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SITE-WORK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />Sublloor/Venvlnsulalion t(/)Roof Sheathi ng '//f flq,'xZR tt ,(
<br />Shear Wall
<br />Framing
<br />lns u lation/En ero y
<br />Drywall
<br />Ext.i lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Beport
<br />FINAL Y/Tq//V;'/,ilt) 7'( /o/
<br />Certif icate of Ociu pancy
<br />Notes, Remarks, Etc.
<br />BUILDING- INSPECTOB RECORD
<br />A
<br />OWNEA IU&DER DSLC]ARATION
<br />I lErcty .r"B urld.r Fndry or lf,rrry rhd I o .r.rn frln tlt CorrE6 tiu. L.r
<br />Buti6r .,n Pror...itr C.,L, A.y Ciy or Coutl, shah r.quiEr . tErn rD si{ntr .
<br />stu,Fi,btrr n!il.e..k ,.{uiB rE {pliant lor mh tmn ir fih..i8rn {rffi rnd lEor lrt i! li.nrn nuqEr
<br />lo llE tmvnionr of r|I Co.rrh! Li!.-t Lr* (Ch|id 9, Coltwri.! rin Sdrirn TCiD df Oivnhn I of rlE SuriE.r rnd
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<br />.pl'ticlnrfoi.Fmiruhr.rltlrE.0plkanllorcivilpcm,ryotfr fr,ftthan nv. tun&.d dolLn tttm)
<br />L is own.ror rhr pn,Fdr. or oy cmlhles wirh r0ll.111rh.i v,k onltl.n{rior. adll. rh. *fk nnd rh. nllffu t mr
<br />inic k oronir.d ntr vh (Sa.l(x,l. Busft{dtui [torr\\i0ns (irlc IhcCrnrrcd.l-i.nsliwd,ccnolll1plyr,atrowRr.l
<br />rhc trrrEny wh' huiu\ or i'ion)Er rhcretr !d *l$ &E{ {u.h q)* hinrclfor h€rsllor thmu8h hir ur hcr own cnrth}e.r.
<br />F\iJrd rhlr sNh urqa,Ernrrcmt inrcnLd d olldrd ftn -k ll. hrtrlw. rn hihing in{rn\!m ng'B wiihin(ft Fr
<br />ol oirihrion. rh. (B ftr Butlt r qill lBF rh. hor&n or nmruq rhd tr n. {r dil d tritt tr int .r rlr ImFny ld tlE FrF,€ rf
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<br />rn PitrG.irCd. Th. (.o Br.r'. Lirns t* d(F br.I''lr r. !n o*rcr ofFnlErry *hr lrlildr or nrtlmEr th.r6n.
<br />dd slF sdrr-l! fd trh FrF. *irh. Co.rd{rto lirn-d rl,Mr ro ih. CodR .!lsNt f,).
<br />l.hct.m undcr Sccrion-, l, &PC td rhis Er$6
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<br />h.E rn will mi. .in. C.nifEtt. of Com b S.lr.lnu. r{, hrl6 6nF.qbn... Frn.d for bysclion l7m olrr
<br />t br Cod.. fE rlE FLrllw of rrr *trt ror whih tlE Fn i nru.n
<br />l)at€ O*ner
<br />tYotxt tts' tt rltPt-nst rioN
<br />!li0/r&UDti
<br />I h+rehv Illi'r un(l(r |{rrh\ olt{rlryonc olrtu nnL)$ irrl..lrnnitr
<br />rt ro shrhlhn Fm n ^\ad Mt {o,ts1 . nmnerrm Inurrm ffh arrl Fni }, (ht. tl^/
<br />"",,,",' -{ r'z/s:/?i ,.",.".-
<br />hl1c ond r 'll mi.lrin *orl(s cortrNrhr inrurtrc. .r Equir.d by Sdion J?(r) ol rt lrtfl Coik. for rlE Frf llw o(
<br />I c.nilyih"r in rh. r'.rlirrom.ol rhc *o* nn trhih rhh F rnir r n\ucd.I \htrll nrrc {k)\
<br />$ .s lo ttrom suhFr b rlE "trr6{ s.r{lnerk n h*r orciiromb, lnd.eft l if I .h'!tl tEor subjcl lorl!
<br />wtt6'$nFn{!i,.p$vi.nn.fS.dionlrfl)orrh.l:h,cr&.lrrrllfonh*ilhod'ply*irhrlnrFotisionr
<br />ctil nEr ur' lo oE hundEd rhnosd doll,r\ (tllrl(xrr
<br />n unL*fut i rhil rubRr m mhF r. orDd lftl6.rn
<br />dr Ftr h rrr or nl c,,rrtNr-.. al*e.. - p.n.tt a r,, ,r.:::W;/?/&
<br />DIll.t&[I!]t
<br />I hrrchr- nlln r ! rl.' p. lry,'r lrr trry rhd I r r lr\rlotr(lc'pn,vttr,nrtchlt'ryI(.i,nnNrf,iots hSe--tir7(x[))ollJivntrr I
<br />\t-l'nr J rnJ'tr,tr-'F tr'1lLl ,r.,'r..rnr
<br />":ii27*
<br />.;6#ff6=*-,;a
<br />t;0lElf,llcEtxL,l.llDlllc.AtiElgt
<br />I lEEty.trnm u L.Fon,of ,.rnrry rnn $dr i!. eilr,klioi Hiia I8a, rorrlrFn(fuN.rilEwt ftrrfiin rhi Fhir ir
<br />ns.n (sd ]m'r, cit. c.)
<br />AIIIIIAAI.DECBAAIIO!
<br />I hodry xnm ud.r rtnlh y ol rEr,Ur) oft or llE rolbrirr &(lrd i'is:
<br />Dcmhbn P.milr'ArlE(B NorirE.lion tuml R.lublrrr rTirk.lo. Prn6)
<br />-RcqoiEd
<br />t.rrs or Mrirnlir
<br />I.drft th8 lk fcd.BlE*uldk ns E8rdi.8 r.h.{n\ rc rnrl!rft dldEehhtolhirtmF
<br />,(firr:ti::i'Vh,:#;""^""::";/'/
<br />SLAB Floor
<br />T-Bar
<br />Flood Zone Certif .
<br />L.nd.ls A(BEri:
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