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APPROVALS DATE COMMENTS OWNER BUILDER DELCANAfl ON
<br />I ffiy rrm unlq Frly of Frury rtr I 6 .tdfl 6on 0E C.drri6 Lile L.w lor lh. folhvnu ld)n (56'7011.5
<br />&!ine stl ProaBbn C.d.): ,^., aiy or Couny whtt n qliB . Fna lo @Erruct. .ia. ifipoG daDl6l or lq.r oy
<br />3n!dun- pmr ro ir! is3ffi.. .Lso rcqls6 E .ppltEr tor sh Fnn b fiL r rig!.d tlaEr€n $d tE o,slE it liciu.d F@d
<br />ro lhc FoqioB ot 0E Contr&toa! Lic.nr.d t w (Ch,pld 9, Comdci.s vilh S<rion 7000 ol Divi5ion I ol rt Bui&s 6d
<br />Pmfd.B C.d.) or ind ll d 16. ir aard lha.fom !d lh. bdit lor U. dle.d 6cnFbi. Aly violiion orsclioD 701L5 by uy
<br />4?1tra tu,Foi$bj6r!lt rrrltor ro r.ivilp@Iyolmr mEths livc tsndtd &'Ia ($m)
<br />l. B omd oarh. FoFnr. or ny.mplo,6 wilh *.96 s th.ir $lc codl6Blroi, wiu 6 dE e dtE!tM@irmt
<br />dcdcd oorq.d l@rL(Sc 7044,0si6 sd PiDf6rbN Co<lc: Tn Co'r.*l6ttIqgt w&Emt?PlrloEowoa
<br />tlE FFry sho txil(bor u,FoErhdF( rn*lb dE sIn s hilelaor lErlf or tEDWh hir or lE o*n dpbrt.,
<br />Fovial $d ruch imFotEEnrr e mr inrdi.d orolH for rl l[ lrtrt6. rli hriklins 6. imFrffi 6 sll wihin oE ]r
<br />ofco'npLlio[ O.olrtra Brilb wil nlrct bu&, ofFDvir,S rhn h.ornE(M ml trild or ihF.ow dE FoFly for dE Frposoa
<br />!. s ow of tlE Drolqry, m dclGircly otu&rins wirh I'ccB.d codrdm to odocl tlE Fol6l (Se 7Or{, BGuB
<br />o'd Pnfsih ( od.: Thc ( onlr.cba! l-i...rc Law &6 nor appl, ro e owns of potEly who buil<t or @prov.! th6@n,
<br />sd sno colnft for sch Fojrs wirh ! Co!nB1o(3) lto!.d FlBur[ ro lh. Coturdofr Lt.c ttw).
<br />I m .rdF onils Selion
<br />Orrd:
<br />TQTAESS-(AUTEIIAIIA!qEclJSATO!
<br />I hd.by rilm und.r pcoahy of pajury onc orlhc lollowins dcleldoB:
<br />I h5r ed *ill ruidrir!. Cqrirf,.t. otcoe! to Sdf-l,eE fd wtd otrp.arb[ a FuiLd for b, Setion ]?m 6f 6.
<br />tior Cod.. f6 tlE Ff(,:tl.d ollh $.* 6r $hti lt FDn ir iEEd
<br />I hrw &d *ill6!irr.h worl6 (otnp.sdion i6ure..6 rcqrircd b, S6tio. !700 ofllE LlborCodc.lor tlE p,
<br />rhc wr tu wE4llr F6,r u e.d My mnd' @'trpdlbn iM. (ti, !d plty !@bq &.* , Joraz Mer4\r.\h
<br />-",n,n*o-
<br />, V)&\\_1\51\ ,,pi,- ' { ):2O2, I
<br />I.qrifyrh{ rn rlE Fformk. of rh. rort tor qhrch thi! FB'r is i.ru.n, l3hall@r @pLy My FMn in my meE
<br />$ a ro baoru rubjat lo th. *0116 onFtsaioi h"3 otcrlifom,& ed i86 th,l il I ltDuld baom. 3ubjd
<br />'o
<br />llt
<br />u0116 @EtEdion F.viir6 of sd io. 1700 of rh. L.!o. Codq I irll. tonhwnh snply * nh Oo- PrDlihB
<br />WARNINC: failur.lo hur. sortdJ comt.$rnn.o!@gr n shall rubJd e dnpk'td to diminal pqtrtB ud
<br />clril !in6 up lo on. hun&.d rhousd (rllm (tlur,fiiot. in r or comr@rion. {,46 ! F.vid.d r.r thc
<br />SarEn 1076 of$. Lrloi Cod., i,tcri.81drorE, s rG
<br />o".'J-3O-?4
<br />I h.d".fnm un d Fialry of Fjur) lhar t m un<li Fov.ion of C1uF6 I {conffixr r M S.crnn 70110} or r,,t-"r
<br />of th. BGIN dnd Preta$ro Codc, tu! dy lisc Lr in full n @ od .lT6!
<br />c r0, 1-ao -zo \
<br />(alui!.glQ&tlirDl-acEl(r
<br />I hq.t,.iEm und6 Fo.lt, of Fjury lhd th@ ir! codrudbn tiding.gdy for tn Ffol:Mc. of lhc w* tor *tichthi! F,ni a
<br />i!$cd (sa. 1097. Cit C )L.i& i Nd..
<br />AIfI{ALDECIISAIION
<br />I hadt.iimundd p@.It, oapdjuryon. oflh. folh*in8 d..Lr ioG:
<br />D.tnolirirn Pm r'ArbGror Noriic{ion r-cdsrl R.gllaIhN (1 iiL 40, P!n6)
<br />R.4uit d l.ar6 of !,ldifttin
<br />I caliD rhd thc tcdqal r.rubtioe cs&dirs Bti6'o3 raolal d. nor .ptlicrbk lo lns Eoixr
<br />L$cari&rr,a r *c.-a rrr .ppriihn dr l.r..tor intomubn !.6fu I +E to coqiy wnh dl Cny &d Counly
<br />ordiEm6 ed St.rc L5$ r.krru ro build'ns !d hd.nt Ntlmrt. lr!.Mldrvd of $it Cil, ed Cou.'y lo ara uro. E
<br />at$v. nrsriond p'op.ny for iBp<1i,J.
<br />Appli..nl o. &61sh..l
<br />Pd nre nro. (pri().F'a (4,rt'Le
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Liqht Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Safety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Flear'
<br />Bonding / @-undE/ UFER 8 -tl-2o tz c2 tl
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilinqs (Hard & Soffit Rouqh
<br />Ceilinqs (T-Bar Rouqh)
<br />Meter Release 8-tqJb llza"ztl
<br />Rouq h
<br />Service Meter
<br />FINAL 8-t1 'z)ECt ,N, tas ryI
<br />Notes, Remarks, Etc
<br />4
<br />Rev. 08-07-2015
<br />ELECTRICAL.INSPECTOR RECORD
<br />ID/SIG.
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