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. BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE i rD/SlG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUlnsulation
<br />Roof Sheathing I ,'t -:->
<br />Xlsr%Shear Wall '4fr/Ab aw
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />ItIa so nry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />I
<br />Certificate of Occu anc
<br />rks E
<br />FINAL
<br />Notes
<br />OWNER BUITDET DEITAN TION
<br />I rE(! ltfm ud6 F , of Fju.y 'hn I D crnpr 6oh tlE Co'r.*r6 Lioe Lw for lh. folb*ra ta]n {Sd?O}LJ
<br />BaoB en Profdion CuL) Ar, CiU or C@rry rtah r.quiB r Fni 'o @'ti u.i rla. idIrcE &@li* o. ,rp.r &y
<br />t'odlrc Fi, ro iB isqE!, .& GqrE rlE +plket for s.n Frn ro 6L. 3'8..d ndqndn th. t or $. b li.6.d F!!dn
<br />ro rh. rmrnirB ol rs Cod rd! LirB.d t w (cl',n6 9. C.ffius pnh Sai5n 7000 of D'visiotr I of rL Euir rd
<br />Prof*ioN CodG) d th.r lr o ,r i' doF rhsdroB ,'d lhc b6a tor rlr .lkscd ddF.. Any riohio. ofs.dno 70! I 5 hr &y
<br />rp?lrer fnr ! pdEh rubrdr rh. rrtli.or ro . oril Foty of @r @r. ihr nr. h,n&.d &'lLB ($m)
<br />l, a 06. of rh. Fopart, or hy cmplo!6 r ith q.*6 a rh.t sL conFBar( {rll d. r,E ,ut !i UE riar@ r 6r
<br />inrdi.d.rorEldtors.lclS(T0rr.BEindedPiol6ioBCod.TlEConrr.doirliaurd&6nor@plytoeo\mof
<br />rlE rmFry who htildr or uqmv6lrEo( dn wls &6 $d sll hiroclf o. h@lf or thmu8h hn o hq.m dplny6.
<br />providcd lhar luch inFovoEmr e fl inrod.d orofiod for eh lf. l$tra6. tlE hildins or ieFllqc1 i! sB wnhin otu ta
<br />of.onpkion. dE O*trE Buildq will hdc $. hlda olFoviig 0'd h. or dc dil ml tuild or unp.ovc t!. proFry for dE p@pos of
<br />L s oms oflh. Iropdly, 6 .r.lulrcly codreling wilh lkdscd codr..1o6 lo otrrN.l rlE Foj.d (Sa. 704r. BNu6
<br />lxl PrDtosir ('.d. Th. Co rxror'! L'c@ li* do6 rcr @ly ro a om6 of p.oFry *ho b!il& or isporG rhq@,!
<br />ed who codrxG fm trh Folclr wth . CoMo(3) lic.G.d F6urr h rh. Cotudoi! LkGr L.$'}
<br />I .rdpl unrlq S6lFn
<br />tloaf,E8llolrrElsArt0!
<br />DECI4AAIIA!
<br />I h6.ny .rm uidd Fuhy of Fju., orc 6ftlE followEs &.h,.tioNl
<br />/ rU,cara*lrtminrairrC.nifi..olcoMrroSdt-lNefortrnrtd6nFsnio(BFovirtdrorLyScrion]TOOofrh.
<br />Llbor Cod.. fo. th. p6folrr@. ol fic wort for whict rhc FEir i isu.d.
<br />r.quir.d by sdr io. I700 ol rh. lrhr Cod.. for th. p.fo@c. oa
<br />ion ialrsc. (od dll poli., nu6b6 d.:
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<br />I cdr! thd h llE Ffolrm. of rh. q.rl t r rnEh
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<br />bd6r .ubrct to 0E @16' .odFarbn Ls olc.l'fom'r ad C6 rhd
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<br />I iholld baoe $ticr b rlE
<br />*ort6 omFqb. FslnhB of sdlDn 1700 ol tlE ldo. C.d., I dEll s'dh ohply * (h rLs piolabB
<br />wARlllltc: [Dlur. r. s. $ 6' mmFMon .!rd.g. 6 bld d mpbts to 6imi.d FrlB !d
<br />civil fin6 up ro.rc hund..d rhou&l 'lolld llloo.mo), in rddtr
<br />G .. nt6d.nd dtomr ! f6
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<br />D!i( l_.\t,r l()N
<br />I hdh, artrn und6 p.ndlrtorpGjury rhdr I er liscl u.dd Fortioi olchipri 9 ($nmd.iis srh Sdb.7000) olDriln n.1
<br />of rh. Busrr* ed PofBlotu (iidc, &rj my lt.r i io tull Io.c. nd .rfdr
<br />(i Li.@ Numb6 /o355(16
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<br />I @, Jfm unld tEdy o r pajurr- tht rhd! i . @rgludbn bin s .s*, aor llE Fl({rle. of $. *ul 6, {trli rh! Fn. .
<br />sru.d(sc 1097. civ c )L. lc r,\mc:
<br />-AttLIC NLD[clTta IIA!
<br />I l.&y aflin u.d., poally oftErlry orc oflhc fdlowins d*lellioc:
<br />I).6olilion Pmils-Asb6lG Norilicstn,n ral6 l R.gllalioN ( rnL 40. Pd6)
<br />R.qu,.d I!t6 of Nd'ft rlDn
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