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APPROVALS DATE tD/stG.COMMENTS OWNER BUII,I)EII DElI'AN"{1.IoN <br />I h6.t! rfim uidd Fn.ty of pdjury rhd ! m RdF fmm inc (o rici6 l.i(d* l.i\ t! rh. folh{in8 r*'n (S<,70r1 , <br />Aoli.e &n Pnldhn Cod.): AD Cn, or cou() {htfi rcqun6 r Fmn t.oMM. !hd. in'Fore &!rn6r or rF.i &y <br />lrtoooq Fi,r rd ir! isud.c, ltro r.{uiE rh. arpli.d tor ru.h Fmi ro lil. . lilrNd rlalo dl lhal rE .r rh. i! li€&d purt]lr <br />ro rlE FlrirhB of llr Conrrrlm t l-icf,rd l,w {(lrpl( 9. ( om*anl \dh s<rhn 7(l,tr .a l)'ri!h. ! of rrr lt6itE dd <br />Pr.faiod Cod.) or rh.r lr(16. !.roF rhd.nom !'d <br />'h. <br />tai l rlrrlq.d.!6a{ioi Anyvi.hlionorSdi,nToll5 by&y <br />+pli6 for.Fmh!bFt!rh..pplicDttororilp.Ehyorftnmr.lhsli\.hunrl'dt.hlle.(l5lio) <br />l.I o$'nd ofrh. ri. nt. or my otlor6 $nh sr!6 a rh.ir $1. .omrc.rirn. \ ill dn fi. \ o* rnd lh. nn(r'i. ir ml <br />iddrLd co,k.n fn eLlsc 7014. BciB ad Pr(f*i,E (-odc:118 ( o,r.alor't L(.G lrN dad t l! b !n orE of <br />rh.Fspaty $ho t!al& or idFnv6 $oo( !.d sho do6 Mh (6* hioi.lf or h.sll or thoxBh hir or nn o\ n .mfbrcB. <br />rro\ ijdl d uh itrls.roldr n d irdrLd d ofird for sl. l( hr66. rh. txiui E d irts..r.rE!'l a Ild snlin "N '-ofronrpldb..rh.ownsBoililaqilllEwth.tlrdaorr.\in*fidlEo'.ddnortrildori'nlilrr'h.iroFlyritrrlEFtrt{or <br />l. 6 orE of rlE FFiy, u.rclNnd) Nliftritlr \irh licd&d co'rrrl6 !. sdiud rlE FrF 156 TolJ- ltr6l6 <br />.ri Proftst (hd.r th.(onlmlor'r l-ic6kl,* rk'6 nol lPplylo u os'n6 oI liorEny n ho huild!or nnt6\d rho6.. <br />lnd qho o' rEIl aorlkh Foj.tr'sih. Codr*lo(3) liled tlBuln roth.('odd !Lkmlr$) <br />I e.iorpl u.dd S<nnn <br />D.r. ornr: <br />worxFe(, (ioiiilNsa rioN <br />uEl,.aSauax <br />I hdct ) .tlirh unJ.r Fnhr of FiuO oE dfrh. irhl ins dehrd im <br />- lh.v.idsill i.irrCditt.of(on5rlos.llltuEnr\.rld'omFMn!.,aFo\d.nforbS<6nu00.r. <br />Lbo. ( odc. for lh. psf.m.ic. olrnc $!rt fr which rh. F nil i! is!.d. <br />I h^. r.d will n.iitlii *orls co6t Mtion iBtrru.., s rcildir.l b Sdl io. :r 7ur of lhc I inrr ( idc, tor llE Pdtulrucc of <br />dE sdl 16r rhth lhir F mir i. iqrd Mt $dld mnFErion i@rm ffir !n lr1lb nu'ntE r. <br />l..nitrhd in rh. Fformmc of llr \rorl for whthrhh p6nn i! i!w.( l ih.ll mr ophyin) F$n in M! mmF <br />. c to bcnm $ticr ro lh. rqld snFstiin Ls! ol(ilif.mia .nd t8r lhn ia I slnurd hd.tu $ti<r '. rlk <br />mrt6.oniFBrionFlrbioNofSdiior:U00orlh.l,torCodel+Ell.tulh$irh.o,nplr{ithrh|sttoli.ir6 <br />wARnlNC: Flilurc lo surc sork6' mn,rEMtion c.v@Bc ir unlaqlul, ! sltll .ulrd M €nplo\cr l(, dnoiMl r(Bhir e<l <br />cnil fir6 !p ro oE hundrd trnu{nd &rl.^ (t lff ,txro}. 'n &tlnmn k\ rh. .d o I ..rnFK!.6. rkm.r6 .r n,o\ d forll* <br />sdiln :1076 ofrfi. t tFr (\rd., imd!{ rnd dloE*! lc <br />trl!$tlgltrulcr8 <br />Itfd:t486!a! <br />I h6.tJy !fiirn unds Fnaht ofpaJury lh,l l6lira.d unds lnJrnnn ot( haF. 9 l.omnd.inlr \ilh sdbn l[x)t or l)ni]iotr l <br />of tlE BdB rnd PrnfabB ( o&. rn ny kd i! in aull lora rn.fid <br />(axliulcllaN-Ll;lDllillqrl(I <br />I hfthy rm"n unda rsaltyotp.rjurllhd ns. ir ! conrrudhn k ins!!ocyntrrh.Ffor'ninGoarh.\Nk lin \hi([lhl!Fhil b <br />iriod(S< 1urt. Cir (.). <br />aftu(axlDr(tJx^lloti <br />I hdd, .fm uodd ,oihy of Fjury od of rh. tollo$ins &.16rioB <br />Drmohion P6nil!-AdBror Nolific* ion Fds.l R.8uliioN ('rnE 40. Pdl') <br />. Rqund L.rr6 of N<'rrfr.tb. <br />I Grift rhlr lh. lcidrl r.!ul.lion! r.8r'lin! ab6k{ r6n.\ rl ar. n.r inDlic.bk ro rhi pror.d <br />lcotifJ-rl'trlharcrctdrh'sapl,li.arkrorlsrirrrlFrrl'cali\einrLmdrn,t$r'd lig(r,rnnln\$([ ll('l\tt,1('ounty <br />.rddxd.nl Sr.r. L!tri rt <br />!tt'r. m. nnr{ pmral, lor i''n!bh{'ltlm! 0 eru(1tun. nl .urhirtt Err.d. i16 olr hn (_ir r drd ( .unt! lo ors 'ro. tlr <br />At{rli(.nr or ,\scnr SlEuro,(/-2/-/7 <br />Site-Work <br />Underground <br />Pole Bases <br />Light Standards <br />Spas, Pool , Fountains <br />Signs (monument) <br />Life Safety /Low Voltage <br />Fire Alarm / Dampers <br />Communications Cable <br />Building <br />Under Slab / Floor <br />Bonding / Grounding / UFER 7..(-( (J)<Ub6 4r) <br />Transformers <br />Torqueing <br />Air Conditioners <br />Roof Top Equipment <br />Factory Wired Unit <br />Walls (Conduit) <br />Walls (Rough) <br />Ceilings (Hard & Soffit Rouoh <br />Ceilings (T-Bar Rough) <br />Meter Release I ,1 <br />I <br />Rough 1 <br />Service Meter L t dlc\th (t/ z- t-t'? <br />FINAL /-*-t?.4'r:z 2 <br />Notes, Remarks, Etc <br />ELECTRICAL-INSPECTOR RECORD <br />I <br />I I <br />I <br />I <br />I <br />I <br />I <br />Sub-Panels <br />I <br />I <br />i I <br />I <br />I <br />I