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APPROVALS COMMENTS O$NER AUILDER DEITARATION
<br />I ndcb lmd und6 Fnrny of Fjuy lh.r I d .rcrq,l nrm llE Cor.rrroE I.toB l,\r for ln aolbwins rcMn (S( 70:l l 5
<br />Buins a,l Ptufdhn ( oJ.)r Ant (' , or ('.u y *n{h r.qu'B . p6nir ro c.l(ru.l, rlrd, imFor.. tlanolsh or rgMr er
<br />tltuduc Fff lo its isuuc.. lho rrqu6 lfic q,9lka for luch Fnn lo fik ! st.Gd oEl thr lE or .lE is li..nrd plrsu!
<br />ki !h. lnn aio6 of th. ( onrrrkr\ l-,.oxd L!* (clurnF 9. ( ohrffi'ns $ ih S..rirn 7000 ol Dvnbn I of lh. I,6i.Rr .nd
<br />PmldioN Cod.l or rhll lE o. rhc L! csnP{ rhd.from md rh. tan n ih. .lLg.d .rdFioi Anylbhio.ofsElhn70!l 5hym)
<br />ii'llicul tor r Fm( sbj<.lr llE rprltd to rcnrlp.eltyofnot no,. rhd liv. hund.id &,lld (t500)
<br />l. s orE otth. ForEly. tr ny dpk!6 s'ilh us86 N llEir ek contraE lbn, *ill6 rlE*dt ii ErMEisml
<br />nnaxL<l or olt6d ld iL {tF 7or4. Brin4 sd ft.f{hB Cod.: Tn. ( o.rr.ctoir Licoe Ls dod mr &pry ro e 0*6.4
<br />th. FoFty $l[ toitltr in?.o16 Eatr rn sfio dG sh Nn hirulf or hGltot rhhuBh ht d ha o*n.rrplorc,
<br />proviLd rld .uch inFD\€rEa n ml irqd c ofrdql for -L lf, h.trdd, th. tlildss or ihpNrtFll n $ld wihi. m )d
<br />of.on hntr rlE0$6 Bnildd *ill hNdEh,iarolF.wU thd h.orJEdn mr hiB or inqiE E FotEly irilEFi'Irof
<br />l. 6 o$nd oftn. FoFty. D .rcturn.ly co dlitg wnh licaBol co.tdon io ons1rud l,t lmid (S( 7ol'1. t!.6rK
<br />r hoksMCrld.'lh.Confrtortl.k.cLlwd.Eml.ppltnrsom6ottturdlyshobuil.borihP.o\6lhdFn.
<br />rd f,h. odds fd sch Foj.rs wirh . Corlrxlo(, li.ds.d pdd k ih. ('od,.doa3 t.ic@ t!{ )
<br />I m.\.mF unLr sc'ion
<br />D.l. Orn.r
<br />NOITKERS', ( Onrff Na^imit
<br />ulu.aaauqt
<br />I hq.b) amnn !nd.r FBlrt (f FJtrrl un. oarh.lollN'n! dtltdtr,ns
<br />I lI!\.:n sill mnnli.. ( dif(nc of Cotrhr ro S.llle( tu *n*6-NnFMb.. s Fu iLd t t lD S..ri1n 17(xJ of
<br />'n.Irbor (-ode fd rh. F|lrffi. o I lh. wlt tm qtrh lh. rcn'l i! BU.d
<br />I hsv. .nd * ill h!'nrii. sort6 conFrerbn iBmm.. B r.qrtol br sdrcn 1700 6r ltt tthor O)d., fot
<br />'h. nrfo.Irlec of
<br />th. *ut for snth $i! pdnn i! is.4 My worta' omFsdnrn rmffi. ffi6 r'd poli' nunhd r.
<br />,*- - {/1f< /(1.4
<br />rdi.)ri rE , 9l9Jozs
<br />I ccnrry lh4 in rh. Ffrlliw. olilE wort for *nth lhn Fm 'r n!u.n, I thdl tul @ploy 8y F$n in lnv nd6
<br />s c lo tE$r et*Tr ro rrE urrld' codp6ldh, ldB of Cllifomir. ud +E rhr il I {ruld h..otu $tid lo rlE
<br />$0A6.o6FdirnF.\i.ioBofs,er6n1700olrh.bbor(bdcIshil,aonhwnt@nprysiltrh.rF.viliod
<br />cNil fin6 up ro onc hundcl rhoL{kt &llm itl00,(xr0),rilnion to rh. con ot.nmr.Mrion. d$h86 !s rrorid.d ror !n
<br />sNtnr 1076ofrhc l,tFrCodc. mrdd r"d dro
<br />,o/t-4/2"t2
<br />DECIASAIIQ!
<br />I h6by .iIm unds Fnlty ot Fjury rha I m I'c!E d !i&r Fn\ itirn of ChlPld 9 (olllle.ins unh Scdion 7000) o, Dn irn). l
<br />of rh. BuitB ed PrcfEFB Cort . a my lk@ B 6 tul! for ttd df.d
<br />,n*rr- tC Zl
<br />^.. aab4Jtto
<br />9o]o <'"
<br />I h6!t, .,Im u.(b Fuh, o f Fiury lh.l lhq. ir . .onrrudbn brlinr .sd.y tor 0E pqloffi ofrlE *rtr tut $ hth Ob Fni i!
<br />nru.d (sr .1097. civ c.)
<br />ATELISANLDECI.6MITOX
<br />I horn' .n'm urt, F.llty or p6Jo, r_ om of fi. nnbwnS d.!i,{ion!.
<br />D.rmlirior Pomnt-Arb..l6 fiorifi.dio. F.d.ri R.Xullhu (T ilt 40. Pon6)
<br />F.qun.d I ard oi N{'lifi .di,o
<br />I .d rly rhd lh. fakr.l r.EuldioN rgtninS stEtor rdoval e. nor .tPlk.hl. ro 'hi t roi.t1
<br />I cdilr lhd I ne. r*j lnir.pplraiion tn n.rcthr rrE !h\. inionmri.n is.oEd I (n! , ro 6r( l4.n rlEonlin6fr6 !n'i st.l.ltr$.Ehitir I tl'ldinr codtud io( lrl hd.by !(tnr,! r.rrMlil
<br />abo\c l6lnn d F.IEn) ror
<br />.tlpli..nl or,tsml sktr{l k/z.t/zna
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Safety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Bonding / Groundinq / UFER
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rouoh
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rough
<br />Service Meter
<br />ttlFINAL \li? 4'1b tir4lr'1"6
<br />Notes, Remarks, Etc
<br />ELECTRICAL-INSPECTOR RECORDI DArE I rD/stc.
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