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SITE.WORK DATE ID/SIG.COMMENTS OWNIiR AUILDER DIiI,CITAAI}N
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<br />DECIIIAIIII!
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<br />DEga&utrE
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<br />colxrBuclloNL[ltlllclclng
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<br />AIILISAtsLDECI.dSAIIOd
<br />I had'y !trm und.r pcehy or pc.jury otu or rlE rouow'n8 J..l,t{pn!:
<br />D.mlirion P.mir$Aib.(o! Norifi(dion F.'l..rl Rqubrion, (T'rl. t0, PMtl)
<br />-R.{uiE!
<br />tt(.rof t*rfdioh
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<br />cqtify {l'.r I hr€ Ed tlls .ppli.rirn drl I.r. rhd rh. .b}c haoj rion n .wld I 'sr ro .$nPly r.h .ll Ci y .u, C@dy
<br />onliB.. rrl Srar. t B Ehllt ro bu dm8 .o6hLr i('( !n tfthy iurhrtr. EFsrariE* ol thi! Cny !,ri Counry ro ..rd uFn rtr
<br />dh,v. nrnri,Nd preFny fitr iNI.di'n pulpe:
<br />.tppli.cnr or Ardr Si3u
<br />P.Eftn m rDdn,l
<br />Set Backs
<br />FormsiSteel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUlnsulation
<br />Roof Sheathino I .L- Zzzo ./y'c-t c4 rVr)
<br />Shear Wall
<br />Framing
<br />lnsulation/Eneroy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coal
<br />L4asonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif
<br />A
<br />FINAL 4/l/?,-,4tt /---r,.2 ,t /
<br />Certilicate ot Occu nc
<br />Notes, Remarks, Etc.
<br />c
<br />Hev.08-O/-2015
<br />BUILDING. INSPECTOR RECORD
<br />Lic.B. CL$:-Lied. Numh.r
<br />tr.da ., .{ddB.
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