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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE tD/stG.
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subfl oorAr'enVlnsulation
<br />Roof Sheathi
<br />Shear Wall
<br />Framing
<br />lnsulation/E
<br />allD
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Maso
<br />Pool Fence
<br />T-Bar
<br />Handicap Requirements
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certificate
<br />FINAL
<br />Certificate of Occupan
<br />Notes, Remarks, Etc.,667SAMC5
<br />Om<-BuildE D.drdd
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<br />wotu<ERs coMrENs^roN nEcLARAlroN
<br />I h@by .ftim undr pcndty of Fjury 6. of th. folloinr <tel&trid:
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<br />Policy N*bc_Erriq: _
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<br />cfipolnid poyirid ot S..1i0o 3700 ofthc ltba Cod., I rfdl, forlh*i6 cmply
<br />rf, INING: Fdl@ to G@ dtd' ffipo{tio @ru.s. ir dl.*tu|, &d $.ll .{bjeI & 6dor* ro dihii.l pc!!lri.. r<l civil
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<br />rhc rrho. codr, iir.6r hd em.yt f..r-
<br />LICTNSI It CO|lTilCrOiS I\ECLARAIION
<br />I h.n!, lmm und.' p.rrlry of Fjuty tt.t I t n licsrd w&r Fovirifi of clt.r16 9 (ffi.int ,it 5eti6 ?000) of Divlid , ol
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<br />Lic.d. Cla,,_ Lictu. Numbd
<br />f&BEIAICUONIEDAG.AGEIqX
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<br />llwd(S.s 109?, Clv, C.).
<br />AIPI IC \I{S DECI,{IIATION
<br />Ddolitio !6ttrl!-Arbd6 Noritiqdo Fdqd R.trl.rioi! (Tidc |(,, P(t 6)
<br />_R qlr.d L.nd ofNotiflqdm
<br />_l c.nif, .ll.r UG f.dal Esll{id Esgdir8 BDgl6 mv.l e Dor irpliobl. to thL pbjccr
<br />_ I Git lhlr I h6 l.d 0 t rp?lidfti nd rnr. tnn lh. .!oE inf6!D.ri6 i. ffir I !88 ro cmply wilh rll City sd Co! y
<br />ddii6d ed SII. rr*r rlldnr !o bcatlitls .a!tucti6. m.l h6b, .ulhdie Ep.sanrdE ofthh Ciry &d Co@i, to dtd upon lhc&ov. rioocd,i!?..ty fo.t ?ccdon pupd.1
<br />II
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<br />COMMENTS
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