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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 (monument)
<br />Lile Satety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Under Slab / Floor
<br />Bonding / Groundino / UFER
<br />To rquerng
<br />Sub-Panels
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soflit Rouqh
<br />Ceilings (T-Bar Rouoh)
<br />Meter Belease
<br />/.''
<br />&qsh -21-*,\u{\u t
<br />Service Meter w
<br />1"7*q V$..,lrU)
<br />Notes Remarks, Elc
<br />OWNER ET'ILDEI DELCARATION
<br />I lErty llrm un kr Frlry of Frrxry !h{ I m .rq,i fmm rE Conir&1m l-i.rne l^ f.n rh fob$in8 rc.$n (Sd 70.11 5
<br />Itlrine* .,t P(nision Cd.): Any Cily o. County ehkh r.qnn.r r Fnir t. on$M. ahd, impr)v., d.nx,lish or EInt lny
<br />nBlEc. F3,lI ir. irrllte. rb i{uiB rlE rpt i.ml tu qh Fmir ro liL r ri8rn {d.ft lnd lr or dE i lia'Erj Nru,n
<br />'o
<br />rh. pf,,rMns ot rtE Conh.rm r Li..n{rl t e (Chdpr., 9, Conmrin* rirh s..rhn 7lrt) ot Divtio. I ot rrE Blrim$ rnd
<br />l,mfcssbn. Cod.) or rh,l ,r r slE i. .r.tr{,l rh.rfton rd rh. harir rar rlE rlkFn .r.r{}ri,n Any vhhri,n ol SRlbn 7ol I 5 by ..}
<br />rfi'licul t'tr r rEmi {hitlr 'lE lpnlio i, r.ivilFMiyormr n,E rhln fivc hundrcd dolLr(!J([|
<br />-1.!ro*mroflh.FoFny.o.nycnrl'hter*irhw!g.i..ih.nq,k$qEndirn.{illdorlE$rtadrh.retnirri'nr.ftLtl or o,t r.n ri, aL ( Ss 70,1.{. AuriE* rn ! PNr6s,nr C.d. TIE (o r.1ri liue l,s db nrydyro&orErol
<br />ih. FnIEny *ln hildr.r nqrcrs tlENn. dn wh &* fl.h *rrl hinrcllor hcmllur rhtuxgh hir or hcr o*n lnlloyfti
<br />lruvid.i rtu! \kh nqnrtus E d inrnln doll.Ei litr qb tt_ tr,EE_ rh. buddlq tr nFrKrd ir hld rthin oE j€r
<br />nrMrLrin 'h.()*Er BuitLr $ill lErE
<br />',E
<br />l{r(l.n orIfrr trhd lErrlEdrl d hiUorinFN
<br />'lE Frdtt lor r F,F,.or
<br />_1. !i .*Er of rlE FIEny. .n cr.brntly codrniinS r'iih lEcnrn .0.1116 lo $NnEr rtr FtrFr (sd 7(14.1, BBiF\
<br />E n h.fcrsir Cod. -fhl O'nrrdcktr s t,icctrs l-a* d.6 fl, omly l(' ,n o$ncr ol l)loFny *hl' huildr or rmtrovci rh.rcon.
<br />rnd sh, s ndrforr!(hFoF-k$iih.Co hdodi) lkcn{n llnMrbrh.Conrdd t l-iin€1,r,
<br />I rm.rcnDr undc S.cr(rr
<br />l).r. Orer
<br />wonxrrrs contprnst rroI
<br />DIITJXAIION
<br />I lE cht.flrm utulo FMlryof FJuif oft of rh. nnl,rns ddl'arl'n\
<br />_l h.vc !n *,rl minr.n . cdir(d. or (i'tr*nr ro S.lf l n urc nn krk6 lr'trp.ns' io!. 8 lIrdld fi, ht serion ]Tm of rlr
<br />lllr, CdL. fir rh. Ffrmm otrtr wt rr s,hi.h rh. Fmr i! KEi
<br />Ih.r!rdrillmint.h*ork....o.r{En9rk,ninrur.,r.nr]uiEdh}Sdri)n:l7lnofrh.IrhorCdl.,LrllrFirmm.ol
<br />rlE rork ntr Dh.h rhirF nqrNix,n rn{r.m ori, ml Fliry nlnh.r dc
<br />ItARNIN(; tuihtr. k' rrtrrc rorkrn ronlncn{rkr cor.r.,tc ir utrl!trltl. rhl \hrll \uhF.r ,', ctr{'l'w lo fimiulFulri\ nftl
<br />(!'l aRr !p b oft hurdEd rtnoqd d.lL^ t!l{L.l(r,. 'n ldiiiri'. h ih. .orr or.cnrrnqln'a. d uPs rr Ir rl.ri lor rh.
<br />:;:,:: )rfr;!e^-",
<br />DEIIAIAIII,)!
<br />I r.Et y.f[rn url.r FBny of F ,r,lhll I .n liurd un lc. Fovtrir of Chl,i6 9 (oImrin8 I' Sdin 7(II), ol ONBion ]
<br />or rh. Busims Md PmLsiors Codc. !n my lh.irc Lr h full fom ,rd .[..r
<br />-74/q/7-+- +..,-+-l-
<br />CONSTTU(:TI1IN I F\DIN{: ACENCT'
<br />I h.rby hfinfr!d.r rEnrlry.lpcllry rhd
<br />'hs. h r.a,nnuri'n Lndq ucmy tu rlE Fntrnutrc.arhc *ork ritr *hith rhn rEfl.n i\
<br />trEd ISN l(D'7 (-iv C I
<br />ko:kr'i N.nE
<br />APPI ICAN'f NECI {RAAION
<br />lMryrfim! Lr IEuhyofFr,lry ox ol rhc,oll'rir8 dcLhnli,nl
<br />l)cm'lili'n Pcrm \'Arh.(or Noriiicmnn [.d.El R.!uhrFn! (Tnb40. Pd6)
<br />Rcqn'rn Lrlrcr or M*'rirrim
<br />Icc
<br />'ryrhar
<br />rh. rc&rrlEgxhronr ruEUdiry a!h.no\ (ululr[ n{{ arpli.xhL t, rni\ pn}\t
<br />*l
<br />I (cnilylh{t I hlvr rc.d thN apllsdion n ddcrhnrrh.!hrv. inf(nhrtr,n n.oRl lrSr*t'c.nrlyqthrll('Iyaftl(i,unrt
<br />i".mc\:!n Slarc Llrr Elalirs I hildinr .onrDc'i'n. ,n l*.ch,ruh z. Enr.cn'lhv.r o r rhn Cny md Counrt to c.r6 uFn rlE
<br />'1. m.rrirJ Frt,Fd, nr
<br />/a^z fnz/s y ,/I )y'2
<br />ELECTRICAL-INSPECTOR RECORD
<br />Translormers
<br />Air Conditioners
<br />FINAL
<br />I anrfy rh.r rn rlt Frlormftl orrh *ork fd !h.hrhi F mir i. nrkd. I \h3ll ftn.tr9h! rny FRrn in rny mnk,
<br />v) !\ lo h.d'nE uhjcd lo th. *orlcB conDctrirln'n [ri olcili,onri!. !.d aER.thol rrl sh.u tE onE Nnjd x' ltr
<br />*o F Loryrnsiion l|rn irion\ or s.<ri,. :17(f,, ol llE Ldrtr (idc. I .lE[ ndhrilh !1,nttly * irh rlFc I'orii'n
<br />'pfu
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