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ELECTRICAL.INSPECTOR RECORO OWNER BUTLDER DEI.CARATION I h6.ty .f,_m ur& F.ly of Fiury fir I c aaI6 noE llE Co'rf.r6 LtG l!* lor tL followr$ @r&n (Sd 70!l , Buuo di Prof$ion Cod<): ny cir, or couity whkh r.qui6 r Fnit lo mtdru.l. .td, inq.oE &mlEh or lF.n -t lii4r4 Fi*ro G i!i*.. .lo i!q,i,B s +pliln 6r sh Fnr b 6l€ t.iBi.d niaGl dl. lE or th. b licd6.d ,!Brr- ro rhc lrovi.ioE of tlE Cof,ir*roi! Lirsrd L.w (Ch.Fd 9, Comdi.S enh Srri'n 7000 of Divibn I of E &!i!B dd Pmtu ioB Co<L) or tnlI h. tr $. i. salF lhalftoD .od $. b6q fo. iE .lkS.d adptioi. Ary violrion ols.dion 701 I 5 by uy rrplicDt for r pcnn tubjet. rh. .rplkd b..ivil i@hy ormr ffir ft6 fiv.lurH &llr. (t500) L s o*E of ihc FDFry. d n, mdot6 *nh sle6 s th.i ik orFai8t! rin & tt rdr rd d'. ode a d hr6td.d orofr6.d 6( rL lS€.?044. Buins ed ftofBio Co<r. Th. Co.t.sloi! Li6u Le <b6 rcl epl, ro D.*E of th. FoFt, wh. hil6 d lrgD6 tlE6! rld who d6 n t *qt hi@lf tr ha.lf or tllourh hi! d hd o*i srPloyc Drcvid.d rhll rkh ihFlEGn! G mr inadai dodald br r.l.. lt lbw,16. hlildiq d inFiordi.d ir -ld wihh d )r oforpldb( iE OrE AiEd ui! ll* 0r hrd6 olFDviB $i lE M rrE tLl rDl hild or irslwtlt FoFry 6r E FrF*of l.6.$E ofrL FDFry, m 4.hsn.lt frdr-lfts sth liGEd.onr*lo6 r..odru<l llE Ftrj.( (Sc 7().l.l &86 nd Po(sir C6d.: Th.(.ntelor's l,i.cNc Lsw do6 ml lppty to o o*nd of pmFly wh. blild, ot inpto!6 fidon. .rd $ho cDdrrr tor *h F$F! *nh.!} li..rE d poBur ro rh. C.tua1las l-i.e lrq ) I m.rdF ur& Sdrn (_-------------- I @',mrn u.d.r Frht of !!!r1 r. \ri \ rr()t I h.v. dd witl tuifl.in . calinc . ofcotgt to S.lf-lBur. ior erk6 @mFEn io.. s t'ovi!,1 fo. b, s<rirn 1700 oarh. Llbor Codc lG tlE Ffdffi. of rlE qn l l- *tth ilE Firn b is.d Ihlr..ndwitl idrir sort6 @E .rEdion iffi.. B tqutld b sdrio. !70O.alh. L,bo, Co<lc. ld th. Ffonte. of rh. wrl fM *hth rhL Fmil t itri.d My wdt6 enFlrio. i6llltR (fit td ,olty Nnhd c Icdiryrhd inrlEFfolrrt.eoftn *orlforsh(hthi.pqmniris!.d.Inullel6nphydyF$ni.&yrdn(p s ro tcom 3utixl lo rh. rsr4 onp.MFtr l.$! ol(.lifoma !.d isE rh, if Lbuld haor $bdr ro dE N,tG' onpdqri,n pn yi.ioN of 56r bn ]7$ of rh. L.hr Codq I ndl, fodhwnh .ompry *nh lhoE FovarN wARNINC F.ilu.lo sE sorL6 .tnFMbn .o\@g. i unEtrful. snd $dl $bjdr d mtn,rE to airind Fahi6 Md csil fin6 up to oE hu ,.d rrbGnd &'l!6 (ll 0oO). in..!ln6o ro rll. co.r of .ohFMior drus6 a Fovilal for tlE sdr(,n 1076 rfrhc lntrn l {i( inrdd {nd I @ .lI"n undq D6!.ly of Sajury lhd I m li.a!.d u..ld Frririon offtafla 9 (corEocing sirh Sclion ?OqJ) of DFilio. t of lh. AuilEs dn eFf*i,6 Co<t., 1l my ltG ii h tull fore rn.f.ci (0!!IAIJCIIABIEdPI!GAG!!g I hs.ty .Ifm u&. Futy of Fjury lha llE b . s[{ruclb. lddiig .s4., lor ln. Ffotuc ollh. snl for trtich lh! Fmh i! ($.d{S*. !09r, Civ C.). ATI!rcAILDICIASA]I9! I h.d, rfm unda pdrty of Fju,.. oE ol rlE lolbs'ins &chd na: D.tuhio, lmilAsb6rG Norinc{bn Fcd6.l RBuhrioro (Tirl.40, P.i6) R.quftJ tii6oaNotrarcdFn I cdrb rhd rlE f.ddrl csuhri,6 agrdmg a&nor r@\.1e. R +9lt.bk lo lh6 ptuF 6d rhir .pdithn !d rrlc t,. lh. .torc info'nrion 6 (6*t I .gra ro oi{ y *ilh tll cny sd (-.unli_ . lrs Eki,B io buildins codruclior sd hscl,y .uthrn. (F.6an 6 of rfiis Cny ad CodO ro dd l4on ilE F!pd) for inrF<lion FIFBt APPROVALS DATE ID/SIG.COMMENTS Site-Work Underqround Pole Bases Light Standards Spas, Pool, Fountains Signs (monument) Life Safety /Low Voltaqe Fire Alarm / Dampers Communications Cable Building Under Slab / Floor Bonding / Grounding / UFER Transformers Torqueing Sub-Panels Air Conditioners Roof Top Equipment Factory Wired Unit Walls (Conduit) Walls (Roush) Ceilinqs (Hard & Soffit Rouoh Ceilings (T-Bar Rough) Meter Release Rouoh Service lr4eter Iil4.4nFINAL7/z+/t Notes, Remarks, Etc. GL I I I I I I II I I II I I I I I I I I I ,.7 l.'c@r. Nurbd _