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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />Forms/Sleeli Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Sublloor/VenVlnsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framing
<br />lnsulation/Enerqy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />lvlasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif .
<br />FINAL K-7-zaa
<br />Certificate ot Occu nc
<br />Notes, Bemarks, Etc.
<br />OWNItn Aullrt:lt Dl:l,CAL iION
<br />I tlEhy alfrnr undd p.ulty of Frjury ttul I .m .r.opi nDm rh. ( orr6..rdu tilM hw ,o. rh. loll,,pi,, E.en lsd.?ol Lt
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<br />opIlE..r for . p.m. rubFdt ttE lr'plrc.d ro ! or il !@ty ol mi mE rh,n liE ho'rr.d .rotla (t5dll.
<br />_1. a ovNr ol r Fltcny, .r my cmpl.y&, wnh *r9.. a rh.n ot on{Edsn. will (tl rlt urt rd rlI ,ffi i d
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<br />DE$AAATO!
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<br />trv Cdq tc tlE Ffntrc ot tlr wt nr shin {E Fmr u irxd
<br />_l h,E rti,ill midM k tl6 dlD.trnrbn i!am, 8 Eqoild h, Sarrn 37@ of rh.lr5o. Co{r.. aor rrt FfdiIlE of
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<br />sdo $n+.uiu pturnle of Sdi'n 17@ of tlE Lbor C!&, l ftll. fffhwrh orlply rnh rhor pro6rE.
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<br />civil l_rrcs oD b oE hundr.d lhuDd dolllr (3lrx,l.Ul)r. in tddrrb. ro rh. co{ of conlEMrior. d.m8.s u previjcd lor lh.
<br />sc.rnn :rl176 of(lE lihrtixL, inr.r.n !nd rktr'Ey r fr\
<br />I h.rty.lftm und.r FAky.rFrjury ih4 l.6lty...d ldd Fvsi.n.lClq{E 9 r.nnrrin8 srh Sdhn 7(XXr).ltri\ishi 1
<br />(f rh. ausircsr nt P$fcsioG Co& Bl nry k.rs. i! in tul nne ul rllcd.
<br />Lic[. clrs:-
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<br />irr!.rl (Scc. 109'7, Cit C.)
<br />AITLICINIDEIIdM.IIA!
<br />I H'y sfm und.r F.n.hy of p.rlury oe or lh. followiry d({trtr iunil
<br />O.mlir.n P.mik-A!*nor Ndf.dbn F.J.EI R.SuLrirntr (T!1. 40, Prn6)
<br />-R.quuql
<br />Lit.r of *rirriion
<br />_l .dify rhd rlE f.d.nl EtlLrio6 E3 ln3 6h.{or EBrvrl iE n, rpnliabl. k il
<br />''t,ir
<br />-lu.nifyrhsrlh.EEidrhnipplic
<br />ion .nd n^r. rhdr tlE atiov. rnlo.mrioo i\ cor(l lr3rEro.onPly*(hlllC[rr Counry
<br />onlffim.s md Srd. u*i rLrh3 ro hd,ld rs roNnkrid! !r, h.Eby !trrhtru. Ep..krrlriv.r oi rhil C y rid Coury t' .nr.r lInn rh.
<br />.tDr. NnrDmd For'.ny i!tr iEFdbn
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<br />DESG1
<br />Hev. 08'07-2015
<br />f- 1-? /i "r/
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