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BUILDING. INSPECTOR RECORD
<br />SITE.WORK ID/SIG.COMMENTS
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loorA/enUl nsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />ln s u lation/Energ y
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Qeputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />1It.t,tl/.,/
<br />FINAL '0la)l(f
<br />Certificate of Occu pancy r
<br />OWNER BUILDER DELC-ARATION
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<br />lo lh. ForirNB of llE Conlr&to.! l.'cdsdi lr* ((-hrp6 9, c.mftins snh Sc€1ion 70Oo of DnisFn r oflE But'rB Dd
<br />Profsi,ro Cod.) or rh.t lE d $. ! c\mr, lh6.1ion ed rh. lEi! for th. alL*.d crmFnn Aryvn]hn,notsc(ion70ll5 bl lny
<br />!+'pL.dt fd r Fn'l 3ubir1! rh. rrDhc!.r ro r c'r'l pcMlr, of mr morc rhs lir. hu Ed dollr.! {$m}
<br />I. B o*F of llE FoFry. q r) dph)6 *'nh $!AB a rh.n $k smFE iotr $iI do tlE $,ai !d lL lrnrlc 6 bl
<br />iddi.d or ofd.d l .l. {sa 704a, BllllB.nd ftofdiB Co<k TIE Coirxoca tidg Ls &,€ d +pt h e orB oa
<br />o.FoFq *tr hill c nslrE $dq .rl sho dE sn $ql hielt o. h6slf or fimu3h h! ( hs orn qnplo)6.
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<br />l.a n olth. FrFrr, m.r.raN.r, &dr*rin8 *ni li.dscl cotu-ioB ro odrud rrE F.Fl (sa 7ul. lirB
<br />trd hDtosn Co&: 11. ( onlrrlo.r l,E.e Ltw d6 mt epb ro M os'E of D.opqly *'n boil{Lor Ercrdlhrsn.
<br />md sho Nlldr ld iu.h Fotdr *nh . coddo(r) lao*d Aad io rlE cotueori Li.ru I^).
<br />I m.rdfl utujq SBrhn
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<br />DTOAAAIIO!
<br />I h6cb, arfin und6 rEllryotrEJuryotrcolrhc n,ln'trinr d(ltrarbns
<br />I fiavc otrd will mi.tain o ( cnificlr. oa(tnwt n s.lf.lBtrE ror tror [6s comFNrion. s Eovi'i.d fo, by sdr tun 171]o o r rh.
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<br />I harc and s,ill mainuin worl6 corDrENl n'n inru6m.. a ratuiErl b_! Sal ion l7(ro of th. l,bor Codc, for r h€ tsfomuc. or
<br />rh. qort lor q hjch rhs Fnr ! N.d Vy uorld .ompanFn Em. (fr6 an FIc) nuhb6 rc:,/.4,^.'fl7a1'd'
<br />,",'., "" *, &1/st dCO,13 ?,,',"*' Z'/'/€
<br />I csliS th.l r llE p6for!tl8. of lhcso fushEhlhtFn ir bu.d I duU rcl oplo) uy F$h in&,nmni
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<br />ITARN|NC F.ilur lo sc rqld' conFrsi.n 6ts!s. ir uL*tul &d 5rd tubFl & orployn ro @mr FstB rnd
<br />.iv'l fic up ro oG tuid.d rhoN.d &lLE (lloo,(xr). in.ddnion ro rlE @n of conipddDn, d.nus6 a F.\rl.d lor
<br />'h.sdxrn 1076orih.l,lrrrcd. bi6d d
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<br />I b6*,r rram o6dd F.t, of FJury rhd I m li.€!.d ur&r Fovai'. of Ctq(d 9 (@nrlrB,U *nt Sdion 7@0) or l,r Bion I
<br />ot lh. Bci!6 rn Pr$l6qE Cd.. rld ny la.* B h niu fora rd clEr
<br />,.,r^."rr"" fr ZrZp 7zq Zf5,"*,"4'2*o-Z.l-fr
<br />( (rNsl'Ru( l roN I $NDING AGENct
<br />I hq.by amrm unds n nshy oiFjury rhat rhqc n i.odrucrion kndins lBqcy for rh€ pqlotrrucc olrhc $!rL ftr $hi6 rhrs lEhd is
<br />iss!.d(S( lL!?, aiv. ( ).
<br />ATTU(AIIDECIITAIIO!
<br />I hq!t! .Jtm udd p.fuh y of FJury on. of rhr lollowirs dELrnioN
<br />Ddmhion Pmits'Arhclor NotirE{ion Fdjs.l R.B! hrirr (TnL .r0. Pd6)
<br />Rqtuurd ldls of fh'frdin
<br />I Gr'lt rhi rh. f6lgrl r.xuldr,6 r$rd'n{ atE:,ro3 rmx al e. ml qDla.lk to rhis FoJ.d
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<br />'hd
<br />I in. rad rh6 lpplE.rrn,i rdc rhd rh. itrr\. i.rotuFn a.ond l4Groomdr$trh.ll(nr!n!(i,unrv
<br />o.drNm6 ard sror. l r*3 o t!'ldin8 cotuiotr .n lE.b rdh.rn. r.F.5!i\6 of rhn Ci y ad Coutri) to als urr.n rlE
<br />rhor. .6iE(d F.pdry for
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<br />DATE
<br />nnrESLJZ_
<br />Set Backs
<br />I
<br />I
<br />Notes, Remarks, Etc.
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