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APPROVALS DATE IDiSIG COMMENTS <br />Site-Work <br />Underground <br />Light Standards <br />Spas, Pool, Fountains <br />Signs (monument) <br />Life Safety /Low Voltage <br />Fire Alarm / Dampers <br />Communications Cable <br />Building <br />Under Slab / Floor <br />Bonding / Grounding / UFER <br />Transformers <br />Torqueing <br />Sub-Panels <br />Air Conditioners <br />Roof To p Equipment <br />Facto ry Wired Unit <br />Walls (Conduit) <br />Walls (Rough) <br />Ceilings (Hard & Soffit Rough <br />Ceilings (T-Bar Rough) <br />Meter Release <br />Rough <br />Service Meter l l <br />FINAL /lwrrT-P '//'J/L //L <br />Notes, Remarks Etc. ' <br />OWNER BUII.DET DEII'AR TION <br />I h6.5y rllm uitls pa.!, of F)!rt thr I m 6atpl &oE rh. Cdi.rd Li.@c trw for E hllo*t!8 M&n (Sd 7011 5 <br />B$Ild dd Proft.li,n Co&): A,y Cn, or Cord, whkh Eqoc . Fni ro odnEl, .lta, inp.ort .lomlih n q.i ny <br />ittucrurc Fnr to nr iBue., .lro E$riE Ih. +Flicd for 3ucn Fmn to 6L. rigiEd fioDol rhd h. or JE i lkds.d pr,d <br />lo rlE Fvib6 ot E Conrrxrci Li.dt i t * (Cli!F6 9. CoitlllBog u-hh Seri{ 7000 of rrrvi.ioi I of th. E6nE id <br />Pot*io Cod.) or lh.l lE n rlE ir d.npl lha.ftoh !i !h. bart for lh. llLg.d ddtrBion. Any vi.ldirn ofselion 7031., b, My <br />.prlkd for. pqnh tubjdi rh. .op[.0l lo. ciril Funy of mr tuE rhe fiv. huidd <bllj! (tJ00). <br />-1, <br />a orc orthc FFiy. tr Ey qlptlE wnh *186 6 rlEir sL 6nFEriE. $ill &i E f,sl rn lh. r,triR i N{ <br />inlq&Ld or otr6.d fd !d. {Sc.7044, Buina ed Pisl*ioN Co&: TtE ('onr&brr Li.@ lj* &6 er.r?ly to & o{e of <br />0E FoFr, vho hilt d i"+.sg t EG -d who dE !d! 6r hi@lf o. h6!.lf or 0mugn U6 d lE 06 dplotq <br />pNrid.<t th.l luct inF!ffie ml idaxLd dotusl6. sl.I( holr(€, rlBtoilri,! or inp6 ndbbldwitnhm.rE <br />orstrpldbtrllE()..c BiEa rill ltErlE hrdd'oaF6t t lEddEdjddtild inproEdEFDFry 6. rlrF,po,.of <br />9lIIJ, d otrE olrtr F!!dtr. @ n.lBN.lv conr.rq $ h lEsE dcondoRroodrud rlE FoF tsa.70&1. &6!B <br />drd Erf.ix Cod.: Th. ConrrGror'r Lk@ Lr* do6 mr +ply ro m o*c ofF6rdr, wlb tdildr or inpmv- thoan, <br />.rd xtD N .x. 6r sh FoFr. *nh. Coi..cro(r) li6.d l{r,rr lo rtr Cot .rd r Li!* br) <br />_l o.!mF un& sern._. B & P C fn $ir rd$, <br />l-t5- t1 <br />D!:(I-]&!IU.! <br />I hd.b.mm uiJd FrnrorFju E offi. folh*ns &<le!lE6 <br />-l <br />lur. nl yill drrin. Cdl'fEd. orcoen lo S.lf-l6u. fn *st6r @Dduria - FotiLd ts hy Sdion 1700 of rlE <br />Llt r Code tor lhc p6fol1Mc. o f lhc wll for Bhich rh. panir i! is.d. <br />I hlw lnd will maimlin wo*fl @mFMrhn a6s.m.,6 r.qui.d b, sd i,. l7O0 of rh. kbor C6d.. for rh. Ffolllrm. of <br />lh. *ort for whth lhi! Fnn n iB.d My wld o.rpo!.bn icl]ftc .',E ii Flit numbq E: <br />-Erpn.:- <br />kl.drr, lhd r rh. rdfotunc. of rh. $o,I lir trh'ch th6 Fm( B E0e'I rh.ll nol dploy any pd$, D lny m na <br />E 6b b(am ubj.< b llE trors oqtdhn Lsrof('n'foma Erj +rrhd 'f <br />I ihoull b<.tr rutral to rlr <br />wrk6' @apcMlion FovirioN ot Selion 1 700 of lh. t t r ( od.. I CEll, fodh$ nfi 6mply $ nh rls* pmvtiod . <br />WARNIN(i: Ij.il@ ro s@ *0r[6' conrrEBd'o. cov@nc B unhstul, dd 3hrll $hJd u aploF ro @ind paErtid Md <br />.n'l a@ up ro oE hur<!.d tlFusnd d.ll,6 (llql.ulo). .n ddnirn lo rn .6n or.oniFGirion. d&tr 96 - FoviLd for th. <br />sdrn 1l)76 orrh. Libor CoG. inra6lDddorEy'. f€ <br />[L!Lr.Ul-U.!2.\ <br />I h6.by lIIm und6 F![, of psjury rld I m li@!.d od6 FDlnion ol (1lrpl6 9 (.amfting unh Sdbn ?000] ol Diviion l <br />oa rh. a@B .i Ptuf66 Co<ra .d oy lroE ! D tull aoN !n .lI(1. <br />LicrBc Chs:-Li(.B. Numb6 <br />Dir.r Cortndor <br />calslalgllaJ.ElDtlc3cElq <br />I holtv.llm ud6 FrXy otFlry d'r E! ir. odMion lddirs.8d! lu llE Ffclrle. ordE wt $r utan lhir Fni i <br />islu.d (Se. 1097. Civ. c ). <br />AIIIJ{;AILDECIJAAIIA! <br />I ho*y .trm undcr F.!'y of p<juy oE of llE folhwi.S d..lrr'ionr <br />D.mhion Pmnt-Arb.ror Ndin.dion F..l6.l R.euhbN (Tnk {0. Pd6) <br />-Rquncd <br />lnrd of l'{olilKrirn <br />-l <br />cdiry lhd rh. f.ddn r.tuLlioB Elrdra -ncrot @r.l e mr {'plk SL h thir F!}:1. <br />& catiry rr'a r ru,c qa U'ir, rrpliarioo mt n.rc rhsr tl! lhovc inton dion is .or.d. I .src ro ondy *nn lrl cily ud cou.ry <br />@dilj.lE d $ac t^. nIdB ro hlildi.r oliiiEtiotr -d hdtUy.dloriE EF6. r^6 of lhi! Ci).d Cour,lo orc r@. dr <br />nhtr. u{rtr).cd pn)p.n) tu 'n$alkn,pu'li86 <br />Appli.ml or AR6l Sitnrtur. <br />,/"n K*)-t'vr <br />r <br />ELECTRICAL-INSPECTOR RECORD <br />^,,, 3'tr4? <br />Pole Bases