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APPROVALS DATE tD/stG.COMMENTS
<br />Site-Work
<br />Underqround
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Safety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under SIab / Floor (r
<br />Bonding / Grounding / UFER DA/q-!'I
<br />Torqueino
<br />Sub-Panels
<br />Air Conditioners I
<br />Rool Top Equipment Lt k 1 >wE /
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilings (Hard & Soflit Rouqh
<br />Ceilinqs (T-Bar Bouqh)
<br />l\/leter Release
<br />Rough
<br />I I t.
<br />u0
<br />emarks
<br />FINAL
<br />No
<br />T f-'
<br />ELECTRICAL-INSPECTOR RECORD
<br />OWNER BUILDEII DELCARATION
<br />I hcrcby llluo udLr pcn lry ol F.r!ry rhd I d cr.npr fhn rrE Conhdor' Lt.nc La* lor lh. follo*ins rcMn (S.( ?0ll 5
<br />Blrin$r fii Pmia$tur CnL): A.y Ciry or Counry qhih RluiEs ! Fmir to conndd. 1116, irproE, &Nlsh or ftFir iy
<br />rucrR. rnn ro ns nluNc. n$ rquiB rlt qlpltMr i'or rki Fmii !o lik . siSr!.d shr.ftnl th.l lE or slE is lkctrcd pEMr
<br />ro rh. Fsvrsbns ol r Conkektrl Ltcnsn Liv (Ourrcr 9. Commmins wnh Sdrtr. 7cO0 ol D'vish. :l or rlE Bustrss md
<br />PtuLi{hns Codc) or rhrt lr or dr t.rci{'r rhd.ftod.nd rh. b.rir to h..llc8.d crcrFrrn. An, vioblbnofsslion 70115 by.ny
<br />+tltrnr ror ! p.mir iubFB rh. +plhd ro !.ivnFmtyolmt mE Ihrn fir. hundEd dolL,s (S5m)
<br />_1. rs oeE. olrlE F Fny, or ny.nploF$ vnh *r8s I ttrn sE otrpcnr.lion. vil do 0. sd &d rlt n l1!& b er
<br />i .iLd d ofi.En lo d. (56.10,4. Auti6r &d PDr.irbB C!d.r TIE C.mdor'! LLIN trw &i.s ml.pply b e oeE ol
<br />rrE Fqdy *htrjdrdqm6 Eq{lrdwh.&BcEis hirelf o' lstlror rhhrd hi. or lE om.,pbFs,
<br />prcvihl rh.r sh urth\tGirr 4 rr hlqird d oi!d!.l ft, r}. l( how. U. ttrildirts n iqrcErEd n DB, n! w F
<br />ol orik4 l}. OeE Auilds *i! lIw tlE h!d6 of Flvrg tlrl lE q ar dil rEr t{ild d in+roE dE FoFry lor dr F,tDr ol
<br />-1.
<br />.r orrr of rtE ,r!rEry, d crturiEl, .odrxrh! wnh lii.-d codd6 ro mllff rrE Fmral lS€. ?04,1. BEIB
<br />.,n Pht3'sCnL TlE Co Eror'. La.nr L.w do.. m' +Iltlo Do*E ofDmFnttho b{ild. or ifetuEr rh.ror
<br />!n who @dr(lr16 si Forrr! * hrCo r-ro(rl li.din plM ro ttE C.ffidt tirr Lu,
<br />I m.r.mfl undq SdFn
<br />Drie OtF worxrr-,itrwPr'rsrrro
<br />DEqIISAIIq!
<br />I h.r.rty rmrm un&r Fdltt or Frr! oE or rh. loll'rur d6lr.lid:
<br />-l
<br />hrv. rd will mint.i. r C.difr.t olcons ro S.lf.lnr@ rm Etd orFs.lir! a FtviLd ror by Selid 3?m of dE
<br />lrbd Co.l. to. rtr Ff.l!ffi ol dE wt ld ahkh Or Fmrr ir ildxn.
<br />_l hlh rn rill ninrian *0rr.6 .orIEnrdbn in$r.N,.r 'lqriiRd by Sdbn 3?m olrlt L.bor Co&, ror tlF Frlllrlm.6r
<br />6. *rt ro whah thir Fmir ir ir$d My so.kd onp.Mbn itrsler ffia .!d [[liy Noih.r ei
<br />-l
<br />ccniry rhnr in rlE rEnhrmrcc orric *ork rd *nth rhn Frmir ir a.u.d, I shall no' ctr9by my Fmn in an, tuEr
<br />orhlr.od hj.ri kr rh. s.r.B onvEnqrbn kes ol C.lilomid, d!3rlh.l if l ltnuld b.<om.ubr..i loIh.
<br />workos .on{xnraiion Imvirhnr ol sdi,n ,t70O or rh. ljh" Oxi.,I rhtu. fonh*ilh cory)ly *irh rhoc g.visi,ns.
<br />WARNING: Flilur. h *.ur. sorx.i! .,r{En{'hn mkn8c is unh*tu|- d shlll {bFr an cn'9Lrr ro rinhol IEMhas rnd
<br />.rvil 6nrs ut' tu on. hudrcn rtkru$nd dolLn (llm.m)), in lddili.n ro rhc cort of.onqEn.arion. dmScs I Provilcd for llE
<br />\ilr{' !r'n,lrl'rlJh{(i\lt r rharJrl. r{r(y'.lrr\ ,../-
<br />,u,(: ,/ytl /zt
<br />^Dp,rn,: t_ erz4'
<br />M,lr(sEt, coNTR ('to{
<br />DECII.BIDAN
<br />Ihurchy!lltrutrJcrtcn,hyofncrlryrlHrItr,liccn{nund.rFrvi\$nofChlticr9(comnEncin8*irhS\.-rbn7firo)olDivisi.nl
<br />of rhc llusinc$ur PnnNuN({'Jc. uxl nrylicns n in tulltur.c ani.flicr
<br />L4 Ul l'r,'/hrJ
<br />raNrau{Jl0tilJilllrc-a{iENcr
<br />I lmty lmrm ldcr rEn.hy ol Frrwy rh,r rhs. F . onntur hn bidn8 re.my lor dE Frfol1Mc ol llE $ l tu whth rh! Fnil i
<br />,r .d (sd l(,?,aiv c)
<br />AITLIIAAUECIJSAIIOd
<br />I h6lrrydfmui.Lr I! hy orFirr.y om ofllE folh*itrr daLdi{i:
<br />D.mrlilioo Prm!! /{6.!lot tlorifrrrnn tu .!l R.BuL'irnr (Ink 40. Pd6)
<br />R.guiEri t nd oflSdfrdDn
<br />_l ..nity rh.r r,r f.d.dl rtlbrifi E8! in8 8lErtur Emvul!. m'.pplt.bL ro lh! pmitl
<br />I rdiry rhd I lBw E! rhi .prla.ri'n .,n rllrc $d dE rtnE lnfotub. a cffi. I .8r
<br />oilou'{.{ nl srr'. lrtr\ r.tr rn h.Elit.urlbrE qKdiB o
<br />.txn mnt.Erl pmtEny fo
<br />,tppli.rnl or A*.nl SieDlu
<br />-waj
<br />lo conply snh tI Cn, !d County
<br />f rni! Cny aln Cod, 16 .dd qE. rlE
<br />^. t/tl/'l
<br />C-"-"., r/
<br />L
<br />Translormers
<br />Service Meter
<br />U
<br />Etc.
<br />r+A^ ci
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