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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subfl oor/VenVl nsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Requirements
<br />Deputy Final Report
<br />En grneer Final Report L XPIRET
<br />Flood Zone Certificate
<br />I'i :uul(u 5
<br />S',MC (r{3, 290, 55 ,.&7
<br />Certiflcate of Occupancy
<br />Notes, Remarks, Etc.
<br />Os6-Buildn D€lmion
<br />I h.Gby afiim undd ta.lty of pdjury th.t I ... dar fm rh. C6md6' Licor L.* for rhc followins r.soi Gcc ?ol I 5 Busih.s
<br />bd PmaEio C!d.)i Aiy Ciiy d C@nty which Equicr r pmn b Mhd, .ha. inptuvc d.6olth or r.p.t M, ltucror., poor lo irJi$uc., .lro Eqdd lh. .p'plicDr ad rut p.mn !o fiI. I .ignc<t mbn6r rh.t h. d .h. i! lic6t.d plBeet ro th. Fovhionr oa lh.
<br />cdturdt Licda.d lrw (Cn.glE 9, CelMcina ?irh sftrid 7000 of Divirio. , or rh. Bu'in.s 6d Prcfdris! Co{cl o. $.r h. d
<br />rn. n.r.mF lhftlM rd $. bat f6$..ll.B.d dmptim.A.y vioh onofs.dion ?031.5 by My rpp,ter lor i p.mn rubj.crt $.
<br />rpplicur to rcivilpdllty olnot lnN thD fiv. hun&.d doll8 (1500).
<br />_1, ! Mr oft. prcpcny, o !i, o?loyd *id, *.td d d.i ol. .onparlrion, will do rh. wo* rnd $. rlfud!rc h nor in(ndcd
<br />a o0cad f6 !!lc ( Sa.704,1. Burind &d Prcf.$iw Codq Thc Cet .crd'r Lic.ni. L.* do.r nor opply ro & own.r ol rh. pbpclry
<br />wh6 bliltL or inFdd th.l@, ad wlto &.t rsh wdl hitulf d h6.lf d rhro!8h hir ot h.. @n .mtloyc!, providcd rh.r iu.h
<br />iliFDv6r.rt!Nnotinl..dcddoflcrcdfr,!1.,l(h.v6,th.b!ildi.8orinprcvmdtirroldwirhiion.,.folconpldio..thc
<br />OMd-Blildd will hrv. th. bor.la oa Folin8 d!{ h. or ihc not build or inpfov. l- fi. puQor. ol r.l.)
<br />_1, s M.. of ln. p.op.iy, e.rclaiv.ly cdmdi.B *i$ lie.*d @lffi ro.o6tucr rh. p.oj.cr ( s.c. ?0.,t, Buiin-r Md
<br />Ptul,sion Coda Tlt. Cont cld! Lictu. Llp dq ior lpply ro e oMr ol plopdty *ho buil<L or ihpov.r rhd.on , sd who
<br />contricr ror rlch prcj.cu wnh . C@rero(, licd.d pududt to d1. CmrGd i Lkdr L!* )
<br />_l h .rcnpi undn S.dio.
<br />-8.
<br />& t.C 16 rhi, rcBoo
<br />WONXIRS COMIENS ATION D'CLAR TION
<br />I h...by .mo !'d6 p..rlry oa pdjurl d. of rh. followi.B d.clmrion!;
<br />_l h!v. od will m!i.hi. . C.ni6c... of C6r6t to S.lf-Idu.. a- *o.ld, .mFn$rio, s pr!!id.d fd b, S..tion r?oo oa!h.
<br />Llbot C.{., fd di. prfru@ of rhc vo* fd rtkh rh. pmn i, ir!u.d.
<br />_l h.v. sd *ill tuinnin wdtd' cornF lti@ iB!tue, B r.qliEd by S.c on 3?0o of $. L.bo, Cod., for tnc p.rfod.ne of rh.
<br />wo* ld whid rhit pmn k itr!.d My *d*.r'' c@Frllio imtucc c6id ed policy numb.r {.
<br />Pollq Nmbn ErDtrs
<br />flhi'26 ned.or bc @hpr.r.d lrrh. pfrt i,
<br />Zmrry rrr in rlc pcrmcc of rhc wn* fd
<br />b.cmcllbj.ct rorh. *o*d'compc rli@ hw!
<br />ac On. h!n&.d dollu (1100) dlca,
<br />cmp.Mtio prcviri@tof Sc m 3700 oflhc L.bor Cod.,I !h!U. fodvnh
<br />-oL
<br />WARNINGT r.il!r. ro rtu rdtd' 6p..srioo covms. h uh{
<br />lind up ro d. hu&cd rhoulsd dol,E (l100,000).in .ddidon to fi.
<br />lh. Llbor Codc, irtGt Dd.nomq! f.€
<br />LICTNSf D CONTRACIORS DECLAR TION
<br />I hftby rmh und6 p.irlty ofpdjury rhit I m lichrd undd prottim of Chapr.r I
<br />ih. BlrinB ud Pmld,i6r CozL, Ed hy licdtc lr if, lull fo.c. .nd affc.r.
<br />*irh S*rion ?000) ofDivirion ! of
<br />o*,,v )- -24-oE
<br />^I hd.b, .mm und,6 paltry of Fjury th.r !hd. ir r contudid lddins .36.,oathcq*k fd Fhich ihtp.en h
<br />irlud(s.c 3097, Civ. C)
<br /> IDLICANT'S DTCLAXATION
<br />Ddditih PmlE-Arb.nd Ndircrtj@ f.d.6lR.Bul iod (Tnl.40, Drn 6)
<br />_ Pcquircd llno ofNo(lic.rio
<br />rocomply *irh lll City rd Cou.ly
<br />oalhn CD rndCouit, ro.nl.t upon Ih.
<br />$ovc hdrion.d prcplty for inrp.crion
<br />d?-2-.1-4
<br />IFINAL
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