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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />ln s ulatio n/Energ y
<br />Drylvall
<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 />Flood Zone Certif
<br />I l
<br />FINAL (cu lL+fi"|11+
<br />Certificate of Occupancy -t I
<br />Notes, Remarks, Etc.
<br />O\INER BUI I.DER DTJLCA R,{IION
<br />I h.r.t'y amrm unrtd rqsh' of rElur- rhd I m.r@t, 6od !h. (od6do6' ti.re ll$ aor rh. follosmg r6'n lic ?lrrl J
<br />Ituins &d Profsion Codc): A.y Cily or Counly $hi.h r.qun6 s tEnn to mnslrucl, dts, imfiov.. dsnolnh d qBn d!.
<br />srodu., flv to nt isM.. ak, Gqlir6llE 4dr61 tor sch Fnn ro lik r r*n<d rd.fui thd lE or rh. 6 lr.ed pur$d
<br />ro rh. pnrvuioN orrhc Conkrcrois l-ic.nEJ L3w ((nrpid q. Comm.ncins rilh Sdion ?Oo0 of l)ivsiot I of'h. aGin.s and
<br />PmlsioN ('or,.) o. rhn lE or slE a Gtmr, lhs.iiom ud th. b6n tu th..lkrcd doFion Anr r 6LtDn of Sdion TUll l h," m!
<br />ar?het fitr . p6nn iubjdr rlE lrrrlicui lo r cn il r.n hr o I mt mr. thu fivc n!(!.n doll6 (1500,
<br />l. a .rE of rlE Fordr), tr nr opbE snh sr*6 B rlEi sL onFntirn. *ill <k' ttE *qr .d dE rdc u N
<br />i artdl o.lYdqi for $L lsc 7().r4, aBind md PNa<io6 cod. 'It. (n reor! I-ictr t s d.6 ml rq'r,ry ro d osG or
<br />rh. rmFly who hoil6 or hFot6 llE@n. ,'d *h d(E sh Mn hinslf or hoElf or tleush his ot hd osn .mpLr.6.
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<br />$oRxrlt(ra)ntPFNsA noN
<br />DECI.dA{IIA!
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<br />I ha\G lxj Nllminlon 5 Cd'rrdcof (i,.g n' Scll-lMrc f uoit6' comF$darn. $ Fori.l<d tor b, sclnr rTuoofrh.
<br />titx,r Co.lc. for rhr FaollMcc ofrn. rcll fttr *hich th. pmrit is isu.d.
<br />Ihlra $
<br />'ll nimr.o $orld .onFstrn GuraN.. a r.qutrdj b sd.lio. l7m of rh. bh.r ('odc, ntr th. Ffo.@c. ol
<br />lh. r,o* lor shth lhie p.rmil i5 is.d My tr.rk6 compds.lkrfl idurecc cda ad policy nuBbn e:
<br />l .dify rh, in rlr Fforn:ffi. ofrh. worl for whih rhis Fmn I iBual. l slEll nol drpl.y ey p<eo in lny n rF
<br />$ B lo harm ebFr ro rlE trortd onFEdion h$s olc.lifomn. ud i3r lhn rI l rlhuld tE oft sbi.tl k) th.
<br />${116' conp6$n n p.orriioB of Scdio. 1700 of rh. lltn Codc. I null, fonhsirh comrly w h rhd* Fovnn'N
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<br />cnil fiH up ro oft hundai thoonnd.,0116 (ll(x),ooo). in
<br />S(rnrtr 3076ofrh.l,abor(td€. i.ls6l ond h(om.y s fc6-7o17
<br />I hq.Uy srrs uk!6 Fuhy o f Flury lhd I e I'cds.d utrd6 Foirior of (l'!pls 9 ($nrrrft ins * nh S.<ll\ryFrDi\srnlof rh. Ir"si6* Md Pmf<rioN (i&. ed hy licme i. in flll aor.. Md .fifr'
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