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SITE.WORK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathino
<br />Shear Wall
<br />Framinq
<br />lnsulation/Enerqy
<br />Drywall
<br />Ext./lnt. Lath
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />f,lood Zone Certif .Ir I
<br />totftrtt6 4ltq/N trUIL tlro
<br />U I 'r
<br />FINAL 1ruat frAvLvt itK
<br />Certif icate ol Occupancy I
<br />Notes, Remarks, Etc
<br />.tt hrk
<br />I
<br />-I
<br />()wNt,:R Itt ll_t)t,R LI-.L("\R/\ rI()N
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<br />ro ik ilsuG., .l$ EquiEr llE sppltr for sxn Frmit lo 6L r siBEn nd.lBl lt[l lE or ih it lic.nEd pu3w
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<br />e,llmi ri. k)rt E $qEn{ri,. i!imr., ! ritutd bt Ssrion:1700 ot rlr t Dor Co<,..id rli Frfdfu. of
<br />$hxh rhr Ffl' tr h\r:l ,ttys6ls\!rirrnsrnmsEr. snrr nl F,llynumtra m'11a.lc C"n
<br />/,{./l ]fi rz
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<br />sbrd ro llE qrl6 snFndhn L*rofc.nnrmL !n .3r rhd ill rtnuld h...r ubFr hr,E
<br />ran p6visa,6 of Sds 1700 of rh. trbo. Aiq I arlL ldhwnh onrply wirh th. !6viris
<br />FaihE ro sw wt.6' con{Etr$rion otm8c h unL*fii|, lnd sh.ll $bj.ct .n cnploFr lo oimin.l rEnrlis lnd
<br />lo oft hundrd rlruwd rloll6 (,100,txll), in .JdnDn lo 0E con o, corlt.srlnn! danE86 B rovid.d for llE
<br />ol rlE lrbr cod.. inrcE{ rrn dr.fty s fsz,ar.zt e y'tzL
<br />DECUAAIION
<br />ur&r FElry or FrJUry rld I m liE d un& Fovirbn of ah.pr6 9(onEEh8 qrh Saliln 7@, of Dilirion l
<br />md Prof.sshN Cod.. un
<br />'ny
<br />lic.tr* K r rull foEc {d.ff('
<br />a^-/a /42orlo r
<br />O1.Z/.-,*"ek"q/Z Z"rre/5z'/al
<br />(att'irf,UJlar.L},lilllli!-ili1^l:l
<br />uftrr Fnrlry ol t{r]ury rlrd rh.rc n r(n{d.rkn kn,l 8 r8c'f,r nn r hc Frlonrurc lrlrqortl rshf,hrhsr{rm n
<br />ly lhal rh. r.J.nl EFhrmr EBrdoa shrros rmvrl ft mr ,rrrl.irL ro rhii fmFl
<br />lhni I hr{ r.!d rha rt,fl'.xbotr nl (rr.rlu rlkrh,r.nil,rnErr A(,nrd Irgrt,(n, y* h,ll('ryrnd(-,,trtrr,
<br />statc llws rclllrin8 i(' huildir8 crrsusli(,r, !d rEr.h, {ulrbriz. rcfE*nrolwr ofthis Cilyetrd Coutrrr lo.trrd u,xln tlE
<br />l/ t:u*:t /@
<br />n, ,Z-04- 2t
<br />BUILDING. INSPECTOR
<br />Rev 08-07.2015
<br />COBD
<br />/+
<br />UFER Ground
<br />Brown Coal
<br />I AIIIIiTNLDEIJIIAIII]A
<br />t Myamund., n(.sh! ol Fnlrvotu rl rh( fnlh$ru d(lxrrhn!
<br />:t;:::x;:'r("rcn ""'r' R's!''lFtrir k'ro P'd6,
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