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APPROVALS DATE ID/SIG.COMMENTS OWNEN BUTLDEN DEL]LIINATION <br />I h.rchy .rfirn undd lEndly or Frury lhal , um .rcmpl 6Dft rlE c.'nrrmlo^' l-ic.iE Liw n, rh. followidg rcN,n (ss.7oll t <br />Bulinc$ ond Pml'ctriotr Cod.): A,y City or Counly *hich cqrnc{ r Fmn to nrn$Nd. all6, improrc. d.mlirh or EIEi, ctry <br />\tturuc. Fir 'o <br />irr is!.N- !&, ..quirs rtr iprltdr ro. 3Eh F.mi' ro nl r iip.d ilrcrnr lh.l lE or slt i liccnri rEed <br />ro rrE F,visirB ol $. Comrrd-r l-E..d L!* rch.p.r 9. C.ltEEitrr * S..rhn 7@ 6f oivnbn I of rrE BriiErs . <br />Pmr.sions Codc) or rh lr or \,r n crcnI,r rhd.fmn.d rtr t6s tor rlE alkScd.rcnprirn. Ary yiohlnn of S..li,n 70.11.5 by sy <br />rFtli.sir iir r Frmir subF.ts thc .IPlftnt ro . civ,l Fnilly of n$E lhun fiv. hundEd dolls! {!rm, <br />_1..sosEofrlEFoFnxcnycnphFswnhe.86allrnqr!on{E$lli,n,*iI&,rrEEt{ndEd,rfuird <br />dcrrldl r otu fG sL lsa 70,1.t. BBiEs !.d PrDf6tnni Cod.: In Conr.td . t4E trq &.. mr tpplt ro a orE oi <br />rtE F{..ry wlr tulllr or i,tmE t}E6( !d arn dH *h mrl hinrlf or lEBla or llmud hn d hd os..pbF6. <br />pblr&d rhlt srch inprDwd! N mt id.rd d otu 6. eh. lr. hEu. dE tioiljiry or irq''fud i! sld *ihin oE ,w <br />ofotrl'Lrbn. tlE O**r Buitj.r will hlr rtE bo.d.n.f Fnving lrd tE or $. dil mr trild or itrp.oE th. tmlslr aor lh. Puryrc of <br />I rn.rcmpr u .r S(tnrn . B & PC nnrh'\ rcr{,n <br />l).rr <br />t!oRr(uRs coirPFNsATloN <br />OECLAXtrIIIIN <br />I hrr.$t3lin rtr ,ld |f, rlryolFUtrryotrr olrln l,,lk)* 18 dcclnflt i( tr <br />_l h:h !d will ninrr, r Cdr..k of CoK ft! s.lf.ln{rc lu s.l6 o.rpc.d$n, a Fsvii.n for byS6ri,n.t7(D ot rlt <br />Lin, Cod.. for rlt Ffoirrac.f rlE k)rl f6. whkh rlE pamn b L$*rl <br />dtrhovc and will minh,n wnrrcrr' ! nnncn\lnun in\unmc, !s EquiEd b, Sc.rion lrOO of lh. Lahr L:odc. fo, rh. I,.rfolrrlr. o,-'lhc f,,nl 16r *hrhthh Fmr F ^\hl My*ork6 (r{{ndhn m rfficcffir rrn Flrrflumha e <br />c*, <.\a-\<- Co,.a.p.^..,{t-, ,^^s <br />**,n,"*,, 1?LY 81t.1 or*., lZ - t - z \ <br />_l c.nify lni in rlE Frfor@re of l,E wort rd *hrh rhi! p.rmr <br />'r is$cd. I stdl nn .nphy.n, Fen h tny tuftr <br />$ r! h tE m shFl lo rh. wl6'd,mFNrhn Lvr ofc.lifomn. ud.!r rhd ir I tblld b<oc ohFr ro rll <br />q{ts. or{Enqrrn |,uisir6 ol S41bn 37m of <br />'lE <br />L.tor Co&, I fit forihrnh on$ly sirh rlb. pn vilirB. <br />WARNINC: Failorc ro $cm wrlcr' co@.n{rion Nvctugc i. lnlrvrul. Md shtll rubFr r. cryloy.r lo sinisl FNhis e'd <br />civit nnca un ro oe hlnded ttFr.rd (hl16 (llm.fin). in ddiri,. b rlE .or oa con{EN.liol dm3.5 !r rmvB.n for lll <br />.4Lrb. -1076 of r,r lrfi, cod., i.t.Fn lrd {r(my t fs <br />D,,.. l-, -Zl ^,ou*,, <br />-i;-& L"--,z,o\^otu$.lsElsllrlAl.n)a' <br />IECIJXATO! <br />I h.eh! fatrm !.d.r Jx lryof F.Juryrhd I !n lisrd undn Fo6ioi ofct4d 9 ro.mEirg wirhsdbn7(ID)orDivisbnl <br />or Or auiaBr ul Pn,r.sio CdL, ol my lacnr 6 h 6ill foE! !n ciL<l <br />c'lo <br />-r.i..n\c NtrBrrr 8 j 'l o? -l <br />S.r!l i rr^r. 5r1- f"-"rt-, -Lt <br />Qdrrau{JIr!.uaaniG-acllr.I <br />I n Eny lrfirm und.. Ftuhyorlcrjury lhll thcE n.coNIMtion lndins rsci.y lot rh. p.rfo@.c olrh. mrk for *hi.h <br />'his tExnn it <br />irs0.d rs*.3097. civ. c.) <br />L.nl(. NlE <br />- <br />ATTLIIANfDICUAAITA! <br />I My.frm uds FEhy or Fryry oE ol llE folt,vir3 &cLrdion.: <br />Dcnnnrn Pcmilr.ArlErro\ NoriiElrion tu nl R.3!hridni (Tnk.l{), Pd6) <br />_Rquind Lrr.r o, Notifraiirn <br />_l (6if, lhd llE r.n d E8lhlioN EsJdin3 BaBror Emr.l c mr +!lt bL to rhir preF1 <br />2ofdiitr rh, I hlE Erd rhis npplr{i,. nrl st{. rhd r,r .h.E irfontdion i ffi I llc ro oi'ply *ni rI cir, rnd counr, <br />onliMfr.\ und Sl.r.ljwrmbtmr ro <br />ftovc rftnrn,ndl pi(,p.ny ktr insrFcr <br />Applrtu] or A*dl sk LtrF _ <br />in8on fl.uo..0[l h€r.by lurhorir rcrcsnrtrrrt\ ofrhk C[y rd Counry k,.nrd upon rh. <br />ke,J^-,r <br />l-5 zl <br />Site-Work <br />Underground <br />Pole Bases <br />Light Standards <br />Spas, Pool, Fountains <br />Signs (monument) <br />Late Satety /Low Voltaqe <br />Fire Alarm i Dampers <br />Communicalions Cable <br />Building <br />Under Slab / Floor t <br />Bonding / Grounding / UFER vl.'i1 U1ri)441t5 hd\ <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 />Ceilinqs (Hard & Soffit Rouqh <br />Ceilinos (T-Bar Rouqh) <br />Meter, Release.f),a,(I.'7'al DLWN hn <br />Rouoh <br />Service lt4eter T/-ot- t-d uy@ M{t <br />Notes, Remarks, Etc <br />ELECTRICAL.INSPECTOR RECORD <br />Rov O4.07-i)015 <br />FINAL <br />1.8 ffiof rlE |nlp.ny. d.r.lurElyoddnt s h lirEd mtr.ds.o o'nrnd tE F,Fr (sd 7014, a6ms <br />{n hrtarnn Cod.. Thc ConrBk, r Ltc.r tr* dd ri +plr ro uo*ffi of0hFny *ho 6!ild! or irllllmEr thddr., <br />rnn wtE @ tu1.for.och rrtrFt! *irt a Contturon,lic.Nd Nrt@r roih.6,tE.rors Lt.ns l,*).