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APPROVALS DATE COMMENTS OWNER BUILDER DEITCA IATION
<br />I h.Ehy arrm u.d.r IEMITy or Fqury rhd I m .x.iY! rBo rh. Codtu.ron l-k.n{ ttw for rh. folr,wi.8 Ea$n ( J5( ?dr t li
<br />Bu\irerr .d P.Df.sion Cod.): Any Ciry nr Colnry *hkn Equ,G . ,m r ro $ntrruci. rh6. irymr. d.tuli:h m Eirn r^y
<br />nMrm, Fir ro ik t$sR, rl$ ErtuiB rhr +pl. r to. uh Frnir io liL ! riSFn dd.Enr rhrr lE or sli a licrrn pu,!d
<br />ro llE F.lnions of llE Conrrroa! l-ic.nsn L.* ((-lur d c, ('oflEfti.r rilh S.dio. IxD of Dirkb. I ot llr BuiiErs ud
<br />Pmrcs.nr Codc, or r[.r lI o. rlr h.&npr ttBtn,n Dd rlE t'.!n tu rh..lLs.d crcnprhn A,y rio&tiin o, *.!nn 70]l5byrt,
<br />rprli. for.Fmnrubr..kth..pplarnlr.r.irill.rlryofr,tlftrhifir.hundEddolLri(S5&l
<br />-1.
<br />.\ o*F of llt ,llFnr. r ny.'q'!,)t r *ilh r.8d 8llrn $l mtrFndnn. vill & llE qri rn 0E rnrrE i! ml
<br />id.irLd dofrnd fd ql l5< ?or.l, Boia!..d PiDrFlioN Cql. Ttr C. r-rd i litne ll* &B id.ppr, to s o*B or
<br />rlE F,Fry *ho hriur tr irgoE {Eqn ud BIE d(B ai *rl hi|mlf or lE-lf or fil[an hir c lE .h crlPloF<.
<br />Fovit d rh.r sh itrprDEEn. e d ii.flLd dotuld frr -L l( lrffi. !t irfiBd i4.ftid i! sA s inmF,
<br />orcirptriotr r,i O*E Buills *ill t r dr hnh orF rt dr lE n dr dn r{ hill d lltmE rll FlFry 6r dE Frrr of
<br />_1. .\ o*E o, UE F{E! y- a.i.tulnrl, contrrfu rnh litren .onBrn ro on{nl1 rh FDirr (S<. 1X.1, Brirs
<br />rd ffiin Crt r Tlr Contdolr l-a.nr L.* dra rn tJ'J'ly r. d 0*6 of Folf,ny *t6 buildr or ifprorr rlEr6n.
<br />.nd *h. o'r...rr ld tri rFr<rr,nn. ConBldn litnBrl l,urulr lortE C.nl.|d.. r knE ll*).
<br />-l
<br />d.r.mpr uid.r SErion_
<br />naBf,!85:r!r!lE!itarl0!DrgJalra!
<br />I hcrcby !mrnr undcr l](Mlryolp.rJu.y urE.l rh.l,'ll(*rn8 d(hrark,n\
<br />I hrr url willtuinrain rC.niltrdr..r(i,n{ n,Scl, lNtrr fitr r.rlcft co {{n\trri(,n- IrDtidcd lor bySNrir,n 17([orrh.
<br />ljtxtr C{nc. ftrrhc pgrornurc. of rhc,n,k ntr whi.h lh. Irnnf n ruln
<br />rhl sork for qhich rhi\ If,nnir'! ni'd Nly*or .,trnjxl\xii,tr, trtru'i',...n'n.r r Frl'ry nu tur m
<br />-l.dify
<br />th.r in ttE IErforNEc olrlE uort i, *hth rhn lErnir t rod. I rhrll ft, .nFhy cf,y lEren in rny mnEr
<br />vr rs ro bcc.m \objd nr ltc *{116' cortEnsdl bo h*t orciln'mir, .nd .3E rh,l 'l I \ln!H lEcom objcr ro rrr
<br />*0*6 otrsEtr$rionrmviib.t ofS<rhn lTurofrlr lllrn CdL.I tl l. tunn*irt ci rs,l, *irh rhnr Dmvish"r
<br />ln^llllNc: Fiilun ro w. *nlGr d,itH{r*i mrmrc ir u.hstuL r i .hrll tohj.st M.npbF ro diniMr FEIB d
<br />.Nil lims trp rr 6r hudrd rtbuqnd doll.6 lll(tr,OI drmg.r !s ,rouilcd fitr rlE
<br />sR.-riM :1076 0f rlE trhor (Glc. inr.nr lnl dhft (?f rtf Lo L
<br />!&rIJtAIlla
<br />I h.crry dIm uo&. F..X, or Ft,, ihl I n hcEd utnci thlbi{ ol Ch{rcti9 (.ffiint wnh Sdi,n rml of Divti,n l
<br />of lh BuiBi !n PrelKiiN Cod., rn ny li.N ir i, tull roc !n dlin.
<br />h ^/ l-q ,7001,-7'7
<br />Dr,. =>!1/Lt .^,^{d.ry
<br />{'oNs rRUcTl(}N r I-\DING a(;}rict
<br />I hcrhy rlfirm uRler Fnrhyoftrrjury rhrr rltc a r.otr{elrnr lrlnr8 tr8cmy nn rhc F-Tl,tr,E^-.c o! rt* $o for *hi.h rhr tkrnnr s
<br />i\udtsc. llnT Cn a )
<br />ATELITANLI'IIIAEAIIA!
<br />I tlR-ht alfm undcr lcmhyofFrjurt onc ofihc n,lhe'nt d.chmri,n\
<br />Drn,lirion Pcrmil\ A\ll{no\ Nori,l(,rn,n lid(,!lRrruUrtrr\ ( lirl. tX,.IItn6r
<br />-Rquncd
<br />llrcrof N,iia.arin,
<br />I .d iry rhrr rh" rcddrl rcir hri,.i rsiudtrr8 ht{no\ rc ri rl ,r. tror upnh Lt'rhnlnrjd
<br />-l
<br />.qlify
<br />'hd
<br />I h.rt Ed $ir rmlt!'hn .rrl n.'. rh rlE rh)k inrorfrrir t cnRl I rlrR ro Nirll, wnh rll Cny .rn Counly
<br />nrniMms snd Sdc be. E! tr{ rgatr ild m! mi{Mr htr an hftby rutbro. E,ncddi6 or rhi! Cny i,n Counr,
<br />'o
<br />dc upo. E
<br />tr,:H*:"f-q? W'q *,ottt/t$
<br />",,^,**,^^,, d CP-{rIt ttorrvros*
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Sate ty /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER \\L\\dl ,4lanrt
<br />Transformers
<br />Torqueinq
<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 Rouoh)
<br />Meter Release
<br />Rouqh rr\r,t\r(
<br />Service lvleter
<br />FINAL I\VA\d ilt)'.aA)
<br />Notes, Bemarks, Elc
<br />ELECTRICAL.INSPECTOR RECORD
<br />ID/SIG.
<br />l^^t1 t t?i
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