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APPROVALS DATE ID/SIG.COMMENTS OWNT.X BUILDgI DEL(.]{RATION
<br />I lEct'y rfim u(l. Frlry of F.rr.] rh, I m cr.f,fl rmn trE C.,rm.r6 l,id: Us rr, itE rolblh3 rc.sn (sd 70.11 5
<br />Blriftsr dld Pmf.sii,n (lxlc): An, Cily.r Cou y whth ..quircr r p.mr ro ron(Mr, 6lrLr, imFrvc, &mlirh or EFn .ny
<br />nnklu.. pd, ru dr 6.uft...1$ r.rpircs rlE {'?li. ror srh Fd ro 6L . iiSEd rlll.mnr rh.t lE d rrE k l.rred torulr
<br />ro rlE r,$vnioni of rlE Conr6tr\ Li..ned trw (clqr.r 9, (t,mmmins sirh Sccrii,n T(rrl of Divkio. I or rh. BlriNs ind
<br />Pn'rc\\ionr CuL, or rhar tE d rlE is cr.trpl tlrrcfrom In rh ht.n fnr rlE rlkr.n.(nt,ion AnyvioLlio"ofS<rnn70rI5 by.ny
<br />{nli.rnr tor r Fmn rubFls lhc lpplicor k, !civilPctuhynrior d,E rhan livc hundEd dolldr(S5(rrr
<br />-1.
<br />r\ trtr( or lhc tmpd!, (tr my cmploF$ wilh *ss.r rs lhci q,L mqrnidr trnr. will d ltt *dt jn dE ne1ft a n
<br />id(nal f Dli.Ed iir et (56 70,1,{, Bu\ift$.nd ln,r.iii,6 (i*: Tlr C. rd{iLirnrlr*d.*!d{Plyromo*Erol
<br />rh. ,Itr{Eny wtF hildr or iqmN lh.Mtr !,i wh, des rEh H h.\.lf or ,Er*lr or rhnu8h hn or ht.*i c,irkrtt.\'
<br />ln^ lLd !h.r tkh rnportmdr e n, irnLd ( of.cl f( sb lt h'*8, rlr hllli4 n iilmErrl ir hld *irhin oe ,{t
<br />nfcon!)krbn, llE O*mr Buil&r qill hrE tlE }udcn.f ImvmS ltsl lE or nE drl mr l ldn lnpi,E itE Fstdy tor ih. F llxol
<br />-l-
<br />.\ or er or rlx t}otxnt. rn cxclutiEly conlrklins *il h li(,cd .odr{{^ lt .onslrucr llr FoFtr ( Sc( 7tx4, BusE$
<br />.lrl k,tsih Codc: Th. Cootrloit l,i..nk tiw dixr rrtlyro o*FolFoFny*lh6 ildi or rnDmEr rherdn.
<br />lnd rls flr a1! aor uh F'j.ir wnh | (1)nr,rlono lt n-d plrM n,rht(iflhdor'r l-EcnE ti*l
<br />lm.kmpr undf Sdb.
<br />!!!r8[!8s:Ct&lrBrArrad
<br />lElLA8AIlA(
<br />I rmh, alrtrm unt r FMri, ol Fjury .'E oI rlE t,ll'*i.a &rLr'riobi
<br />I hlr ,id $ill tuinrr,n r ( cd ifEarc of (inlcnr b S.ll l.surc i, *,rkcn $nTtnslinr. u\ lm vilcd br by Sc(hn l rm .l Ihc
<br />I ihor ( dc. lr rlE Frforlllmr o( ttt I orl rt, wnkh rlx tm ir i\rk{
<br />I h.E rnl rill Mirr.in wrtdr' oirt@rion an@st.8 Equ!.d by Salion l7q, ot rlt lrrbr Cod.. ror rlr Ff(ru. of
<br />rlE *rk lm vhi.h rhi n mir ir irsd My wdrkaa .rn{f,ndion inrur.re ffia ud Flty nun'tEr m:
<br />.*, ALI< {vr"l , t
<br />n '",",.*,, 42t13'(a1t' *e*, 1(z-c /lo,
<br />l.drfyrhll in IrE F.forroN orrh. *url ror *h*h rh'i,Ermn F ssEd. I snlll Er.mpl',yry lEmn '. &y iME.
<br />$ $ro lr!'m 3ubl.<i k, rri Nt6'.nqEnsl i'n li*r ofcllifomi!- s.d llm rhlr il I rrsuld tt.o,r slhr{r k! rh
<br />*olks\.,nFnsri,nF,lisr'nsolSdhn:llx)olllEl.try(i]dc,l{ull.[idh*i!hmnPlyrrrnth,.F,!Gi,n!
<br />\tARNlN(; l'ailurc b ccur sorl.^ (nnnrn\nrtrm $!crr!. r\ n.utrtul. rnl \hrll \ohFr dl,k))tr tI dnnul Fklts llrl
<br />ca\il lift( up t. orx hunlrrd ilr,u\!ftjdnlh^ lll(Xr.(rrr. r lddfi)n ln rlN co{ of.otrP.n{ti({, JanuSc\ !t Pmlrlcd ntr rhr
<br />S..rtr rl,76olrtu lrhr (ixlr. 'nrrr.(rftl, kr'xy'\ 1..\
<br />l lol,n
<br />I lEEby dnrm und.r Fn.lry.rr.qury thst I m lian$d uld.r pBviri,n ot( ht,'ld I (mmERins rnh Sslion 7(m) orDivi*'n l
<br />.l ilt 6urm! .nd Prol6lir6 C.i...,n ny lt.nk N
<br />'n
<br />frrll lor !n.rd
<br />a lo t+1t t-,t,"**fir;
<br />4:tL l9 c
<br />l0llirBllLrlllxrllDM.AcEl.(r
<br />I lrEby.lirnudrcr Fulry or F,urr rhd tlEE ir. o.{dnr bdii!.scry rdr itE Frf(mE of llr {'st nr r6ah rhk Fnil ir
<br />h$.d (S... .1097. Ci!. C )
<br />AISII(AtrLIE(IJBAIII]N
<br />I hodry sfmundq pcnolryolpcriuryon. or rh. nnbwi.B delualions:
<br />lXmrlirhn Prni+A3tEnor NdifErion H..rl &Fubr ir.s iTn!. .r0. Pd6)
<br />R.tun.i b ( ol t{tifr.rir
<br />_l cdi,f, rh'r llF f.d.rrl E8!hio6 E3adiry .{E
<br />f-/L4 cdfiy tld t hE Ed thN lFplr.rion rd {rrc rh.
<br />ordiMBE.nd srd. ri*r EhriI8 ro lDildins corffntlt
<br />i'((nr,vrlrr. 'vn rtpl(ihk !)rhis nn,Flr
<br />r rlr rhrr irl'trn k{ i\..trc.r I agRr kr(nnt)lj" nirh ill (
<br />J_ rtr(l Crunry
<br />rurlEr. Errcrdnir! of lhn Cny .rn C@nry ro .ds lFn di
<br />.trr rEnri,Erl pDrf,ny tu in\8dirn pu4rEt Qt3 /-,\ppli.snlnr \,ttnl Si8ntrlun
<br />J a'1;?'I A', ...
<br />Site-Work
<br />Underqround
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Siqns (monument)
<br />Life Satety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Under Slab / Floor
<br />Bondinq / Groundinq / UFER
<br />Transformers
<br />Torqueing
<br />Air Conditioners
<br />Rool Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilinqs (Hard & Solfit Rouoh
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rough Lt/n r;u-<4
<br />Service lvleter
<br />FINAL t/tlY C
<br />Notes, Remarks, Etc
<br />ELECTRICAL-INSPECTOR RECORD
<br />Sub-Panels
<br />q 6')Er,
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