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ELECTRICAL-INSPECTOR RECOBD <br />APPROVALS DATE ID/SIG.COMMENTS OWNET'UILDET DE{AXATX)N <br />I lEEty rram untr Fn{ry or F4!, rtr t 6 crnv. fibd rt Cotud'LEIEr,* ft,llE iolbroS Esn(Sd,o!I! <br />BunKr .!n Pn'rdrs ('rr.)r Any C y q Cdd, *t.h Fqr6 . F lo $[(Rr. .16. r+.oE. &nElr3n q qrr ut <br />nBr@.Fsront lruet..L. GirliB llE +t'l..nl tu l**h Fr bf ..!t'Flnffir rh.t h.q rlr i li6,.rl p{N.,r <br />ro rlr Fovlbnr ot rlE CdhrBrdi Ldn6r lre (Chrllr6 9. O,nrBtr! pnt Sar$n ?m ol D'vBEn -r of lll Bur'rcr. .d <br />Pbr.($.. C.rL) or ln.r lr d lrE s .k.lp{ trEEfbo .nt rlE h(6 for rll dr.8dl .rnarD.. An, v$LrDn of S-lu 7011 .t by rry <br />tprir.ul ror r Fm'r $hF.ll rlr .plltel ro r.'vrl FMn] or { mE lho firc hudGl &nlJ! (IJ00). <br />l. rr dwnfi ol rh. F)JEny. D. my cm,,loyr.. wi h rrrcs rr rh.tr vn. d,m[l.ns.tNn. sll {, rh. *,{t rd rh. nMm r r{ <br />d.nLd oroll.rJrlnsL(Sd.7(x-,1.Arsi**irll\,lcro.!Cixi.:ThrCi,nra(ttr'sl-f,.h(I:w&'.rn,ofl'lyb.noun.rol <br />rh. pn,Fny wh' h{rl,r n nF'Er th.6r..il wh) llEr qlh k)* hm\.|f.. h.rrlfor rrsn,Ih hn or h.r o*h.rlJlk,ycc(. <br />0ro*i.J rhrr ahh hlmwnr r & r* d.nldl orolLr.J ntr eb ,1. lr,ww. rh. ho uB or rFrEr r g,U *nlu,E Frr <br />oicorq'LrD.. roDE.Bu lsw lh.Erlltu&nolFtrm3rn lr.rnr,ln n hr! or lrsn'E rlr F{d} kr <br />'tE FrF}c ur <br />_1, rs orEr ol.rr F)ltnr, m .rclurrl, onrrrll! ,rh lio-d $ffi(B t, i,.ier rlE tmFl (Sa. ,,Oa,r, Auc{ <br />rn PE..rrm Cdc Trr CodrEro.t Lrcns ti, L,iE Bn .Itly b u owc o, FoFfl, *i. hd.lr d ,n0ow. thdtr. <br />r.d *lxr oddr lr un Fri.tfi rdh r CodRrdn La-d lu,fu rorh. Codral* r l-M. b*). <br />_I m.r.nF uBLrs{rbn_, B &P.C n,,rhlrn(.n. <br />woRxrffi <br />DEITJEAIIA! <br />I h.Eby .,Irn urLr FMty ol Frrury om oI rlE ,oltr*ot &rErr.nrl <br />_l h.v..nl *'ll murd. C.itiltn. otcoE r b S.r-lEoE l( krt6 ore.trddn. ai tnrvrlal lor by 5e1n l?m.rdr <br />L.rrx Ca! nr rlE Frfi{rw ol tlE xxi( fr ]hIh llE Fnd ! !sEn. <br />I tuw .rn *rll mdu ro*.n' .o,tl'.Nrbn ffhtu.. 8 rqulql l', SarM 17r) or lh.lll$r Cql., lq r,x Frnrlrlur.l <br />lh. rqt f ahrh lhir Fmn r! liid My wt6 .rtrrF.drr ,Nlur ffi .rn tslrt nonls E: <br />IE <br />WD c <br />_lr.n'fyrh{ 'nrlr Frlfi.Etu. ol rh. work hr whrhrhrrrm nr{kd.Irhrllfr cnpk'v iny Jrrion h rny frnmr <br />er .! l,) lEadm \uhre r t' rh. u'ltdr ..mtEnr.tr,. l.ur ur (-rlrl mD. .hl 4r rh.l n l \h,uhl trd 'ft luhFr b rlr <br />s' cs' uur{En{r,n ln)vrDnr or Sel rh lT{I) ol th. lrrtr (irL. l tull. l,xihwnh illt{ y *i h rh'r pn,vtrx,nr <br />\ \ \l\',*tul rr, lhru sbFr e dy{*,F b ulsr.l F lB .d <br />.'r'l linc\ up n, oft. hu'rl,.l rh$rnl JollJ\ r!lr urr)of $np.ndnn, drtr8.r * pmuLt fttr rh. <br />Ser-n r{'76 ol rlr l,lr ('dL, 6kd lrl rtmy,! lc <br />DT'CL{RATION <br />I h.rchy.llrhunlcr pcnrlryol Frluryth.r I am l,.cne uRLr nnr$!,n ol Ch{*s ,) l.onoEBrn3 * hS.dx,nTtxD).ID'vnn l <br />ol lh. Aurm( rd Pnrcson\ Cdl.,.nl mylk.ns. ( n full f,(. .nj cl Lcr. <br />c-l0 t ) <br />ir-l,.., " /)f/ <br />CONSTTUCfION I T\DING GENC:Y <br />Ih.Ebyrffmu krtrulyofF.rurylhdllEE!r(rnnodlnL 68 rt.ky for rlE Ffomm. of llE strt ftn *i.h rh! Frm ! <br />ir!x.! (S$. :109'7, Crv C.) <br />ADPLTCANT NECj,AR IION <br />I Hr,, .rm utrtr FMrt ol Fiury oE ol r& tull'w'n! J..lu.l$n!: <br />t).Brrirn P.rmrr-Artrnor t*rfaa&n Fdkrl R.lulrtr r (I.k {r. Pd6) <br />-R.q!ftd <br />lnis ol Ni'rrtrr <br />I ddlfy rh{ rhr r.&flleauLrhnr n!dr8 rih.*x Rmrvtle 8, +Fl..hL lU rhn pn,J.al <br />honlnaftt! md Sr . lfws Nbxnri0 hur <br />.hrvc mnrnmd pn,Fdy l,tr hrFlnr <br />rtrr[trp. rcr!.r.nrrrrv.s ol rhtr (iry rtr,l(i'uIynr ctrrcr trtrIr,r <br />Appli.xnl or Aio( sirnrluE <br />Site-Work <br />Underground <br />Pole Bases <br />Light Standards <br />Spas, Pool, Fountains <br />Signs (monument) <br />Life Salety /Low Voltaqe <br />Fire Alarm / Dampers <br />Communications Cable <br />Building <br />Under Slab / Floor <br />Bonding / Grounding / UFER <br />Transformers <br />Torqueing <br />Air Conditioners <br />Rool Top Equipment <br />Factory Wired Unit <br />Walls (Conduit) <br />Walls (Rough) <br />Ceilin gs (Hard & Soflit Rough <br />Ceilings (T-Bar Rough)tl <br />Meter Release tl/4lt)l/t//52/ <br />Rough <br />Service Meter ///4 /k twl/ <br />FINAL /./.La-rCi 4 '??.s t€.t:t, z -> <br />Notes, Remarks, Etc 7 <br />-+ <br />I <br />I <br />I <br />I <br />I <br />Sub-Panels I <br />I <br />,**.: zl)J$ <br />,/ <br />-. /{{^4