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ELECTRICAL.INSPECTOR RECORD <br />APPROVALS DATE ID/SIG.COMMENTS <br />Site-Work <br />Underground <br />Pole Bases <br />Liqht Standards <br />Spas, Pool, Fountains <br />Signs (monument) <br />Life Safety /Low Voltage <br />Fire Alarm / Dampers <br />Communications Cable <br />Buildins <br />Bonding / Grounding / UFER <br />Transformers <br />Torqueino <br />Sub-Panels <br />Air Conditioners <br />Roof Top Equipment <br />Factory Wired Unit <br />Walls (Conduit) <br />Walls (Rouqh) <br />Ceilings (Hard & Soffit Rough <br />Ceilings (T-Bar Rough) <br />Meter Release <br />Rough <br />Service Meter I <br />FINAL )X717D a {zt) <br />Notes, Remarks, Etc ulIJI <br />OWNER BUILDER DEITCARATION <br />I hq.by .frm uida Fr!, of pqjury rhn I m ddfl fm6 fic Cofln roB Li.o4 L.s for llE followinS t@n (Sf..7031.5 <br />Buind .rrj Prof*ion Codc): Any Cn, or Cou y whah ,qun6 r Flbil lo 6D!ruc1, lXE imPrcvc dircltlh or E?.n &, <br />$Ddrq Fior t. its irDdc.. !L!o r.qliE llE.Fplisl for Dch Fflil lo 6h.3'g !d x{oHl rir h. or JE i,t ti.6u.d p{.$!n <br />ro rhc p.ovnioN oftL Co.trdoir l-td!.d L.w (Orp(6 9. Com4in8 wnh Selion 70@ ol Divilitn I ol0E Bdi.4 ed <br />hof4ioa Co<t ) or $d tE or rlE ir crmpr rhq.nm ald llE t rir for lh. dl.s.d ddt ion. Ary rioltrion ofsalb.701L5 ty oy <br />lppli t tor r Fnn tuUco th. .prl'csl ro ..ivil pcuhy oa @l mr. lho tv. hundr.d dolLB (5500). <br />L s o$E ofllE FotEry, d my onph,6 wirh *'is6 6 $.t $L onFsion. wil &r tlE Ent ild d. nn c;Dt <br />ddxLd or oEs.d for sl (56.7044. AuiB dd EDfdb6 Cod.: nr. Codndtr r LtoE L.w dG El lrly ro e o{@ of <br />th. Forsry $ lF buil& 6 insol€ t Ea !n *lr &E sn s,t hitull or hd*llor ftou8n nn or lE oM stpblq <br />FovrLd rh, r$h i,illm\Ellfu e mr dd!.bl oltqd fq st lf. holBE, 0E hitti,t 6 i4.odd ir 5ld rithin m ,r <br />of@npladrtlr O*G ltuillc r l hrE UE hlnar ofFovEe dr h.sJE djd ml hitd or irsoE lhc FoFq &rrlE FrPc or <br />L s Nn of tlE FoFy. m dchsiv.ly .o Elns *nh licd6.d smt!6 ro @dM th. F.id (36. ?04.1. hlir <br />rd Plrko Cod.: Tt. Conlrdor't Liro* hw dG el @pty ro x o*€ of FoFly who boild! o. hpiov6 lhd@ll. <br />&d Iho on..r. for sh FFs wnh . Coffio(r) ttqE d Fr$!r lo rlE Cofrdoa. troE t&) <br />I m.r6pr u.& sd$r <br />I lE.b 6mm unrld FMlry ol olrt follosn3 dalaala6, <br />r Cdlrfr c ofcden ro s.lf-lmrc ao. sort6 of,paEdnn. s F!ri!.d lor by Stlo. l?(10 oatlE <br />Ff(fu. oflh. \rrt f *ni.h rlE Fnn i! 6u.d. <br />.,ll rrll m.inr.in *0116 comD.Bltion iMruc. s r.qun.d by serion l7m of rh. tibor Cod., for th. Ffo.llffi. of <br />for lhih rhi! Fnr it is!.d M\n^ Lr"".l< <br />y wo.l6' compclnion Eu@. @irun poky nmbd ac: <br />ib:L"rq ^Cc\rL 0tL{ oz? arg -3o-2o2o <br />Ic.nirylhr! in rh. Fro.mn.. of rh. *ork ad which rhn Fmil is bsu.d.I ddlrcl6l,loy u,Fs. in yrlllE <br />$ B ro b..oft subjd to rh. m*d' codpdEnhn Lsi ol C.rifon a &d rgE thd if I 3lbuld h..omc rubjdl to llt <br />*0116 compqMiion DNvtioB of sdion lT00 of {h. Lrtor Code l slEll, tonhwnh codply wnh lnor FoairioN <br />WAlrNaNC: hlur. k, cu. &rtcu .{nposron ..vdrs. i! unla*ful. dd shau subjel d @plotq <br />'o <br />omiml Fulri6 md <br />!Lv'l lin6 lli 1,, onc htrnd,cJ rhotrsdd do <br />S(rn l07a olrhc IihrCodr. c'dand <br />cooFerion, ddEI.! a provid.d for rh. <br />/-ttzoza <br />Dllr \R\ r ro\ <br />, hsd,, rllm unda Fdry of Fjury fid I m lica'!.d unrk Fovnioi otchrFd 9 (@m@i.g wnh SElbn ?000) of <br />oa th. BGind ed Pmf6hB Cort . dd my licou ir in tull forc. En clItl <br />a,.*"a*, B <br />-, / -/5-2oZo <br />330zt <br />I bqli'y .rm lEla Fohy of Flury lhr $s! ir . olarudnr ts'dille .sdy lor $. Ffol],E. of dE wt 6r *tth $n Fhn i! <br />ae.d {Sd :t097, Civ C ) <br />ATTLICAILDDCIJBAIIO! <br />I hatt .rEn !n& Frhy of F,,y oE of rh. folbenl[ &.Lr.lio6: <br />tttuhio. PffneArb6r6 Noriardb. l.(b.l RcauldioB (TnL 40. P{r6) <br />la fcds.l ..suLr.6 Esidins cb6bs rm\ n ac d {9la.bk lo rtis Foj<r <br />inro.rldEn iecotrdr l .sE io (omply wnh r[ Cny &d Cou ]r.F6diir'6 otrtn Cny .nd Co@ry ro ana uFn E <br />r,.mh-nrm.(D.h\ /'fe{oj <br />-/S'ZoZo <br />Rev.08-07-2015 <br />Under Slab / Floor <br />,R, -,q