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BUILDING. INSPECTOR RECOBD
<br />SITE.WORK DATE ID/SIG.COMMENTS OI+NAN BUILDB DEL(AR TION
<br />I lErcby Bafrm !od.r pcMll, of pcrjury lh.l I m.r.ipt fom 'h CddoN Lt.tr t w for rlt foltriB lwn 1Sa.70115
<br />aBiftss tun Pmr.$ion Cd.I Ary Cn, or Cood, rtih EquiB . pqnir io m(rEr. .!s. ihpmw, d.drlnh r rcFn xy
<br />\trtlG rr ro irr til]s.. rta 'quiFi ilE +plial tu such Frmil lo tl. . signcd (d.mnl lh.t lE or .lE ir la.nrd Fm.!n
<br />ro llt Fotirbm of tlE Co rElrt Lt.n*d Lrw (Ct pkr 9, CbltmEirS *ih Scrin 7m oa Diviri,n I ol E AuriElr .,<l
<br />PoG.snn! cdLl o. rh.r li. d {! t .t ,pr rlEcfrm.,n dE h.rir ror rh. rlk8cd crcf,v,rio. Arr ei,Ltbrofs..rion 70315byey
<br />rprlkd ri,r r Fnir obj€h rlE rl?licu o ! .lvil p.Mlry of .or mrc rhs rivc hundEd dollrs ll5ff))
<br />-1,
<br />c owEr of llr FoFny. m my c'rtbFs *irh w.B6 ( rl*ir $h onFndion, will do rtr vdr lrt tlE rtrBlE ! mrinur.i or o,rcrdt tor slc (56.70.14, Ersik$ &d ProfdrioB Co<E Tlt Cqrrrlry! Liffi t * &E: ,Dr ply ro u owE oa
<br />'rE
<br />F,Fry rln tlildr n iEm rlElEa rd *lb d6 qh *rt hirlf q lErelrd tuou3h hir ( h.r oen .nolor4,
<br />prcvir:d rh, ruch ii{msE.ts e mr idcnddloroftdr fnr d. lt lr&E tlt trillin! d nDrctr ns!waiinmrr
<br />ofsnd.do( lh.Ows auld6 riu lrE 0E hrrknolFDving r lE d rtr dil d tliB r r,VoE {r FDFry fq 0r rlrDorol
<br />l. ir owm of tlt F rEry. b .kbliwly sllrtin! vnh lt.nsd coilr.clor lo oNtnxl llE Imid (S.c. ?O44. BusEsrd Pn r6sir Colc, Th. Cod rrroli Lic..r. trw dEi mt +ply ro .n o*E of FoFn, *rb buildr d inpm*r rh.r6..tr.d who o'rr.xrs rtr *h Foirt eih. C.dtudl.r lietrEd Fllun' rorlECodhrn r Li.cE Le)
<br />lan.xcm undd 56r.
<br />Ihl. Owr
<br />WORXTRS' COMPENS TI()N
<br />DESAAAIIII!
<br />I h.rcny rfiirn ud.r IEmh, of Frury or of d. fo&rwin8 &.lr.rionr
<br />, h.E .rt will midrh r Cdir.r. orconor ro S.ltl6w td hrift 6npc'6radr .r Fvit d fd by S€rbn l?00 oa ttE
<br />tih.r C.de lq E Ff()llrrre otitr h,i fo, shiJl rlE Frtur it i$t d.
<br />_l n E.'n *ill did.in srtm orrxtrEli'n iBunN., I r.quirql hy Serhn 37m olrlE Lrbor Con . for rh. pdfsnm. of
<br />tlr m.t ,br whih l,!ir Fmn ii Ns.n My vGt6 .!,ilE.don r$re .!Eir .,rl poliy nun$.r e:
<br />_! c.nrfy !h.r in rlE lErft,fuft 6f rrr hrl {hi.hthil Frnt n n\ucd- I firllnn crylortrtryFfotr inuy ruiEr
<br />s, .\ t) tEom ohFl lo llE vntsl corlEnsrion lNt of CllifonE. ud .!re
<br />'hd
<br />il I shrl.| hc.or .u6FIo th
<br />emt6a onrENrion pswioN or strii l7(D of 0E l,ho, C.<L. t rt lL fDnh*nh ord, ailh tl* Fovi3i.N
<br />WARNINC Fnlurc ln suE ecl6' onp.Ndion svd8. it un!,w6il. !d !h!ll rubFr m ntloF io aininnl FDtir.,ldov,l 6nc\ l'I, r. om hund(d rh,u\od T,ffi in sddnir b llr.aa of @rIENri'( d.r8,:r a Fovilal lor ttE
<br />liclhn {076 of rh. l.br (.d., inr.d
<br />\1a /^ort q*_D 'a-\' uclNslD_coNraAlf,ax
<br />IECIIAAIII!
<br />I rtEh, afltm udcr Fn lry of Frjury lhd I m lien*d uids F lni). of Chlplo 9 (lomnncins wir h S.nion TdID or Dirrbn l
<br />of rh. AuiiEss Md Prof.skrnr Co&. .d ny li..m ir r tu,| fori ! l cfffrr.
<br />.**.n*B'(Cl /gr3 p3qi4oqrrh,,t J^-^ab+
<br />IONSIAICUI}TIEDDO.AGEICI
<br />I tlEb, !I!-r,n u,rds Fnalty of FrJUry rhi rlR t t onrMb. Lidir8 .s.ry lor rlr Ffffi. of tlt urr ior shih rhir lana k
<br />irqd lS< 1097. Civ C )
<br />AE.I{:AILDECIJSAIITN
<br />I hdltry rfrm unr.i Fnrk y or tE ry or ot ilE rolhwins &{lsnrion\
<br />D.nnnirn P.rmirr A\t (o. N,,lificrli$ Fcdasl Rc8uhri,nr (Tilk.l0. Pir6)
<br />-Plqri,Ed
<br />Ldl.r of l.ldifslbn
<br />-l
<br />diry ! tlE @.d EluLria crlrlb8 .Scn6 Gmtd e Dr .,Dlt.bL ro rhit poJ-r.
<br />LI .qriry rti I IrE !!.d thi +lirri,n .!d 1.l lna dE .lbE hfdllrbn b dntd I .sc b @nTly rtn rll Cay ltd Coht,
<br />odiuLri un Sr.rc l.vs EUina !o buihin8 $NMrirtr rd trrby ryrnd (tunrt ro dr6 upon rlE
<br />ob.vc mnrbmd pmtEny lm h.Fdb.,,qrs
<br />' N,uK- 0 u)
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />SublloorivenVlnsulation
<br />Roof Sheathino
<br />Shear Wall
<br />Framinq E7-rJ-zr car* (t"
<br />lnsulation/Enerqy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Ivlasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certil
<br />FINAL ', a{- a-\BItPrlr.
<br />Certilicate ol Occupancy
<br />Notes, Remarks, Etc.
<br />Rcv.08'07-2015
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