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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNER AUILDER DEI-C R,!TION
<br />I l[fthy rtttu undcr r.n ry ,)t pciju y rhd I m .xcmpr rr.fr rhc Cronrdcror r Lunsc tiw llr th. lollowins rca$n (S.c ?0.1 1.5
<br />ausn'.$ arJ Pi(na*nin Co{clr Atry Crty or 6u y wh(h rcqums . Frnnt l,' uon(Ncl, dlcr, imtrnc. &nlnnh ,tr rcnrn rny
<br />srflrclurc. l]riirlo rts r{.n.c, alv, rcqums rhc atplrrnr lnr su.I lErmirto Iile a nenci srircmctrr rh(l h.ornr i\ liccn*J luruafr
<br />b rhc lR virion\ of rlf, Conta(kr s Liccns.J tf,w (Chlpr* 9, Conmcncrg wrh Sarlrn ?0U) ot Divish I ol rhc Busi't* rtui
<br />Pn,{!$iqr Codc).rrlut hcorshc n crcnDr rhcrclhmand lhc brsis itrllt rucscd.ichprion AnyviolaionotSc.rDtr?0:ll.5hy.ny
<br />rptl'canr n-ar-*rn,ir ruhjcrrsihc rnplic$l h acr!,lNndlryofhor uc rh.n nv. hu trdrql dollln ($5(x))
<br />Larown.rolrh.!h!crly.ormycmrloyccswirhwaScs.slhctrknc.or!!.trsarn'!.will,lorhcworkurlrhcnturu.$ft,
<br />inrcndcd or orlircJ lt! slc (Sr 7044. Brsim\s m'l Pnri$i,)n\ Or'1.: Tft Conkrcroi\ l-,ccns. Lrw dds nor.mly to N owncrol
<br />thc p$!.ny sho huild\ or i'npn,v.s tlrR)n. r who 'lcs {kh v)* himscll or hcNll or rhnreh hir or h.r own c.rLyccs.
<br />pl ovkl.d rh!( $kh im0nlvcmn6 ar_ fr, Drcmlni or ottcR{ ntr \rL lt. h.wcv.r, (hr $Diliing or opnrv.nrnr is $U wirhin or. ycd
<br />otcomnhrion.thcOwrerBuddcrwlhav.rh.hurd.n.fln)vmgrhdh.orntdidNnhoi or mlft)rc lhc pNl'cny li)r ih. puq-{ ol
<br />L $owndofIhc pnl|Eny, rncx.lunvcly.onrra.rin3 wnh lrcnrLl..nra B nr .on(tu.r rl{ pn,l.er (S.c 70{4, Buet$
<br />a Pnnis Codc: Thc Cork.ckr'sl,rcn\c l-rp de\ tut nftly k) .n dwncr ol pnncnyuh() hurlJs urinprovcs rh.rcoh,
<br />rnd who ronkark ntr rd.h pn,jc.B w(h a Cont(t'(, li..n\.d po^uanr ro ih Contrltr s l-iccn\. faw).
<br />_l rn cr.hpr lndd Sfrdon_, B &P.C tarrhsrcison.
<br />IvQaKEBU-CAIIIENIA]IANpEtL!8AI&!
<br />I h.rchy afl trnunJ.r pcnalryo{Fruryonc.lihc nnhwmg Jrld,ri,n\l
<br />I hav. a will m.inr.in . CcnriEar. ol Co!$nr r) Scli lnsurc t)r workc6' ronp.nsarion, a\ Frvd.d tur by sar bn l7(x) ol th.
<br />tltxtr C lc.,or thc pcrform.Nc oith. work for phich thc pcm( 6 $sucd.
<br />I havc &l willmrruin workc!\.ompcn\ari,)n i.\urrn.c. rs r.quEnn!S..rk,n:17(Dolrh.LxhorCodc,ntrrhcpctl6tmr!..o1
<br />y wo .r' .onrr.n\rri,,n ins,rrRc .r'cr u o)ltynumh.r:tr.:{ile.ra.l :tu 5uY^4N(r- (bw,vr,rt-J.t
<br />1 DI
<br />l..niry rhri m rhc t^_rformkc oflhc wnrk f.r which rhis pcrmn $ is{cd. I shall.or ctrrll,y any n (on d any unn.r
<br />{, rro h..om suh]c(l b rhc w('!Ic6 d,mpcnqrn,n h*!.lCrl no'a. rn'l agd rh{ 'fI shnru h.c.m sul'rc.l hrhc
<br />workc's' n,mpenslriln Frvi\ions ol Sccron .17{10 ol rhc ljtxr Gxlc. I \hf,ll, tudhpnh .omdy w[h rtr)s Jrovh{nl
<br />*ARNINGT F urc h $curc vorrcr' .onpcmnron .nrcraec rs utrllwlnl. .nd snru sul,r.d an emplo
<br />rivrl lnrcs uD ro.rc hu rql th.usln'l nolhr ($|0O,OOO). in
<br />(irl., nrcr.n rrl rrntrNy's
<br />Y,3 L'i
<br />t)F1 t.\R,\tto\
<br />I hcrchy nlllrm unJcr p.niry ofl.rjlry rhdr I am llNn{d Lnd.r p()!sn,n ol Chrpr.r 9rco.nxNint v(I S..rhn 701$) ofD,vru, I
<br />oi lhc Bns"rcss and Prnt$ionsCoJc. nl my li.cnr s rn tullli,(r rd.lrt.r.
<br />2 i
<br />3 D znt crrl L,
<br />E()!$B]JSIXTN.LENBIIC3GEICI
<br />I hcEhy.fltmundcr p.naltyolpcruryrhar IheE t a.onsrrucri{}n kndins aecncy ltr rh. pdlolfuk. ol thr sork lbl *hi.h lhn Frnrir h
<br />Nnrcd (Scc.l$)7, Civ. C.).
<br />AEIIICANLDEIIAX{IIOX
<br />I h(Nhy dtlimr undc. Dcnslty ol r.riuly onc ol'lhc tullowtrrp dccl.rari.ns:
<br />Dcmol'ton P.rnn(-AsE(sos Nornr.li,n Ircd.ml RcCtrlarids ( I nlc 40, Pan6)
<br />Rcqurcd krtcr ol Notiu.linr
<br />rcg&lin8 r\hd.s rcnk'vrlrr.
<br />'xn
<br />rlpl'.rhL ki rlN nn,i.cr
<br />ni(oirtny s h rll( rry rr'l('n nry
<br />rhis Cir! lDd (.ounr, k,.'r.r uErn rh
<br />!l$vc rmnrurd p('t].ny lu
<br />/ippticenr or ,tsenr
<br />\"-'u"" n"n'",p"nu,
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathin s
<br />Shear Wall
<br />Framin s
<br />lns u latio n/ Energ y
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />FINAL qD+{ttt 1 f'lfurrr1U,1 'P)
<br />Certificale ol Occupancy Itl UU
<br />Notes, Remarks , Erc
<br />Flood Zone Certil.
<br />1..1r1. .\Jdn..
<br />,,,,," t fc dl"cr1
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