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DATE COMMENTSSITE-WORK
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf looriVenVlnsulation
<br />Roof Sheathino
<br />Shear Wall
<br />Framinq
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Reporl
<br />Enqineer Final Report
<br />Flood Zone Certif .
<br />FINAL 5 -2'/-2/ .JJ-.5r1 ,frd
<br />Certilicate ot Occupancy
<br />Notes, Remarks, Etc
<br />OWNER AUILDER DELCAR TION
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<br />WARNOIC F,tuE ro Krc srkc^ omFNr$n.oEn8c ir unl*I.!l. rryl rhrll subjer rn mtk'y.r ro ffodl lrMn.s rnd
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<br />DECIABIIIOtr
<br />I h.rcby .tIrm und.r lEn.lq of FrJury rhr I .m l.!ns.] unLr Fvnrn of c)utxd 9 (ollllrftn, wnh SetD. 70U)l of t rri,n J
<br />ol rh. Ausm$ .nd Pn,LrnN CuL. !n hy liffi $ tr tull foM oi.ffd
<br />rolsIlllqlod lJllrBclcEdcr
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<br />ATSJ.ICANI.DETIJEAUqN
<br />I d'y dtm ulicr F..lly ol Frjury om of rlE n'lhsi.r Jehnri'nr:
<br />txfr'lirx,. tt hne^sh.rtx fd'rfk.rrn F.rkrd R.3uLii)nr (T l. aO. Pd6)
<br />_Rcqrlctl L.(ci ol Mrff,1M
<br />_l cdrfy th:r rh.l.J.rtl rlxLidns EldJo8 rrh.nos rcm,vrl.E Bn rJlr il.hk l,' lhs pn'r.r
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<br />Fny ntr ,lF-..lFn nu.F,*r ,)l\c{,+-\Zt
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<br />BUILDING- INSPECTOR BECORD
<br />ID/SIG.
<br />Cftr:
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<br />D.l.' (-. rr*re
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