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APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DEL('AIAIION
<br />t hd.by .lIm undd Fuly of pojory rha I m .rdn$ &Dn rlE colituos LtG tt*' lor lh. rolo{lB ran (sa r0ll.5
<br />&!in4 in Pmfsi'n Cod.)r any City or Counry sfiah r.piE . F i ro siitu.l. ,na. irpor! d.mllrt or rp.r oy
<br />3tnxrur. Fir ro nr i!!l4q !k EquiB rh. !9olrer for $h p6mn ro liL.3bftd rrllml rlll lE or rll. i licdn d lraad
<br />ro lh. Fr rioN.frh. Conrffroar l-ic.tu d Lrw l(h.prd 9. Comdcins sih S6rion 7m0 lfDiviion 1 otlh. B6ind md
<br />Pr.f@ioo Co&) or rhd lE 6 rhc ! B@F !ha.a,om,n E tGi! fd llE.lL8.d dsrplbn. Anr rirlirct.l sdln 7oI I t bym,'
<br />.tpli.d 6. . Fnn sbi.fl! rll .p?li..tr lo r Giril Fn I, of mt mE lh5 li1. huid.d dolla. (15([,
<br />- l. s own6 of rhc pr.p.i!y. or ny dplo!6 wirh *r!6 6 rh.i, $l. smp.iqliotr $ ill do ln. $$rt . ltu nr1eBm
<br />i o!d.d coll(.d ft, s]. lS€ 7Or4. EsiE. od PrnfBioB (-.d. TlE ('odr-ld r Lrc l,r d'd nol qn ! lo 6 osG of
<br />rlE FnFy sho buii&n rp.D6 Eqrnsh&E*n( hiIelI.r lE!.!f oi llhush hn n hd o.n ar|'lh,6.
<br />Fovi,.d lhd sh inForqE ! G d anaidl *ofiald ir nk. I( t 6r, rlE tuiEiB.r i'r'FrrsEd i 5ld s lhin tr rt
<br />of o'npl.rb'! rh. Ow.d Boilld wil l!v. fi. hndd of proving rhd ll. or Jr .lid d hild or impror. fi. p.DFly tu tu pqnc ol
<br />.l. BolcofrkFlFry. mdclBtr.ly.o r..ling hnh li.ns.d.odrdoN ro ennrd rhc
<br />'lol<
<br />(S< 7oll, tl6,.d
<br />rnd Pnrisbn(irdc: Th.(bntr*lor'r l-i.c .Llsdo6not.tFlrlomof,r6olproFny\hobuild3nrntfl.\.rrhdon,
<br />sd sho coddr tu ech F!).(lr *irt ! Cof,r.dons) lt6kd p!6d h rh. ( odr&1n's Lkm L.$,
<br />I m.rmB unld Sdhn
<br />D.l.__._ _ Oinr:
<br />woria&i; a iiilPsris
<br />DESATAIA!
<br />I hG.t'y .Irm und6 p6.ty of pdjury otu otth. followiry d<lri io6:
<br />-.ltErnwill inr.in r Ccrift!. orco@i lo Sfj'e. fo. *ct6 6"rFdir( - Fotir.d 6r ln sdi$ l7m of rh.
<br />L.6.r Code fo. llE Ffm olllt *!rl fd *iih llt Fnil . isE<l
<br />Y h.vr.id*illfrei .in q 0rk6 com,tnrll io. ilursc. s Gquircd i'y Sdl6, l7(l(r oflh. lit or Cod.. f.r rh. pafol114. of
<br />e* for rhih rhi Fir i! isrd My $0116 oniFEiion i@6x..rir td Frlt] ru.nb.r ec:
<br />6-- .&,rr.rrc rc g bA. 4s-
<br />.r..,r".0., g?3-5)- llt I , Erpnd ,-- t :-t 7
<br />I c6i'ryrhrt in rh. Flqnrmc of rh. rdrk aor whi<h rh'r FEir i! irru.{. l.hrllnol mphy.n} Fen in.n, mnnnd
<br />$ a lo 6.$n .ubt .l t6 lh. *orldJ .omFE l ion Ltr. of ( rlilomi& .nd .*rE lhal il I ihould ti<.tr'. lubj<l kJ rh.
<br />mrl6 @mF.srio. Foi.i.E oasdion l?m.f th. Llhor ( hd.. I Jull. fonh$ ilh ompr) snh rh't F.\ ttr,B
<br />wAR,ttNC: l:ailur. to Fu. sorkdr'o'nr6$ti(,n covdr.6 trnlr{fol. .nd sh.ll $hr(r an dn0l,,r( l,) on'n.l r-^hE ind
<br />.ril fin6 up lo on. hu.drdl rltuu$id tldllin 1l l(n.o(,Jl, ir .ddninn t,, rlE.osl of.on,p.Nln,n. donD!- 8tno\ .J f.r !h.
<br />s.dFn 1076 orrh. lr&* (.d.. inr6.n !d o,e*i f6
<br />^rr-4 '1( /t1 nron-^(
<br />TESJSAIXIB
<br />I ha$y.lIm unr'.r Frhr of Fjury rhn I h liE!.d uds For tnn of (]qr. 9 (omnffi.8 r nh Sdi t(irolotDi$iorl
<br />of rh. t!{ itB ud Pmfsiod Co&. ni my lkru t in tull lor*.!d.,T.d.
<br />C'r o
<br />Tlnt I't :YW/o o'1 r r'7
<br />CONS']RUL-IION LENDIN(; AGENCl
<br />I h6.h, am'mnnd6 Fn.ltyofFjuryrh.r lhsc is a mnrru.rirn l6rli.rr rsd.y for rh. Fnnnndr. ofrlE$ort nr {hi.h lhir Fnil B
<br />i$u.d(sr .1097. civ. c I
<br />I .ndE r rlmc
<br />,ufu(anu}:(lJ&t-uar
<br />t hdrt,! arm u d6riianr nf FjuD dMof rh.(,ll(\\hrd.(l dnns
<br />l).ndirion lcrnric.Asb.sror Norificd'id l'.1r.1 R.rul nni r I iil.t0, t'(x,)
<br />R.quicj l!rs oI tJrrll{r$
<br />I.diDlhd rh. Ld6ilr.sulari.ni rq dins &\h(lr)s r. u rl irc nor arr)r'ribl. kr rtB $)i(r
<br />-I.d'ryrndIh.v.ra!rh!qDltri.ninn.r.lhrrh..t$r.infotubn6cotrcrI.areloconlor){'rh.rl('n)t*l(.od,odIle6 dd Sr.r. L."! r.hir{ ro hrildin{ olnru(rkr sn h6!t} iurlmrE rqrffirdN6 olthlr ( il! et(-,'ud} ld d'q uFt 0E
<br />rbo,c m@ho*d rhpolJ ror rnrp<riorrFF.-- / I I
<br />^D,rk.ror^F,srdrn -W.L , h,. f/n.
<br />P.mr,rn.m.rprrn,,: (^ L [; t
<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 / Groundinq / UFER
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rough
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rough
<br />Service Meter tl I
<br />t
<br />FINAL x1< ft+I *l,l+1
<br />Notes, Remarks, Etc
<br />ELECTRICAL.INSPECTOR RECORD
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