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BUILDING- INSPECTOR RECORD <br />SITE.WORK DATE ID/SIG.COMMENTS ()\l]lI,tR Ilutl,l)uR l)lil,( aR]\ l loN <br />I hcrchy rfilirn undcr pcmlry oI Friury rhar Idncxcm lmnr rh. Conhdorr l-ic.n{ b* for lh. tullo*ing rcnen '\"7011r <br />Busnics .trd ltofest,n C{xlc)r A.! Cny o, Coutrly ehich rcqnncs ! lcnnir h connrucr. ollc!. nnnxrvc dcnmhh or rcPnir anv <br />slru.iurc. priorh irs n\ud.c. nl$ rcquncs rhc apPli.afl lnr su.h lE.nrir lo fik I siSrtd ndcmnl rhlr h.or shc h licenscd nursu'nr <br />ro rhc trovnn,N oftlE Conlra.rn\ t-icctrs.d tjN (Chntlcr 9. Conmncins wirh Sc.rn,n 7ffx) of Divhi.l-or d' Bu\incs 3nd <br />Por.snnx Corlc)o.rhur hcorshc hcxcnDr rhcrclo. lnd rh.basis lor thc sllcEcd cxcnuion. An] vnnrrnrnol ScclkDTqll5 bv anv <br />lpllicanr rn a p.nnir subj(rs lic opplicanr t, r.ivilpcndlryol nol lhdrh,tr 6!c hundtcd dollrr (Ssml. <br />l. rs owncr ol I hc Pmpcay, or trry cmPbJor wirh w,8$ as thcir $lc cotFnsir ion. will do llE woik {Dd thc (rurw i\ nor <br />i cndlt {tr off.i.d ror qle ( Sa 704.r. Busincs a PmacssionsCodcr'IhccoDtlclr'\l,iccn\ctiwdocsnoraptlvtr'inorncror <br />rhc Dn,r,cny wl$hoilds.ri'ir ^u rhcrFn. s'xl wh des skh wDrt h iN\cll or h${lf o. rhrouSh hh or h.r nwn enrPloy'c'. <br />ntuvidcd rh.r ruch rnuokmnism norir c cn or olTcrcd f(tr sL. tl hoMvct rhc bu iBnl3 or itr\arorcr*ni k stl rirhin onc ,te <br />;f.onlPlcrion, rhc ovm Buildc! rillhnv. ilt bnrdcn of pmvins rhal h.ordt di:l nor huild or nnpn)K rhc I]r pcnv ror ft lu0orc oi <br />L a\owncr oirhc ompcny. a'ncxclusivclyconrracrirrs wirh li..tr{d.o E t,nro.on(rudlhclrojccr(sc.7tE4 Btr'i'ra\ <br />r ft{}llasinr Cod.: Th.Conrraclors t-iccnsc Lrw docs for{t)Plyt, anosncr.l !rcnc , *ho builds <br />r who .onrrrIs lor such pn,jccB wirh r cd mbn n licdn{d pur sunr lo lhc conta.rois Licc <br />I hrrchy afln'n utucr pcm tyolpcrjuryonc olrhc tu <br />t2X!!}Arl(I!9I <br />-l <br />hsvc a.d will mn ain a Ccn iticore ot Cun* roScl trsurc nx $dkcs- conllcnsar io.. Li povidci,i'r brsc'rio':t7(xr ofrhc <br />tibltr Codc. fu, rhc p.ni'rmn c of rlrc Nork li,r which rhc P.nnil is issuctt <br />lhrvc n \nlnr.idrin sorkcri conl|{tr\dirr irr$rxn.c. r\ rcquncil h}S..rion r700ofrhc LrhorCinl.. for rhc PerlbrE ctol <br />rhc w rk Lrwhi.hrhis pcnnir is rsN.d Nlysor[c6 comPcn\xrt,. irNU ntrrcc rxr].r aM Fnicv nu'!b(rc <br />Crhr:- <br />Poli.y Nun$.r:- <br />-lccnily <br />rh i'i rh. Pcrtuiluncc olrhc work tu which lhirPcrnrir is i\sucd. IslDlltror riPl(,ynnvPcron in'ny r'nncr <br />r, ds kJ bctunr subjLrl lo rhd wd*.s' .o nrrcr sal ion hws olCnlir(rnin ind asN rhd ifl should l,cd,nf, {hjcd to lhc <br />*ork.rs corlJ{nsrlion polisn,h of Serl.n :17(r of rh. khtr Codc.ldEll. tu <br />WARNIN(;: Irrilurc b *curc s1n[c^ .on"{ 5rr( .or.rr!. i\ un[sful. rn <br />i;;;cli <br />]llr !.1-!!l-!11^ <br />I hcr.hyrfinDundcrpc rhyor Nriuy r rrNiiiotr orChtrprs 9 (co'.nrnci[! wirh Scclioi 7(xx))oiDivi\ion.r <br />.f rh. Busincss and Pmf€rsn,ns codc. tuxi my li.cns h in tull ror.c ond €firr <br />a7 <br />I hcrchyallii und$ |Enrlryorn rjuiy rld <br />isslcd lScc l(D7. Civ. C.) <br />i\r con{ dtn lcrding agcm, t(tr rh. lrrldmrocc.frhc sork lin whi(h lhis |Irniil ir <br />lxnJ.r'{ N.'r'( <br />- <br />trtr.l . <br />^J,l'"* <br />- <br />APPLIC,{N-I' DF( ]t AR,{T(IN <br />IlrEi,yrmnnundci lctulr, of pcrjurt o.c otrhc iollowing dslffrrn,n\ <br />L-nrnirion ltrnir\ Asb.(os Norificdnnr ftdcrdl Rc8uhriotrs i lirlc.ll). P.nr) <br />Rcqutcd l.rrcr or Noriflc.rion <br />-l..nify <br />rhd lhc lcderllresrldnns tsudin8 <br />k,.onuly *lrh rll Cnylnd coutrrt <br />Forms/Steel/Holdowns <br />Erection Pads <br />SLAB Floor <br />Subf loor/VenVlnsulation <br />Roof Sheathinq <br />Shear Wall AFraminq p)eaf t0*T*ttr y.v(76)) <br />lnsulation/Enerqy \)A <br />Drywall ta -T.- t[w"v+10 <br />Ext./lnt. Lath v <br />Brown Coat <br />Masonry <br />Pool Fence <br />Handicap Req <br />Depuly Final Report <br />Enqineer Final Report <br />Flood Zone Certif . <br />A <br />FINAL t0- lt-lg v-w)a <br />Certificate ot Occupancy V <br />Notes, Remarks, Etc. <br />u <br />Set Backs <br />UFER Ground <br />T-Bar <br />I