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SITE.WORK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsulation
<br />Rool Sheathino , o lt4l a ttr'{
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<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 />Engineer Final Report
<br />Flood Zone Certif .
<br />FINAL /o-zg-t,M/o,
<br />Certilicate of Occupancy
<br />Notes, Rer[arks, Etc.I
<br />a
<br />I
<br />OWNER EUII-DET DELCARATION
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<br />,,",", oq(3d14
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<br />b I oSga3Ll
<br />qo!$ralJgnqB.lJNDAg-AclNct
<br />I h.Fby illtm !n tcr JEnrht ol Fr,Ury rhrr lh€F s r connur n LnduS .S. , (r rh. Frloll^*-. ol rh. klrk tu whah rh! F h,l s
<br />ni!.d tscf. .l(t97, crv. c.)
<br />lrE].rr Nrd _
<br /> ITP| ICANT DFCIIX TION
<br />I h.rdr.v dlim ud.r Imliy ol Frrtry or oa Or nnbrD8 rkl Lrdnn!:
<br />l)cml i,n Pcrm lAslE(o. N(,lificlrtr)n r.Li.ral R+ukri,'nr (-l k 40, Pd6)
<br />-Rcqur!
<br />l.Id ol NifuriM
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<br />.h!vc mnrxrrJ pn,Fny td r
<br />,^,, onzrlq
<br />II
<br />1LUlt @'-
<br />BUILDING. INSPECTOR RECORD
<br />I II of
<br />*", O'Lr?dlC4 conrn"ro. I
<br />-
<br />P.mll( Em'D.int':
<br />I
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