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APPROVALS DATE COMMENTS OWNEX SUILDER DELCANAT'ON
<br />I h.rby rrrm und.. Ffrhy or Frrury rhn I m.rcn+ nom th. Cdr*'ffi Lirn* t r to. rlE following N)n lsc.7o-lr.!
<br />Busincs md Pnnc$ion Cod.) Any Ciry or Coutrty whKh EquiEr ! Fnil ro @Nm( rxcr. tr'r&t. &nn&h o. E {r dy
<br />nddw, lrir rd it i*uare, ats FqxiE. rh. afi idnl r{ su.h tEmir n) fiL ! si8Fd .l.mnl lhrl lE.r slE ir lnrtrrn pl)lMnl
<br />xr rlr FavilioN of tlt Co .trrd r Lilned L.r (Ch.ptc. 9. Confttuins wnh Serbn 7Lm or Divisio. I or
<br />'ra BBidar .id
<br />Pht sirnr CrxLr d rtl hrnE i.r.i9r rlEtfiond E b.r6 ror rrE rlLS.n.knqion AnyvbhrionofsalhnT0ll.5byoy
<br />r0plf,r ror . IEmn .ubi.rt rh. rprlt.d ro.civ !.Mnyof mrmErh.nnwhudrddoll&t(35@)
<br />Vlt .
<br />J:l, s .wmr rrhcFmFny.orm,.nll'l'rr.!wnhw!8.\!srhcirsLconwGalion.willdolh.krttudrll(tu18hml
<br />inrolcn or olrcEd for ulc (Se 70.14. Aurircs ud h,fcsioB Cod. Tt CdnralMt LklN lrw dar ft, rrnly r. !n ovM of
<br />rhc FDFi, *h) hilrror i,rpmB rE( erl *tb &B sh k,* hif,t.lror lEelf or itvouSh ht or tEr o*n.rel'yes-
<br />Fovij.d 'h.hBh nlmwdr & d, incnd.d d ofi.,tJ tu sL. lr, nlBrE, tlE tlild!ts n i,rFerrr n {'ll }rhi, .( Fr
<br />or mnliLrbtr llE OrEr BuiBs riu llE rlE hrdcn of Ft)rug rld h. 'x
<br />tlt dn tx hlild tr i,+.nB dE Frsry fq ilt F,tE of
<br />_1,usow:rr.frhcFhrlxny.dm.r.luriv.lyconk.rint*ithl,c.ns.dcDntuctnrtoloniru rlE Fmlcd lSE. ?044, truiE$
<br />rd hnlission Coic Ttc Conlmhr't l,iccnlc Llw dcrml .pnly lo s o*m, or p(,Fdy elr) t ilds or inpn*ti ih.r.on.
<br />lnd who d, E*t tor *h F.Fk *nh r co mkrlrrlf,.nrn luFu.r b rlEcodEktr! lrcnc L:*)
<br />_l rncrcmfl ! l$ S(rrn_,,.,vr/zt
<br />DES.{EAIiN
<br />I h.,ciy alftrn!.&r p.mhyorlHrn, ur olih rolbrin! rL{Lr i'nr:
<br />_l h:!c In *ill tui.rtu r Ccnifr.rc or Con*nr ro S.la lnslo rn *iil6 .\,ryrnerin, ar Frv'd.n lor by sf i,n l7m of rh.
<br />Ljtxtr Codc, tu
<br />'h. IEror,tIr. of llE q lor vhih rlE Fmil is isrkn.
<br />_l crnify rhd in rhc Frror@re of rn $o* fq *han rht Frnir ir isru.rl, I rn I mr.,rl)b,!n,F*on in.n,,MEr
<br />s .s tu bcoE iuhrd ro
<br />'lE
<br />Eltcr of,{ENtion LBr ., cllifomid. rnd qE ihi ia I irl,ull t toft obitr ro rh.
<br />r$dsi o,riEtruri,n lftrvi.ioB or S<d ion l7m ol rlt L.hr CqL. I arll. ldhlnh oiirly ri'h rh!: Fovirirnr
<br />$ RNIN(: h'lur. n, *.urc q,rl.'\ .rrFn\ i,n, .or.,rgc '\ utrlJ*l l, ro(l \hrll \ul\}.r nrr.nurk)ytr ri .rnrnn FMkr\ rtol
<br />s..ri(D 1076ur rhc lihtrcodc. i'n.rc{ xtrJ r .nhv. ri.\
<br />la/-zt
<br />I h.aby olitrm untls lrcrolty oI Frjury lh.l ! am liccn$d u cr !rcvisior o{Ch!,,rcr 9lcommrins wirt S€ hn 70m) or Davntn :l
<br />or rh. Bu\im* dnd Pr.f.ssirhs c.d., en my lkc.$ c tu lull loR !i .iL.l.
<br />Lare Nunt r
<br />IaIIIiISIJIIIONIEDIIIi.ECEIIa
<br />I h.Eby arlrmudd FBlryolFrrury'hd m is.otr{Mion bdin8 *cmy lorrlrFnc'lftcorft wt n,*hihrhnFma ir
<br />Nsrd (sd :l]r7. ctr c r
<br />k'xlcr'\ Addrcs
<br />AEILIIANI.DEEIdEAIII&
<br />tHD am udL. Fnlll y of F,lry om oI tlE folhvina &<hr.t bnu
<br />D.m ioo P.,hils A\lBrDr llorirrurion F.&El R.sul,rirnr (T{1.:10, Prn6)
<br />_R.quir.d l.trcr of Noliararbn
<br />onri'uETr ail srd.lj*s Elding !o hoildxrS .onrdcrirtr rrn lrEhy.urh cl'l.e .tNr"f rhnCnyrnjCounry('.nrquF,nllE
<br />r&m.{nrio'r.d lfr)Fiy lnr
<br />Anpll''rnr o. {s.nr Slxtururt
<br />,,^**-*ton,t E-,Q.Iy'hrrr s4fr-4r, (zr
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Liqht Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Satety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Under Slab / Floor
<br />Bondinq i Groundino i UFER
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Rool Top Equipment
<br />Factory Wired Unil
<br />Walls (Conduit)
<br />Walls (Bough)
<br />Ceilings (Hard & Soflit Rouqh
<br />Ceilings (T-Bar Rouqh)
<br />Meter Release
<br />Rough
<br />Service Meter \I I
<br />FINAL t"{ \7-{ol"l I
<br />Notes, Remarks, Etc.)
<br />F
<br />ELECTRICAL-INSPECTOR RECORD
<br />Rov 0n'O7.2o15
<br />ID/SIG.
<br />vkwl'
<br />_l hrv. rndwill rminrlin eork.B .on{f,dshn inrur.n(., d rcqun.rl by Selion lTmotrh.lihtr Co&, (tr llE FrtblM. ot
<br />'tE
<br />qtll( Lr vhah rhi. Fml ir isrEd My ro.k6 d,.qEnslbn i.suLr cutt !d p.,lay numbc. e
<br />_I cdfy rhi rlE Lrt d E8llrtbN rc8ldine d6.1or Emv.l N ml rlrli.l,l. to lhi I'Dr<l
<br />_l .drify rh.r I h.r r!, rhir rpDla.rao. d nd. rh, dE rarE inrotui,n ir 6ld. I .!r ro or?ly Plh .ll Cil, rn Couly
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