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ELECTRICAL-INSPECTOR RECORD APPROVALS DATE ID/SIG.COMMENTS O\A NER BUILDEN DETI'ARATION I hr.bt .frm uid.r Friy of FjuI) thi I m doqr from rh. (odr&1oR' Lt.M lr$ fo. rh. folhtrit\s ld)n (Sd ml I I B6ird trd Ptuf*io. Codc) A.y Cny or Cou,ny ehich Equn6 ! Fmil r. odrud. .h6, inprcr., &rolirh or E 6t u, nrucru., For ro ill isuMc€, .b. rcqun6 lh. tf4)licel lor such p6hn h fib s sisnrd 3ldo6l rhd h. or JE i! li.o*d p@du !o th. FornmB of tlt Corrswi L-ietr!.d L!* ((1uF6 9. Comd.einr $hh Salion 70(10 of DivLhi I oflh. Bcind &d Pmf6irn! (-6&lo.rhd lEor !n i! a6rF rhsln n tnd rhc bicir for rlE dk8cd .totrFhn Any\iohthnolSa:iion70ll.Jbyint .rplic! for . Fhh sub.cl! rh. q?li.ot ro . ci\ il Frt, of mt mrc lfid lir. hun&.d &lld 11500) l. $ o$n of rh. F.Fry. or hy mphls *ilh $.s6 s thd olc mmpssior witt {h lh. *dt dt it rM@ i ml iirdrtl or ofI6.d ao sl. (s{ 7044. BBind ed ProldioB co<L TlE ( oir6.loa3 l.ic.e lr* &B iot rpPly lo a o$c ot ln Frpaly $h. bil&or irp.r,v6 $de(..d wh. d.6 sch @d hiIwlf or hdlf orlhmugh hi! or hs ow.n9loyd. Folrd.d rh.r s.h 6F!ffi E r'1 inlqd.d or olTEld 6r !.l. l[ l$$6t, rt hliui.B o, rgl\Erd i. $ld f,nhh otr ]a ofNrrl'lcsr\ th.o*c Ad& siu bw tE hrdqr ofFo\rE d[ lE or !h. r,il ml hnld.r lpror! dE Fr4dty 6. E Flroror L 6 o$ 16 oarh. Fopdry. d .r.lsi!.ly .otudma snh lic€rE d co,rt.!16 'o .odtud llr FDl.ti tSE 7044. rrd!6 dd h!i*M Cod.: Th. Co.l.rlo.t Lictrc lrw do6 ml tpgly r. m osnd ofprop.ny q'ho hdild! or imprnvB rfi66n. ed sho co rrls to, such Fjd3 wnh r ( odEdo(s) li<d..d plNel lo rh. Cod..dlMi l-i..M L.w). l n.tm und.r S6li,n Irrt. Ornd \r oru,iERs aotrPi ns^ rldN !.Ecrd3arll.N ! hs.hy rffirm trndd Falr).{pdrtrry or. oilhc lollos ins d(l ,liotu I hv.!d will mi.ui!. Caifrrr.orcoe lo S.ll-lEW fo. *std-onFsrior - Fovi,.d to, by Sqlhn l7m of lh. r,htr Code ld tlE F6ffi ol llE s* f6 $ii[ rlE FEn it L.!ci Ih.r.lnd*illm.i rinwo 6 comFc.lion !Nur!m.. s (qu&d tt sdrion 1700 olllE Llbor Con . nn th. FfolM. of rh. $orl for shi.h rhb Ddhil it isE4 My world .onrEtsdion imm.. cdna ad Fhct nunbd @: Pol'cyNuibd - Erpr6 - f cdri lh.l 'n thc p.rlo@. of rlE so fur *hrh rh! Fnn i. iqci. I !h.ll ml aPloy Ey F$n i! !y nEE e s ro tE!n. shj.{ h lh. mlt6' compoldion h* oac.lilomi.. 8l t*r lh, if I 3t{uld b<oft tubal lo llt worl6 <,trFNlion pmviriod ols.ctio. 1700 of rh. t hor Cone ! nEll lodhvnh..nply virh thoe povirioB.. a lnL*ful rnd ,6nl suir.r.t u npb)s lo (mid F!ri5 Jn cnil 6n6 !p ro oE hurlrql rlh6.rd &116 (tlm,(m). in .ddnnn ro rh. cor of !.ior d!fus6 . F.\ilid for rh. Sdrhn 1076 ofrnc L5&{ Cqk inrdd ei eon r ! f6 DECIIIAIO! t bdrby.ffm un&r Fdt, of Fjury thti I 6 lE6t d uib Ftvbion of(-tuF of E tl{.IB .d Pro&siod ( od.. id nr ltru i i! n I fo@ .d .ft d 9 (oon6'n8 *nh Sdion ?000) of Diri!.n l l/.'LtrcNrr lNr l- - I L,, ".," tJ. //s//? (!)!IIBIJ(fTQ!.IE!DI C.&GENCI I hatbr.firm und.r Fndly of Fjury rhr rhc. ir. codru.lioi loldrs rgd.r 6t aE FLllffi. oflh. $.t ['r $ni.h lhi Fnn i! NU.J (sfr 1ur)7, (i\ a) ASIIJ(AILDECIdf,AIIA! I hdlby .trm und6 ,a.hy of Fjury oft of ih. aotlowi.s d..l@lhnt Dctuhion PffhlAsbdror Nolilic ior FEdall i,.suhliotu {Titl.,{0, Ptn6) \r1*,*,tl'oor,*,-- V: I cciry rh, rh. f.d6il rc||tLr DB Esidos !b.dd @r d E d I?lr.bL lo lh! FlF y'lcoriayrh.lIha.6driirrpdi..liondd3r.lh!$..bov.inforndioni!cd.<1 I tSrc l. onPly wnh .ll Ciy ud Counry ordin.n.6 strd sl.r. lisr r.lntins lo huild'nB conntudn)n. dd h6.by at r. nBho..J treFny fo. inrp.n tppli.rni or Arml sitrrlur. rem wc'q,rs. rdrr\ f l rlin ( i\ am! (iu t n. citl tr|rlrrl* '"'" af s/t7 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 Bondinq / Groundino / UFER Transformers Torqueing Sub-Panels Air Conditioners Roof Top Equipment Factory Wired Unit Walls (Conduit) Walls (Rouqh) Ceilinos (Hard & Soffit Rouoh Ceilings (T-Bar Rough) Meter Release Rough Service [\,4eter tl FINAL tlTr-/t"o 1 Lfiklttg /?-z ) Notes Remarks Etc. *". A/t</tZ