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SITE.WORK DATE ID/SIG.COMMENTS owNlita BUI,DER Dtil.crtlTtoN
<br />I lEEb, lltrh u.d.r F.n'lrt of p..t y rh{ I u .r.np! t m rh. G)dtutd b?N Lre f$ tll followini E.en (S<,?olt.t
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<br />UOAf,IBLCOMTIITA:TIA!
<br />DECLASAII}!
<br />I lxrchr .rllrm u.dd IEuhy or n rju.y oE of ltE [nlr* iry dcchr.tr,N
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<br />rrkn Cd.. nr rh. Floffi .l rh. wt (, *tih rh. Fni. ir i(u.d
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<br />en!l} ih{ in ltE Fnorn E oafi. vorr ntr *hich thi! FrEi n s:u.n,I $rl mr cq)loy r.y Isto. i,rnyluEr
<br />$ ro h.oft sbjet ro ilE wkdC emp.dri.n Lwr of CrhfonB, .d l3r rh.r if I rh.uld h6or sutF rotl!
<br />&rla.unp.NbonprcvnbNofS.Lrbnl?mofrlrt bd' Cod., l $rll. rdhwnh $nply with rho. rmvilioE,
<br />WARNOIO: Frrlr b &cw *(t E' onV.ME. ovra. ! unL*ft:L si lllI obFr a 4pbF ro arrr.l FMIE.In
<br />.Nal nrr up b oD hod..d r,I'gd dolls (tlur.l r, itr dd.i,n ro ..n!t dmoi, d*a.i a Forn6d for rlE
<br />:iRi$n 1{)76 otrh. bhd crn , nGH Md {rdEy ' 16
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<br />of rlE Buri !n PDtr.r[ Cod.. rd ny Ir.E i u niu tor rd.llrd
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<br />isi!.rl {se. 109r. civ c.)
<br />AELIANNLDTCI.ASAIIII!
<br />I Hy .fm ufilr pqll, of pqJory d of tt- folbr'n8 ddLr.r iA:
<br />D.tuliri,n P.mrlArh.no! MlfEd.. F.J.nl R.3uLrb.!(Til. {). Pd6)
<br />_Ral!ir.d L.(.rof Ndilk.rion
<br />I .ddy thd !h. Li.nl B3!!iN E8liint sh. o! Eoul e rr {r9l.rbL ro rhi ptuF(r.
<br />)<J(d,f) rd I h.E Erl rhr. {'pli.!bn ,i n.r.tlld tlE $ov. infomibn s.@i I +r ro NtPly,{h rll Ci y nrj Co y
<br />.r. hw! Eblta ro h d!.3.oNn!rk4 !n h.Ehy.rrhn& Elrtdnmr of thn C y !i Cou.ry b ds uFn rlt
<br />r)p.ny tu isp.dion purysl
<br />a pplidnt or ,tr.nr Si*Mruft
<br />t-,,t- ./, >.* t>- t.? ,4 < a-1-<
<br />Set Backs
<br />Forms/Steel/Holdowns bArn o
<br />Erection Pads It
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUlnsulation
<br />Roof Shealhino
<br />Shear Wall
<br />Framinq DtvrLu?-.r84/
<br />lnsulation/Eneroy tr
<br />D_6rwall
<br />/EE)lnt. Lath Qfh,7J >Nh.<t ,_,kQ
<br />'6rown Coat U
<br />ltrlasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enoineer Final Report
<br />Flood Zone Certif
<br />FINAL -'1 111 ,DA \/Y t) +>\
<br />Cerliticate ot Occu
<br />Notes, Remarks, Etc
<br />Rev.08-07-2015
<br />BUILDING- INSPECTOR RECORD
<br />".", Z -t9-Zo
<br />L-A+ q/Q
<br />a,U
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