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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 />Roof Sheathino
<br />Shear Wall
<br />Framing
<br />lnsulation/Enerqy
<br />Drywall
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />Handicap Req
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif .
<br />FINAL Z/o1t?n?,zf5u4 )
<br />Certif icate of Occupancy
<br />Notes, Remarks, Etc
<br />OWNER BUILDEN DELC R TION
<br />I l.Elt .ltth ldo Itrhy ol F,ur, rlur I m ci.n$r tn,m rh Co d(n l^nr ue fitr lh. rouownt Eien (Se.rD-ll.i
<br />Bunn.s rd hoLsri,n Cdr.): Any C y or Cddy ehrh Equftr r Ftu b.Dnnru.t. dl.r. lqrot. &tulisl FFn uy
<br />strucruc, rrDr lo s isunc. .t$ EquiE3 rlr .r{'lirnr for.rn F@r t, liL r s'!Fd {d.m rh, lE or stE 6 li.$*J IrNf'
<br />t, rlE trv6i,n. or llx Conrr.d.. LBn*d l-lw (OuP.r e, Cnmtrftin3 vnh S<lim tUD ol Divitnn I or r|x Boim$ 4d
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<br />id hra\rr, (ixlc: Th. Conr.ukr's L.cns. li* Jdi nrl .t rly t' .n *ftr nf tr.Fny who hu rlds or mprcv.t lhaco(
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<br />l.n.r.hd uDl.r S(Dn .B &PC rorrhi, Fu,
<br />worxrffi
<br />DECIdSAI1AN
<br />I lEEhr rlum unq ltulryolFruryom or rha r,'ll,wo3 lsLLrd.nr:
<br />_l hrec e,n sru Minr.in r C.diltri. or Conrd k, S.U-lnrur. ror wI6' onFnsrntr a Frvrrql lor ty S€liE 170() ot rhc
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<br />rh. *rk lur whrh thB Frd B iaqhl. My *dl6 r$tr{EM'bn 'Nu.N
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<br />s' .s b tErm .ubF1l l.lh. vo*.ts .lnrrEnqti,n Lu of C.lin ru. .d +r rhd rr I rti'xld h.(om subFl ro rtE
<br />k) tr comp.nsrrnfl'vlrnN oaS.tr6h lTU)orrk Ll!* Cdh,I rhrll. ftnhqnhd,mlly r h rlt's pmrisiB
<br />WARNING: F&ilorc k, s-m k tdi !$n!rnsrx,n c.wr:8r 6 lnLslul, r' dEll tohFl u .,rFhF b.mi.rl FrtB rn
<br />Uv lin.. rI' n' or huBl6! rh,us.nJ Jnlhh (1100,0fi,), m dd $n !' llr uxl ol coiIEnsri.n, ,irE3.r !s Fov t' "'Sdrrr \076olrhc lrhtrC(i]. ur.rc{ !
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<br />ol rh llu\usr.Bl ltol.sirn\ (irlc. d my lf,.nsc a m l1,l n,Rc ril cflt\1
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<br />I h.rhy atlnm und.r IEMlryol IE lury l,!l rlEr !..rrnnrudnn lcnlos rscn!, nr l[c Fr,"mrt ol rh. *rk n{ r'hrh rhlr Fm. s
<br />ssu..l (Se. J09?. C'r. C )
<br />L.ar.t 3 Nft,
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<br />APIIICAXI.DECIdMIIA
<br />I hdd, .Aim unlcr Fn.lly ol FrJury om of lh. f('ll.wtrr3 &r'bJ.r nrs
<br />Dcm,lnon Pcrtut-Ash.{oi NillBrrir FGLil R.B!l.r$ns(I l. tlo. Pd6)
<br />_RcquiEd L.tlcrotNr i.Lr
<br />_l udrt thrt rlE Ld.nl E3uLri'B r!$tr8 8t sn, En,vd rc ftn lnllrsbL b rhr lnrF
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<br />I
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<br />Sublloor/VenVlnsulation
<br />Ext./lnt. Lath
<br />T-Bar
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