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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 />Subf loor/VenVl nsulation , //.
<br />2"zJ-zlRool Sheathing t\-2
<br />Framino
<br />lnsulation/Enerqy
<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 />FINAL 'll?t,'7/.D 7
<br />Certificate ol Occupancy
<br />Notes, Remarks, Etc
<br />OWNEf, BUIT,DEf, DEL(XRATION
<br />I hcrhy alr"m udq Frolry, r*4ury rh,r I o.r.nor tirn
<br />'h.
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<br />r, trE I'ov6r,B or 'lr GDr.(br.s LEcnsd ljv (Clutxcr e- ComEin3 with &(rrr TUxr or Dlvrn,n I .r rli Busifts ,
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<br />rl'.r,Iiny w[
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<br />Dul.:- Or..r
<br />WORNi'I.(i' COTIPENSATION
<br />l};!laSauq!
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<br />lilxtr C,rlc. h,rhcr{t()rrukc ol thc $ork rnrqhtrh rhcFrmn r\ a{.J
<br />,l ha( r.J srll mamr.in *orkcr' ronFn$r,,n o\urrR...i as r.qurcJ by s&t$r .1?0o of lh. lihtr Ci{c. n, th. IErtomk. c .1
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<br />ma kt
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<br />,orl.^ (.toIrn\r[]n pfl,rtrk)n\ ol S..hon l7(Xl oIrhc l,rhtr C,rlc,l*lull. lifhwnh d.htiy wirh rhu P!'vN! s
<br />WARNIN(; l'dlrr. r, {rur. sorkfs .ohl[nsrrr'n (ovc!r!. N trnlrwfu], lnJ slull ruhjt(r Ur cn{loyer n, (lmnrl nculrE\ ,frl
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<br />Sc(lior 10?6 Dllh.lilrtr (ix]r, un.nrarkl {krrf,y \ l,.r
<br />D.L:- Applk nt:-'ucrrffi
<br />lEqAEAIlO!
<br />I lEEhy rlrrm uLhr Fnrly ol F.iury rh.r I.m lnrn<rl unld F'v$rr.lclDrrs 9 (.ohmB-'mg u t Ss|rr 7(xll) ofDiqsi'n l
<br />or tlE Brnk( JnJ Pnlf.rsir. Grl...ri my l*ctrr 6 u tull n'tor r8i ctle.-r.
<br />(QILtIBlJCIIlJIillNolNlirllinliCI
<br />N{krl(sr( 1097, C'v c I
<br />knk. s &nhss, _
<br />AITLICANI.DE{:IAEATq!
<br />I hd*,y dllinn s'rid ,rnlxy or F rury oE ol rh. nlltrwrry &(t{.r f,rsl
<br />D.tunnDn PcrntrrsA\tEno\ N xfE,r&n FcJ.r.r Rcrrhrr)ns i'lrh 4), Pd6)
<br />RcqumJ ltlt.rot N(* tdixr
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<br />I(nnyrlirIhtrv.erJrhhamliulona' nrt. th,r rlr rh)vc ' tui,tuton is cotrccr l rlre l,l (oartly w hdllCny Counry
<br />rh'v(nrnln cJln,lcny1,trr\FarionN!x^.\
<br />ltDlnn r trr \!!' siLnnru
<br />P.mir{tr.h.ipn r
<br />ziizt
<br />lt
<br />UFER Ground
<br />SLAB Floor
<br />Shear Wall
<br />Flood Zone Cerlif .
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