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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsulation
<br />Roof Sheathino lo >rt 4g
<br />Shear Wall
<br />Framinq
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<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 *,t
<br />FINAL l0 alw
<br />Certif icate of Occupancy
<br />Noles, Remarks, Etc
<br />oltllul lullDar DELC taTloN
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<br />ro rlE Fovtnnr ol rlE C6rr-r( r Li!trs'i L.r (Ct Illd I, Coffiils enh Sd,n 7D of Divnr,n I or rlE B!iiB.. ..d
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<br />-1,
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<br />_I. a ouN otrtF FI6y, u.ktusiwly cotu1r3 w h l..crc!.o E a ri,.rh{Br rh. FFr (Sd 7044. Burn
<br />.nl h!*$nc'rl.: Tn Conrcroi! LErrs L.v &E n,.&1,beo*krorFDFn,*t butl. ohnproEs rh.raq
<br />.nd wh .rinrtur. (f, tkh FrFls v h r Codkloll, l.oGl lrlru rollE Glrrklni liqE Lr*).
<br />I rmckrnfl u[,.' S.!rnil
<br />llaBK[ELsrilfEN$lIlo!!l:(L x uQr
<br />Ilrrchy rutrm n(lr! If,nrlN or rrr,!r!nNnrrlt knk,u rJ(L{.nr{N
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<br />1'L 3 ? t3--7-2o2 o oe,- t3-2o2 I
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<br />liv tmr u! b oF hurlrEl tlt{srl l.l)Lrs (tlm,Un)
<br />Serb. -10)6 of ih. litrr CirL. rr.Es .!i .lLrey'r fG
<br />rir t' rlx co{ ol (oqrnor,on- JrmB.! 8 Fovrt.J ntr rh.
<br />DEqdBAIION
<br />I h.€hy rllirh und* Fnslryor l,.rJury th,r I im lknhl unLr I'n vsion olCtuprcr e Gr,mmh-.n!3,nh Sarir, T@0) orDivirion.r
<br />of rhc B!sin.* .nJ Pnna*k,ns Orl.. lrl ny I'ccnr ,r rn nnl ,'trLc r! .flrl
<br />c-30{\oQzzrtJA'2a-?ozo
<br />CAIIIAICIIAN..LENDIICTAEISI
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<br />A'?I ICANT DE''I ARATION
<br />I hod, .trd uald Fn.l', of Frlu, oe 6f rlE folhDo8 tk{ Lr.r&.,:
<br />D.mlIDn P.tuia,b.ior lldilf,dM FdLnl R.tuLrhnt (T k .0. P.n6)
<br />_R.{ur.d tdrd ol Mrlfds
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<br />'ha rf,lAl
<br />{l!d y rhrr I h.v. rc..Irhr.r'krnon a,rl {tr. rhrr th..hrw inromtbn s.mr.l rse ro Lnhtly wnhd Ciry..n Counl,
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<br />*.v. mnrirtud ln'Pdy r(tr htJEd
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<br />I
<br />lZillEt
<br />ID/SIG.COMMENTS
<br />Brown Coal
<br />o"b.04'2L-2o?D
<br />ssucJls( :lUJ7 C,v C I
<br />lrndcarNdnE.
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