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BUILDING- INSPECTOR RECORD
<br />DATE ID/SIG.COMMENTS ()wNEn autLDER tllll-cAR?\ IloN
<br />I hcrcby afinn und.r Fndlry o! Dcrjury lh( I un cxcnu, lrcm thc Conlrlcl(ns Liccn\c Lrw lbr lhc tulkNii8 r.at,r (S.c 70.11 5
<br />Btr\i.c$ ind Pn,tu$nnr Gdc) Any Ciry or Counr, Bhi.h rcquircs ! rrcrn,ir b ..n(dcr, dlrcr. inrrn'v.. dcnnlth nr rcn.ir atry
<br />ntu.rm- prirb ik isurE-'c. rltu ruqunclrhc rrtlic r fd cuch psmir lo iiL r siSmd nnrcnrN lh0t 1.. or sh€ k liccnrd pursuonl
<br />lo rhc pmvkiotrs ofrtE Conlr0clois Liccnscd Liw (Chrlrcr 9. ComnEnclo8 wnh Scclion 7(Xx) ot Diri\n,n.l of rh. au\in.t\ and
<br />PDlc$ions Codc)orrhrllx or \hc i\crcmrr rhclcrronr lnd rhe b!\h lor rhc allc8e{l .r.np(n,n .y vi,rhrionorscoonT0Sl.5 by,ny
<br />rpplicanr fo.,p.rmn sohjeG rh. rrpli.anr r. a.ivilp.mhyol..r nroicrl[tr nuc hutrdrc'ldolhrs (5500)
<br />I. fls owrE ot rhc pn)t]cn y. or nry cnrplo)lcs wirh srscs !s thcir vrc compcn$ri(,n. $ill do lhc *ork dd rlr {tu]urc ii ftr
<br />inlcn]{l oroflc,cd for elc (Sa 7(t14.llu\ir$\an ltonsions Cod.'l h. Coitrcrn \ t.i.c.\d t-'s tlocs nor.nprrlornosncrof
<br />rhc,mlEny *ho htilds o. nl]I)mrs rhcBnr. !trl sho dcs \u.h r.rk hinNcll or hcrcll or rhrcuAh his or h.r on n c lployc.s.
<br />providcdrhdsu.himpi()!crnrs!Etrnidctrdcdoroficrcnl.r:rlclthowcvcr.rh.$uildirporirnn)v.trrfrisa'ldwirhir.trcrir
<br />ofcoalrhr i,n- rhc O\fur Build.r $ill hrvc rh. hurddn .f |,.!i'iB ih r h. dr shc did mr buib or irlrot lhc pDtrsl] ttr ihr purF,$ oI
<br />I. a\owrcrol rhc t()Itrny. r rcx.lh clt.orkr.rirrgq(hli.ctr{d.ontrx.rorsr.con\lrlcrrlrtrolc.r(Sc.7(}$,Buqk\\
<br />dPohsirtrCoaclh.Corn&(nrl-i..nscl.otr(loc{norqrplyloono*n0olproncnywhohikl\o'i'nt'ovcslhcr..n.
<br />rnd sho cortrctr(trsuchntuic.r\siih (innrictn(n li(c \.d prhunfr b rhc Coftri.ttr \ LrcD{ I.trB)
<br />I Jncrchpr u cr S..rn,
<br />IvoaKlrSli]ljorlElrrta.tla!lJlict &uIQ!
<br />I hcr.htxl1n rur,lcrNnrky.f FiluryoN.rrhcn'lL,wingd..lrarlotrs
<br />I hare and sill ruinraio d Ccnilk . of Con\cnr t, SrlHn\ur td qorkcr' .onDrnsr ior. .s povidcd rbr hy Ser ion :1700 of (h.
<br />hbor Code. tor rhc rcrfomnce of lhc wnrk lor *hich rh. ncmn n ir\dcd.
<br />I hrvc and *ill nrintrin eorkcrr ..n!lEnr!ridr iNumtuc. N rcquncd b, Sd nrn l7o(l ol rh. LSitr Coilc, for rhc !.llorroncc of
<br />rt,c w.rt f^r*htrhrhsFnn rsn\ucn. M) Inrtcr' c.rnncr\Jrnr In.uruntc crnc' rat Inti ) nunt\l m.
<br />,,"-, .- Ca(, A.^,^ \,. t).^...a- (t^?a-'l
<br />( l) 'L?f-1o"t \/r ll"\n
<br />I .cniiy rh0r ir rhc pcrlbirniNr.frhc u.rk li,r rvhi.h rhn pcnnil is tsu.d. I slrll nor c'npk,t Ir! Nr\$ ln rny nDnncr
<br />kr xs t' Ii.{n c suhlccr k, rhc wo .rL.. rpcr\rrio hwsol(rlituirir. itrd l3L- rhir il lsh.uld rrc.lE \rhicr t,rltc
<br />workc(.o fcisdionf)visiotr\olscdir)n:17(x)ofrhcl-.tryCodc.lsl./rll.lonh*irhmndrqirhrho{ptuv(idrs$ARNlNl; l.tril'r. n) \.dr. *ltrhi\ (onl).tr\xr.tr ..r.,r9.
<br />rn I ln,.\ u]r ti,uc htrkL'.n rhotr\xnll,l,,llx'\ llll)l)(in)r r,
<br />suhic.r rtr cDDl.y$ n) c'i'ni' l Emhic\ rnd
<br />d.nr!.\ r\ f'olnl(l tu, rhc
<br />S..ri, .ll)76 olrhc l xtr, ( uld. trrud( rnl,*":- 11 Lty
<br />DECLA8.6.IION
<br />I hcrchy sifirnr un.lcr pcnalllnlperjury rhar I rD lic.n*d und.r rovi\nrn orCh,prd I (cornrncins *ilh Sccrion Tlxx)) otDivirnri.l
<br />ol rhc Bu\inc$ ind Profcssion{ drdc. nl nry liccosc n in tullli,rcc rnd clircr
<br />Cfr lqtt)3
<br />",," -- 71t1/tl
<br />I hcrbyrrrnundcr trnilryolr.4uryrhlrthcrcisa.onsldction lcndin8lgcncy tn rh. Pcrtortun.. of rhc sork l whth rhG Icrnil n
<br />i\su.d (S.c :1097. Civ C )
<br />ATTIICANLII!;I/3AUAN
<br />Ilmhy dlnnu cr Dctrilry olDcrjury onc olrhc nr6\nrs dc.lrrlrnN
<br />Dc n)Lnn Pcnnir*Ash(sos Norilic ri,,n l1!.rrl RcEUL{ior l lirlc4l).l'rn6)
<br />-Rcquncd
<br />Lcrrs ot Norillcliio,
<br />I.cnifyrhd rh. fcdcrrlr.guhrions EB dirS nshcnoi rcnmvrl .rc nol nlllic$lc b rhi\ p(*cr
<br />I cnilyrhr lh!\c rc rhi\rDt i,j!ri,,nn rhc rhrc i',fon,r nn, i\codt.r I {grN h sflrdy 'irh allCiryMd Counry
<br />scnrdirEs ufrhis Ciry ud Countylo cnrs uton lhc
<br />,,",) - \3-,8
<br />.diMn.cs.rrd Srrrc ljw\ rchrinAro bu
<br />rh^r 'mnrioncd pn)pony ix i'r
<br />,\ppliunt or A!.nl Silnnl
<br />l4!} vtL ?rL€. v crl
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />Su bf loor/VenV ln s u lation l. l
<br />Roof Sheathinq I tllltllX 7..rltllY tO//
<br />Shear Wall L
<br />Framing
<br />lnsu lation/Energy
<br />Drywall
<br />Brown Coat
<br />lVlasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Beq
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Ceftif
<br />I hnlrl iztltyn /n-..
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc
<br />SITE.WORK
<br />l"trJ-'\ N 'rtr
<br />Il ar JJrr..
<br />-
<br />SLAB Floor
<br />Ext./lnt. Lath
<br />FINAL
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