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APPROVALS DATE ID/SIG.COMMENTS
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Liqht Slandards
<br />Spas, Pool, Fountains
<br />Siqns (monument)
<br />Life Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Groundinq / UFER
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)T?.lq
<br />Walls (Rouqh)t7A-fi (Lcz'7
<br />Ceilinqs (Hard & Soffit Rouoh ?.?- tq lr.L<--z-?
<br />Ceilinqs (T-Bar Rouqh)g-?3-tq ,7ILc L
<br />Meter Release
<br />Rouqh
<br />Service Meter //\
<br />FINAL l-9-Za
<br />Notes Remarks Etc.
<br />OWNER BUII,DEN DELCAR TION
<br />I ls.t,.rE- u& pa.Xy ol prjury lhr Iaadpl 6!n lh. Co Gr@'Lt* t $ br dE t'llti'8 lEtr (S*7011.5
<br />B6ir6 ad Profsrh! Co&), Any Cny or Cdlry whah dquiB . Fni to sdM. .na. iDFow. dtDlii! or Gp.t dy
<br />3Eucruo Fnr b il! iBuec. .!. r.{uic rh. @pli<ul for s.h Fmil l. 6lG a sl8n.d naffil lhd lE or dE b li<dld pctan
<br />ro rh. FovbioE or E Cor'rdcld! Lien&d L.s (CitDrs 9. ( oMinB wnh S4ib. 7000 of Divirh. I ot lh. BBi!B d
<br />Frca6ioN Co&l d lhf lE ( dE i! airy thdltoh !i ti. bcir fq tlE dL!.d a@Fbn Ary vitldb. oasdih rol l a br ay
<br />.rtliot for ! Frit Nbj6l' rnc +plicul lo r ciil p.dhy of mr tur.ll'o liy. huftlr.d.bll&s ($m)
<br />#* ** *-,.6 6, ..pbr€ { bt' $.e6 B rh.ii sk.orpouri,n. riu & rtr *qt.n Et,nEbmrrtad.d dofrald ld el ISc 70,4,{, BuiB Dd PNlcioB Cod.: Tt (dndd-rLilEls.tdnoIIptlouolEol
<br />lh. pFpGty who bil& or iEFo6 rhd6..,i *'lb rtEtuh$! hin!.lf ortdxlrorrlhugh ha Mhr oM.6PLyd,
<br />Forital rhd tuch !ryr.EDd! e d irad.d d ofictd b. st ll lDffi, E tlildilg n rE ov6Er tt rB wrhi! * )s
<br />of c!d9bir! UE ot*G e&! wil lrr tlE hdar of Fwr 0r lE tr tt dn el Ulll d it4. t th. FFry t'r,E FrFcof
<br />th/R-**.r,u n"*o. d Grd!'r.ry sfrr,B sib l,.qE d.or.'-r*ro s'dr*r rl' Fj<r {sd 7n4. BBi6'J-.d PDb,. Cod. Tt. ConlMm.! Lko* L.w dc ml .ppty lo e orG of FoFry who boil& ot inFo€ lhd@r
<br />.nd who slftrrt for ruch Fojds wnh r Cod{.to(, li.q!.d p6d !o rLCoihcrdt lj(qe te)
<br />I e.mF ulxls Sarnn-, B &Pc forthit r@!4b)-G+1ar 7
<br />DECr {ltAnOIl
<br />I lE.by lmd uid, Fdry of FJ!ry o.. ofrh. folLwin8 &.lrdioB:
<br />-l
<br />h.l. rd will B! rin. c.nif.a. of Cons ro s.ll-l@ ls wi.r' @ht n.rior . Frid.d lor B s<tb.1700 of $.
<br />t td C.de ni dE Ffffic of rh. slti lbr $t*h 0r pq6n a e.d
<br />-l
<br />h.v. tud will mindr *ork.r' comFEiion isum.. s r.qui'rd hy S.dion 17m of th! Lhor Gde for lhc pdfolrra. ol
<br />rE Nrt i, $bih thi! Fnir i. ie.d Mt *(ta onFEri)n iffi.6rir.n,bk! numtd,c
<br />iolty N@ba: Erpi6
<br />I cdify rhd i, $. rErforrMc oa$. worl( for *hth rhn Fmh i! isal I ehrll mr @doy dy pq3,n in o' m@
<br />s ! to hd$c rlter ro rlE so.l6'onFstion L*! olc.l'ronn d ryE rhi il I thorld b<om $t!€l to rrE
<br />s$rrd' (ompcdh. F.vtioB of Sccto. ]700 of rh. t tor Co{r.. I !hn[ fdh$ nt $nd) *nh lhoi tfr! iriiN
<br />ItA&\tNC fnlu. ro @. {dl6' cooFsb. oGl!. b onh$tu|. rd +.ll iubj.tl o .,rlplotq ro ai,D&l F!!6 d
<br />c il aDd uI, ro or h{txH rnoBed doll6 (tloo,om). in illhion b llr cor of.ohp.rs.liotr dir+6 E Fori,.d tu lh.
<br />sdio.1076 ol'h.lrluCode h!661 and lnonty , as )
<br />Dfd:taEaua!
<br />I hdlby .ltm !.d.r Frn, olFiuy rhr I n licsEi uxb Fruion .r Ci.+rt I l(ottllEilis vnh s..tiotr 70m) of Dtirion I
<br />of rh. BGIB !n nof<io6 Co&, rn my kae i! in tull for !n dfer
<br />cl)lirBur]lad.IEBDMilcli!(r
<br />I hnby rmnn undn Fndlty olp.oury rhar thdctsronnrucrirn lmdi.8 r+fty ror ln psfomti.. of ih. wo fot whi.h lhs t(hn n
<br />$r.dlsd 1047. civ (' )
<br />AITII(AILDECIJAAIIQIi
<br />I h$cb,afm u.ds Fndty ofpqjury orcolrlE lollo$ins d(lr. ioa
<br />Itmhnn rqDnr^tbdrd NdifEaion t.d.r.l R.3ultlioN (l nl. ,l0. Pai6)
<br />Rcqud rat6 .a Notindbn
<br />-l
<br />cdrf, thd rlE t d.r.l r.sul,lio6 Es.rh.8 i.hdrG r.mrll a. d 4rl.nbl ro thii Fni.<
<br />-l
<br />cdiry 0!l I h.!. rad thie .pplicdion dd tr*c lhd th. ahov. infomhn ! coftrl I tsE lo codply wnh dl Cilv .nd Counrv
<br />{drte6 dri sur. u*! EhilB ro toildtru cordi!.rhr .d h.rcb} rurt dz EF&rdiE o|lnB cny.,td coulvlo d{s 4.. rrE
<br />.br. nhthEl ForEnr ror naFdb. F,l!]G
<br />01a44,\rpllmn( or A8flt Slttrll ^",2
<br />,2L 4tL*t4 aa-;LZ
<br />II
<br />IIHNI
<br />ELECTRICAL-INSPECTOR RECORD
<br />^", z-(1( 24tl
<br />tre:tmb.r'
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<br />l-dd.r'r Ad&* _
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