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ELECTRICAL-INSPECTOR RECORD APPROVALS DATE ID/SIG.COMMENTS 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 / crounding / UFER Transformers To rqueing Sub-Panels Air Conditioners Roof Top Equipment Factory Wired Unit Walls (Conduit) Walls (Rough) Ceilings (Hard & Soffit Rouqh Ceilings (T-Bar Rough) Meter Release Rough FINAL a U/?*aA Notes Remarks, Etc OWNER BUILDER DEITCARATION II hdltry .llm d& Fulty of Fr{ry th, I 6 qdt9l &06 rlE Colnrxtd LtcE Lry fo, lE foUonine r.atr lsa ,0] I I&!in@ ird Profobr Cod.) An, Cny o. Co@!y shi.h rcqlic . Fmr to @dru.1 .tE inp.ole damlirh or qt rl tlrucl@. Fhr lo it! n uue. .Lo r.qun6 lh. +plicd lor ruch Fni ro lil. . !i8Ed ddmdt fid h. or $. n licqsd puBdr lo llE ForLi,B of E Codftd,] Liar.d t * (Ch.Ct6 9, CoMdi.S *th S..rb. 70m of Dilirion 1 oa!h. ttlin6 Ed Pre66.aodCod.) o,rha t G 3lE i ddiF rh.6or ird rlE h-ir for rlE nkacd dol9rb!. tuy vhhbn olsdd 7ol I t by e) rpplic.fl ror . Fmi ubjd! ti. .pplic!.r ro . ciril p.n.lry of mr mrc $a liec hund!.d dolld! (Srm) l.a ow 01tn. FlFry. Ey.nphr6 $ih *196 lrlEt $LonF!r6& xdl& rlE* t,n rrMcir{ inoiLd N oFald tor..l. (Sc.ro4l, BEilB ed Pref<bB (o.b TIE CoftErdi LtaB tr* dc rEl +ply lo d orE of tlE F!Ft, who h!il& or ihpr.6 tlEri. id vlb d6 rrn m* hinrlf or lE*lf o. rhmush hi. or h6 o* n mplold. [tuvi,.d lhd rocl' i,qrrvdEfi eml idai.d tro,Er.d fix s]. l(,lbGs. E toilti,l3 or i,qs6d ir rld $nnin oR ]t of 64ldia E O$E Ei E $in hG lh. hrtb of Fo\ir ,. E o, ft dn Ei hild d i,p.or! dr. FoFry 6. rlE FIFE of - l. ao*E of dE FoFry. a.klciv.ly.odeha wit [.a!.d codr-loB to odrud rlE p.rj6l {56 7(NJ. &Ei6!n Pba-i. Co&: Tt. Co.t-ror'r Li..e lr* d€ mr qply !o o otr nd of FoFnr" *ho h{ildr or inp?o!€ rhdan &d sh. orftt fd r8t Fii{r wnh.Coffio(rlli@.d pol:td ro rh.Cffid r LkG ts) I uc\dnrl und6 S€lion D.t. __ __ OiEr_ uostrEEs:.caMtINraltg![EcuaarlQ! I Eq* .ffm uDda pd.Iy of Fjury m of llE 6110$ !'r ddhdbB I h8vc. will minlin . Cdilic.l. of('otMt lo s.lf-lBur. aor sorl6 .ompddn,n. a Fori.Ln lor by Sdn'n lr rl)0 o I th. l.bor Codc l dE Ffoffi. of rh. wrt ar stih rh< Fmir i! i*u.d I h.r. ..d *ill dlinlrin lort6 compsad ion isurm G. 6 r.qun d b, Sal ion .171m of rh. llhor (td., to, rh. p6f(tuc ol th. sorl for whici lhi! Fin ir ieEd. My wortd omp.Ndion iNurMcc cMio sn loli(y iu'nb6 rc: I cn,fy rhd in rlE Ffolrrec oatrr *ort lor $hth in'r Fsi ir ir$.d. I t}l!U 6r oploy uy Fen ia liy o&ffi $ Blo b.com $bct lo th. world' mnFndion hsr.fc,lifomi4 rd.Brc rhd ial nruld bcrorE lubjel lo lhc rod6 omFElbn proyilioN of Salion lT0o of lh. Llbor Codq , ilEll. ,clhwith omdy qilh lh- prctun'E WARNINC: r.ilu. b EE wtd' @mFu.lion 6r'6.9c i! uL*tuI, .d snlll subixr & dnployE lo siiinll Fuib !d .iril f66 op ro oE hundr.d tholed &116 (1100,001)1. in.ddnio. ro rhc con of codp.erion, d!n.!d o prorid.d aor th. Sdb. 1016 ofrlE t lo. Code in!6!r Dd rldrEr'r 16 Ltc9rtsED coNTRACTOn DESSAAIIA! I lE!5y .llm ui& Frty oa paFri; rti I d licq!.d urd6 EDri'ioi of OuF6 9 (coffii,g r (h Sdnn 7{xr0, oa Dilirioi l of rh. B6in6 dd PmftsioB Codc. dn ny licm. ir in lull lo@ &d.Irdr. ( oNsTRucrroN L6nntNG lcFr\cv I haby lllm u.&r Frhy oapatury lhd $d. ir r @n, rucrion lddiry .s4, lor tlE Fforlll.e of thc *olt lor *nth lhi! Fni a ir&.d {sr. 1007. cil c ). lrnaftucAdr-ol(jta8arlo! I lEdy.trm unds Flhy of Fiury on of llE follosing d<lrr.tioN: DqDlab. Pditt'Artcrd lLrifkdiD Fc<b.l R.suldi'B (Inb !O. Prr6) R.qui.d Lal6 of Norificlrb! I cdiry th, rh. r.d.il Esuhb6 csrdins nbdro! .m! !l sc ml qrlrlbk ro lha ,,!jd I .EriS lhd I h!v. (.d lhi! lppli..rion lxl tl . $,l t..bor. infootr lion i!.oEd I {crocorplywnh!I ('ilr ud Courly ordrGd rn $1. trs Glit ro hildi,3 odMio^ .'d hd.r,y !rho.i2. nt cdrn6 of lni! ( nr. Cou yro aral4onrr rhor I6io.cd FlF, toi ilpdb! F"po6 .\PPlirN r o' \sur si[nNttr,. I I I I I I I Service Meter