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BUILDING. INSPECTOR RECORD
<br />SITE-WOBK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Sublloor/VenVlnsulation
<br />Rool Sheathing
<br />Shear Wall
<br />Framing
<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 Report
<br />Enqineer Final Report
<br />Flood Zone Certif
<br />FINAL to/L'\ ho aoc-(Lb),
<br />Certilicate ol Occupancy :
<br />Notes, Bemarks, Etc.
<br />.<
<br />O*1IAI DUtr.DEN DILCATATION
<br />I tm$y rilrm utdcr Fn I, o, Firy tl l m .!tr'r nm dE Cdkrrm' tidE L:* for rb rolt)w63 tad ls.c )Dll.5
<br />aurinc( rn Prnr.$i,h Cod.)r Ary Cny 6r CMy s,hi.h BtuiB . Fnn to m.cM. 6. irpmq d.mttn d Ern uy
<br />*ele rrr ro ir! n!om..ro,q!iB rl! ryplt!,r for *h Fdn ro turrEEd.r..Mr {lro,JEhlt.ed Fr'M
<br />ro rlr Fovti,ns ol 0E CoExrd\ Lid$d tl* (clrF6 9, Co.ftrhs *iLh Sari,n 7@ or Davnirtr I of {r EuriEs od
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<br />y'nrbdd or orY.rcd lor qL r sa 70,L, Bu.ifts ed Prcf.sioB Cod. TIE Co B.rs.! Li.ctrq t w docr mi +dy ro r. ower or
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<br />I lEEl'y rmm uftl.r Fmty ol Fjury oE ol
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<br />- -l h.E rri *ill mill.in. Ccnlrrr. of CoEnr ro S.lf.lBE f( qri6 &rFturnn.8 FoviH ltr by S<lh.l7m of r
<br />l,bor C.t., ror E IE otu. or,i *olt for *iah rlE Fml n nsu.d
<br />_l hE a.d *ill tuidri. mri6 r.pdl\!ri,n iNur., . ,quftd b, Sdrm l?@ or rlE Ltlor Cod., fir tlE lEfmr. of
<br />llE w)rl for whih rhi. Frmii Lr !$.d Mt *rk6a NrlEnqbn iNurr. caar !n rbliy nunlE a:
<br />I rhrll ml cil'loy.nyFr$. in!trylMF
<br />rh lll \hn'U trioni {rhF.r t)r}I
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<br />.ril liN\ up io.N hurimi rn,rsd & l,r (51 f,n dnm8.i .i tm"d.d r.r th.
<br />sr!r(ro rr)76!rr rlf, lrn!tr 4( c.nic'.n.nlnr[trrkr'
<br />yr.", 1!.rID
<br />I lE.chy lntnr ufilcr rEnilry or rErjury lhal I um trdc! nrlvti(rof(hprs 9 (romnrmin! *irh Sriln' 700)) olDilAi)n.l
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<br />BulEss .d PrDfdsi,n! Cod., .,n ny l..N i! n tull roN rn .fia!
<br />qaB[IBUCUOIiIEIllNIi-eGEd!]
<br />I nr.ny .,ftm uncr FElry or,E lry lhi rrEr i3. $trrMion ldin!.8.Ey rorllE Frr,xlMc of rtE hrt lq }ithfin Fnr ii
<br />rsd (Sd. :l(l)7, Civ.C.)
<br />AIIIIQINLDS:IJBAIII}N
<br />I hdrt, rtrmr und.r FnalryorF]llry omof rlE fdk,uina dftl{drn\:
<br />DcB,lni,n P.rni. A{rE(s Nirifrri,n Fdtrll Rqrldiimr (Tirlt4). Pm6)
<br />.\hslo\ Emrilrrc r, lpnltrnbb n, rin ln,jcr
<br />{!rcrh lhc dhE mnmuli,r i\ rotre1 laarrt,.orrly* h3llCiryr JCoutrry
<br />,dh.riz rF.$diE of rh6 Cny .,rl C.utrry ro dq urD. tlE
<br />rt,rc nrnliuEd pn)Fny nn
<br />; ADrli(rr orA! r siaNrur
<br />/]'mil( mm rpritrl):
<br />X*, aa)D-
<br />Rev. 0B 07 2015
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<br />.lnify rh.r inrlE JErformLr otrlE mrk fd whth
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