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APPROVALS DATE ID/SIG.COMMENTS
<br />Site-Work
<br />Unde rground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Safety /Low Volt
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Groundino / UFER
<br />Translormers
<br />Torqueing
<br />Sub-Panels
<br />Roof Top Equipment
<br />Factory Wired Unit I
<br />Walls (Conduit)E/viltx .'A4t
<br />Walls (Bouqh)
<br />Ceilinos (Hard & Sotf it Rouoh
<br />Ceilings (T-Bar Rouqh)
<br />Rough
<br />Service Meter I
<br />FINAL 2//clf "1 ,&qx
<br />Notes, Remarks, Etc lV
<br />OWNER BUILDER DET,CAXATIoN
<br />I h.ehy llfirm lndn Fnlhy of pdjlry lhll I atr.r.r$ rn'm lh. (.lrnlrex,F L.irne l,* r'o, rhc nnbsin8 r..sn (Sd 7011 5
<br />Ausincs !d ProIcsi,n Cdlc) Any Cil, or County whkh rcquiB r Fnir lo $n{Ml. alr(. nr9tuv.- .Ltunirn o. rtlir ay
<br />(ructur., Fior b ns irsatrc, $ rcqun$ rh. q,pltdnr (or iuch Fm n' fiL a sisrc! d.l.trn' rh.r lr or {'. 6 li...kl l,umd
<br />ro rh. F,vhi) of rtr Co.ra.ioar LiNned lrv (('hrpr.r 9. Collftmin8 *nh S.crbn ,frn of Divir n :l nf rlE Buti..i! .nd
<br />Prcfcs(irns Cod.) or lhlr rrorrlE ir.rcnpr llErcfrom.rri llE htn ntrtlEalL8 d.rcr{'ri.'n Aiyvk,l,rilnorscdhnT0ll Ihy y
<br />alpli.an! f( r Fmn suhFrk ihc +nlicinrb rrivilFolryotr, fr,. rhd fiv. hlndFd dollar ( lt(n)
<br />-1,
<br />as oftr ol lhc FDrEny. o my.mphyrl virh r.rd tr llln $l mitinr, t,n. willrti 0r *nt {d llE dEii n
<br />LncrLd n or.Ed f6 nl. (Se 7Or4. BuiBr od FrnrB3bN Codc TIE Coftdolt Lirn. t w &rcr ml {'pt lo u o*ffi of
<br />E FoFry *h hildr d apmB drE.. .rn *h &6 uh qrt hrlrlf or tEBll or rhmoBh hir ot t( oBn.n?hr..i
<br />FbliLd rhd 3kh irFomdr e d ir.t*ri d otu d ft, sL. ll l$kw- rlE tlildiI' r irFlErE r n r,! tahin rE )sJ
<br />oforpHix! tlr O*tr B.itlr wiI hE rlr hij.n oa FDt!'s drc lrd {E dit d hnu ( i'qmE.lE ImFry rir E F,FEof
<br />_1. ti *r. of rrr FnFny, o .r.biliBly 6d.*t ilr *nh liroerl $drdn ro &n{d rrE FrF {Ss. 7(44. ButiE(
<br />.d Pro6$b.Co<Lr TIE Co r-rol. Lic.n{ t:w dG. mr .r?ly k' s owEr or proFny wln hildt or impmt. rh.tun.
<br />.rd *ln onr*1t ltr sh FDF.I! *nn. Co Blontl lianrn rurud ro rli G'nrdd r l&nr hr)
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<br />dcrcn{ udcr Sst.n-
<br />D.r. otu wonxrrl crnri,r'riilron
<br />IIEIIJXAIIIId
<br />I tmhy lmrn und.r FEhy oI FFry or ol llE frnbrinr d.(lurl i,n.
<br />-lh.E.d
<br />ll mid.n. Ctnirnk of Consr ro S.l[.ln.w ld qrt6 @d9.rnrion. ! Flvil.d ror btSdrbn 17@ orrll
<br />brDr C.de rc E Frfmorrll wt ld rtih EFmn ir irqrd
<br />I ha\. 'nd *ill tuinr.in hrr6 cor{Enqri{ irnr.rc. .i rqlici ht S(r nn .17(ll., rh. l,lrtr (iiL, ftn rlr Fri'M-. I
<br />{,n^^ I
<br />in urN.-ri, an Frr.y.umtf,r &
<br />@lqvecst
<br />"",*,
<br />n **,, -tl boao-7 oq { I 1
<br />I dify rh{ m rlE Frforturc of rlE rort fr *h.h rhn Frd n 6s.rl, I rhlll dn ciiby .., Fsn D my lus
<br />s $lo bdor rubrd ro Ee 6l oqErF.lhn lt*. ol(ililbmi. .rd.aR rh.l ial tltokl trsft !ot'r.t rorlE
<br />wrt6 md{f,ns.li.n rmrthns or S<iion l7{xr of ilE l,ts Cd.. I {dl. fcrh* nh m'q y *nh rtD. rNkbnr
<br />s \u\r\r,
<br />cnil fiR! up ro om huRnel rtx,u{nd doll,( (tllro.l ,. in xunbn !0 rrE n*r or n,n. drm8.r rr rovid.n nn rlx
<br />6 v
<br />I h.ft6ystirmuhdcr p.mlry ur p.rpry rh!, I {m li(n.ri uftk, nn(tri9,(hrnkrer!oirr( r* hSRrr'nTrrrrotDiltr)nl
<br />,,r rhc BD\iR$ rnJ Pn,fcr.k.n. c,xl.. ml m) tr.n{ r,n rul hrn.6rt.fln,::;tlafuui#jo30
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<br />g.tBsrf,lcuQNl,l:luNillirNl:L
<br />I hc6by rrrm u.d.r FmlryorFquryrtur rh.n ir r con<d.rbn lndin8 rg.ky r(r rtE FrrornlR ofrlE *ork ntr whirn rhi! Iimn ii
<br />nswd (Sa.1097. Civ C )
<br />L.ndci. Nonrc
<br />Lenders AddE$
<br />AtEucaNr.llrJJaar[,t!
<br />I h6dry arm undcr lcnolry ol lcrru.y om of rL followirt dNl& k ni
<br />D.mlilion P.rmir$Ashc{or Nolra(3lion Fct nl R.3uldi<rs (T c.l0, P!n6)
<br />_Requircd lxrrer oI Norifrdhn
<br />I .dirr rh,r !h. rdLhl Bllhri,ns ESirnin8 .\b.dol rc'nral ( n rtd(rht h lh! Ffl,F..'l
<br />-l
<br />cdify rhd I luvc rc.d rhir aptla.! ion crn {dc rh.r rlE .h'rr mtdmr nn ir .rrar I 0Ir n' conr dy trnh rll (\ry !'xi (irnry
<br />rrylnd ('i' nrt t'.nrd oFnrrrodimh-.( rl Sr.rcLisr ELi'in8
<br />rlxrr nrnri,rrd pn)nrnr nn
<br />Appli..nl or ,\E6l siaElum
<br />C/'C Z
<br />4/d/tY
<br />I
<br />I
<br />ELECTRICAL-INSPECTOR RECORD
<br />Air Conditioners
<br />Meter Release
<br />T-
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