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APPROVALS DATE ID/SIG COMMENTS OWNER BTJILI}ER DELCARATION
<br />I hc.chy.lfm un&r F h, ol Frrury llE I m .r.pr fnm rlf ('odrrrB l,iinr I'r ft, rlE rouowi,! Et$n ( Sd r0l l 5
<br />Busim( rn Prckshn C.d.) An, ( ir, or Orud, *hth EaoiB r p.rna h oNM, .lld, n{mw. .Ltulirh or EFn .ny
<br />\r ctrr.. priorn, irl tsxft.. dho rcquiK rrr rrpli.ad n, luch lB.rtu to fihr iiSEd lrorcmnr rhr ltor sh. ir li..n{J puruanl
<br />ro rrE rrovisbn. .r rlE Conrrrlq r l.i(nrd u* (Ch.nr( 9. ContrFir8 sirh s.diln 7{m ol Divisiot.t of llt B!riE.( {d
<br />PrDt r\i,n\ Cod., d ihlr lErrlE ir.krpi rhd.fmm..d rh tEnr li, rlE LS.d.(qib. An, rbhrirn nr Sdbn 70:t l.! by ..y
<br />atipli..nr (tr rFrmil suhja{k rh. rtplicrnt lo rcivilpcnllrrofmr m'rcrhan filc hundr.{t 'lolls llrrl)).
<br />_l- 6 o*Er ol rlE FoFnt. {r my.mlhF\ *irfi stg.1r! rlEr sk.nr{rndion- r l d. tlE trlt !n E {ntrft i ni
<br />i.rsicrl or ofidc{ ror qk ( s( I}{4, aurim.r nnd Prr,r6!r4i C{x,.: TrE Conr<r ! l,tcnc L!* .t6 mr lPpr, ro r or m oi
<br />th.I)n,Fly sklt ird( m iryoEs lh.6tr .rd qh, d{E( {ki s* hin&lf o. hcrc la or rnrcush hil or h.r oM .tr{'k'r.$.
<br />li(*ilcd rhtr skt iryFmnc E r, idcftLd ,x otEr.d lu qE ll lr$$s. rrr t ildine r lqn'1tlM t q *irlin itr Er
<br />ofcrxri'lrrn 0r (,*Er Au'hr xill h.\r rlE t nLn otF$n{ rn r h.or{r dil d{ t iU or rtmE th. Ftdy ror ttr F p:or
<br />l. 6 nsffi ol rrr FoFny. !m.r(luin.ly coirr*lins r nh lffnEl.odr-tn t' c.Ntur rlr F)Fl lsd 1rxa. Au'E{
<br />.td th,i:i3inC.rl.:Th.Conl.Etir'rl,iccnscl,rdftrrnrprltroMn{.dorFoFny}hohu'ld\orirorslh.roo.
<br />snd who..trrrKr\rriu.htnEcr(eirh.(i,nt&Jonrli.cn*dnu,sldtrrx'lhcConlr0(r(trrl.iccn{lrwr
<br />.uaali}:e5t.(aJrlr5auar
<br />Itl'(llr&u1!].!
<br />I I' chr-xlltrnrtrrlc' nrrxlr),!rlrlury!rRolrh.li,llotriri!(l..lM,{\
<br />I hr\r ,n $ rll minhh r C.nif..t. rt C.nd r. S.lf.l Brrc ror r o 6 oriEnllrion. !r Fltit.n for h| S€rbn l?U) of r
<br />Litry C.de, lor rn Fformtu. of rtr. e,t ror whkh dE Fm a nru.d.
<br />_l h,\. rd $ill minllin *odc^ $n|E6{hi iNurNc, $ nquftrl hy S<rirn.1?(x} ol rlE Lrlnr Codc. fd rlt tEi flm ol
<br />!t k,t fd *hih rhn Fm[ i! i.nErl M, wdt6 snlrndi,n inrunft. ons .rn Flty nurls G
<br />I ftdiry rh,, in rh. F rornN. or rh. eorl ld whah rhF lxrmn t 6s.n- I rhrll c,r"t), dy F.E,n in rny Mm
<br />s I l.' tErr ruhr{ x, llr {'nts' crF.N.rion b*r ol (ililornil. .d +r rh{ ir I .hrld tEd'r sulFr ro rlI
<br />mrk.s mmp.trsrrion pmvnions oI Scrion 1700 of rhc tihd CqL. I \hll, t nhsirh oq'ly rnh rb{ ImvnioN ',
<br />w f,NlNC F ituE b GE *,116 s,rp.trdir 6ErB. ir u.b*6r1. !d dDll {tFl .n qq,loF ro ffind Frli. r,i
<br />[,r\ ut r! onr hu l(,1 rhrulurl dolld\ (!l(xr.(rx)r. r nd tr ir rhc .un of.o qf,f,srR,tr. Jrnxgc\ tr\ nnr(nal for th!
<br />trn) li))6 Dl rh.ltrhr (inlr. d,rrj dd /rr{'r1 \ l.f\
<br />8/3t,i t 4 ,rppti.,nr
<br />DEIIIXAI&tr
<br />I h.rn,. -m u l.r FMhy oI Frury thi I .n lkrrn un L. Fnrirrr of CllFq 9ImllllrErins wni sdim,fiD) ol Divisi,n l
<br />ot rh. Bu\iFr ud Pmt . ,ni Codc. tn my li.ne k in tuU liN inl .lf(r.tqr
<br />gr,/r,
<br />/o/ s^2"?
<br />4
<br />ll|rSllll!,lNrllllllc-dliENr
<br />I hcrhv.lftn unkr rrNlrr_ ul lErrury lhd rlE.. n. rnnrMnn Lftlm3 l3cry fir rlx F(n'lmc nrrh Mrr f(tr qhth tht IEmi n
<br />is dls( Yr7 Cit C I
<br />l.ndcir Noft
<br />AXTLIIAXIDEIIJAAIIO!
<br />I hd!ry .rm unr., Fn.h y o, FrJUry .m of rlE r,rlrrsins d.cLnr nn1
<br />I)r'n,lni'n P.rn r A\h.ios N.ril,.ribn kd.rul R.guLrinrs lTitE.q). Pan6)
<br />-R.nuird
<br />knq of }](riiii,n
<br />-lccnrlythd
<br />rh( L.l.n'l rc8ullii,trtr nSurln,I ffIf,no\r. n'v3lrr. nor attl'uhk n)rhtr nn,rcr
<br />l.or'rtrh,r I hI. r.M rh'
<br />onl'nrkr\ rnd Srrr.lif,\ rrLI
<br />itn,vr mnrimrln('Jrny lar i
<br />^ppli..nt
<br />d A*mr shDtuF
<br />trpd.,i,n!n { . rhar rhc !h{. in[i{nrrion tNftd I iFE r(
<br />in3 ro hurldrt .onnMtrtr m, lEEt y unibrnc rcIrlr rti\ctor
<br />,dnrt)lr rih rll (-ir} rtrl (-nunlr
<br />")," )f;i;":""
<br />Site-Work
<br />Unde rground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Salety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Bonding / Groundino i UFER
<br />Transformers
<br />Torqueino
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Solfit Rouoh
<br />Ceilings (T-Bar Rouqh)
<br />Rough
<br />Service Meter qlac/WFINAL -n&W
<br />Notes, Remarks, Etc.' /U
<br />ELECTRICAL.INSPECTOR RECORD
<br />I rn,.\.n,pr u'xl.r S!\iitr, . ll .( P C n{ r[A rcr\i'
<br />Irrr. ()rner
<br />L.flLir Add6i
<br />-
<br />Under Slab / Floor
<br />[/eter Release
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