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BUILDING. INSPECTOR RECOBD
<br />SITE.WORK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />Forms/Sleel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Sublloor/VenVlnsulation
<br />Roof Sheathing
<br />Framing
<br />lnsu lation/ Energ y ,...\
<br />Drywall 2-g-2)LhL\T)
<br />Ext./lnt. Lath \)/-
<br />Brown Coat
<br />It/asonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enoineer Final Report
<br />Flood Zone Certif .
<br />FINAL 'rr)
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc.
<br />(
<br />OWNER BUILOEI DELCARATION
<br />I h.r.hy rrrn uDj".r lEndty ,,f Friu.y rhd I m .r.dpr f$h rlE ConllenB lirtrs L,* nr th. rdlo*r8 E&m ( Sfr.m] l.l
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<br />h rhc ln linont ol rtE Conrrr.rois LiccnEd Llw (Cnrflcr 9, Comfrins *irh Ss*rion rUxJ of Divrn,n I or ttr Busrx3s rd
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<br />_1. $ owmr ol rh. FoFny, Dr my .nlploles wnh wr8.s A rlr" $L .ompcNrr{'tr, *il! do lic *qi drl ll! nnrrw N n
<br />iio .J ,, ofliRd nr sh 1Se.7O44, Buims .rd Pmlisons C.i.r Th. CDr n ttr r Li(.hs Lq &*r .or 9Fly L) d olFr of
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<br />or s',irLiirn. rh. osmr Burlro * l h.E rtr luj.n ol F'vuE r,Er lr d rlE Jrt tnlx ( !qn'{ Bc FiFny lorlb FrFsof
<br />_1. 4.wr ol rlr FoFnt, rh crctunkly eonrdoa s h lrtn€.j.onrrtm k, d'rrur rrr FrFr (Sd 7o4,r, aBtrs
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<br />DECIA8AIq!
<br />I lrkh, rtrm un,lr FrDlty of Frry oE ol rlE folt *u8 dc.la.hnr:
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<br />rtr s for whrh lh$ Fm n lnEl My *i,.l6 .r,nlltNrion otu,rre clmr.il Pliy numlE el
<br />u,$s:-
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<br />n'lal rl'.u\rn'l Jolld\ (Sl(X,.OrX)), nr aJJnNr r' rhr (o{ !'l eoDpcn\rrr)n, JJn r.\ r\ nrnll.J l,tr rh.
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<br />ATIUSAIL!&CI./IIAIIIA
<br />I hdtrry drm uhltr tEnd y or F jury om ui
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<br />)v. nornrrion h (!'trc(r I a-{re tr,(onnly * h rll c y,nd Counry
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<br />Applienl or Aa.nl SirNlum
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<br />Shear Wall
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<br />lrnd.r'! Nrm:
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