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B.3.

3 Discrepancy Notice Form

Sample

DISCREPANCY NOTICE

City/County of Building Department

Job Address

Job Description

Permit Number

Area Inspected

Type of Inspection

Special Inspector

Lab

Notice delivery to: Date Time


Engineer/Architect
Contractor
Building Department

Make the following corrections and source inspection approval prior to proceeding with this
phase of work:

___

DO NOT REMOVE THIS


NOTICE

Post adjacent to building permit inspection record


card

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