivchxndrcddoll6rsl$5U))
<br />-1.{\oqcrorrhclirorrcny,r,nrycmrn,)tcswirhwagcsrslhcnv,h.ompcnqrion.willdolhc*orkdtthc(
<br />rurchmr
<br />i,,tu lcd mollqcd lo; qh (S(.7OH. Bxsinrsand Prcfc$ions Gldc The Cotuncror's Liccn\c ljw docs nor amlv io rn osncr or
<br />rhcpmFny rho buildt or inprcvcs rh.mn. md who dd\ $.h Hrt hinsdlfot hcNltor rhtuugh hn or hcr own cqrloyecs'
<br />p",iia"A rlrur .r.r, invR,hnrnB arc not inrcdcd .r .ll]s'd fd slc lf. tu$cvcl ilrc hildinA or in{'roecmd t wld sirhin onc rr
<br />;f.omptri{,i, rhc o*;r Suiklc. sill harc tlE ltrdci or pnvirg rhd h. or \hd did tror huilil or in{mrc ll'c I'oFiv fot rhc ,rll'e ol
<br />-1.
<br />nsowner olrhc pn,p.dr,,mcxclusivcly.ont&rins sirh l icc n {d .onrracttr\ io co.slrucr rh' r'oj'rt (Scc 7(144 Busircs
<br />ona p",L*;n Cua", i r'" Cunrd.ror's Licensc l,aw docs nor rlPlv b ri oq.cr olttrrpdnvvho buildr or nnlrovcs rhcrton'
<br />nnd who contra.ls ft, su.h Fmi.rh wirh a A lrrcrod\r licn\cd runu rrorhcconrack,sl-i'cnsctjs)
<br />-l
<br />ncxcnrpt undcr Sdn,n B &PC hrrhirrc.{,n
<br />UOBtrEBfIaMTENSAIION
<br />I!EII"AN{II!}N
<br />! h.r.b! rffi undcrF.ah,of p.rjurroncorlh.lbllowinsd€clnrdiions:
<br />thlvcanwillmainllinlccnificalcofconscnllosclflnsllcforBorkc^.conPcnsnlion.u{plovidcdtorbyscctionl,lDoflhc
<br />Lltnr Culc. ror thc pcrior.Dnc. ol lhc *o.t rur which lhc lcnnir is ksucd.
<br />Ihlvcandwill.uintninwolkelsconPtrsllioninrlltrfu..,srcquircdhysc.liotr]T0ooflh.hiorcodc'l.rlhclcrform.nc.of
<br />rhc sork for which rhh pcir r i\ hsudl. Mt wortcrs .dmr.6sarion insurs'r. curicr ad Fli'vnuarhcr !o:
<br />)
<br />-l.cniry
<br />rh r h lhc pcrfornsn.. !lrhc *o,k ror which this lcrnir is issucd. I shrll nor cmnlov snv ruMn in mv rj'dnncr
<br />*. r,, o.r*" -r,1*ir rt. *"rkcF conf.nsr|ion laNs ol C.lirdrir. llld sem rh.l ill sh']uld bccom {hlt't Io rhc
<br />sorkcn compcnsartJn ptuvisionsotS..rion l?00 oi itt Liktr codc- I sh,ll. tunhwirh drdPlv Rili th's Povrionr'
<br />WARNINC:'Flilurclo*.rcworkctrconrFnnidr.ovcra8cisul,wtulMdshalllub]c.lirrcmpLrrrosiminrllf,ndllicslnd
<br />cilillincr!Pkromhundrcdlhousltrd.lollm(!loo.0o0).indddilhnlothccodol.omlcnklifll'dalmscsaspr.!idL..llorlhc
<br />Sc.ri{,r.1(176olrlr l.nhtr(int.. tr crc{ n lrrrfftroy \ 1.t\f4
<br />!EO.ASAIIO!i
<br />I hcrcby rffiirnuodcr pcmxyofFrjor, thd I am liccnsd fud I'mvnion orchrru 9 (commrcin8 *ilh Scdion 7(xl)) 'rDivkion l
<br />of rhr Busircss and Ptot sions Codc. dtr m, [ccn* h in tlll rd.t ad] cfic..
<br />4 6n zcr
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<br />IOIIiIBUqUON,LENDINGJIiINI]I
<br />I hcdbynfiirnundcr pcn0lryoipcrjrrrrhd rh;c i\ Ic.Frtudi lcndinsrs.nvlnrrheP'rrornurccotrh'wotk'uwhi'hrhi\Fn'iri\
<br />i\sucd rsN :1097. civ c )
<br />Lcndfl'. Ndm.
<br />Lcndcr'r Addrcss:
<br />attLlllINLIl&ctasAUA!
<br />lh.rc6yamnnr.dcr pcnalr, ofptriury onc ol rlr rirlowi.s d(llrrrions:
<br />D.nnlirion Pcrnirs^sbcnos N.rin..rio. FcdcDlReeuhrtuns (l illc '10 Prn6)
<br />-Rcqntcd
<br />Ltrcr of Norific,rion
<br />-l
<br />ccrliir rhrr lhc rcdcml rcsxhrnJns ESordin8 asb$los rcnsvolaE nor applic6bk ro rhis Pmjccl
<br />-t
<br />crnify $al I havc @d rhh applicrion !,n {at. rhal lh. at[k info.malion i! .ore1. I asd ro comllv *ith tt Cnv and Counr,
<br />;;-inrnes;nd srarc rlss rchrind io hlildiic .onsrrucrion aid h.Ebr aurho,izc EFrcE arivciofrhiscirylndcounryrocor.ruponrrE
<br />ihovc nrcnriotud trcF.ly for ir\r..rior Plllxrcs
<br />,\DI,li(ont o. ,\sonl 5illnhltrrr ^nJ-j/'1r
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