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BUILDING. INSPECTOR RECORD
<br />SITE-WOBK DATE ID/SIG.COMMENTS OWNER BU!LDER DEI,('ARATION
<br />I hcrch, lltrm unjcr r.nllry.l n rlory ih.r I d qcmfl rrDn rh. (iinrncbB' I-(c.ic L.w tu lh. tulbvin! r.r$n (S& n)]l 5
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<br />Pnrtsx'ns C.J.) or rhd ti r !h. Lr cr.hfl rhdfnn.nl rrr h.(r ttr rh..llc8cJ.r.mBnn A.y !r'l,ronoaSdrnn 7o11.5 hrliy
<br />{pn ani n)fu pcmir lul'jec rh. rpphur b . civ I'culry ol nor dn. rhln l,v. hunJRd dollrr ( 1500).
<br />_1.8 o*rrorrtr F)Fdy..* my.r!trF$ *nh*!!.t(rlrE ok !-mn nsr&n. $dl& rll *dl ml rqdrw6d
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<br />r h. polrny wh' hun t or tmnn'vc\ rh.fr'n, rnl wh' ddi s-h f it hmrcll or h.rcll r itnN8h hr or h.r .*n .mnL'y..r.
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<br />!. rs o$n.. ol rh. Ilri,I'dy !m c \rlulvc lt .onkrd m! *nh lkn{rl ! { n(oFt,rnn{nEr Ih. nn*.r (S.c.7(ll4, Susm(
<br />rnl I'n'lc*rn (ixlc: Ih. (idr.(trtr'i Lkcn\.1-r* d'r\ Nn rpply t' rn owrcr olpr)Pcny wh(, ht'ld\ o mPn)t\ rhcron.
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<br />I d.r.mfl 0ntl.r S.drm
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<br />DEI!.ABAITQN
<br />I h.rchy.l,trnunLr FElr y or Fjury oE dr
<br />'lx
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<br />ll Mnr n r (.n,tt!c ol (i 'n\cd n, S.ll li\urc l'tr kn kc6 (omFtrrrr0n. as pnvlnal l(tr hy Sc(rtr'n :l7tr0 .l rlE
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<br />l..n,lv rhrr r rhc r^-'nnmrn.. ol i,r uflk ,,tr ah'.h rhA l'.nn'r ^ N(Bl. I dull n'i .n]Pl,,y rlv F-^on 'n
<br />3ny trrtrmr
<br />r) r.nr tEnnr \!bFr rr' rlr *ortqs' .on{rneru L*i I C.l nmr. mal rgft rh{ n I $,uU h(.m
<br />k (cr lr'rIEnr.inn|f \ri,nr.f S&i,n.l'7OOolrlr ljhr Cal..l dElL ndhunh
<br />rr \R\t\i, r ! i rr n, !,
<br />t' oft hundkd rhourmd Jdllrs (Sl(xr,lxl,
<br />s(1rrh u);. !'1 rh.l-rlrtr ( ,rt. rn.((.!tr'l.rr
<br />1q
<br />I lrrrhy jlltra, nrl.' p!trrlr) rl F-rtury rhxi I r ral trn,l.r pnrArnr!'l(lrr,'rrr)r(!nnf,ktr'! $ h S.dntr 7(xr))oll)rv^r r
<br />ut rh.ltu\ur$ rnd lhn.$tr,n\Col.. I mylr.n\c ^ u lull frlr Jn.llc(r
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<br />L,
<br />L.d.irN@,
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<br />lind.r'r AddE{r _
<br />AItLICAIIDEIIAIAIIAN
<br />I hort'y :trm urj.r Fu&, ol Frrry or or rh. follt*'n! d.(br.r.nll
<br />D.ml i,n P.rni!A3tr!ro! Noxaiczron !t&rd R.EolllrrilT k.0. Pd6)
<br />Rcqu&n l.ll.r{f M,l ilrDn
<br />_l.cnnyihr rll. lekri r8ll2rDn. N!
<br />I !.n'lv rhr I hr\c r.r(lrh
<br />(irv rnd (i,rtrty t, cnr.r uF)n rlr)1r-t7
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsulation
<br />Rool Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/Enerqy
<br />Drywall
<br />Ext./lnl. Lath
<br />Brown Coat
<br />N/ason ry
<br />Pool Fence
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />FINAL t t+11,A 'z4rt\
<br />Certif icate of Occupancy
<br />Notes, Remarks, Etc
<br />*tlaol.zo+
<br />grrualJrrlaN.Lllulri-&EEN(I
<br />I hcrchy llltrm trNlcr lEtr.lry nf FrJury rhJ rhcrc r !.onrlru.rnn knJr3 r8cfty tur rh. Fridmtu. olrhc *olt tur *hrh rhG n rh( r
<br />trru.J (S& :l(n7, C'v (- r
<br />T-Bar
<br />Flood Zone Certif .
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