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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.GOMMENTS Oh6-BuildB Ddlotim
<br />I hcb, rffm undd pm.l9 of Fjury lilt I n adF fm $G Cmserd' Licorc L.w for rh. aoll ingrctt@ G.c.?01I5 B!rii.r,
<br />od Ptufdid C6d.)r Any Ory or County which Equier I Ffin to cdrEucr, rlt.r, ihp6!.. d.mol irh or rcp.n ey lrucrur., Fior ro iG
<br />i3!!l!E,.lro rqli€ 6..p?limr f6&ch Fmh lo 61.. tia,.d tn&ffit lhrl hc *.h. n [cdrcd puB!&r ro ln. Fotiidr of $.
<br />Cdlrriat Li6td rn (chtPlr 9, Cdmltdna *iln sedo( 7000 of Divirio. I 6f$. Baindr ed Pbfoidr cod.) d thrt h. *
<br />rh. i..r6rt a.fn ad ih. lah fd ir .flq.d adptia .a.y violdon of S.cid ?0, L5 by &y .rpli.Mt lor i p.mn rubj..6 rh.
<br />+pli6r ro r .itil pdtrlty of icr no.. th!. fi!. h$&!d &lh6 (t500).
<br />_1, s oMd ol lh. Fop.ny, d ny m?loy.d {ifi w.8s s fi.ir !ol. cohpahlion, will do th. *ort lnd th. rlrucllr. t rol lnr.nd.d
<br />d ordd fq trlc ( Scc.rora. Baind sd !mf{i@ Cod.: Th. Cor.d6! Licor. La* d@ nor .tply b M own.r ofthc p,op.n}
<br />{n6 buil& d in!.ovB $.lM, ed who do.r ruh *rt hihr.lf d h6.l l6 rhbu8h hh orhcr oen.hploycci prcvid.d rh.t tuch
<br />improvmor e no( iri6d.d - o(fftd fd Dl.. If, ho*.v.r, th. buildin! or ihprovcoat ir iold widin.n. y.arofcomplcrion,lhc
<br />O*nd.Blilar wil, t!v. t. burda olFovios rrr h. o h. roi build d imprcv. fd rhc purp$. ofnl.)
<br />_1, ! *n.r 01(h. proF ty, 6 .xcluiv.ly .dturina wnh Icdcd oE croB to .dltruct rh. proj.cr ( S.c, roaa, Sltin6r &d
<br />P6f4!ionCod.:TltCo.t!.ror!Uc.Lrwdo6notip?lyloeo*idofpopdl,whobuild!dihprov.rrh6en,Md*ho
<br />cnE cr! for luch pbj.cn virh . coiF!.ro(, lic..rd p!.roMr ro rh. con$lcrois Licdr. L.w )
<br />_I B.rdpl !idrs.dion-....-.-----8. & P.C. fq fin rad.
<br />WORXERS COM9INSAA1ON NFCT {RATION
<br />I h.rcb, iflim und.r pc..lty o(Fju.y 6. of rh. foll@in8 delo drl
<br />_l hiv. bd will h.inr.i. . C.ni6.c ol Cdsl b S.lf-lntuc fo. wqkd' c6p.i!.tioi, d prclid.d lor b, S..tion l70o ofrh.
<br />Llbd C.d., fr rhc ,.rfdlm@ of ln. wdk f6*tich $. p.on L isu.d.
<br />_l h.v. xd willDindn wdt '.dn!.ir.ddl uMe. a rcqun.d by S..tion 3700 of d. Ltb6r Cod., ls lh. p.rfm6nc. of th.
<br />eort f6 vhich thi! phit n nr!.d My rdtd! .dp6 id iuomc. criri ed polic, nuhbcr rr.
<br />Policy Numbdr_Erpi
<br />u("^,,, *u,,
<br />notb.@npla.dif lh.Fhitirfo.O..hui&cddolla {t100) orl.s)
<br />$c p6foddc. of 6. work fd *hich this pmniriiN.d,l rhall
<br />b..h. lubj.a lo rh! wdld ' cmpcBllioi hB of crlifofria $d.sr.c rh,r
<br />oft. trbq Cod., I rhrll,
<br />4
<br />1ryARNlNG f.ilurc lo rcuE wdt.u' cdpdrdoi cov.aS. ir d nplord ro oiniial pn!lri.! md civil
<br />lind up !o 6. hun&d $dqd do,lE (t!00,0o0),in ldditio ro
<br />rh. L!bo. cod., inrffit Dd.nomq! lc.!.
<br />.lid, d.d36 a prorid.d for ih. S.clion 30?6 of
<br />LICENSED CONINACTORS DECLARAllON
<br />I hftby rflift onda p.illty ofpdjury $ll I D licot.d !nd( povilid ofchrprd 9 comh.nc
<br />th. Bulind sd Prcfdraer Co<L. ed hy licar. h ln full loE. rnd dr..i
<br />I h.r.by rllim lndd p .lty of poju.y $.1 $fr i,. conrudio lodirs rsacy for
<br />irlEd(S.c 10e7, Civ. C)
<br />ofth. *dk fd which fit p.mit i!
<br />AI'LICAJYT'S DICLANATTON
<br />Ddditio PmiE-Atbdd Ndific.d6 F.i.6l R.8uldioN Oi{c r0, Prn 6)
<br />_ R.quird Lrftd ofNorili..don
<br />to compl, *i$ lllCiV if,d Colnry
<br />rbov. mo(on.d prcp.ny for in+4ion puryd.r
<br />--o
<br />ofrhi! City dd Counry ro.nr.r
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SubfloorA/enUlnsulation
<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 />Engineer Final Report
<br />Flood Zone Certificate
<br />EXPIR ED
<br />FINAL FEEOI 7Ui3
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc.
<br />SLAB Floor
<br />Lddn!Addr6r
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