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BUILDING- INSPECTOR RECORD
<br />SITE-WOHK DATE IDiSIG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framino lz DttS?
<br />lnsulation/Energy
<br />Drywall
<br />Ext.i lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enoineer Final Report
<br />Flood Zone Certil
<br />t ,l r
<br />FINAL t
<br />Certif icate of Occupancy I .r
<br />Notes, Remarks, Elc.
<br />.+
<br />OWNFI BUILDER DrICATAIION
<br />I lErcl.y ,lrm unJcr Fulry ol Frjlry rhrr I 6 .r.ny fn,m rh. (idrftnn- h.n- llq trtr th. ro r}'ns (.wn (S.r.n)Jl !
<br />Bu$n.s rnl Prt,l.s$n C,rl.)r Any City.r C,{dy whlh rcq!fts . JEm nr .on(N , rlr.r. 'tr{,orc. &m rt nr rcIl.n ry
<br />slruclw. Iritrr| rls i\su!r!., rko rcqunes lh..ml!.nr lbr strch Fmi n' ilc l sismd stkmnr th.t lfot sh. N l(.nct! lnt.urnr
<br />h rh. F'!r5ni ol d. Contuktr.' L(n*d trp (Ch.r{.r 9, Cdrwrh8 *nh S(lrr lUL nl Divnrtr .l ol tlt Bo\irr\ cnJ
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<br />prurrdl rh.t ruh mFowr r e n id.rrd r oll.rd tu eL lt lr,kE, rrt hiillltS or irtioEEnr ir t,! *.hm ,n r{
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<br />I e cknri urlr Se]ri
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<br />IIECI.ABAIIA!
<br />I h.rcby rinraunJ.r pcn.lry.lrsiurron. olrh. bll'win! J(krti,ns:
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<br />lrbl, cd&. nr ll. FrrlmB. .r lh. wrt ln sirt ilr Fmr ! Blkl
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<br />WARNIN(i: Iirlure lo su. ktrlcs'omrEerir'r.oecrr!. rs unhrrul tnl ahrll suhi(r ..6pbF l,) trul IEMlls.,i
<br />cril nkr up b oE huBlr.rl rh,uud JolLrr r3llX,.fi$1. r &U xr r, rh. (( ot $.rfEn{non, ,i.ru3cr rr Fovrl..l nx rh.
<br />Scrirn 1076 ol tlE l4x C',xL. or.rr r .trrEr'i ldj
<br />,(Noucr G,ur.*-2,,
<br />UIIIIED.EQNIIACITB
<br />DECI.ARATION
<br />I h.Ehy rlltm hl.r l.uhy ol Frlury rhrr I em l(nan lDJct I'tvu|{ ot ( tuOs 9 ( NlrwN 'nt * h S(rIn 7(tll) ol D,!ri(,n t
<br />ol rh. Buffi$.il Pn)f.srr\C,rl.. rn hylacna.rl o lult 1,tr!. rlclt\. r
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<br />rrsu.n (Sc. .roe?, C'v C r.
<br />t nd.ii Ad&.s:
<br />AttugANfDEcuaallo!
<br />! H'y.llim utold FnrXy or Frju, oft otrlE n,lt'u,n8 &.Lr.tr'.r
<br />Dcmn k,n P.,mnr-AstE(or Nol EalNtr Fcd.r.l Rcsul.ri,ns (Tirl.r{}. Prd6)
<br />R.qtrtrc,l lx croiNn'Nrrhn
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<br />A pplionl .r A!.nl SisBtu(
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<br />o*.' 17-cr-?o7,
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