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BUILDING- INSPECTOR RECORD
<br />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/VenVlnsulation
<br />Roof Sheathino lo-C-m 7+n DFY
<br />Shear Wall
<br />Framinq
<br />lnsulation/Energy
<br />Drywall
<br />Ext.i lnt. Lath
<br />Brown Coat
<br />I\ilaso n ry
<br />Pool Fence
<br />T-Bar
<br />Handicap Beq.
<br />Deputv Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif .
<br />-4-U !FINAL
<br />Certificate ol Occupancv
<br />Notes, Remarks, Etc.
<br />OWN'IR BUILDDR DET,CAX]|T|oN
<br />I h.r.by tllm unL. Frly of F|,.y du I m .r"p| tDh rlt Cb'cr6 lite ba ft, rh. iolk'ei!' @^ lsd.rull.J
<br />BlrrEs ..d P..fai]I Cdd.)r A.y Ciy or CNnv *hth Gquid . Fnt io onrnx1 rlrd, iqr.B .Lmlith or EFn a,
<br />sr^d@ srtr ro ih ie.d..ho Equi&! tll lp?ltur fo. s[ lcmir ro 6L r ri!*d i'd.rrl rhr lE or rlr i,t lilrrj plErn
<br />r. rlE FtrvirirB .l rlE Co.rdd r l,b@d r^ lorFd 9. C.llErht *ih Sara.. 7(In ot DviliF I or iE Auies iir,
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<br />rpo.lld ror r Fmi rubF.'t rrE .pcli..d ro . oerl p.mhy.l mr mE rhu ri( huilr.d d.lLn {ltrl r
<br />)@, * .**,, ',. *r..r. n my.nphy..t *nh *.r.r r rhctr sk mmp.unn. sll do Lh. sir !d trr {ME k mr
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<br />DECIABATI}N
<br />I td.by .liirm !.d.r IE..n' of lEjury .E ol rh. foLr*h! &.L.rbB'
<br />I h.E ul will nuinrah !CcnifEltcololN b S.ll ltrsuE tu ,ort ^ ra.rP.rdi$. ar F$vid.d L! by sarbn l?00 ol rh.
<br />Ulrn Cod.. tu ilr Faffi? oI r h. rql Id *tih r lE Fnir it isEd
<br />_l hrw snd will min..in u'd.R .onD.Btrion inruhm., $ Equir.tl by S(r@n ,7m of ih. Lhor Ccdr, for rtu ,qfomre. of
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<br />Polic, Nrmbq: li+ra
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<br />'!EII.
<br />fifhwirh.lrnply rirh Llo. poviriod.
<br />WAININC F.illE !o ru wta'orTsrio. c,E!. i @LetuL ni rhn {bid r dtpbF b sn d porric'.!d
<br />cril fiE, up b oD huraEd thour.nd dolls (tllllulJ). n lddnb. lo rE on oa onp.Mxd. d.trra.t a Flvd.d f* !h.
<br />li..hon ll(,76ufrlE ljhor(ixk, i.r@{ lrd di,my 1fr\
<br />v,,",7 -21 -ZO2t2
<br />DEIIjSAItrXT
<br />I h.Eby rllim lidd FMhy or Fr!ry rhd I 16 liftnrd !dr. Frsi.n nr CtrI{6 9 r.nrrrmiiS wirh Sdit. ?(Itr, of Ditsk i 1
<br />or rlE auiEls.fli RlGrioB GxL, !n my U..B i! in tull loc rd.lld.
<br />Lk.d. CL{'-Litd. Numb.rl
<br />col[lauqlox.LElllMlcfdcr
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<br />AETLISANLDESIIEAIIg!
<br />I hdrt'y drmuda Fn yorDrjuryoc orill rolb,68&tl,.rionr:
<br />Drmliiion P.mirlA,h.no! fldiar.rDn F.&nl R.ruhrbn, Onk,&, Pln6)
<br />RquiB.l tr(dof f5i'n .tun
<br />_l .!iir, rb rlE r.rk-l r.tuhrm r4.dur abdlo. Emy.l e d +dirlL ro rhit FoF.
<br />2tr-n, *' , "* ., ,t rpelErr.n !d irr. rru th. .bor irrtubn n .m1 t rrr ro @nply r$ rI cir, md cody-ff LB.,n S'r. L.* Elrrr ro hiruE! odfuid d llnbydh,irEF* TiE of.ht Cty url Courry b da l+on dt
<br />rh^. nrnrk'a1lrn{r v h, Ln!&nr,punik}
<br />7 - 3l'2?2r)
<br />w)tI
<br />Rev.08-07-2015
<br />EJL\t)
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