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APPROVALS DATE ID/SIG.o1rNER BUtl,t t RDEt,( ARArfirN
<br />I ffiy .lIm un& Fmhy of Fiurt rhd I r 6nnF 6!n rh. ( onrar6' l.k.@ l^! ror rh. lolh$n8 rar{ ls< 70ll.t'
<br />adii ad Prof6io. Co<|.): An, Cil, or Cody *hich r.qui6 i Fni ro snrM..h.. inror.. &tmlnl r lF.r 6y.
<br />dM@. Fft ro ilr i!tu!e. .L rcquiG lh. qrrasr Lr.u(h Fnn ro fik 6 ilsn d rr.lc'mr rha lx or iE a liccB.{ F6rn
<br />to lh. FoirbB of dE ( oftdm r l.imrd L!* ((lupln c. ('6mnftin* \lnh s.dtu. 70() of t)ivkh. 1 orrh. BsiI6 r.d'
<br />PFfGioE Cod.) or rhd lE s ,r i .tdpr rhdcfmm !.d rlE tEL! tu tlE rlk8.d ddnpr io. An! \ iol,ttun ofs.difl 7011.5 !y ur
<br />.ppli.d aD. r Fni Dbjat rlE .p9li.ai ro r .iv il p.oltr o f et doc th,n fir. hlndcd ddll.rr tJ5in I
<br />1.6@Eofrh.For6).orirdphy6sih$lg66rlEn$kmn{Ecniin.\ill&'llrstrn$..nx!mirnnt dd.d or o,I6.d for uh (Sc,7044, aailB od Prof6ionr ( o&r 'l1E (i'nrrad.r3 Li(6c t-N, &6 nor rpply $ rn osc of
<br />rh.FDFt, rlb h,iliq insor6llE@ rd $ho dcrIn $o tirelf orlE*lf or tlRDgh hir d lE onr.nplo)6.
<br />provid.d lhll .och improardr G mr i ai.d dr olrBld ror rl. l[ lrrtr66, tlE tliui4l or imFsffi i! i]ll \rirhi,' o,. ]Eolcmpldh( E osc A{i& $ill h.t! rlE h8br olFoil{ rhlr }. q iE dn rrn hriu or irsor! lrE FrFrt lix rrE Frpocof
<br />l. 6 osE of rlE ImD-ly. m dclEn.b odrditl,l *nh lkdEd c.ddm io sdru.l rlE |roi{ lS< 1x{, E6iE
<br />rrd PrDi*ion ( orL: Th. conlEcloar Li...r. hw d.6 not rpply ro eown6 olpmFdr*ho huild! or nntm\.r rh6sn.od uh. o rtr! for s.n Fi.t$\nh. Conraio(rl liE*d FrEuln rotl*Co'rd.!( s Li.d lrs)
<br />I @.rdpr uds S(tnn
<br />D.r. Oine.:rlalifar(allffi,ls.tlt!]}ulcL^larla!
<br />I rk.\ rmnD un,i( rEih\.rFj'n\ otu orrh. n,lhtrn'r derlll ir,l oIh.v.id$alltui rh. CarifElr.ofcoM'r ro S*lf-lNuE lor $. d omrqEdhn. E rrrvidclforbyS.dionr7@of
<br />tlh Codq fo. llE Ffsllft. of lh. s{trl ao. utth tlE Fmn a i!!.d
<br />I h.1.r{*ill midr.inro d' .o,rp.6dhn rerir.. a r.aund b S.did uq) of rh. hbor (irl. fin rh. Ffnlrrre of
<br />th. work aor *hich rhi! Ff,ir i! iecd M, *orld sipdaion iBurmc. clFb &n Flicy nurnhr ec:
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<br />cdtitlhll h rh. FlolNm orlh rort lor $hkh ihi F6n n e.ri. I rlEllmr oipbJ rn) Fsn in.n! mnnn6
<br />s N to b...m. tubjd lo rh. wolr6J on!.n!i ion hs! of C.lilomir. dd .s,E rhar if I rtould t$oF. ,uhjdr ro rh.trut6' onp.Mion FoltiE ols<rion .l7m olthc l.!or ( qj. l J6 . n rh$nh ompl) snn ilh$ F\iFB
<br />WARNINC: F.rlurc lo surc sml6'm'nFE lior m\o8. i! unL$ful. ..d slull suhrd u dn,'h\d h dimi.llFrlb ad
<br />civil lin6 up lo onc hun&cd tho@nd doll.rr (tlru.ux)). in rdtliln,. ro lh. cort of c{n'lEnurhn, d.masB $ t'ro\id.d for lhc
<br />S.dhn .ll,176 orrh. t,tr. C.d.. i 6.n..d dro'E- s f6 Iq l<wc!
<br />DECI'8AIlll!
<br />I hdlty .rm un& Frr, of Fiur, fit I e li.q!.d u,&r Fr bbn of (tl4ld 9 l.onjrlBDr \ irh s<liin 7mo, or Diirbo !
<br />ol th. Bqic' !d PDfdioB Cod., ail ny lkcG i! h Iull lorr.d.lt6r
<br />, ".,..",". JITII'In art' (bnint aL7
<br />cq!$atf,uq}IllrllcJcE!(l
<br />I ha.ty .lTm ui& Ftuly ol pqjury lhi llE! b . sldffii.. Lnding r8ffiy ror llE FformR. oa llr so.t ftlr qti.h !hi] FEi a
<br />i!6u.d (56 1097. Civ. C ).
<br />AttutANr.llrutallB
<br />I hcN*,yaIImund.r pqrlty ofFjury on oflh. follo*ins d<lo.riom:
<br />t).mhnn Pmn.-Arbdor tt rifi.nb. FdLnl R.E!l .d (l nL,lo, Prn6|
<br />- -R.qund L.lls of f*rifEtin
<br />_l cdrify th, rlE Lda.l Etllai,B Errlnq !h.s@ lgBul r. iot epl
<br />I Gliry thi I h. c qd rnh !ppla{6n -d sdc lhr ft. .hor c infonurioi ir
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<br />odr.m6 Dd Si.r.Ire! Elrnu ro
<br />,l\^. 'rt i,{rc,l r!',a.n\ l,{ trurRrir
<br />rnprr."nr u, nr.nr Srgn.ru." \
<br />.odru.rrr^ dd hs.n!.rrhnn. r
<br />corRl l.xr*tocnnDh sirh.ll( ir! rtrJ ('ounly
<br />Gdddtrd"t'hB( i\ rndl.oudr r, olE@.tli
<br />h. wu-
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />S pas, Pool, Fountains
<br />Signs (monument)
<br />L!!e Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER
<br />Transformers
<br />Torqueing
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilin gs (Hard & Soffit Rough
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rough
<br />Service Meter
<br />FINAL tlfln -,'r'A4frr)
<br />Notes, Remarks Etc
<br />ELECTRICAL-INSPECTOR RECORD
<br />COMMENTS
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<br />Sub-Panels
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