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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 />Sublloor/Venl/lnsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framing
<br />lnsulation/Eneroy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Cerlif.
<br />//\
<br />FINAL 1-VJd-V)
<br />Certilicate of Occu nc
<br />Notes, Remarks, Etc
<br />OWNIIR llUIt,Di:R Dltl,CALAT()N
<br />I tEEhy lfrn uDL. Futy ol Fiury $.t I m .r.mfl f^'m rh. Cbdtrr6 lim.Ir* tor rlE follrwiq (ren (Sd.7oll.l
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<br />,lfu.I'ubtt r$B!. rk, EqliB rlI {Dlld f.tr *-h Frnt ro 6L.njrdirc rhr lior aE i!lEtrd Fr,d
<br />ro rlr FvBnr oI r CodErdi l-Ln*.d Ir* (CtEts.. 9. O]lrmki.8 ,th Serhn 7(Ur .f l)ienrn J of rn BurEs rrt
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<br />nnDli..nrf.r i rEirnir subiohih. lpplicdm ro !.rvilp.nrhvormi mr. rhd liw hlndrcn dollon (l5lx))
<br />_1,adn.fri.FnFny.dmy.nphF..rt9!.tarh.roLorpcdnqwiid,,rxttrdtlt{MGanir.nLl or oll.r.d rd -! (Sa 7lx{. aBiBr.d Prof6iB GrL: TtI C.dhd! Liri. tl* dB d eplr ro x lr|c oI
<br />trE plDr.dy wh, tlilih inrftB rtsa &d wt lIE rrdr krt hil*f 6lBelf ( EuShhlrqlqoE.q oFd.
<br />providd rfti :uch inpi.Ec.ti e et h..d.d o. olLr.d r sh l[ lF*.G, UE ttrtldnlB or iqxGE n Fld wrnin o* )q
<br />of onpkri'n, rlE O*E BuiLld will h.E ttl brt\Ln dl pmviq rlu h. s ilE dil rn bdtl or irtrcE ,E tEFny 6r llt plrpoE or
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<br />rnl htraqnAxl. T1k Co.rdoa! Li.nE Ltw d6 d rlrly t, owB o(IrqtnywlD boiUror m9rcEr thddn
<br />Md *htr tude6 ror ru.h n6r.6 Mrhr c.add(s) li. (nno^@borcl)drdo.rLt ns.h*).
<br />I rm.Rn'nr (trdd S.(rtr'n .n &|( r,,r,tr\,.rvri
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<br />Df,CLAE.IIIQ!
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<br />Urq Cdr. r( ilE Flffi of ttr wt td rhih rlr Fnir ! isEd
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<br />1ud"J)""""rf,nuinn\u
<br />e'in. nnrrrn'cvnun'h'I':
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<br />c.dily rhrr m tlE Frrorort. ol ilE wod tu whicn rht ltr.mir ir $ed, l rhlllnn.mpt y r.y p.rsn in uy m.rEr
<br />$ d b h.cor uhj.d ro iM h*.u' @mFMron h*s of Crl'romi., rnd .*Ec rhd rf I .tsukl b.anE uti{ lo rtr
<br />Erl6' lunFMion FDli\rE of SdD.11I) otrlE Lj!' Col.. I ddl fdl*.h llnply rirh rlb. proBD6.
<br />WAINING F.bE .o ls s,t B orlEM.. oEnr. ! u.]lrtuI. .!n 4r! rhF {.trphFr to ninn Frrar.d
<br />.!il li*' !p r. oE hud.d ilhurd .lolh6 (tll$,(Itl). $ rld.rn r. rh. .od ol.omFrrDn, drn+.s B proviLd ,or tll
<br />DESASAII9ts
<br />I llmb, d lt6 ond.. D.Mt! of Fjur.v thr I.h li!tr!.d utd.r F\rir nrCtuFd Itmmftrin8 q hSdni ?lllll.l DNi.i]i l
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<br />rlrJ rsd, nl,7 C,r c I
<br />AEqSNI.DECIdBAIIO!
<br />I hortt :trm url.. FMLy ol pa,Jry oE oa tlr folbwEg d..E rbnr
<br />I)Ctuhrn P.rnit-Aib.nor Ndr$.ion F.J..rl R.3!Lrbn' (Trk {}, PM6)
<br />-R.quiG!
<br />kncrof t*,rif( ion
<br />_l ..rift I'r rE L&il EalLri.a E3rr}n3 llE a EDvn G d I9la.tl b thi p.DF.
<br />qMir,lhd,hrEqd nrrppli.dln.ddacLhdrlE.bv.rtu6rn.q'-1.t.!eroonpryy.hrticry.tronu,qd!]u6 !i Sii. kB Ehin3 ro hlildbs mnn@Jbl! {d tlEby rdlEriz r.tMrrwr ol !hi! C(, r'n Coutri, ro cdd !!on tL
<br />,Lrx^. nrtrrrtrr.rl t",'|a y r,r urp.(rk,n
<br />Applic.ri o. A!6r Sismrnfr \)
<br />Iti@t
<br />Rev.08-0/-2015
<br />Und.r\ A,ltl,.s:
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