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APPROVALS DATE ID/SIG.COMMENTS <br />Site-Work <br />Underoround <br />Pole Bases <br />Light Standards <br />Spas, Pool, Fountains <br />Signs (monument) <br />Life Safety /Low Voltage <br />Fire Alarm i Dampers <br />Communications Cable <br />Building <br />Under Slab / Floor <br />Bonding / Grounding / UFER <br />Torqueino <br />Sub-Panels <br />Air Conditioners <br />Rool Top Equipment <br />Factory Wired Unit <br />Walls (Conduit) <br />Walls (Rouqh) <br />Ceilings (Hard & Soffit Rouqh <br />Ceilings (T-Bar Rouqh) <br />Meter Release <br />Rouqh tH,IH1.M Jfit+ X-b <br />Service Meter I <br />U-a-qAFINALUE/ns'W <br />Notes, Remarks, Etc <br />OWNER BUILDF,X DEI-CARATION <br />I lEEl, .rm lDLr FBly ol Fr,try rhi I m.r.ry{ hn llr Co.lr-r(r' Lrfr Irs t r rlE llllltwdE Etn rsd'7oll t <br />Bulmn . Pmfc$rD Cd.)r any cdy or counly *h.h r.1ruEi . tF.M lo onrtu1 ir6, ir'?roE. &ml8hi{ 1qE v <br />srEdurc, Iritrro r ntxe...l{' Eluirc.lhc +pli(r nrr !&h |8m( I' lil.. sryrcJ sur.tunr rhrrlrot sh. tr li.tMJ puN,nr <br />to !h. FwBsnr or tlE Clonrrru ! LEnhl U* lchq't.r 9, C;IEN6! e h Ser$. ,m) o( DrvF!. -l ol r,E Burrs rij <br />Pnn (bns Cqt )orrt r lt qilE !.rctrt{ rrErclNn.rn r tur! n r rlr ikScd .t.dlPlrr. Ary vi,hrrnofsdrnr 701I thv.nv <br />lmt(rni aor r Fmd ruh,.{h lh. .pFliqnr h r .il'l p.nllry ol not mE lhin liv. hui.trc.l ilolhr (t500) <br />l. .r o*rr ol rl! F,Fdr. d ny.f,Pt Fr * fi 1l,6.t rltt $L L$rnlrnsinn. * ldo 'lt k !. r,ri 'h.5lErE. <br />n <br />u .ELrl or ofi.rcd for {L (Sa,(x4, Bu\ftn uLt Pt,fdronr Co.l TlE ConrBloir lrok tlq trg ni q,ply r. o ovmr nr <br />rh. F{sly wh) trill!,{ up'rEri,rN(.,n who trf,r s.! s'd h'6sclt{r r&rll orihmurh hn r ltros.nl0hyc.\. <br />I'DrrLdrhdtEilqhwdi&nrn.d.ldolldEliyqkll,bkw.rh.t!dl&3dltDwdB$!erhD,troldxqllue E()*s Aulld *dl h.E tlE hrl.r olF'ru! thr lEd.lr drl rr luti q uFrk ttt Frdy nx r IrrF{.| <br />-l. <br />I o*t. ol rh. F Fny. s.r.tulhly.alnBr63 rah l.t.<rl odranB ro lDnrtur rh. FrFl lsa. 7Oa4 ABtr( <br />rrn h,t$ih c,xt: ]1! Co. rr(tr'1Lft.k kw dEr mr .prly I' u owF .f ln'Fny wh) hulut or mptitE. rh.r6o <br />rtul wh, $nmds ntr !u.h F)jcr! r h r Co.rturo(r) l..ncd puFulll brh. Ci'nk*toa. I-k.nB lrw) <br />l.mcxcmF unlr Sc.rnn- <br />la8f,Ef,ii:cauEll IIa! <br />IECIAEAIO! <br />I h.nhy.lIrn und.r Fullyoln turroN ol th. tulk,Pr8 dcLr n,n(: <br />IbErrn* mr*e.Cd .I.r.ofc.n* b S.ll.INUrc Lf, qrt6 .onqENo., .. FDur6, na b, Sa 'n !7(r0.1rlE <br />trtxtr Cdlc, ritr ih. lErlomN. ol lh. hlt ntr whth rh. Fm 6 !$d,. <br />! h.r.d v'lt mIr.u wt6-6'r!.rulbn 'niurBc, rt Etoi!,jh, S&rir ]r(r0 ol rlE lrrs GtL. ror lh. Fr{lllle. or <br />tlE Hrt fn wh.h lhi! p.mil B snhl. My effk 6 omlEnnlrn 'tr rn. l,mr ul llli.y tuht r e <br />Crrr:- <br />R,l'(y N!mh.r: <br />! (cdrllrh.l r rh. Frlo@d. Dlrlr*olt rtxPhrhrhrsFrNr R !\u<J.l rh:llnn cr4b, rnt p.r$. m.nv lr r <br />a, In, h..om \ubj.rr t' rtE M,lt(i u,mlEnerx,n l!*\ orCrhluma..ni Ur rtut 'l I lbuu tE(rd luhFi n,ltE <br />wod(m omFnutir lnrvsi,r.r .l Strx'n .17(D .l I h. l,hx Crilc. I stull. (fhv h .dnq'ly *i h lh,F rtrv"bnr <br />WARNING flrlor. n, rcurc rorkcr rtqinr.ll'n $k83. 't uhbulul. ,rl thrll ohFr .n dl,Lrr lo ttuol Ful.t .nd <br />r, ok h!k,r.'l rhouttnJ dollrri (!l(x).(txll. rn uddlDn n, rh. ron nl .oslEn{in'n. Jrmrs.s.r phvrl.'l lrn rlr <br />p <br />Lr$:15!ll-srrr&t(r9!uLl llr t ll!\ <br />I h(rcty illrm un&r FnalryDllxrlur] rhd l.nr undc, ro!^r,n ol (-hrFs 9l(nmE-.,n3 wih Sdr)n rlxt,) ofDrvrDn l <br />ol rh. Bu.e$ Dd Pn .(io!rc{x] ..Ll m, ll.nE ! ir tull n)4.r dtr.( <br />v <br />I lyrch, rlfm unLr Fuhy of Frr!ry rhr ttrE s . LnNBrth Ldit .rt*y tu rlr Frfilllm. ot tlE xit tu rtxh rhn Fd ! <br />trsu.J(S( llD7,Crv. ( ) <br />t .&it AddEsr <br />- <br />AETIIJ6NI.IECI.dSAIA! <br />I H'y rnim ufri.r p.nrlry drtxlury.rc ot lh. follurns &.&llnnr: <br />r).m,l{Dn Pcrm +Ath.no! Nrrrk{br lid.r.l Rquhrur(lnk 1l{,, Pd6) <br />Rcqumd l.(crot N(rdirr$n <br />-l <br />.rniat rld rk f.{.nl ESuLl$trs Elstlr3 tstidor ffi'v.l m r{ rolluhl. t, ihs F r..r <br />'crron,nt d1(crhir rhcah'$ [l mrroi a(.n.d I t3Nn,.onllyw(h.11(ilyrnJ Cr nr! <br />hu 'Llms .onn^k rr)n. ,rl tr rl'v Nrntr D. r.Jf,c{nhr Cir, r,rl Cuu.rylo.ni.r !F)n rrt <br />,. ,/q ,," <br />ELECTRICAL-INSPECTOR RECORD <br />I <br />I <br />I <br />I <br />I <br />I <br />Trans{ormers <br />I <br />I <br />II <br />I <br />I <br />I <br />I <br />I