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APPROVALS DATE ID/SIG.COMMENTS Site-Work Underground Pole Bases Light Standards Spas, Pool, Fountains Signs (monument) Life Safety /Low Voltage Fire Alarm / Dampers Building Under Slab / Floor Bonding / Grounding / UFER Transformers Torqueing Sub-Panels Air Conditioners Roof Top Equipment Factory Wired Unit Walls (Conduit) Walls (Rough) Ceilin gs (Hard & Soffit Rough Ceilings (T-Bar Rough) Meter Release Rough lohrllT I Mll)tt' Service Meter tolnl*filrl,ui FINAL tl+4 rt fll,ll4*1 ELECTRICAL.INSPECTOR RECORD (,I*NE.A AUILDF-R DEI-( ARATION I hdib .!Td uidd Friy of Firy rhr I h d6sr &Dd lh. conrtrN l.i(!e Ls for E blbqitE ,!s. lse.roll i AuiEs !'d Profq|ir Co&): Any Cny or Can, shth rcqlir6 . Fni to @dM. r!a. ilProq &Dlirl' or qri &y ir,lrrc Fir ro ir isllee &o r.+i6 rlr +da.d for sh FEn b nL . .aei.d nr6r6n rhi lE o. iE it li.saGl F,rfi ro rlE FovilioB ol dE Codmd r tiEE { Llr (CIIFG 9. CoMirs rih S<ri.n ?0(l0 ol Di ilhn 1 of rlE l}6it6 ..d trofBioo Co&) or $.t lE d !h. i qarpl lh6.tm !d dr b6b Ior thc rlle.d aotrprid an, *)Ltbn ofs.(btr 70!l J by ay .r?lkDr for r FDn lbjei! ln. .p?lkul lo . ciril Fr,ry of mt mErtD fi\. hun<lEd dolbr 11500) I.dorn6oflhcFlFny,ormyoFhr6sirhsis66rhcir$kodDnerion.$ill&rlt\ortdrlrh.inilninol inrarlnl or ordal lor sh (Sc.7&4. BuriB ud ProadioB Cod.: T1E (b.rr..l.ir l-tm* I iw {h6 not apply lo M o\ F ol' rh. FoFly who toil& or in{roB lhson, rn wtu.L6ru.hu* him.lf or hlMlrorrhmush hn orhr o*n.hplord. p.ovildl rhrl tuch unFoldrEfi md idarldl Molksi tu.eL.lt tswq,llE hiEins c rnp.o\q6n Beldtrih:n... td otcorgkb.! tlE O*M B{iEa *i[ lrE rh. lnla ofFoii.s rhd l'. or lrE dil ml tliLl o. inFo\! fi. p.lFly firr E FlrFEof l. . Nc of $. FlFry, od.han lt.odBr(l8 wnh &!E d codraror ro erEM rh. Foj.r1 (s6 7olr. tra!6 rn hDkirco&: Tn Coflr-loir Li(@ Lp &c mr +gly ro u o*G of FtrFry sh. hldr o, imprc\6rh6@n. rd *h. @nr-tr ld st FDir! win . C.fi-ro(.) li6.d Frlld b rlE (tdd( r LtG L.s ) I m.r.mF undq s(li6n no8f,lScr.qrfIMAra! DICTAAAIIA! I hd.by.fllrn u.da p6ahy of pajury on. oflh. following dalr.lioN: Ih!v.nlwillroi rjn . cdirrd. of Co66r to S.lf-lBor. f sorla mhp.Nlbn, s Fovid.d for byS<li,n.u00 nfrlE trld Co<!.. lor rh. Ffolr1@. oath. trnlt lo. *hich rh. !@n is ie.d I h!r. !n $ill6i.ri. mrtd ..np.dhn in!uN.. s r.{oi.d b S<lion 17u} otlll llbor Co&. for lh. pdf{,l11a. of rh. rtrt tu *hkh rhi Fnn i! isi.d My $brtd otr9.dior iffic trir !n rFlt' nonbc i. l.dift rh4 ir rlE Fforn:m. ofth. *or[ for shich'hh Frnn is isud.l rl'rll not orloy&yrFer in lnydt.n- s d ro tEom. sub..l to th. Eort 'conFr$tioi L*i otclliromi.. od .sd rh rfI rh.uld t8onc lubja' roihâ‚¬ *orrd $mFslion proli3iod of S..r io. l70! of rh. lrh.i Cod.. l 3lull. lonhwnh comply *nh rbc pmlhioro . WAnNlNc F.ilu. lo su. wo a' @mp.Mio. ..!d!!. i. unla*ful, md rhdll rubjct e dployd lo .Entul Ftri6 ad .i!il finBuprooEhud.drlbsndd.llst(t100,00o,,h.dlhirnrorh.codofcomF!.rio..&ru-r6!3pror.daorrlE SElirn 1076 ofllE Llt r C.dc htqd -d.ldry r tc rrrre ^-*-,. ,l fu" -I7" " r raf,F(0Nr&r(-mnplgla r0! I lldln, .ffm oid6 p@ty olFi6, Or I u licq!.d u& Fo\nbn of cn+rs I {oMilrr wnh s<rbn 7000) ol Dh i.ba I of th. B6iG. Dd Pb&3bd coda .n n, lta* it h rul ft,c rld.lkr Lic.M Numb( _,-'-"*,{â‚¬,,a 'f?. IqllIAligIlSlITdlllGIGI!(} I hdltt .rm u.& Frty ot Fjury lhi rlkc b . otlrndion lddi4 tn, lor rlE Ff6lffi. of th. wt t{ $tth lhL Fni i iraEd (sc !6,r. civ c ). ATTUCANLOECJJAAUq! I hcdD Imlndd Fnany ofFjol} oN ofrhc foll.*in8 tt rle.tions: Donollnrn Pdmir*A.bdd Norifi.dion t.,.ld.l R.jruLrionr I rnk 40, PM6) R.rtui.d Ld!d oi Nori6cdio. I cdiry rhd rlE frddll rcsutlrioB r.*edin8 at rk\ rom\ il dc Rn .prlElhk ro rhB proJ<cl I cdiry thr I L! 'sd rhir tppltdbn r, rtr. $i rlE rhr! iDfom'ibn i' cotrBr. I r$6 ro onpD wih lll Ciry rnd ('oury onlin.lt. Dd sra. LB Ehir ro huihiry s'dncrjo'! -d lE!6, dlrriz r.Fdrrn6 of lhir ciy &d c6rdt 'o 6nd '{or r.t E rEiioi.d FoFry h. iqcsb! FaFâ‚¬ ^prr<d .r {ir sb-r.n.:Lfl a} "17 " D!,. - .- , - - - I I I I I Communications Cable I I I Notes, Remarks, Etc.