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ELECTRICAL-INSPECTOR RECORD APPROVALS COMMENTSDATEIDiSIG. Site-Work Underground Pole Bases Light Standards Spas, Pool, Fountains Signs (monument) Life Safety /Low Voltage Fire Alarm / Dampers Communications Cable Building Under Slab / Floor Bonding / Grounding / UFER Transformers Torqueing Sub-Panels Arr Conditioners Roof Top Equipment Factory Wired Unit Walls (Conduit) Walls (Rough) Ceilings (Hard & Soffit Rough Ceilings (T-Bar Rough) Meter Release I Rough Service Meter FINAL 0-1- t7 J).tn{"67 Notes, Remarks, Etc O'*NER BUILDI'R DELCARATION I hd.l, lrm unda p.nahy of pdjury lhd I d .r6fl filn th. Co r&rou tke L.w for lh. followins llMn (S< 701 1 5' lrusrnBs rd Profdion Co&): A.y C y or Cou.ny whah aqun6 ! Finn lo .onnrud. !t6. imFolc, dmolilt or qtn dy !rru.ru., Fnrlo irs isue., .L$ EqniG th. rppli.d for srh pmn to fiI. a 3is,Ed $al@l lnd h. or JE is li.atd Pueut ro th. I'nvilioN otrh. Contricroir l-icoiql rrw (ch.9!a 9. comocins wirh S.rliotr ?000 ot oivi.ion I of lh. ANi.d .nd Prof{ionr Cod.) or 6!t tE or sn. ie.rcnpl lhdciiom dd rnc b€lir for lhc rlLscd doprion Any vhl,lion of Srlbt ?0:r L h! rny .rplicer for ! nmir slbjars rh. qpli.ar ro a civil F@hy ol nol mr. rhd fiv. hun&cd doll6 (S500). l. s o$M .fihc FoFny, or my @plolc {'nh w!s6 B ln n sL ottp.tBnbi. will (l) lh. *uI sd ft nBt@ i! @i i.rcd.d or on@d tor sk (Sc 704,1, B6i,B ud PN[*rio6 Co&: TIE Conlr*lor'] LtEE le do< @l lpplr lo u o{E of lh.DilrEty *lD hrilt or if,E o\E tlE6',. .d sho dG !d mn hnell or hdylfor thrclsh hn d hG om dnthyG. Fnvid.d $1 r.h imF.rg:Ia E hl i'n.!.Ld m otu 6r EL l! hosE6. tlE hittins or inpm@r i! sld *nhin oE 'rorcorpldiotr rh.()qG &rlb vil, hrE tlt h,il, ofFovnE rn lEdJEdnmlhild insow $. FDFry 6. tlt FrFr ol l. a ow olrhc FoFly. d .r.ldiv.l, cod.ldin& $nh I€sal coddor lo @neru.l rl! Foirr (sd 704,1, t]'ahs .nl l,htsin co&r Tnc Conrrrroit l,ic.M ll* &B mr q?ly lo d 0*.6 of proFiy q lE t{ild. or inro\6 rhd@n. ..d wh @mrx3 tu r*h Fnj.(lr {th. Co'rndonr) ltdE d poBulr lo 0'c Collrr1d i tiog l,*l lrncror unti- S(r(n rQ8trE8stCOtIfEdSAIlQ! DECI.ASAIq! I lE*t .mm ui& Frty of tdJur.t oE of lh. fouoq'iIa &ldnioc: I h.\G.i will tr:d.h r Cdifd. of ColE! b S.lf-lle 6r w*6 6oF!ib.. 6 FD\id.n for by Seiior lT 00 orll! t bo. Codc f( 0E Fh.lle. of E wnt lor "tth l! Fnn b i$.d- . !d f,ill mitnlin eortd cotrrFEdirn ilElfue s rcqutud by sdioo l?00 olt,E Llbor Co<!. tu tlE Ffollft. of llE N* fd rtrct rhi! Fnn i! ed My r.116 Nnpqlrb. ill.ffi. cuir !d polay rub6 G c*d.-TT?I>c \-**tt L o' o ^-- (*a+t I cdrrt rhd n tu Ffolr1l.re of rlr mrl for *tkh rbt FBh ie isr.( I i&u mr anphy @t Fstr in $y IIE n B ro tald rbi:l to llE wr6'otrpiErbn L*! otc.litolu !i rec ihi ill slDuld bcor etid lo rll *0116' orp.rE r.n Frrii6 of lcrion l?0o of r t !6 Codc I trll hihuih @trply rth lhos Fori3ioB bn (r6rs. u 6b*tuL .nd iEll $bj.d e dpbF lo oioind F{ri6 ciril fffi up b o hundd lhousxl 00,000). i. rrdnio. ro rlE on of cotuFMior dd!.s6 a pr.\ikn ,o. s(ri)n 1076 .f th. l,br Cala t^ l-z L,l 11 I hqlby .tfm undq Frhy of hd I e licci un&r Foitnn of oEfld 9 $ n Sd ion 7000) of lx sn or dE BulB rd ftordir6 (_d].. in mt lk.E it in foll foR rn cnd ,.*a* B o,,. t"'l? t-e 19j '10 It" I hdlby .lrm u.da Frlty ot Fj',y seEd (s( 1097, Cir C.) rscy for rh. Ffffi. olrlE qort 6r tr hih lh. Fn. 6 ATB.IIANLDECIJIATA! Ihad,y.fio undd Fnrh, ofFjury o otllE followi.S d.rlr.lir: Eml'rio. PdTiteArb6roi Nolificiior Fcddrl R.sul, iotu lTirl. ,{, Pd6) R.qun d lnrd ofNoifrdio. la z v 1 I I I I I I I ---(