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BUILDING. INSPECTOR FECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/Vent/l nsu lation
<br />!oof Sheathing q loql rq rB€e ro3
<br />Shear Wall
<br />Framing
<br />lns u lation/E n erg y
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />FINAL ql r lrq Dt6(t' lel
<br />Certificate of Occu pancy
<br />Noles, Remarks, Etc.
<br />OWNgR BUILDER DEI,CARATIoN
<br />I h.r.r, afiim n in FtuXy.,f Frrlry rhd I d .r.ill!r fhm rh. Co.r&1o^' Lt.n{ L!* f ltu folbwing rc!{,n rE* 70ll 5
<br />Buri..rs id Pblarsion C.d.) Any Ciry or counry shrh rdtlnr! o Fmir r0 cnn(rud, !lr(. imp.nE, &elFh o. EFi lny
<br />(rucruc, Irfin, ir\ irumc. rkn rcqunct rh.$rltrd ntr ach rErmir x' filctrlirEd (.!rc.r rhrr rEor \h. ii la..r.d tunt
<br />ro rh. tmvri,,n! ot rlE C.nr h r l-ir.kd Ijr ichqrd 9. CommNirS r'ih Serir TUL oa Dirthn I ot rlx Blrir$ rnd
<br />Pmlc51r,.r ( frL, M rh.t lE m .lE il crItll rlE fmn.rn rlr tl.ir tu rlE .lLscd .r.r{ri.tr An, rhhinrn .r S<ri)n ?l) l My 0ny
<br />rmltrnr for a Fmrir \!bjd! r rlr {ptliclnr t' r civil Ftulr, of hr lrtr. rhln firN hundBd d.lhn r lJfiD
<br />-
<br />l. !! orB .r lhc pn,tEny. ,tr ny GmployE. * nh *.a6 .r rEn qnc orqE.sli,n- rill d, rlt ft,r ,il E {BrE i\ ml
<br />id.rl&rl ii odrr.rl tq sl. r Sc 7Or4- AoiiFr rftl PreLr\b6 ('ol Th. (jdff.loir l-k.na tr* ddr nor $ply t.' otr o*no of
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<br />pn,rid.d rtur xuch inl'owftnt m fr, inkntd .r oli.rcd rir qlc ll hrenu. rlr triHiry., ininfmd i( $U rithm m t s
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<br />rnr hr'titir Cq,( l h. (iotr-ntri l.iccns kr d,.r rn rFrly r,, .n .s'Er nt n',,pcn v *ho nuiUs or nnnrov. hcr. n
<br />afrt qh)..nrEci\turixchtmr.rsirhr(onrft.nrlr)lila.dpuirxanriorh.(iitr{ktril-f,.n<lr*)
<br />I rnctn,rr rnJcr Srinn
<br />l)$r. ()*n.r
<br />lro.8 .as:!!^rttlt-urli
<br />D}I.TINAIAI
<br />I h.( l,r xll nn trn,l.r trfllrr,,1 E'rtr\ ,trr,n rl'.1,'lnr\ nr 'ld!l]'rr^
<br />-,1
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<br />lrt (irL. tur lh. IEnhnNn.c ol lh. rod ntr \,h'(h rh. p6tn( i( nsucd
<br />I h r ind rill minr.i. sorldr' d'qEN.rr. iNunr.. .r r.quircJ hr- S(| hn -l7tx) ol rlx lrhor Cqr., for rh. ll.rlormm. Df
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<br />fl<t "-,lt*"'9'6'11 ,rpprionr, ( *-ra' t^(<-
<br />u(}:Nsl;l)roM&r(1aa
<br />IrErLr&r.lIQN
<br />I hcrdry rfiirn und.r Fmlry.f p.4ury rh.l I rn lirnin un&. Fn'riri'. orCh.fl( 91.-llmting uirh Serhn ?{xx,) ofDivirhn l
<br />nr rtE Butie( !.d P,.t6ar,.r C.'d.. in oy lk..r ir in full ro(r .i cllirr
<br />tr",. 1
<br />?lt"s11Et9 A F'"^
<br />ca1Lb4b--
<br />STS$f,TIJIQAJ.EUIINC.AI;IIS
<br />I n E6, !r,n tnds Frlry na Fr4, rh.r r,Eft ir r oiiMr b. bdi.8 re.n y for rh. Flor^-. of ln sork for *hi.h rhk Fn! a
<br />irrEd (se .]09r. civ ( )
<br />lrfthl . AU,E(
<br />A.ETI&ANI.IEqAAAII!]U
<br />I ho.5y urm undd Fn,hyorFiury.rc of rh. tolb*inB dehr.rk!nr:
<br />l)emlirion ltrmir AslE{or Norilicrnh FBr4El R.tul,r i,nt r TarL .(). Pd6,
<br />_Rcrluird l.n.r of Noriarrrhn
<br />I .dr{y rhi rh. r.d.nl E8uhrrB E!&lir! .rlEstr .mr.l .E Br qI ic.hl. ro lhis Imitr
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<br />irr f,rnri,nrd ,n)Fny in imtErit.trqi
<br />\ppli$nr or Axrnt siAmruro 1- s't1
<br />^
<br />.on{turx,n. rn h.Rh\ ouhnr. r
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />T-Bar
<br />Flood Zone Cerlif .
<br />,B &PC ktrlhr.(lq
<br />_l..drtharrnrh(FrloriMturolrhBrrtld{hi.hrhtll.rni!n,{kd.I(hdllrn.qll.v,_pcB)nintrn},truNr
<br />vi s t' tr.o'h \uhFrlo rh. trortcn omntnsriur [*\ rr Cllinnni!. trRr rsrc( ih
<br />'r I \h'rl,ltB1'tu \uhF{r n,rlr
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<br />n th. l.lhtr (iil.. I 1h!ll. knrh* h .oq,ly $ h rh,e lnr tr'nc
<br />WAnfilNC l,'lurc l,' sm s l.r'.o'nFnqri,n (nrr+c i. unl!*ful, rnl \hall \uhFl d.rlllI'F lo rinrinrl Nmhr\ rd
<br />.'ril lin.r up b or hunlBl rhrs .lnll,n rllll).(lxrr. n, rdditi{rr r' rhr ..{ ol o.rpcn(orn,tr. {10ru3c1 a\ In'vidcd lor lb
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