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APPROVALS DATE ID/SIG.COMMENTS <br />Site-Work <br />Underground <br />Pole Bases <br />Light Standards <br />Spas, Pool, Fountains <br />Signs (monumenl) <br />Lile Salety /Low Voltage <br />Fire Alarm / Dampers <br />Communications Cable <br />Buildinq <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 Unrt <br />Walls (Conduit) <br />Walls (Rouoh) <br />Ceilinqs (Hard & Soflit Rouqh <br />Ceilings (T-Bar Bough) <br />Meter Release <br />Rough tlpltqln >rv.,,Nr,'Pra/U\ <br />xvlnal<FINAL ilyl L4 T u ry) <br />Notes, Remarks, Etc (JI <br />OWNER AUILDER DELCARATION <br />I h.rcl'y rmrn uftlct En.hy ()l rErrlry rhd I m crcrrt:r fmn lhc C!tua1on Lalnt tl* nx rlE n'lbwhl Br,. lsd 70.11 5 <br />8u\itu{i .od Pmlcsi'. c{xi.) An, ciry or Counry *hkh Equiftr r lEmir ro onrrur. rh., nr!,.r., &frnilh ,tr EEn rn, <br />{MM, rn ro irs i$w.. .nn r.q!iE. rh..ptlald Lr trh Fmir lo fiL a sisrtn {ftftnr rh, lr or rlE ir lntnsd I'uunl <br />t' rlE Frlnir\ or r,t C'ntrr, r Lft.-d lr$ (Ch,fls L Commkine wil,r Sdrirtr 7d)O ol Divi.i .l or 'h aunru( .nd <br />Pn'r.silnr (.{d.) .r rh4 lr 6 rlx n .ki]I'l tlElEfron nn llE Eris tor llE llks.rt .re3!r6n Any rioLrbn .l S<inn 7{}l I 5 hy .n! <br />!r'Flt.d nn . tEm {bF.rr rl! lFrrlionr ro . civil rEulry of mr mE rhd fiw hu.dr.d dolh.s ( ll(D, <br />_1, .. ouE of rrE tmFny. d mr gq,l,Fr Birh $rscs.t rlrt $k 6n+.rdb.- fil do dr w*.!n llE qnrrE it rn <br />ilr-it.d I ofid.n ft, qlc Is( 7lx.r, Bu{B rid P^rr.*irft c.n : TIE Co dd!lil(ll*dFd{rlyro.no*F.l <br />rrE Fqmy *tn tltrrll r irrF6 rlEsn rn wb dF cn Hrl hiNlt q tttlf or rtfrlrh hir d h.t orn.rl'hFs, <br />pmrit n rhi trfi hptu\drdr & d irdd.d ., otu fd ql r. bffi. ttE h{luiB c irgftn il L riB uhin rn F! <br />ormrpkbtrtlE(xE Buitlr *ill hE llE hdcn of Fori,B lh.lEdr& dn d hiB q np.nw dr Fotd, nillrF FEoa <br />-1. <br />!r osBr.a ltr I'irEnr. .n' cr(lunt.t, conrdins * h lnttred.o dG <br />'o <br />6nrtu1 iE In'Fd (Se 7{ll{- lN'6\ <br />ad Pbtr\in (ixL Th. ('onrE.L,'r l.r.n* t:* dEi B, irrly ro u .*ftr .I prnFn y *ho huirc. nr ahtn'v. h.rdrn. <br />od $h! mnrEk 16 h rmrnr *nh. (b.trddo lilrnrd pu^Em <br />'o <br />rrF C.drdnr'r Liyne u*l <br />I ah.r.mfr und.r SNrk,n ll &l( lorrhi\r$w,n <br />tllBtrl;&It.(auflllAlla!ul(laa rux <br />I hc.chr rllirnr utr,lcr rnrlryoll{ruyo,r olrhc hllosi''S (l.rhrari,'n\ <br />-l <br />hovcund *illruinr '! ( cnii.rr.ol Cotrscnr(' sclrrlnruE n]r *.rkr( .onrF.s!ri(,n. !r pDvilcd ri,r hrsrcrion rT(xrolrh. <br />trtxtr (rilc.lorlh.r.normn.c olrh. wo* f(rwhijhlhc p.nnil n is\u.rl <br />lhrvr s'xl *illtrntrnrrm *Drlcri eonlri\nrxnr nrntrrkt !\ i(\lLrn.d hySr..1t{r.lr(xrofrhc Ijhor(i r,nrrh(|trnrn!tn.ul <br />rtt u orl tu vhilh rhn Ir n n ,r ^skl M y r ork.h' .otrrFn\rri( i6{!r!rcc ori.r ul F,li.f nu'nhcr dr <br />>(.cnir' r,,!r ir rri Frt tutu.orih.roll(rr, rhthlhtFrnn n n<Ed.I ih{ll nn crpl'y rn, FR,n inrnymrF <br />$ s io troft $hFr k' rrF *r,t6r oilEnsrirn Lur .l (itifornir- and lsr rhd f I rlblld h.nE $l*{ n' rh. <br />mrt6 6n!Er{rir nmriikrnr .r Sd i'. lrllr or rlE tlhr Codc- I rlEll. fdhwiih6itly sirh 'Lr llnrvtaB <br />EARNINC !.'lurc t' sw r6lsi a,qxnqrirn NEn*. il unbstul. .d {dl $bFl !. .,{,1,F io dimirl Ffllit.trt <br />rtr'l ri.c\ up n, om hu rcJ rh,usd dollr^l(ftlt]lrr. i. ddnio. ro rhc orr ol co'rflnsrir. .LnI8.r ( Iln ril.d itr llx <br />,:::-'iq u[iP,k\tt to Vb <br />I hcrhr.fitnr u'n.r FMllyol p.lurr rl <br />DIqAAAI]AI <br />I mn.cn(luftl.rFrdri ol(-hJ!ra9r(rn.nttuintsirhS..ritr'Tirx)rnrI)'\h( l <br />rr rh.llhtrr.{ rn,llt,n.$x{\ (-,rlr..filon liei\. n r Nllnr.c x'rl.fl.rr <br />s <br />"{[ r <br />O(L'o <br />ltrgfu 5 <br />)ol F\ <br />I [.rrny llnn1trr,l( trtrilrt'n |trtrtr!_rhxr h!r. n a.onslBrinr lctrJing rlcftt i.r rhc Frfo.i'urkc .,llt *nrl tur *hth rhN Fnh, i( <br />issxrd ls( .l(x)7, civ ( l <br />lrnJci\ NrD{ <br />AITIICANIDECIJIAIIOB <br />I hod'y flnnlltjd Fnrlrt o, Frrury oE ol lrE folhsin3 deLr.rhnr <br />D.m'lirxm tr.nn \ Arh.*n t{.if{.ri,. F.i..Nl RquLr i'n. I firt. ll)- Pd6r <br />!laa Bn 'rnlirbk t! rhs J'( <br />,nntrdirtr is.nd I r8N <br />.hy iurlnriz. rcFcrddns ot <br />Rcrtund l!nr of l(rilirrir <br />ro N'q t $nh.ll Ciryr0l (i'onr, <br />frhtr Ci) di (tu ytn.nro uFnrrr <br />,1,. 1o l.i1 lle <br />ELECTRICAL-INSPECTOR RECORD <br />Service lrileter