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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Ereclion Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framinq
<br />lnsulation/Energy
<br />Drywall
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif.
<br />/t
<br />/4V/Do '(6FINAL
<br />Certif icate of Occupancy I t
<br />Notes, Remarks, Etc.
<br />OTAINET BUILDER DPI-CARATION
<br />I tsb, .l[rm rnld Fuh, or Frnry rhd I u.r.qn tun lll Corrrdm L^re b* inr rlE folhery r.r'. (S...roll.J
<br />8u$ncss rln Prultsson cln.): Any Cny or C,rnry *nah r.qur.s r Frhil l. onslet. elrcr, mEot., &mlL\h or r$u lny
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<br />t, rhc F)vs.B oi lh. Conhl r t-..nsl L.v lch! d 9- Cd.fttur8 *rh Sdrrr ,UI) o( t ivi]i,n I of rll Bords .nd
<br />Pn,tcssions Cnle)orrhar lErsh. Ll.rcnar rlsclion rnd rh. ttrnr n lhc rllq.d crcr,ririn Anyvn,ldidnorSdnonT0ll.tt'yrny
<br />rmllur ri, . Frrur $hi\rt llE rylE.nr ro r cir'l Fo[y or n{ mE rh$ fiv. hlujr.d !oU6 tlt{D)
<br />-1,
<br />as lp*r o{ rl[ pt)Fny, or ny.qrloy(! *ilh *4cs $ lhcu eh.omFordron, wul do rlE wolt lrn llE nrujtE a Nr
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<br />_l d.knF unr{ Scrrn_, B. & PC tnln! t.sfl
<br />]IAEf,EELSITUIEdIAIIA!
<br />DECI4EAIIA!
<br />I h.Ehy .l,irn unncr ncmlrt ol lqury od ot rh. t,llovq (sLl{rritB
<br />-lhrE.
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<br />LEtr Colc. nlr rh. rEni,t]ler o, rtE klll 4,, *hi(h tlr Fmir s i$u.rl
<br />_l hrvc ,nJ enl nrnrai. *ork.h .ofrFri.riln rnsrrBc, .r rcquircd h, SRrxr .1700 ot rh. trtrtr CdL. ld rlE IE romB. of
<br />is ssk{ My vd k.ri' ( on{rnvrkr r\trlrc errnJrl
<br />"..".f9iio?1.(lo1tll:tzl
<br />-l.rnily
<br />rhar in rh.Frt.rmtu.ol rhc w.rt hn whlhlhis ocrm ir NU.J.l shrll.or crhfkryanylE6$ inotryronncr
<br />e,.stolE{'asubFlrtollEsrtsr(,,'IrnqrrmL*iofc.l'itrru,..NrlhrrllrtDlll'.{)rsuhF!httr
<br />*trks.oryrn\rri,npn,vtrr'NolSc!K'..1ru0ofth.IihtrCr.l,Iiullnnhwrh(rdolytnhrh,*Iln)vsi,nr.
<br />WARNINI;: Iirlur r' rdk *oilc^ cont nrabotr .rv.furc
<br />dvrl in.! up n' om hu rJ rh,!\,rl JolL^ llltlo.l(x)). n
<br />S.(rBa.11)76olrlr LhrC,i,.. Dtn{ rxl.(!my s k{l
<br />N unhwlul, rnl sh{|, sutF.r
<br />rrlnhn r' rlE .o( ol.on{r
<br />I h.Eb, dri,m uBLr n Mlly or F,,llry rMr I d litn*l unLr F,wDn .1 c1q{6 e (rtrnBin3 w h Sdr$h 1r(x)r or D,vNrn l
<br />or tlE 8urtrs. Prcr.s$nr CuL..,ll my lr.nc r D tulltd.nl.tlet.
<br />nll L*cnk NunlEr 100\\/ >t/ zo to
<br />CONSTRUCTION t FITDIN(I ACENCY
<br />I h.Eny itrh uftLr Jr.rlry ot JErnry rh.r ilft L. . .rnreri,n lrnrS .S. y f,, th. F.ft,frE. of llr qrt for hrh lhit Frrnr !
<br />Etu.tl(S( -{D7, Crv. C.)
<br />ATTLICANLDECIAEAIIA!
<br />I h.liryatimundc. Fnalry ol Friury.n. ot lh. followrn8 deL rons:
<br />t).mnnM P.rnrrl^ltrno! Ndili..rxD R&rrl R.!ukDB(T k t(r. P.n6)
<br />-Rcqned
<br />L!n.! of lr{i,r{on
<br />-l
<br />c.n'ly rh.r ft rdd.l rslh'DN rg!,Jn8 .slBhi m,v.l e rx {'t a.nl. ro $! ln,i{.
<br />L!41.dny lh.r I h.r E..l rlu $larrr,, r,rl.rrI. rhd tlE.t E rromrrir st:)!Br. I.Fr to $r{ y %rh ru c , lrl counry
<br />.nlEhlr.nl Sr.lc lrv! FUir! b h{lljmg (n{Nri,t [l lEEh u. rcllcElr.r'kr ol th! Cny .rn ct!! , tr, drd !F,n rlE
<br />ihrv. mntrn.'l pn'F-.ny ktr
<br />Aoolionl or A!.rl SisMlu(
<br />I.m t(Nmrprlnr):_Lus Vttn'n&t Flor,tJ
<br />la ,/t l/cua 0
<br />7/
<br />Ext./lnt. Lath
<br />o.", l).,/zJ/-,tLtt
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