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SITE.WORK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Rool Sheathino lo'7-ZL\{L c 2",
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif
<br />I I Z
<br />FINAL t1lt€\'71 r>K+rI D/
<br />Certiricate of Occupancy
<br />/Dl+
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<br />.rdr.nr n,r. Itmn ob)ck rh. rr0l'unr (, rUv'ltiMlirore'i mtE rh.n nv. hudE l.lolbr (t5fi,
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<br />!vaa6[&t{0ugiNA.rq!i
<br />DECI.AAAI]A!
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<br />_Erfr.r: _
<br />-l.cnrryrh.r
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<br />*orld1 (htr nnrxrn l)n vri).s ., Seu.. l?(xr ol iE Lrtr* GrL, l itull. ldhw h dmFly wfh tl,E pnrva$nr
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<br />lllt :_ iDrllenl:
<br />Ll.cEllE!.CAtsIBAqqB
<br />IECIjEAIIOE
<br />I h.r.hy .(tn utuicr ncn lry or Frrlly rh.r I rn lNn$J hL, ln,vEon o, Ch4rc 9 (conmhin8 q h Selnn 7txj0) ol Drvs!'n I
<br />ol rrr Aurfts ur Pn,lc!!r,n! ClrL. .!.1 o, lad( i\ h tull kn( rni .fta(r.
<br />Lk.n{ CL* _l.E.h.Nun,tf,r
<br />CqdEIAI.IqI|Od,IE!IM.AGENJ
<br />I h.rchy r,Trn ud.r rEulry of rErlur, rh.r rlE t . onsqlnn hnir8 .!.tuy ror rlr FrrmB. ot lhc wod tu whrh lh! Fmn i,
<br />s .JrS(. lt09?,civ.c.).
<br />t BLrr N"m:
<br />-
<br />AIIU(jXIDICI/IBATIAX
<br />llrrl'y rllim unI.r nqrhy ol p(rJUry om oaih. n,ll,,*D! J{la.r(itnr
<br />tunr'l'rx l,$bnr!A(h((os No rrrn)n rcJ.rul R.suLIinr\ r'I k,$. Pxr6)
<br />Rcqtrftd L'rc. I n( i.rln
<br />I (.nriyrhnr rll rGlc,rl r.guLrrnn n_s&lnx r\tr(.! rcnr'vrlrf amlkahh bthtr pn,Fer
<br />I rd i rhrr I h*( rc!'l rhN smlrrtron u{ rr.r. rh.rrt dr'vc 'nl,rmrlr r\ rorRr I !3N k, r.nj yv h dl cny.^J (i,unr,
<br />onjtun(s i St.lc bus r5'iry r' ho l'n!(onnd .r.d trr.l,y.urhtru. rcF.eniaxrcs olrhr Cxyrirl Coonr, k'.nr.r urnn rlf
<br />rh'v. trnroNJ rn,Fnyi'tr n(F.rk'n I'uF,c!
<br />ltrbfir" or.rr.nr \irmlum
<br />-
<br />Iru l.
<br />BUILDING. INSPECTOR RECORD
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Notes, Bemarks, Etc.I
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