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SITE.WORK ID/SIG.COMMENTS
<br />Set Backs
<br />Forms/Sleel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Roof Sheathing
<br />Shear Wall
<br />Framin
<br />lnsulation/Ene
<br />ltD
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Ivlason
<br />Pool Fence
<br />T-Bar
<br />Handica
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />r\
<br />FINAL K -t(Y.\+1G)t
<br />Certificate of Occupancy \7t,
<br />Notes, Remark Etc
<br />BUILDING. INSPECTOR RECORD
<br />O$ NEN BTIILI}ER DAII'ARATION
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<br />a$hclnl tor ! pmil srhjd! !n. apFlicrnr (o . .i! il ,.Mhy o f ndt mtr. 'hd lir. hlndr.d 6llsr (l5oo)
<br />L a o\rM.l
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<br />inrdrbl or olIftd for sL 156 7(X.1. BBll1d md Prol*irN (.dL lh.C{ ralu'r l-..* tr$ &6d aaFl\ ro.n.\B.f
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<br />'lle
<br />rh. rE or irk dd mt hrkl or tr{m\r rh. pftrFq for rh. Frrbs .l
<br />l. 6 .$ n6 ofrh. F.rdy, or .r.rusNcl) .ont&ri.a tr
<br />'rh lrosd (onrradod lo coldrd rhr Irojd (se 7(ll,1, BB,nN
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<br />Drt. ortrd
<br />$oRrirRs;coNPr\sATtaN
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<br />I hqcu !fiim !.&r Fn hr' oltrjurt om of rlE nrltN rs rk(1,1'nE
<br />I hav. {d anl md.D r ('difk.r. of Colrhr ro S.lr-lil!@ in 10.16'rnmFHFn. 6 F.\ d.d to. urq S6rFn 170{ olrh.
<br />l:tFr Cod.. rm
<br />'h.pdfomM..
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<br />I h^..nd *rllm.inr.r *0116 conqE6.tion Gu6R.. s Eituii.n 6' sftrion r7(xjolrh. t tsr (bd., for rh. Ffom c.df
<br />rhc No for which lhi! psm ! iisu.d My *ork6s comF.s.tion iBUr .. .rd, erl FIi.) hoEirr s.
<br />I csli6 rhal h'h.Fformm.of rh. tro.l fd \htrhrh'1txr r B 6ru.d. rrhrll..rmnldJ rn) t6$n mrn\ mdnd
<br />$ f,r ro h.<oft .ubier ro rh. r ork6' comFlsllion lnss oi C.lin'mE. Md aErE r h.|li I should h\.,.ft n'Ucl lo rrE
<br />$orld conqa$l{n Frir(,6 ofSqli)I !7fi) orthc l,h)r C*- I Jull. 6nntr nn .omph s,lh tlrrs pF\ 6roF
<br />wALNlN(: f.ihrc ro ku. {od6'..nFMnr .o\dsr r unhsrul, dd shall rul,jcr M apk,F 16 onrin,r rtsrr'6 and
<br />civil lin6 up lo o.. hundr.d rhownd (i)llds llloo.ofir), i. rdd n). t .or ol.om,tuio.. drnusd a Frvi.d ny rh.
<br />s(rrn !o70 afulE lrt$ (o.:lc. rr6d un dr.rrh
<br />,.,,, I O/to/l ?
<br />-
<br />ape,k,,
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<br />of rh. BGinR! Dd P'.rB'oN (i,&- !d mr hcw b i. full nnc.,rl cllar
<br />^,,p/a
<br />I h6.ht.mn und- Fnlhyolporur, rha rh6cisa.oNru.th in! irmc! irrh.pgionnmcc(,lrh.$rrl for trhi.h rhisrunt k
<br />isuql {56 1097.(n.C)
<br />ATTLICANI.DIIUAdIIQ!
<br />I EFr(J.ii udr,.nahy ofpajury on.olth. f.llosinC &Llrdtuns
<br />l)lt(niFr Pcmnl^$<ot N.lilicdhn F.d(.I R.xulalnn. {Tn k {0, PM6)
<br />R.qun.d Lcirs ol N.ri6.rion
<br />I cdifi rhd ih. a.dd.l ..suhrFE ,.redin* ctKhs rmn .l rr. nor 4,9lf,lbL ro th6 pnri.\1
<br />I c.rlrrynHr lh.\cron rhisirlli.ari( rnd r.!.ah\. dinnMr[n ii.Mftr IiAr<k,.dmdr s h dl Cd! x.d ( ,)uni\
<br />orJdnc6 r..l n!!. I :us rldilrs h boikjhl
<br />rn)\ c Ddr knr.{ pn)pdt nn
<br />Appli..nr or ^rdt shn n
<br />PdnilF nrnrlprinr,:
<br />'::"',"");lr4--
<br />DATE
<br />Subf loor/VenUl nsulation
<br />I
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